Carbapenem resistance in gram-negative bacilli isolates in an iranian 1000-bed tertiary hospital

Objective: Carbapenems are beta-lactamase antibiotics, presently considered as most potent agents for treatment of infections caused by Gram-negative bacilli. The aim of this study was to determine resistance of Pseudomonas aeruginosa, Acinetobacter baumannii and Klebsiella pneumonniae as prevalent nosocomial agents to commonly used antibiotics including carbapenems such as imipenem and meropenem. Methodology: A total of 202 gram-negative bacilli including K.pneumoniae, P aeruginosa and A.baumannii isolated from hospitalized patients in Milad hospital of Tehran were subject for susceptibility testing. Susceptibility testing was performed by disk diffusion and MIC methods as recommended by Clinical Laboratory Standards Institute (CLSI) Results: All isolates of K. pneumonia were susceptible to imipenem and meropenem. Resistance in non-fermenting gram-negative bacilli (NFGB) was prevalent. P.aeruginosa isolates exhibited 7.5 and 40.2 resistance to imipenem and meropenem respectively. The majority isolates of Acinetobacter baumannii were multi-drug resistant and resistance of this organism to imipenem and meropenem was 27.7 and 38.5 respectively. Conclusions: Our study revealed that in spite of resistance of K.pneumoniae to commonly used antibiotics, all isolates were susceptible to imipenem and meropeem. More than 80 isolates of A .bammanni were resistant to commonly used antibiotics. About 40.2 isolates of P.aeruginosa and (38.5) isolates of A.baumannii were resistant to meropenem respectively

The Implementation of Hiradc Method in Computer Laboratory

The computer laboratory of the Faculty of Public Health, Universitas Airlangga is used as a research site, measurement or scientific training for about 15,000 students. There are various types of activities which are at high risk, especially in the use of electricity, which can cause short-circuit and leads to fire. The objective of this study was to apply the Hazard Identification, Risk Assessment and Determining Control (HIRADC) methods in the computer laboratory as an effort to prevent occupational accidents and illness of the user. This study was an observational research using cross sectional design. The observation was conducted on the source of hazard and control efforts on the computer laboratory. Interview was conducted on the lecturers and administrative staff who are in charge of the computer laboratory. The results of the hazard identification indicated that there were 17 hazard sources that can cause 18 risks. Based on the risk assessment conducted on a activities practicum, there are 18 risks classified into 2 risk levels, those are 3 risks with moderate risk level and 15 risks with low risk level. The three level of moderate risks include taking off the shoes in standing position which can cause sprains, there is no first aid box and using electric current which can cause short circuit, electric shock and fire risk. The control that can be carried out by management laboratory to reduce the three moderate risk are by giving advice to taking off the shoes in sitting position, covering the socket which has risky placement by using duct tape to avoid the risk of electric shock as well as the provision of a light fire extinguisher for fire risk and the last providing first aid kits to treat the accidents that occur in the laboratory as soon as possible

KARAKTERISTIK SELF PURIFICATION SUNGAI CELENG KECAMATAN IMOGIRI KABUPATEN BANTUL

Sungai Celeng merupakan sungai yang melewati daerah permukiman sehingga kualitas sungai dipengaruhi oleh limbah yang dihasilkan dari aktivitas permukiman tersebut. Sungai memiliki kemampuan untuk memurnikan limbah yang masuk kedalamnya, yang disebut dengan self purification.Tujuan dari penelitian ini adalah untuk mengetahui persebaran titik potensi pencemaran yang ada di sepanjang sungai dan pengaruhnya terhadap kualitas air sungai. Selain itu penelitian ini juga bertujuan untuk mengetahui kemampuan sungai dalam memurnikan limbah yang masuk ke dalam badan sungai dan zona-zona pemurnian alami sungai berdasarkan parameter DO, BOD dan COD. Hasil penelitian menunjukkan bahwa kualitas air cenderung buruk saat melalui daerah permukiman dan kembali menjadi baik saat telah mencapai hilir. Hal ini disebabkan saat sungai melalui daerah permukiman, sungai mendapatkan masukan limbah yang cukup banyak sehingga menyebabkan kualitas air menjadi buruk. Pada saat mencapai hilir, sungai telah mengalam proses self purification sehingga kualitas air kembali baik

KARAKTERISTIK SELF PURIFICATION SUNGAI CELENG KECAMATAN IMOGIRI KABUPATEN BANTUL

Rivers have an ability to purify waste which called by self purification. The waste either from upper or middle of river will be purified when it reaches downstream. Celeng River is a river that passes through residential areas so the quality of stream is affected by the waste generated from the settlement activities. The purposes of this research are to determine distribution of existing pollution potential points along the river and the effect for river�s water quality. This research also aimed to determine characteristics of river�s water quality based on DO, BOD and CO

Factors Related To Occupational Accidents At An Informal Metal Industry

A large number of employees in the informal sector located in Waru, Sidoarjo, especially in the metal industry sector, has become a target for the Occupational Health Post of Waru. The OHS management system requires a commitment to all elements so that the OHS aspects can be well implemented. The objective of this research was to analyze the relationship between the lack of control and occupational accidents in the metal industry. It was analytical research with a cross-sectional study approach. 75 employees in the informal metal industry were taken as the respondents in this research.Un gran número de empleados en el sector informal ubicado en Waru, Sidoarjo, especialmente en el sector de la industria del metal, se ha convertido en un objetivo para el Puesto de Salud Ocupacional de Waru. El sistema de gestión de OHS requiere un compromiso con todos los elementos para que los aspectos de OHS puedan implementarse bien. El objetivo de esta investigación fue analizar la relación entre la falta de control y el accidente laboral en la industria del metal. Fue una investigación analítica con un enfoque de estudio transversal. 75 empleados en la industria informal del metal fueron tomados como los encuestados en esta investigación

ASPEK – ASPEK POLITIK INTERNASIONALISASI PENDIDIKAN ISLAM DI INDONESIA ( Analisis Perguruan Tinggi Islam )

Penulisan ini bertujuan meningkatkan mutu pendidikan terkhusus di lingkungan akademik perguruan tinggi persaingan perguruan tinggi semakin ketat dan produktivitas dalam penelitian dinilai sangat penting karena menjadi suatu keunggulan bagi perguruan tinggi tersebut. Selain meningkatkan value perguruan tinggi, dibutuhkannya sistem kerja sama antar perguruan tinggi baik dalam maupun luar negeri. Metode yang digunakan library research (studi pustaka), mencari sumber literatur yang relevan sesuai topik yang dibahas, dengan tujuan menemukan kajian ilmiah dan teoritis. Hasil dari penulisan ini di harapkan adanya kegiatan bersifat internasionalisasi demi menunjang kemajuan dari perguruan tingg

The Need for Arabic Language Teaching Materials Based on Multicultural Education for Indonesian Diaspora Students

This study aims to analyze the need to develop a model of Arabic teaching materials containing the values ​​of multicultural-based character education, especially in Indonesian Foreign Schools (Sekolah Indonesia Luar Negeri) in Jeddah, Riyadh, and Makkah. In this needs analysis, the researcher describes the data obtained from the questionnaires of students and teachers who teach Arabic subjects with 39 respondents. This study indicates that Arabic teaching materials in Indonesian Foreign Schools, especially in Arab countries, need to be developed. Developing Arabic teaching materials with multicultural values ​​is very important to make learning Arabic at Indonesian Foreign Schools easier, more effective, fun, and produce Indonesian diaspora students who have a spirit of nationalism and respect plurality. The development of these teaching materials is manifested in three aspects, namely (1) related to Arabic language teaching materials based on the values ​​of national character education by learning objectives and contextual with the times; (2) aspects of application technology, namely by developing Arabic teaching materials equipped with multimedia learning media such as audio, video, animation, and others to make it easier to learn; (3) aspects of character education, namely Arabic teaching materials that contain character education values, such as religious values, nationalism, honesty, independence, cooperation, integrity, hard work, and responsibilit

PESAN AR-RASIKHUNA FIL’ILMI HUBUNGANNYA DENGAN MEMAKANAI AL-QUR’AN BAGI ORANG AWAM

Ar-Arroshikuna fil'ilmi adalah orang yang memiliki kemampuan untuk memahami ilmu.Khususnya dalam memahami Al-Qur'an dan hadits serta pemahaman yang berbeda dalam Islam. Orang-orang yang diurutkan sebagai Ar-Arroshikuna Fil'ilmi, termasuk muhkamat dan mutsabihat dan tidak ada keraguan dalam jiwanya tentang realitas Al-Qur'an, selain orang-orang yang memiliki informasi logis yang mendalam, khususnya dalam memahami Al-Qur'an sebagai sumber mata air. pelajaran Islam, dan ia termasuk orang-orang yang taat kepada Allah SWT dan menjalankan segala macam prinsip-prinsipnya, menjadi pribadi-pribadi tertentu yang tidak angkuh kepada orang-orang yang di atas dan tidak menyinggung perasaan orang-orang yang lebih rendah namun tetap berbakti sejauh mungkin. sebagai siapa pun yang bersangkutan, dan mereka adalah individu yang umumnya memenuhi jaminan, individu yang tulus dalam wacana, individu istiqomah diandalkan dalam mencari informasi dan mengamalkannya dan melindungi perut dan kemaluan dari segala jenis haram. Al-Quran mengandung sesuatu yang dapat memikat hati pembaca atau pendengarnya.Banyaknya cerita yang menggambarkan kenyataan ini.Meskipun banyak individu tidak dapat memahami mengapa hal ini dapat terjadi.AL-Quran tidak hanya digunakan sebagai bacaan adat, namun AL-Quran juga harus dipahami, dihayati dan dipraktekkan