Aspek Kepribadian Tokoh Utama Dalam Novel Jepun Negerinya Hiroko Karya Nh. Dini: Tinjauan Psikologi Sastra Dan Implementasinya Sebagai Bahan Ajar Sastra Di Sma

Penelitian ini bertujuan untuk mendeskripsikan (1) latar sosial budaya Nh. Dini sebagai pengarang novel Jepun Negerinya Hiroko karya Nh. Dini, (2) struktur yang membangun novel Jepun Negerinya Hiroko karya Nh. Dini, (3) aspek kepribadian tokoh utama dalam novel Jepun Negerinya Hiroko karya Nh. Dini dengan tinjauan psikologi sastra, (4) implementasi hasil penelitian sebagai bahan ajar sastra di SMA. Jenis penelitian ini adalah penelitian kualitatif deskriptif dengan srategi kasus terpancang. Objek penelitian ini adalah aspek kepribadian tokoh utama dalam novel Jepun Negerinya Hiroko karya Nh. Dini. Data yang digunakan berupa kalimat dan paragraf. Sumber data yang digunakan adalah sumber data primer, yang berupa novel Jepun Negerinya Hiroko karya Nh. Dini, data sekunder dalam penelitian ini diperoleh dari wacana artikel di internet. Teknik pengumpulan data dalam penelitian ini berupa teknik pustaka, simak dan catat. Teknik validitas data dengan triangulasi data. Teknik analisis data dengan metode teknik pembacaan heuristik dan hermeneutik. Berdasarkan analisis data dapat diperoleh: (1) Latar sosial budaya Nh. Dini adalah, bahwa Nh. Dini sebagai penulis yang berasal dari Semarang, Jawa Tengah; ia telah menghasilkan lebih dari tiga puluh karya meliputi novel, kumpulan cerita pendek, novel terjemahan dan karya nonfiksi, (2) Struktur novel Jepun Negerinya Hiroko bertema kemanusiaan dan ketabahan dalam menghadapi cobaan hidup, tokoh utama adalah Dini, alur yang digunakan adalah alur maju dan memiliki latar waktu tahun 1960 sampai tahun 1962, (3) Aspek kepribadian tokoh utama dalam penelitian ini adalah struktur kepribadian yang mencakup das Es, das Ich dan das Ueber ich, dinamika kepribadian dalam penelitian ini mencakup instink hidup, dan kecemasan mencakup kecemasan realistis dan kecemasan moral, (4) Implementasi hasil penelitian ini dalam pembelajaran sastra di SMA didasarkan pada standar kompetensi membaca yang termuat dalam Kurikulum Tingkat Satuan Pendidikan (KTSP) mata pelajaran Bahasa Indonesia kelas XI

A monolithic resonant terahertz sensor element comprising a metamaterial absorber and micro-bolometer

In this article a monolithic resonant terahertz sensor element with a noise equivalent power superior to that of typical commercial room temperature single pixel terahertz detectors and capable of close to real time read-out rates is presented. The detector is constructed via the integration of a metamaterial absorber and a micro-bolometer sensor. An absorption magnitude of 57% at 2.5 THz, a minimum NEP of inline image and a thermal time constant of 68 ms for the sensor are measured. As a demonstration of detector capability, it is employed in a practical Nipkow terahertz imaging system. The monolithic resonant terahertz detector is readily scaled to focal plane array formats by adding standard read-out and addressing circuitry enabling compact, low-cost terahertz imaging

Effectiveness of a pharmacist-led educational intervention to reduce the use of high-risk abbreviations in an acute care setting in Saudi Arabia: A quasi-experimental study

Objectives: To evaluate the effectiveness of a pharmacist-led educational intervention to reduce the use of high-risk abbreviations (HRAs) by healthcare professionals. Design: Quasi-experimental study consisting of a single group before-and-after study design. Setting: A public emergency hospital in Mecca, Saudi Arabia. Participants: 660 (preintervention) and then 498 (postintervention) handwritten physician orders, medication administration records (MRAs) and pharmacy dispensing sheets of 482 and 388 patients, respectively, from emergency wards, inpatient settings and the pharmacy department were reviewed. Intervention: The intervention consisted of a series of interactive lectures delivered by an experienced clinical pharmacist to all hospital staff members and dissemination of educational tools (flash cards, printed list of HRAs, awareness posters) designed in line with the recommendations of the Institute for Safe Medical Practices and the US Food and Drug Administration. The duration of intervention was from April to May 2011. Main outcome: Reduction in the incidence of HRAs use from the preintervention to postintervention study period. Findings: The five most common abbreviations recorded prior to the interventions were 'IJ for injection' (28.6%), 'SC for subcutaneous' (17.4%), drug name and dose running together (9.7%), 'OD for once daily' (5.8%) and 'D/C for discharge' (4.3%). The incidence of the use of HRAs was highest in discharge prescriptions and dispensing records (72.7%) followed by prescriptions from in-patient wards (47.3%). After the intervention, the overall incidence of HRA was significantly reduced by 52% (ie, 53.6% vs 25.5%; p=0.001). In addition, there was a statistically significant reduction in the incidence of HRAs across all three settings: the pharmacy department (72.7% vs 39.3%), inpatient settings (47.3% vs 23.3%) and emergency wards (40.9% vs 10.7%). Conclusions: Pharmacist-led educational interventions can significantly reduce the use of HRAs by healthcare providers. Future research should investigate the long-term effectiveness of such educational interventions through a randomised controlled trial

Attenuation of acute systemic inflammatory response after valve surgery

Objective: This study highlights the protective effects of montelukast on myocardial ischemic reperfusion injury induced by cardiopulmonarybypass during valve replacement surgery.Methods: A total of 60 patients with valvular disease undergoing elective valve surgery were enrolled in this randomized single-blinded study.Participants were divided into two main groups: Montelukast-treated group consisted of 30 patients who were given 10 mg montelukast sodium(Singulair®, MSD, USA) tablet, once daily at bedtime for 3 days before valve surgery. Control group consisted of 30 patients who underwent valvesurgery without taking montelukast tablets. Blood samples were collected at following times (T0; T1 before aortic cross clamp; T2 after aortic crossclamp; and T3 24 h after the surgery), for measuring several inflammatory markers. Ejection fraction (EF) was measured before surgery and threemonths after surgery. Pulmonary functions were measured before and after the surgery in both study groups.Results: There were significant increase in the levels of TNF-a, IL-6, a2 macroglobulin/creatinine ratio and CTnI, in the control groupcompared to the montelukast-treated group among different study times, (P Conclusion: This study shows the benefits of using pre-surgical montelukast supplement in ameliorating the inflammatory process inpatients undergoing cardiopulmonary bypass during valve replacement surgery

Enhancement of Polyacrylic Acid/Silicon Carbide Nanocomposites’ Optical Properties for Potential Application in Renewable Energy

Composites made from polymers and nanoparticles have promise to be effective solar collectors and thermal energy storage devices due to benefits including improved thermal characteristics and increased structural stability. This study intends to fabricate polyacrylic acid/silicon carbide (PAA−SiC) nanocomposites and examine the optical properties for use in solar collectors and thermal energy storage (TES) fields. The optical properties of PAA−SiC nanocomposites are investigated within the wavelength between 340 and 840 nm. The findings indicate that an increase in SiC concentration in the PAA aqueous solution to 50 g/L at a wavelength of λ = 400 nm causes an increase in the absorption by 50.2% besides a reduction in transmission by 6%. Furthermore, the energy band gaps were reduced from 3.25 eV to 2.95 eV to allow for the transition, and subsequently reduced from 3.15 eV to 2.9 eV to allow for forbidden transition as a result of the increasing SiC concentration from 12.5 g/L to 50 g/L. The optical factors of energy absorption and optical conductivity were also enhanced with a rising SiC concentration from 12.5 to 50 g/L. Specifically, an improvement of 61% in the melting time of PAA−SiC−H2O nanofluids is concluded. Accordingly, it can be said that the PAA−SiC−H2O nanofluids are suitable for renewable energy and TES systems

Predictors of Medication Adherence and Blood Pressure Control among Saudi Hypertensive Patients Attending Primary Care Clinics: A Cross-Sectional Study

Purpose To assess the level of medication adherence and to investigate predictors of medication adherence and blood pressure control among hypertensive patients attending primary healthcare clinics in Makkah, Saudi Arabia. Patients and methods Hypertensive patients meeting the eligibility criteria were recruited from eight primary care clinics between January and May 2016 for this study. The patients completed Arabic version of Morisky Medication Adherence Scale (MMAS-8), an eight-item validated, self-reported measure to assess medication adherence. A structured data collection form was used to record patients’ sociodemographic, medical and medication data. Results Two hundred and four patients, of which 71.6% were females, participated in the study. Patients’ mean age was 59.1 (SD 12.2). The mean number of medication used by patients was 4.4 (SD 1.89). More than half (110; 54%) of the patients were non-adherent to their medications (MMAS score 65 years (OR 2.0 [95% CI: 1.0–4.2; P = 0.04]), and being diabetic (OR 0.25 [95% CI: 0.1–0.6; P = 0.04]) were found to be independent predictors of medication adherence. Conclusion Medication adherence is alarmingly low among hypertensive patients attending primary care clinics in Saudi Arabia which may partly explain observed poor blood pressure control. There is a clear need to educate patients about the importance of medication adherence and its impact on improving clinical outcomes. Future research should identify barriers to medication adherence among Saudi hypertensive patients

Scholarly publishing depends on peer reviewers

The peer-review crisis is posing a risk to the scholarly peer-reviewed journal system. Journals have to ask many potential peer reviewers to obtain a minimum acceptable number of peers accepting reviewing a manuscript. Several solutions have been suggested to overcome this shortage. From reimbursing for the job, to eliminating pre- publication reviews, one cannot predict which is more dangerous for the future of scholarly publishing. And, why not acknowledging their contribution to the final version of the article published? PubMed created two categories of contributors: authors [AU] and collaborators [IR]. Why not a third category for the peer-reviewer

The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution

<p>Abstract</p> <p>Background</p> <p>Bangladesh is identified as one of the countries with severe health worker shortages. However, there is a lack of comprehensive data on human resources for health (HRH) in the formal and informal sectors in Bangladesh. This data is essential for developing an HRH policy and plan to meet the changing health needs of the population. This paper attempts to fill in this knowledge gap by using data from a nationally representative sample survey conducted in 2007.</p> <p>Methods</p> <p>The study population in this survey comprised all types of currently active health care providers (HCPs) in the formal and informal sectors. The survey used 60 unions/wards from both rural and urban areas (with a comparable average population of approximately 25 000) which were proportionally allocated based on a 'Probability Proportion to Size' sampling technique for the six divisions and distribution areas. A simple free listing was done to make an inventory of the practicing HCPs in each of the sampled areas and cross-checking with community was done for confirmation and to avoid duplication. This exercise yielded the required list of different HCPs by union/ward.</p> <p>Results</p> <p>HCP density was measured per 10 000 population. There were approximately five physicians and two nurses per 10 000, the ratio of nurse to physician being only 0.4. Substantial variation among different divisions was found, with gross imbalance in distribution favouring the urban areas. There were around 12 unqualified village doctors and 11 salespeople at drug retail outlets per 10 000, the latter being uniformly spread across the country. Also, there were twice as many community health workers (CHWs) from the non-governmental sector than the government sector and an overwhelming number of traditional birth attendants. The village doctors (predominantly males) and the CHWs (predominantly females) were mainly concentrated in the rural areas, while the paraprofessionals were concentrated in the urban areas. Other data revealed the number of faith/traditional healers, homeopaths (qualified and non-qualified) and basic care providers.</p> <p>Conclusions</p> <p>Bangladesh is suffering from a severe HRH crisis--in terms of a shortage of qualified providers, an inappropriate skills-mix and inequity in distribution--which requires immediate attention from policy makers.</p

Benchmarking the Self-Assembly of Surfactin Biosurfactant at the Liquid–Air Interface to those of Synthetic Surfactants

The adsorption of surfactin, a lipopeptide biosurfactant, at the liquid–air interface has been investigated in this work. The maximum adsorption density and the nature and the extent of lateral interaction between the adsorbed surfactin molecules at the interface were estimated from surface tension data using the Frumkin model. The quantitative information obtained using the Frumkin model was also compared to those obtained using the Gibbs equation and the Langmuir–Szyszkowski model. Error analysis showed a better agreement between the experimental and the calculated values using the Frumkin model relative to the other two models. The adsorption of surfactin at the liquid–air interface was also compared to those of synthetic anionic, sodium dodecylbenzenesulphonate (SDBS), and nonionic, octaethylene glycol monotetradecyl ether (C14E8), surfactants. It has been estimated that the area occupied by a surfactin molecule at the interface is about 3- and 2.5-fold higher than those occupied by SDBS and C14E8 molecules, respectively. The interaction between the adsorbed molecules of the anionic biosurfactant (surfactin) was estimated to be attractive, unlike the mild repulsive interaction between the adsorbed SDBS molecules