POTENSI OBYEK DAN DAYA TARIK PULAU PONTIYANAK SEBAGAI WISATA ALAM DI KECAMATAN JAWAI SELATAN KABUPATEN SAMBAS (Potential Object and Attraction as nature Pontiyanak Island in District of South Jawai Regency Of Sambas)

ABSTRACT South Jawai is one of the districts that are in regency of Sambas West Kalimantan province. In the district of South Jawai there is a potential for nature tourism is not yet widely known by the public, the potential is in the hamlet Ramayadi, nature tourism potential of the region, namely the Pontiyanak Island, nature tourism potential Pontiyanak Island has a fascinating natural scenery to visit and still have fresh air and natural, but until now there is no relevant agencies interested in developing the site as a tourist attraction, due to the lack of specific information about the tourism potential Pontiyanak Island in detail. The aim of this study was to obtain data on the potential tourist attraction and provide an assessment of the potential attractiveness Pontiyanak Island in regency of Sambas. The method used in this study is a scoring method based on the assessment standards Object to Visit Nature PHKA 2003. Data collection techniques used questionnaires and direct observations in the field. The results showed an average total score of 785.62, from the results obtained in the area of the Pontiyanak  island of get the value (A) which means Pontiyanak Island neighborhood potential to be developed as a place or natural attractions. Keywords: Potential tourism, ecotourism, South Jawai, Pontiyanak Islan

Potensi Obyek Dan Daya Tarik Pulau Pontiyanak Sebagai Wisata Alam Di Kecamatan Jawai Selatan Kabupaten Sambas (Potential Object and Attraction as Nature Pontiyanak Island in District of South Jawai Regency of Sambas)

South Jawai is one of the districts that are in regency of Sambas West Kalimantan province. In the district of South Jawai there is a potential for nature tourism is not yet widely known by the public, the potential is in the hamlet Ramayadi, nature tourism potential of the region, namely the Pontiyanak Island, nature tourism potential Pontiyanak Island has a fascinating natural scenery to visit and still have fresh air and natural, but until now there is no relevant agencies interested in developing the site as a tourist attraction, due to the lack of specific information about the tourism potential Pontiyanak Island in detail. The aim of this study was to obtain data on the potential tourist attraction and provide an assessment of the potential attractiveness Pontiyanak Island in regency of Sambas. The method used in this study is a scoring method based on the assessment standards Object to Visit Nature PHKA 2003. Data collection techniques used questionnaires and direct observations in the field. The results showed an average total score of 785.62, from the results obtained in the area of the Pontiyanak island of get the value (A) which means Pontiyanak Island neighborhood potential to be developed as a place or natural attractions. Keywords: Potential tourism, ecotourism, South Jawai, Pontiyanak Islan

The genetic inhibition of some pathogenic bacterial isolates related to Enterobacteriaceae by using Different leaves extracts of Cider (Nabag) Zizyphus spina-christa

The plant Zizyphus spina-christa grows wildly in the middle and southern of Iraq locally named Nabag. In this study the antibacterial activity of several different plant extract (alcoholic hot and cold extract 80%, aqueous hot and cold extract) was tested against some gram negative bacteria that related to Enterobacteriacea as follow; Pseudomonas aeruginosa, Escherchia coli Proteus mirabilis, Serratia mercesence,. Aeromonas sp, Klebsiella pneumoniae ,Shigella sp, Salmonella enteritidis (134), S. typhi(97), S. typhimurium (300) , S. typhi, . The results showed that efficient method of extract was alcoholic hot extract from other extract methods that are used in this study. The detection of active compound in crude extracts of the leaves showed positive reaction for alkaloids, flavonoides, saponin,peptides, tannins and carbohydrates , while the aqueous hot and cold extract did not give any reaction against terpenes ,resins and coumarins . Minimum inhibitory concentration (MIC) of the ethanolic hot extracts of plants was determined and the results showed that MIC of S.typhi was 25 mg / ml and 250 mg/ml aganist Klebsiella pneumoniae Serratia mercesence , Pseudomonas aeruginosa , while other isolates showed variety in their inhibitory action. the ethanolic hot extracts of plants did not show any bacteriocidal effect against all bacteria that included in this study within concentration that used except S. typhi in concentration 50 mg/ml . The effect of Sub – MIC of the ethanolic hot extract of plant on the production of some virulence factors from selective isolates S. typhi ,showed an inhibitory effect on production of H2S but no effect on others characteristic such, mannitol and glucose fermenter at 20 mg / ml . The electrophoresis of plasmid DNA isolated from bacterial cell treated with, alcoholic hot extract at sub-MIC concentrations had a curing effect on the plasmid of S. typhi .Using infrared spectroscopy spectrum indicates the possible effect of alcoholic hot extract on the conformation of the DNA molecules affecting some of its biological functions

Contextualized Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year after Discharge

Objective To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. Design Propensity score methods are applied to the TBI-Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation. Participants Patients enrolled in the TBI-PBE study (n=1843), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, receiving their first IRF admission in the US, and consented to follow-up 3 and 9 months post discharge from inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures Participation Assessment with Recombined Tools-Objective- -17, FIMTM Motor and Cognitive scores, Satisfaction with Life Scale and Patient Health Questionnaire-9. Results Increasing the percentage of contextualized treatment during inpatient TBI rehabilitation leads to better outcomes, specifically in regard to community participation. Conclusions Increasing the proportion of treatment provided in the context of real-life activities appears to have a beneficial impact on outcome. Although the effect sizes are small, the results are consistent with other studies supporting functional-based interventions effecting better outcomes. Furthermore, any positive findings, regardless of size or strength, are endorsed as important by consumers (survivors of TBI). While the findings do not imply that decontextualized treatment should not be used, when the therapy goal can be addressed with either approach, the findings suggest that better outcomes may result if the contextualized approach is used

Impact of Level of Effort on the Effects of Compliance with the 3-Hour Rule

Objective To determine if patients’ level of effort (LOE) in therapy sessions during traumatic brain injury (TBI) rehabilitation modifies the effect of compliance with the 3-Hour Rule of the Centers for Medicare & Medicaid Services. Design Propensity score methodology applied to the TBI-Practice-Based Evidence (TBI-PBE) database, consisting of multi-site, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation facilities (IRF). Participants Patients (n=1820) who received their first IRF admission for TBI in the US and were enrolled for 3 and 9 month follow-up. Main Outcome Measures Participation Assessment with Recombined Tools-Objective-17, FIMTM Motor and Cognitive scores, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results When the full cohort was examined, no strong main effect of compliance with the 3-Hour Rule was identified and LOE did not modify the effect of compliance with the 3-Hour Rule. In contrast, LOE had a strong positive main effect on all outcomes, except depression. When the sample was stratified by level of disability, LOE modified the effect of compliance, particularly on the outcomes of participants with less severe disability. For these patients, providing 3 hours of therapy for 50%+ of therapy days in the context of low effort resulted in poorer performance on select outcome measures at discharge and up to 9 months post discharge compared to patients with <50% of 3-hr therapy days. Conclusions LOE is an active ingredient in inpatient TBI rehabilitation, while compliance with the 3-Hour Rule was not found to have a substantive impact on the outcomes. The results support matching time in therapy during acute TBI rehabilitation to patients’ LOE in order to optimize long-term benefits on outcomes

Reevaluation Body Weight and Age with Standardized Uptake Value in the Liver Cancer for [18F] FDG PET/CT

Standardized uptake values, often known as SUVs, are frequently utilized in the process of measuring 18F-fluorodeoxyglucose (FDG) uptake in malignancies . In this work, we investigated the relationships between a wide range of parameters and the standardized uptake values (SUV) found in the liver.  Examinations with 18F-FDG PET/CT were performed on a total of 59 patients who were suffering from liver cancer. We determined the SUV in the liver of patients who had a normal BMI (between 18.5 and 24.9) and a high BMI (above 30) obese. After adjusting each SUV based on the results of the body mass index (BMI) and body surface area (BSA) calculations, which were determined for each patient based on their height and weight. Under a variety of different circumstances, SUVs were evaluated based on their means and standard deviations. Scatterplots were created to illustrate the various weight and SUV variances. In addition to that, the SUVs that are appropriate for each age group were determined. SUVmax in the liver was statistical significantly in obese BMI and higher  BSA, p- value  <0.001).  Age appeared to be the most important predictor of SUVmax and was significantly associated with the liver SUVmax with mean value (58.93±13.57). Conclusions: Age is a factor that contributes to variations in the SUVs of the liver. These age-related disparities in SUV have been elucidated as a result of our findings, which may help clinicians  in doing more accurate assessments of malignancies. However, the SUV overestimates the metabolic activity of each and every individual, and this overestimation is far more severe in people who are obese compared to people who have a body mass index that is normal (BMI).