Kajian Konsep Kenyamanan Jalur Pedestrian di Jl. Stasiun Kereta Api Medan dan Jl. Palang Merah Medan

Pedestrian paths are very important in urban design elements, especially trade areas. Similarly on Jl. Medan Railway Station and Jl. Medan Red Cross, but this need is not comparable to the conditions of the pedestrian path on both roads which have been damaged and not maintained, causing inconvenience. Because of this, the researchers tried to find the concept of the pedestrian path to the two roads. The research method used is a qualitative descriptive method. Then the method is analyzed based on theoretical and empirical analysis. Through the theoretical analysis and empirical analysis found several results in accordance with the hypothesis of the researcher. The results of the analysis are then made anappropriate concept on Jl. Medan Railway Station and Jl. Medan Red Cross

Functioning and disability in multiple sclerosis from the patient perspective

Multiple sclerosis (MS) has a great impact on functioning and disability. The perspective of those who experience the health problem has to be taken into account to obtain an in-depth understanding of functioning and disability. The objective was to describe the areas of functioning and disability and relevant contextual factors in MS from the patient perspective. A qualitative study using focus group methodology was performed. The sample size was determined by saturation. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for data analysis. Identified concepts were linked to International Classification of Functioning, Disability and Health (ICF) categories according to established linking rules. Six focus groups with a total of 27 participants were performed. In total, 1327 concepts were identified and linked to 106 ICF categories of the ICF components Body Functions, Activities and Participation and Environmental Factors. This qualitative study reports on the impact of MS on functioning and disability from the patient perspective. The participants in this study provided information about all physical aspects and areas of daily life affected by the disease, as well as the environmental factors influencing their lives

Potential of genomic approaches in conservation of plant and animal biodiversity in Africa: A review

In Africa, status of biodiversity conservation of many plants and animals is questionable as this is considered to be caused by limited and lack of authentic information concerning genetic diversity. This has led to a considerable compromise of conservation decisions in Africa. As a result, lack of reliable information continues to cause a great effect on the long-term security of species of plants and animals. Current advancement in genomics has proved to play a vital role in conservation of plant and animal biodiversity. It produces genetic data that helps researchers to understand the interaction between ecosystem and organisms, also among organisms themselves. The information extracted from plants and animals via genomics techniques can be used to develop good approaches for biodiversity conservation. Despite its usefulness, there is a limited awareness on the application of potential genomics in plants and animals conservation in many developing countries, especially in Africa. The aim of this review is to raise awareness and catalyse the application of genomics techniques in rejuvenation and conservation of plants and animals in Africa. Precisely, the paper addresses the efficacy of potential genomics in plants and animals conservation; and seeks to show how Africa can benefit from genomics technology. About 62 peer-reviewed articles were reviewed. This current review has shown that genomics helps to identify good genes for fitness, and develops tools to monitor and conserve plants and animals biodiversity. The review recommends that regardless of the limitation of genomics application in biodiversity conservation in Africa, African researchers must consider using this technology for better conservation of plants and animals biodiversity

Indonesia Governance Index 2012: Towards a Well-informed Society and Responsive Government

Regional autonomy aims not only to increase welfare through provision of quality public services, but also to allow regions to determine their own development priorities. As a result, there is a range of different capacities and standards between local administrations and other stakeholders, leading to widening gaps in development between regions. Efforts to improve are limited by the analytical capacity and the quality of governance in each location. Because of this we need an objective assessment of governance and Kemitraan has adressed this need with the Indonesia Governance Index (IGI). This book examines the national findings of the 2012 IGI research, and offers concrete suggestions to solve current problems. It also elaborates on the results in key areas like gender, investment friendliness, and environmental management

An accurate determination of the Avogadro constant by counting the atoms in a 28Si crystal

The Avogadro constant links the atomic and the macroscopic properties of matter. Since the molar Planck constant is well known via the measurement of the Rydberg constant, it is also closely related to the Planck constant. In addition, its accurate determination is of paramount importance for a definition of the kilogram in terms of a fundamental constant. We describe a new approach for its determination by "counting" the atoms in 1 kg single-crystal spheres, which are highly enriched with the 28Si isotope. It enabled isotope dilution mass spectroscopy to determine the molar mass of the silicon crystal with unprecedented accuracy. The value obtained, 6.02214084(18) x 10^23 mol^-1, is the most accurate input datum for a new definition of the kilogram.Comment: 4 pages, 5 figures, 3 table

Replacement of hematopoietic system by allogeneic stem cell transplantation in myelofibrosis patients induces rapid regression of bone marrow fibrosis

Bone marrow fibrosis is a hallmark of primary and post ET/PV myelofibrosis. To investigated the impact of replacement of the hematopoietic system in myelofibrosis patients by allogeneic stem cell transplantation on bone marrow fibrosis, we studied bone marrow fibrosis on bone marrow samples from 24 patients with myelofibrosis before and after dose-reduced conditioning followed by allogeneic stem cell transplantation from related or unrelated donor. Using the European Consensus on Grading Bone Marrow Fibrosis, before allografting all patients had advanced fibrosis MF-2 (n = 13) or MF-3 (n = 11). After transplantation, a complete (MF-0) or nearly complete (MF-1) regression of bone marrow fibrosis was seen in 59 % at day +100, in 90 % at day +180, and in 100 % at day +360. No correlation between occurrence of acute graft-versus-host disease, and fibrosis regression on day +180 was seen. We conclude that dose-reduced conditioning, followed by allogeneic stem cell transplantation, resulted in a rapid resolution of bone-marrow fibrosis suggesting the bone marrow fibrogenesis is a highly dynamic rather than static process in patients with myelofibrosis

Arctic in Rapid Transition: Priorities for the future of marine and coastal research in the Arctic.

Understanding and responding to the rapidly occurring environmental changes in the Arctic over the past few decades require new approaches in science. This includes improved collaborations within the scientific community but also enhanced dialogue between scientists and societal stakeholders, especially with Arctic communities. As a contribution to the Third International Conference on Arctic Research Planning (ICARPIII), the Arctic in Rapid Transition (ART) network held an international workshop in France, in October 2014, in order to discuss high-priority requirements for future Arctic marine and coastal research from an early-career scientists (ECS) perspective. The discussion encompassed a variety of research fields, including topics of oceanographic conditions, sea-ice monitoring, marine biodiversity, land-ocean interactions, and geological reconstructions, as well as law and governance issues. Participants of the workshop strongly agreed on the need to enhance interdisciplinarity in order to collect comprehensive knowledge about the modern and past Arctic Ocean's geo-ecological dynamics. Such knowledge enables improved predictions of Arctic developments and provides the basis for elaborate decision-making on future actions under plausible environmental and climate scenarios in the high northern latitudes. Priority research sheets resulting from the workshop's discussions were distributed during the ICARPIII meetings in April 2015 in Japan, and are publicly available online

Post-transplant cyclophosphamide for graft-versus-host disease prophylaxis in HLA matched sibling or matched unrelated donor transplant for patients with acute leukemia, on behalf of ALWP-EBMT

Background: Experience using post-transplant cyclophosphamide (PT-Cy) as graft-versus-host disease (GVHD) prophylaxis in allogeneic stem cell transplantation (HSCT) from matched sibling donors (MSD) or unrelated donors (UD) is limited and with controversial results. The study aim was to evaluate PT-Cy as GVHD prophylaxis post-HSCT from MSD and UD transplants. We analyzed 423 patients with acute leukemia who received PT-Cy alone or in combination with other immunosuppressive (IS) drugs as GVHD prophylaxis. Seventy-eight patients received PT-Cy alone (group 1); 204 received PT-Cy in combination with one IS drug - cyclosporine-A (CSA) or methotrexate (MTX) or mycophenolate-mofetil (MMF) (group 2), while 141 patients received PT-Cy in combination with two IS drugs - CSA + MTX or CSA + MMF (group 3). Transplants were performed from 2007 to 2015 and median follow-up was 20 months. Results: Probability of overall survival (OS) at 2 years was 50, 52.2, and 62.4%, for the three groups, respectively, p = 0.06. In multivariate analysis, in comparison to PT-Cy alone, the addition of two IS drugs was associated with reduced risk of extensive cGVHD (HR 0.25, p = 0.02). Use of bone marrow (BM) and anti-thymocyte globulin were independently associated with reduced risk of extensive cGVHD. Prognostic factors for non-relapse mortality (NRM) were the addition of two IS drugs to PT-Cy (HR 0.35, p = 0.04), diagnosis of AML, disease status at transplant, and patient CMV serology. Factors associated with increased OS were the use of PT-Cy with two IS drugs (HR 0.49, p = 0.02), AML, and disease status at transplant. Conclusion: For GVHD prophylaxis in MSD and UD HSCT, the addition of IS drugs to PT-Cy enhances its effect and reduces the risk of severe cGVHD, reducing mortality and improving survival