The effect of training and supervision of the head room on the performance of executive nurse room hospital surgical, hospital Tk. II Pelamonia Makassar

BSTRACT The effect of training and supervision of the head room on the performance of executive nurse room hospital surgical, hospital Tk. II Pelamonia Makassar (supervised by Hasmin and A. Ikhsan Kadir). The aim of this study is to assess and analyze : (1). The Influence of training towards performance (2). The Influence of supervision towards performance (3). The effect of training and supervision towards supervision. This research use primary data with population number of 115 nurse at hospital, the survey was conducted from November to December 2016. The data were analyzed using descriptive statistical analysis. The results of the research indicate : (1) There is influence of training towards performance (2) There is influence of supervision towards performance (3) There are influence of training and supervision towards performance Key Word : Training, Supervision, and Performanc

The effect of training and supervision of the head room on the performance of executive nurse room hospital surgical, hospital Tk. II Pelamonia Makassar

BSTRACT The effect of training and supervision of the head room on the performance of executive nurse room hospital surgical, hospital Tk. II Pelamonia Makassar (supervised by Hasmin and A. Ikhsan Kadir). The aim of this study is to assess and analyze : (1). The Influence of training towards performance (2). The Influence of supervision towards performance (3). The effect of training and supervision towards supervision. This research use primary data with population number of 115 nurse at hospital, the survey was conducted from November to December 2016. The data were analyzed using descriptive statistical analysis. The results of the research indicate : (1) There is influence of training towards performance (2) There is influence of supervision towards performance (3) There are influence of training and supervision towards performance Key Word : Training, Supervision, and Performanc

High Level Implementation Methodologies of DSP Module using FPGA and System Generator

This paper presents the high level implementation methodologies of Digital Signal Processing (DSP) module by using the Field Programmable Gate Array (FPGA) andintegrated software environments (ISE) with the System Generator programs. The shortest and efficient paths to design a Xilinx Vertix-4 FPGA using MATLAB, ModelSim, synplify Pro software tools is introduced. The floating point design in MATLAB has been moved to fixed point values using Xilinx DSP system generator software a model based approach associated with assistance software from Mathworks and Synplicity. The obtained result shows an important utilization in FPGAarea

Anomalous diffusion on crumpled wires in two dimensions

It is investigated the statistical properties of random walks evolving on real configurations of a crumpled wire rigidly jammed in two dimensions. These crumpled hierarchical structures with complex topology are obtained from a metallic wire injected at a constant rate into a transparent planar cell of 20cm of diameter. The observed diffusion is anomalous with an exponent very close to that obtained at the threshold of two dimensional percolation. A comparison of the system studied in this paper with other systems of physical interest is also made, and an experimental consequence of our results is discussed.Comment: 10 pages including 4 figures. Physica A (2006). Preprin

Dynamic Scaling of an Adsorption-Diffusion Process on Fractals

A dynamic scaling of a diffusion process involving the Langmuir type adsorption is studied. We find dynamic scaling functions in one and two dimensions and compare them with direct numerical simulations, and we further study the dynamic scaling law on fractal surfaces. The adsorption-diffusion process obeys the fracton dynamics on the fractal surfaces.Comment: 9 pages, 7 figure

A study on the application of Gravitational Search Algorithm in optimizing Stereo Matching Algorithm's parameters for star fruit inspection system

This paper reports the result obtained by implementing Gravitational Search Algorithm for tuning Stereo Matching Algorithm's parameters for the application star fruit inspection system. The hardware for the inspection system is built by CvviP from Universiti Teknologi Malaysia using only single camera. The implemented Stereo Matching Algorithm used on the system comes from the built-in Matlab library. Each agent of Gravitational Search Algorithm in the search pace represents a set of candidate numerical value of the stereo matching's parameters. The sum of absolute error of the gray scale value of both images is used to indicate the fitness function. Benchmarking has done by comparing the result obtained with the previous literature that implements Particle Swarm Optimization. The result indicates that the application of Gravitational Search Algorithm as parameters tuner for stereo matching's parameters tuning is essentially on par with the Particle Swarm Optimization Algorithm

A Study On The Application Of Gravitational Search Algorithm In Optimizing Stereo Matching Algorithm’s Parameters For Star Fruit Inspection System

This paper reports the result obtained by implementing Gravitational Search Algorithm for tuning Stereo Matching Algorithm’s parameters for the application star fruit inspection system. The hardware for the inspection system is built by CvviP from Universiti Teknologi Malaysia using only single camera. The implemented Stereo Matching Algorithm used on the system comes from the built-in Matlab library. Each agent of Gravitational Search Algorithm in the search pace represents a set of candidate numerical value of the stereo matching’s parameters. The sum of absolute error of the gray scale value of both images is used to indicate the fitness function. Benchmarking has done by comparing the result obtained with the previous literature that implements Particle Swarm Optimization. The result indicates that the application of Gravitational Search Algorithm as parameters tuner for stereo matching’s parameters tuning is essentially on par with the Particle Swarm Optimization Algorithm

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Route Planning Analysis In Holes Drilling Process Using Magnetic Optimization Algorithm For Electronic Manufacturing Sector

Electronic manufacturing sector uses computer numerical controlled machines for drilling holes. Most of the computer numerical controlled machines used nearest neighbour algorithm to plan the route for the drill bit to travel. Based on this motivation, this paper proposes an approach which is based on the experimentation of Magnetic Optimization Algorithm. In this implementation, each magnetic agent or particle in Magnetic Optimization Algorithm represents a candidate solution of the problem. The magnitude of the magnetic force between these particles is inversely proportional to the distance calculated by the solution they represented. Particles with greater magnetic force will attract other particles with relatively smaller magnetic force, towards it. The process is repeated until the stopping condition meets and the solution with lowest distance is taken as the best-found solution. Result obtained from the case study shows that the proposed approach managed to find the optimal solution. With this method, electronics manufacturing sector can optimize the drilling process hence will increase the productivity of the manufacturer. This study can be extended further by tuning the parameters of MOA in order to enhance the drilling route process

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication