Biomaterials in Orthopaedics

In general knowledge, orthopaedic surgery treats the disease and injuries of musculoskeletal system including bone fractures, anomalies, degenerative disease, tumor, and infection. Significant difference in orthopaedic cases occurs between developed and developing countries. In the latter, the majority of cases are caused by injury and infection. Most surgical treatment needs the use of implants can be selected from metals, polymers and ceramics oe their combination. In Indonesia, certain type of orthopaedic implants have been produced locally but still cannot fullfill the high demand. The current technology used by local manufacturers has some limitations in production capacity and product variety mainly for complex implants like arthroplasty. Collaboration in R&D activities on orthopaedic implants is on-going between local manufacturers with universities and goverment institutions under the assistance of orthopaedic surgeons. This collaboration receives a full support from the Indonesian Goverment as it aligns with the national programme on supporting local products and the new general health insurance programme which covers every citizen of Indonesia

Quantifying primaquine effectiveness and improving adherence: a round table discussion of the APMEN Vivax Working Group.

The goal to eliminate malaria from the Asia-Pacific by 2030 will require the safe and widespread delivery of effective radical cure of malaria. In October 2017, the Asia Pacific Malaria Elimination Network Vivax Working Group met to discuss the impediments to primaquine (PQ) radical cure, how these can be overcome and the methodological difficulties in assessing clinical effectiveness of radical cure. The salient discussions of this meeting which involved 110 representatives from 18 partner countries and 21 institutional partner organizations are reported. Context specific strategies to improve adherence are needed to increase understanding and awareness of PQ within affected communities; these must include education and health promotion programs. Lessons learned from other disease programs highlight that a package of approaches has the greatest potential to change patient and prescriber habits, however optimizing the components of this approach and quantifying their effectiveness is challenging. In a trial setting, the reactivity of participants results in patients altering their behaviour and creates inherent bias. Although bias can be reduced by integrating data collection into the routine health care and surveillance systems, this comes at a cost of decreasing the detection of clinical outcomes. Measuring adherence and the factors that relate to it, also requires an in-depth understanding of the context and the underlying sociocultural logic that supports it. Reaching the elimination goal will require innovative approaches to improve radical cure for vivax malaria, as well as the methods to evaluate its effectiveness

Studi kekuatan campuran pasir dengan limbah karbit dan fly ash

Stabilisasi tanah adalah suatu usaha untuk meningkatkan kemampuan tanah agar stabil sebagai pendukung konstruksi diatasnya. Stabilisasi tanah pada dasarnya memperbaiki sifat-sifat tanah dan memperkuat daya dukung tanah yang ada dengan cara mencampur tanah dengan material lain seperti kapur, semen fly ash, dll. Limbah karbit merupakan pembuangan sisa-sisa produksi pembuatan gas tabung yang mempunyai kandungan CaO sebnyak ? 60 %. Sedangkan Fly ash adalah material yang sangat halus, serta mempunyai gradasi yang seragam yang berasal dari sisa pembakaran batu bara. Fly ash termasuk material yang disebut dengan pozzoianic material karena Fly ash mengandung bahan-bahan pozzolan. Penelitian ini mempelajari pengaruh campuran limbah karbit dan fly ash terhadap kekuatan dan kestabilan tanah pasir. Hasil penelitian yang dilakukan, menunjukkan terjadinya peningkatan kokoh tekan tanah pada usia perawatan 28 hari. Kombinasi optimum terjadi pada penambahan campuran limbah karbit dan fly ash 20 % dari berat total pasir dan campuran

Sistem Pengontrol Nomor Antian Menggunakan Smartphone Android

TECHNe : Jurnal Ilmiah Elektroteknika. Vol. 14, no. 1, April 2015, p. 1-6Sistem pengontrol nomor antrian menggunakan smartphone android ini memanfaatkan jaringan wifi sebagai media komunikasi. Sistem menampilkan nomor antrian dari 01 hingga 99 dan mampu melayani sebanyak 9 loket layanan. Untuk menampilkan informasi ke pengantri digunakan matriks LED untuk menampilkan pesan berjalan sebanyak 10 karakter. Sistem terdiri atas dua bagian, yaitu Penampil untuk menampilkan nomor antrian, nomor loket serta penampil pesan berjalan dan Loket Layanan tempat petugas mengatur urutan nomor antrian melalui sentuhan pada layar smartphone android yang sudah ditanam program pengatur antrian di dalamnya. Sistem bekerja pada platform Android 1.6 ke atas. Mekanisme pengambilan kartu nomor antrian dilakukan secara terpisah dari siste

Applying the Innov8 approach for reviewing national health programmes to leave no one behind: lessons learnt from Indonesia

Koller TS, Saint VA, Floranita R, et al. Applying the Innov8 approach for reviewing national health programmes to leave no one behind: lessons learnt from Indonesia. Global Health Action. 2018;11(sup1):63-69.The World Health Organization's Innov8 Approach for Reviewing National Health Programmes to Leave No One Behind is an eight-step process that supports the operationalization of the Sustainable Development Goals' commitment to 'leave no one behind'. In 2014-2015, Innov8 was adapted and applied in Indonesia to review how the national neonatal and maternal health action plans could become more equity-oriented, rights-based and gender-responsive, and better address critical social determinants of health. The process was led by the Indonesian Ministry of Health, with the support of WHO. It involved a wide range of actors and aligned with/fed into the drafting of the maternal newborn health action plan and the implementation planning of the newborn action plan. Key activities included a sensitization meeting, diagnostic checklist, review workshop and in-country work by the review teams. This 'methods forum' article describes this adaptation and application process, the outcomes and lessons learnt. In conjunction with other sources, Innov8 findings and recommendations informed national and sub-national maternal and neonatal action plans and programming to strengthen a 'leave no one behind' approach. As follow-up during 2015-2017, components of the Innov8 methodology were integrated into district-level planning processes for maternal and newborn health, and Innov8 helped generate demand for health inequality monitoring and its use in planning. In Indonesia, Innov8 enhanced national capacity for equity-oriented, rights-based and gender-responsive approaches and addressing critical social determinants of health. Adaptation for the national planning context (e.g. decentralized structure) and linking with health inequality monitoring capacity building were important lessons learnt. The pilot of Innov8 in Indonesia suggests that this approach can help operationalize the SDGs' commitment to leave no one behind, in particular in relation to influencing programming and monitoring and evaluation