Redesign Corporate Identity Sebagai Peningkatan Image Perusahaan Studi Kasus PT. Finansia Multi Finance

The era of globalization brings two effects, on the one hand can increase the opportunities in the field of employment, on the other side of the business world increasingly keen competition and tight. Therefore, it needs the right strategy for success in the business world. In marketing the product until now the company has been using various forms of media support facilities include: media banners, xbanner, brochures, stickers products and supported other visual media used by the company. But the company realized that a competitor with a similar type of business more and more, and also continues to grow. The problems increase with the identity of the old logo is not in accordance with the vision and mission as well as management targets. From the condition the company calls for the renewal of the corporate identity to build the image and identity is formed through the overall appearance of design in any media promotional campaign as a support program in order to further enhance the attractiveness to prospective customers. Analysis of problems derived from interviews with Branch Operation Manager PT. Finansia Multi Finance relating to the design of corporite identity redesign. The end result of this research is the manufacture of Graphic Standards Manual that is intended for the manufacture of the logo as a corporate identity of a company systematically arranged, and there is no error of perception / view in the application of the logo on any existing media include media banners, xbanner, brochures, stickers products and supported other visual media used by the company. With the redesign of the design coorporite identity at PT. Finansia Multi Finance, is expected to reinforce the existence and increase consumer purchasing power against PT. Finansia Multi Finance itself

Some Properties of Green's Matrix of Nonlinear Boundary Value Problem of First Order Differential

This paper discusses Green's matrix of nonlinear boundary value problem of first-order differential system with rectangular coeffisients, especially about its properties. In this case, the differential equation of the form  with boundary conditions of the form   and  which  is a real  matrix with  whose entries are continuous on  and . ,  are nonsingular matrices such that  and  are constant vectors. To get the Green's matrix and the assosiated generalized Green's matrix, we change the boundary condition problem into an equivalent  differential equation by using the properties of the  Moore-Penrose generalized inverse, then  its solution is found by using method of variation of parameters. The last we prove  that the defined matrices  satisfy the properties of green's function. The result is the corresponding the Green's matrix and the assosiated generalized Green's matrix have the property of Green's functions with the jump-discontinuity

Analisis Kondisi Bonding Antar Lapisan Beraspal Secara Teoritis Dan Pengujian Di Laboratorium

The condition of bonding between asphalt pavement layer can influence the behaviour of pavement structure in supporting vehicle loading. In strong bonding condition, the adjacent pavement layers will act together to support pavement loading and the other way in weak bonding condition the layers will act independently with the result that stress in every layer of pavement become higher and will decrease pavement life consequently. This study described the investigation of bonding condition using teorethical model and laboratory test. Those are developed using CIRCLY5-SAP2000 Program and Modified Direct Shear Test respectively. The results shown that there is the range of bonding parameter which starting from weak bonding until full bonding using theoretical and laboratory model. Futhermore the analysis shown that ignoring bonding condition between pavement layer will become one of factors which cause early damage in pavement structure

Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit

Background: Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods: NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co-morbidity, imaging, operative treatment, and in-hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results: NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non-operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in-hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion: NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group

Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit

Background Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co‐morbidity, imaging, operative treatment, and in‐hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non‐operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in‐hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group

National prospective cohort study of the burden of acute small bowel obstruction

Background Small bowel obstruction is a common surgical emergency, and is associated with high levels of morbidity and mortality across the world. The literature provides little information on the conservatively managed group. The aim of this study was to describe the burden of small bowel obstruction in the UK. Methods This prospective cohort study was conducted in 131 acute hospitals in the UK between January and April 2017, delivered by trainee research collaboratives. Adult patients with a diagnosis of mechanical small bowel obstruction were included. The primary outcome was in‐hospital mortality. Secondary outcomes included complications, unplanned intensive care admission and readmission within 30 days of discharge. Practice measures, including use of radiological investigations, water soluble contrast, operative and nutritional interventions, were collected. Results Of 2341 patients identified, 693 (29·6 per cent) underwent immediate surgery (within 24 h of admission), 500 (21·4 per cent) had delayed surgery after initial conservative management, and 1148 (49·0 per cent) were managed non‐operatively. The mortality rate was 6·6 per cent (6·4 per cent for non‐operative management, 6·8 per cent for immediate surgery, 6·8 per cent for delayed surgery; P = 0·911). The major complication rate was 14·4 per cent overall, affecting 19·0 per cent in the immediate surgery, 23·6 per cent in the delayed surgery and 7·7 per cent in the non‐operative management groups (P < 0·001). Cox regression found hernia or malignant aetiology and malnutrition to be associated with higher rates of death. Malignant aetiology, operative intervention, acute kidney injury and malnutrition were associated with increased risk of major complication. Conclusion Small bowel obstruction represents a significant healthcare burden. Patient‐level factors such as timing of surgery, acute kidney injury and nutritional status are factors that might be modified to improve outcomes

Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction

Introduction Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. This study aimed to characterise current management and outcomes following malignant small bowel obstruction. Methods A prospective, multicentre cohort study of patients with small bowel obstruction who presented to UK hospitals between 16th January and 13th March 2017. Patients who presented with small bowel obstruction due to primary tumours of the intestine (excluding left-sided colonic tumours) or disseminated intra-abdominal malignancy were included. Outcomes included 30-day mortality and in-hospital complications. Cox-proportional hazards models were used to generate adjusted effects estimates, which are presented as hazard ratios (HR) alongside the corresponding 95% confidence interval (95% CI). The threshold for statistical significance was set at the level of P ≤ 0.05 a-priori. Results 205 patients with malignant small bowel obstruction presented to emergency surgery services during the study period. Of these patients, 50 had obstruction due to right sided colon cancer, 143 due to disseminated intraabdominal malignancy, 10 had primary tumours of the small bowel and 2 patients had gastrointestinal stromal tumours. In total 100 out of 205 patients underwent a surgical intervention for obstruction. 30-day in-hospital mortality rate was 11.3% for those with primary tumours and 19.6% for those with disseminated malignancy. Severe risk of malnutrition was an independent predictor for poor mortality in this cohort (adjusted HR 16.18, 95% CI 1.86 to 140.84, p = 0.012). Patients with right-sided colon cancer had high rates of morbidity. Conclusions Mortality rates were high in patients with disseminated malignancy and in those with right sided colon cancer. Further research should identify optimal management strategy to reduce morbidity for these patient groups

Immunophenotyping in leukemia and its diagnostic significance

The identification of cell surface markers, defined as clusters of differentiation antigens (CD’s) could be used to classify and sub-classify leukemia. Although the same antigens are expressed on normal cells, the phenotype on malignant cells are aberrantly and frequently asynchronously expressed and may be present in combinations not observed in normal blood or bone marrow. Aberrant expression of surface antigens corresponds with poor therapeutic response and short survival. Additional surface marker analysis complementary to morphologic evaluation and cytochemical staining has greatly improved our ability to characterize hematologic malignancies. A review and illustration on the diagnostic significance of immunophenotyping in leukemia will be presented. Data from 225 patients having complete assessments including morphology, cytochemistry and immunophenotyping in the period of 1994-2001 were collected and analyzed. Based on morphologic evaluation and cytochemistry, the diagnosis of acute myeloid leukemia and acute lymphoblastic leukemia were established in 51.1% and 48.9% of cases, respectively. Based on immunophenotyping AML was found in 49.0% of the cases. ALL could be classified into 4.9% pre-B-ALL, 18.7% B-ALL, and 14.7% T-ALL. Cases expressing cross-lineage antigens were found in 12.7%. The prognostic significance of these aberrant expression of antigens for those cases has yet to be established but some of the cases responded poorly to therapy. Immunophenotyping provides the tool to: 1) distinguish normal from clonal populations of leukemic cells; 2) define lineage and reveal the stage of maturation; 3) identify inappropriate expression of lineage associated antigens; 4) provides more informations to establish diagnosis and prognosis compared to standard methods. (Med J Indones 2004; 13: 195-202) Keywords: Immunophenotyping, clusters of differentiation antigens, lineage associated antigen

An online condition monitoring system implemented an internet connectivity and FTP for low speed slew bearing

Rapid and reliable information in slew bearing maintenance is not trivial issue. This paper presents the online monitoring system to assist maintenance engineer in order to monitor the bearing condition of low speed slew bearing in sheet metal company. The system is able to pass the vibration information from the place where the bearing and accelerometer sensors are attached to the data center; and from the data center it can be access by opening the online monitoring website from any place and by any person. The online monitoring system is built using some programming languages such as C language, MATLAB, PHP, HTML and CSS. Generally, the flow process is start with the automatic vibration data acquisition; then features are calculated from the acquired vibration data. These features are then sent to the data center; and form the data center, the vibration features can be seen through the online monitoring website. This online monitoring system has been successfully applied in School of Mechanical, Materials and Mechatronic Engineering, University of Wollongong.Published versio