365 research outputs found

    Pemanfaatan Bahan Ramah Lingkungan untuk Desain Penghijauan Vertikal sebagai Upaya Menciptakan Kenyamanan Termal

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    Keberadaan tanaman dapat membuat manusia merasa teduh karena penggunakan elemen tanaman memberi kesan yang dinamis dan menarik pada suatu bangunan. Salah satu bentuk dari green architecture yang dapat diterapkan pada bangunan rumah yaitu green panel. Selain berfungsi untuk mereduksi panas sinar matahari, green panel berfungsi untuk menghadirkan efek visual, serta sebagai penanda lokasi yang mempertimbangkan aspek proporsi, aspek keseimbangan serta keamanan dalam pemilihan material. Solusi yang ditawarkan untuk menyelesaikan permasalahan mitra Kegiatan PPM Pembinaan dilakukan dengan metode sosialisasi dan demonstration plot selama proses sosialisasi desain green panel dilaksanakan. Hasil yang di dapat adalah Pemahaman masyarakat kelurahan Pematang Gubernur, Kecamatan Muara Bangkahulu terhadap bentuk desain modul green panel dalam menyikapi fungsinya terhadap Kenyamanan termal di dalam rumah tinggal

    Implementation of Delivery Planning and Complication Prevention Program by Midwives at Primary Healthcare Center in Ambon

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    Delivery planning and complication prevention program (P4K) was established to accelerate the decrease of maternal mortality rate (AKI), Implementation of this program in Ambon was not optimal. Objective of this study was to explain the implementation and related factors of P4K by midwives in the primary health care centers of Ambon city. This was a descriptive-qualitative study with cross sectional time approach. Data collection was done using in-depth interview technique to 3 P4K executor midwives as main informants. Triangulation informants were three heads of primary healthcare centers, head of family health unit of Ambon district health office (DKK), and three mothers who gave birth in the last 0-42 days. Content analysis method was applied in the data analysis. Results of this study showed that P4K implementation in the form of giving comprehensive counseling was not done by midwives. Antenatal care (ANC) visit was not conducted according to the standard. Delivery assisted by ‘dukun' was still found. Post delivery contraception use did not attain the target. ‘Tabulin' (savings for giving birth time) and blood donor collection was not performed. Program socialization to the community and cross sectors was still insufficient. The number of midwives was still insufficient. Facilities were still insufficient, and no funding allocation for socialization activity was provided. Management control from Ambon city health office and head of puskesmas was inadequate. Communication forum for P4K was not performed by midwives. Commitment and attitude of P4K executor midwives were good. No standard operating procedure (SOP) for P4K implementation was provided. Implementation of P4K by midwives in Ambon city was insufficient. It was caused by no local policy that supported P4K; lack of communication to the community; insufficient number of midwives, facilities, and funding; inadequate management control by Ambon city health office; and no SOP for P4K implementation

    Pengarusutamaan Gender dan Optimalisasi Peran Serikat Pekerja sebagai Upaya Perlindungan Berbasis Gender Bagi Perempuan Buruh Pabrik di Kabupaten Karanganyar

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    This research aims to find strategies of gender-based protection for women worker in Karanganyar. The emergence of Legal Law (Instruksi Presiden No. 9 Tahun 2000) about gender mainstreaming making every stakeholders should integrate gender as perspective in every policy. One of efforts to protect women worker based on gender perspective could be done by implemented gender mainstreaming. Based on the research, strategy of gender-based protection for women worker could be run through worker union. Every company should have union worker and make contractual worker (PKB). The protection of women worker could be done by integrating gender perspective on contractual worker arrangement. Therefore every department in Karanganyar should implemented gender mainstreaming so monitoring and evaluation could be done by Department of Labor and Transmigration. This department should be ensure that the contractual worker in every company has a specific protection for women worker

    Anti-inflammatory Activityy Of Piper Crocatum Ruiz & Pav. Leaves Metanolic Extract In Rats

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    Inflammation is a natural respon for tissue damage. To reduce inflammation, people used a NSAID (Non Steroid Antiinflammatory Drugs). This agent caused many side effects. One of medicinal plant empirically used for traditional medicine is Piper Crocatum Ruiz & Pav. This plant is potential to be developed as medicine for anti-inflammatory because its contains flavonoid, saponin, tannin, and alkaloid. The aim of this study was to investigate the anti-inflammatory effect of the P.Crocatum extract using carrageenan-induced rat oedema test. For the anti-inflammatory activity measurement, five different groups were established and piper extract was administered in three different doses : 25, 50 and 100 mg/kgBW. Acetosal was used as a reference agent. It was found that reduction in the flammation was 77.58% for acetosal, 72.37% for 25 mg/kg extract, 85.60% for 50mg/kg, and 81.02% mg/kg for 100mg/kg extract. Extract of P. Crocatum at 50 mg/kg showed the strongest anti-inflammatory activity among the doses used. The results showed that P. Crocatum extract posseses promising anti-inflammatory effect

    Plasma Levels of Tumor Necrosis Factor-Alpha and Interleukin-6 in Obsessive Compulsive Disorder

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    Aim. Recent research implicated place of an immune mechanism in the pathophysiology of obsessive-compulsive disorder (OCD). Despite increasing evidence involvement of cytokine release in OCD, results of the studies are inconsistent. The aim of this study was to evaluate the plasma levels of the cytokines; tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) in OCD patients. Methods. Plasma concentrations of TNF-α and IL-6 were measured in 31 drug-free outpatients with OCD, and 31-year age and sex-matched healthy controls. TNF-α and IL-6 concentrations in blood were determined by enzyme-linked immunosorbent assay (ELISA). Results. Both TNF-α and IL-6 levels showed statistically significant increases in OCD patients compared to controls (P < .000, P < .001, resp.). In addition, the age of onset was negatively correlated with TNF-α level (r = −.402, P = .025) and duration of illness was weakly correlated with IL-6 levels (r : .357; P : .048) in patients group. Conclusion. OCD patients showed increases in TNF-α and IL-6 levels compared to the healthy controls. This study provides evidence for alterations in the proinflamatory cytokines which suggest the involvement of the immune system in the pathophysiology of OCD

    Constitutional Analogies in the International Legal System

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    This Article explores issues at the frontier of international law and constitutional law. It considers five key structural and systemic challenges that the international legal system now faces: (1) decentralization and disaggregation; (2) normative and institutional hierarchies; (3) compliance and enforcement; (4) exit and escape; and (5) democracy and legitimacy. Each of these issues raises questions of governance, institutional design, and allocation of authority paralleling the questions that domestic legal systems have answered in constitutional terms. For each of these issues, I survey the international legal landscape and consider the salience of potential analogies to domestic constitutions, drawing upon and extending the writings of international legal scholars and international relations theorists. I also offer some preliminary thoughts about why some treaties and institutions, but not others, more readily lend themselves to analysis in constitutional terms. And I distinguish those legal and political issues that may generate useful insights for scholars studying the growing intersections of international and constitutional law from other areas that may be more resistant to constitutional analogies

    Patients’ preferences for osteoporosis drug treatment: a discrete choice experiment

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    Summary: Active case finding for osteoporosis is used to identify patients at high fracture risk who may benefit from preventive drug treatment. We investigated the relative weight that women place on various aspects of preventive drugs in a discrete choice experiment. Our patients said they were prepared to take preventive drugs even if side effects were expected. Int
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