Pengaruh Penggunaan Media Kartu Struktur Atom dan Sistem Periodik terhadap Hasil Belajar Siswa Kelas XI SMA Negeri 6 Palu

The use of instructional media could help teachers to develop and deepen in teaching and learning process in the classroom. This study aims to determine the effect of using atomic structure card media and periodic systems toward learning outcome of the eleventh grade students of SMA Negeri 6 Palu. The population in this study was all of the eleventh grade students on Science Program of SMA Negeri 6 Palu in the academic year 2013/2014 which consists of 3 classes. The sample in this study was 30 students of Science Program 1 as the experimental class and 32 students of Science Program 2 as the control class. Testing research data used statistical analysis of the t test (right) with the prerequisite test, test for normality, and homogeneity. The data analysis result obtained for the average score in the experiment class X1 = 68.03 with deviation standard = 10.50 and the control class X2 = 54.75 with deviation standard = 9.57. Based on the testing result of hypothesis by statistical t-test values obtained right side of tcounted> ttable is 5.37 > 1.67 with a confidence level of 0.05 and degrees of freedom = 60. From the results of hypothesis testing, then, Ho was rejected so it can be concluded that there is a better influence in using atomic structure card media and periodic system toward learning outcome of the leventh grade students of SMA Negeri 6 Palu

Desain Promosi Badan Pelayanan Perizinan dan Penanaman Modal

Such developments grow rapidly not only seen from the capabilities of the computer alone, one of the benefits of the development of computer technology today can we feel in the field of multimedia audio visual and broadcasting that has the role of Important in the world of information technology and functioning as a medium to fulfill, cultivate creativity and imagination into a form that is as well as desired. But for now human resources in multimedia audio visual and broadcasting has not been fulfilled

Monetary Resident Incentives: Effect on Patient Satisfaction in an Academic Emergency Department

Patient satisfaction most be a priority in emergency departments (EDs). The care provided by residents forms much of the patient contact in academic EDs

3D Face Reconstruction from Light Field Images: A Model-free Approach

Reconstructing 3D facial geometry from a single RGB image has recently instigated wide research interest. However, it is still an ill-posed problem and most methods rely on prior models hence undermining the accuracy of the recovered 3D faces. In this paper, we exploit the Epipolar Plane Images (EPI) obtained from light field cameras and learn CNN models that recover horizontal and vertical 3D facial curves from the respective horizontal and vertical EPIs. Our 3D face reconstruction network (FaceLFnet) comprises a densely connected architecture to learn accurate 3D facial curves from low resolution EPIs. To train the proposed FaceLFnets from scratch, we synthesize photo-realistic light field images from 3D facial scans. The curve by curve 3D face estimation approach allows the networks to learn from only 14K images of 80 identities, which still comprises over 11 Million EPIs/curves. The estimated facial curves are merged into a single pointcloud to which a surface is fitted to get the final 3D face. Our method is model-free, requires only a few training samples to learn FaceLFnet and can reconstruct 3D faces with high accuracy from single light field images under varying poses, expressions and lighting conditions. Comparison on the BU-3DFE and BU-4DFE datasets show that our method reduces reconstruction errors by over 20% compared to recent state of the art

GAINS ASIA: Scenarios for cost-effective control of air pollution and greenhouse gases in India

There is growing recognition that a comprehensive and combined analysis of air pollution and climate change could reveal important synergies of emission control measures. Insight into the multiple benefits of measures could make emission controls economically more viable, both in industrialized and developing countries. However, while scientific understanding on many individual aspects of air pollution and climate change has considerably increased in the last years, little attention has been paid to a holistic analysis of the interactions between both problems. The Greenhouse gas - Air pollution Interactions and Synergies (GAINS) model has been developed as a tool to identify emission control strategies that maximize synergies between the control of local air quality and the mitigation of greenhouse emissions. GAINS investigates how specific mitigation measures simultaneously influence different pollutants that threaten human health via the exposure of fine particles and ground-level ozone, damage natural vegetation and crops, contribute to climate change. In recent years the GAINS model has been implemented for India in collaboration between the International Institute for Applied Systems Analysis (IIASA) and The Energy and Resources Institute (TERI). This report presents a first analysis conducted with the GAINS model that highlights how strategies to control local air quality could be designed in such a way that co-benefits on greenhouse gas mitigation could be maximized

Conventional liquid-based techniques versus Cytyc Thinprep(® )processing of urinary samples: a qualitative approach

BACKGROUND: The aim of our study was to objectively compare Cytyc Thinprep(® )and other methods of obtaining thin layer cytologic preparations (cytocentrifugation, direct smearing and Millipore(® )filtration) in urine cytopathology. METHODS: Thinprep slides were compared to direct smears in 79 cases. Cytocentrifugation carried out with the Thermo Shandon Cytospin(® )4 was compared to Thinprep in 106 cases, and comparison with Millipore filtration followed by blotting was obtained in 22 cases. Quality was assessed by scoring cellularity, fixation, red blood cells, leukocytes and nuclear abnormalities. RESULTS: The data show that 1) smearing allows good overall results to be obtained, 2) Cytocentrifugation with reusable TPX(® )chambers should be avoided, 3) Cytocentrifugation using disposable chambers (Cytofunnels(® )or Megafunnel(® )chambers) gives excellent results equalling or surpassing Thinprep and 4) Millipore filtration should be avoided, owing to its poor global quality. Despite differences in quality, the techniques studied have no impact on the diagnostic accuracy as evaluated by the rate of abnormalities. CONCLUSION: We conclude that conventional methods such as cytocentrifugation remain the most appropriate ones for current treatment of urinary samples. Cytyc Thinprep processing, owing to its cost, could be used essentially for cytology-based molecular studies

Operator training requirements and diagnostic accuracy of Fibroscan in routine clinical practice

BACKGROUND: Fibroscan is a quick, non-invasive technique used to measure liver stiffness (kPa), which correlates with fibrosis. To achieve a valid liver stiffness evaluation (LSE) the operator must obtain all the following three criteria: (1) ≥10 successful liver stiffness measurements; (2) IQR/median ratio <0.30 and (3) ≥60% measurement success rate. OBJECTIVES: To assess the operator training requirements and the importance of adhering to the LSE validity criteria in routine clinical practice. METHODS: We retrospectively analysed the LSE validity rates of 2311 Fibroscans performed (1 August 2008 to 31 July 2011) in our tertiary liver outpatients department at the University Hospital Birmingham, UK. The diagnostic accuracy of Fibroscan was assessed in 153 patients, by comparing LSE (valid and invalid) with the modified Ishak fibrosis stage on liver biopsy. RESULTS: Learning curve analysis highlighted that the greatest improvement in validity of LSE rates occurs in the operator’s first 10 Fibroscans, reaching 64.7% validity by the 50th Fibroscan. The correlation between LSE and the fibrosis stage on liver biopsy was superior in patients with a valid LSE (n=97) compared with those with an invalid LSE (n=56) (r(s) 0.577 vs 0.259; p=0.022). Area under receiving operating characteristics for significant fibrosis was greater when LSE was valid (0.83 vs 0.66; p=0.048). Using an LSE cut-off of 8 kPa, the negative predictive value of valid LSE was superior to invalid LSE for the detection of significant (84% vs 71%) and advanced fibrosis (100% vs 93%). CONCLUSIONS: Fibroscan requires minimal operator training (≥10 observed on patients), and when a valid LSE is obtained, it is an accurate tool for excluding advanced liver fibrosis. To ensure the diagnostic accuracy of Fibroscan it is essential that the recommended LSE validity criteria are adhered to in routine clinical practice

A proposal for a CT driven classification of left colon acute diverticulitis

Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed. The authors present a new simple classification system based on both CT scan results driving decisions making management of acute diverticulitis that may be universally accepted for day to day practice

Complicated intra-abdominal infections worldwide: the definitive data of the CIAOW Study.

The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated intra-abdominal infections (IAIs).1898 patients with a mean age of 51.6 years (range 18-99) were enrolled in the study. 777 patients (41%) were women and 1,121 (59%) were men. Among these patients, 1,645 (86.7%) were affected by community-acquired IAIs while the remaining 253 (13.3%) suffered from healthcare-associated infections. Intraperitoneal specimens were collected from 1,190 (62.7%) of the enrolled patients.827 patients (43.6%) were affected by generalized peritonitis while 1071 (56.4%) suffered from localized peritonitis or abscesses.The overall mortality rate was 10.5% (199/1898).According to stepwise multivariate analysis (PR = 0.005 and PE = 0.001), several criteria were found to be independent variables predictive of mortality, including patient age (OR = 1.1; 95%CI = 1.0-1.1; p &lt; 0.0001), the presence of small bowel perforation (OR = 2.8; 95%CI = 1.5-5.3; p &lt; 0.0001), a delayed initial intervention (a delay exceeding 24 hours) (OR = 1.8; 95%CI = 1.5-3.7; p &lt; 0.0001), ICU admission (OR = 5.9; 95%CI = 3.6-9.5; p &lt; 0.0001) and patient immunosuppression (OR = 3.8; 95%CI = 2.1-6.7; p &lt; 0.0001). © 2014 Sartelli et al.; licensee BioMed Central Ltd