Sistem Informasi Catholic Center Medan Berbasis Web

At present, many people use technology as a material to simplify work, the technology used is technology based online and offline. Nowadays technology is also used as a medium for the wider community to get information and communicate with each other wherever and whenever. Catholic Center "Christosophia" Medan Archdiocese, is engaged in an integrated service center that aims to improve services for all Catholics and other religious institutions. Catholic Center Archdiocese of Medan also provides various places such as: meeting room, lodging, hall and prayer room data. The resulting web display can provide convenience in terms of leasing in a web-based terrain catholic center, the advantage of this system is that there is a member and non-member system that is to improve the quality of building leases made by customers, and if the customer is a member then the customer can get discounted place price with the stipulated conditions. And with the system of members and non-members, it will make customers satisfied with the service and excellence available at the Catholic Center, and can help leaders maintain their customers and find new customers

Assessing Counseling Practices of Community Pharmacists in Nigeria

Inadequate counseling by pharmacists on medication–related issues could cause therapeutic failure. This study examined extent of counseling by community pharmacists; appraised their actual counseling activities; and identified barriers to counseling. The study utilized two approaches: (i) an observational cross-sectional survey of 198 randomly selected community pharmacists and (ii) stimulated-patient (SPs) method to appraise counseling practices in 106 pharmacies. Data were summarized with appropriate statistics at p<0.05. Extent of counseling was moderate (60%) and gaps exist between SPs and community pharmacists’ assessments of counseling practices. Significant associations exist between years in practice as community pharmacists (χ2=31.81, p=0.021), their ages, (χ2=55.48, p=0.043, academic qualifications (χ2=26.79, p=0.001) with extent of counseling. Barriers to counseling include absence of patient medication history (84.6%), insufficient space in pharmacies (79.6%), and training of pharmacists (78.2%). Level of counseling was suboptimal but could be improved if community pharmacists embark on continuous training to acquire more counseling skills

Pattern transfer of sub-micrometre-scaled structures into solid copper by laser embossing

Laser embossing allows the micron and submicron patterning of metal substrates that is of great interest in a wide range of applications. This replication process enables low-cost patterning of metallic materials by non-thermal, high-speed forming which is driven by laser-induced shock waves. In this study the surface topography characteristics as well as the material structure at laser embossing of sub-micrometre gratings into solid copper is presented. The topography of the laser-embossed copper pattern is analysed with atomic force microscopy (AFM) in comparison to the master surface. The height of the embossed structures and the replicated pattern fidelity increases up to a laser fluence of F ∼ 10 J/cm2. For higher laser fluences the height of the embossed structures saturates at 75% of the master pattern height and the shape is adequate to the master. Structural modifications in the copper mono crystals after the laser embossing process were investigated with transmission electron microscopy (TEM) and electron backscatter diffraction (EBSD). Almost no modifications were detected. The residual stress after laser embossing of 32 MPa (F = 30 J/cm2) has only a limited influence on the surface pattern formation

PRODUKSI SEMI MASSAL ROTIFERA YANG DIBERI PAKAN MIKROALGA SEBAGAI PENYEDIA PAKAN ALAMI

Brachionus is a rotifer that has a fast reproductive rate and plays an important role as live food for various fish. Live food has better nutritional content and cannot be completely replaced by artificial food. Microalgae food culture together with rotifers plays a dual role, apart from being used as direct food, it also functions as a buffer for water quality. The aim of this research is to find out and determine microalgae species that are able to increase the biomass of Brachionus natural food. The method used is an experimental method with factorial RAL. The treatments tried were microalgae species (M) Spirulina, Chlorella, Nannochloropsis, and Porphyridium with administration doses (P): 0, 5, 10, 15, and 20 mg/L. Repeat 3 times. The variables observed were the independent variables, namely formulation and microalgae species, while the dependent variable was Brachionus biomass. Supporting parameters of light, pH, and brightness. Microalgae species and feeding dose did not have a significant effect on rotifer biomass (p>0.01). The histogram results showed that there were differences in rotifer biomass between the implementation and treatment of Spirulina species with a dose of 10-15 g which was able to produce the highest rotifer biomass.Brachionus merupakan rotifer yang laju reproduksinya cepat dan berperan  penting sebagai  pakan  hidup  bagi  berbagai  ikan. Pakan hidup memiliki kandungan gizi lebih baik dan tidak dapat digantikan sepenuhnya oleh pakan buatan. Kultur pakan mikroalga bersama rotifera berperan ganda, selain dimanfaatkan sebagai pakan langsung, juga berfungsi sebagai penyangga kualitas air. Tujuan penelitian ini untuk mengetahui dan menentukan spesies mikroalga yang mampu meningkatkan biomassa pakan alami Brachionus.  Metode yang digunakan adalah metode eksperimen dengan RAL secara faktorial. Perlakuan yang dicobakan spesies mikroalga (M) Spirulina, Chlorella, Nannochloropsis,dan  Porphyridium dengan dosis pemberian (P): 0, 5, 10, 15, dan 20 mg/L. Ulangan sebanyak 3 kali. Variabel yang diamati variabel bebas yaitu formulasi dan spesies mikroalga, sedangkan variabel terikat yaitu biomassa Brachionus. Parameter pendukung cahaya, pH dan kecerahan. Spesies mikroalga dan dosis pemberian pakan tidak memberi pengaruh nyata terhadap biomassa rotifera (p>0.01). Hasil histogram menunjukkan ada perbedaan biomassa rotifera antar pelakuan dan perlakuan spesies Spirulina dengan dosis 10-15 g mampu menghasilkan biomassa rotifera paling tinggi

Lung cancer treatment costs, including patient responsibility, by disease stage and treatment modality, 1992 to 2003

AbstractObjectivesThe objective of this analysis was to estimate costs for lung cancer care and evaluate trends in the share of treatment costs that are the responsibility of Medicare beneficiaries.MethodsThe Surveillance, Epidemiology, and End Results (SEER)-Medicare data from 1991–2003 for 60,231 patients with lung cancer were used to estimate monthly and patient-liability costs for clinical phases of lung cancer (prediagnosis, staging, initial, continuing, and terminal), stratified by treatment, stage, and non-small- versus small-cell lung cancer. Lung cancer-attributable costs were estimated by subtracting each patient's own prediagnosis costs. Costs were estimated as the sum of Medicare reimbursements (payments from Medicare to the service provider), co-insurance reimbursements, and patient-liability costs (deductibles and “co-payments” that are the patient's responsibility). Costs and patient-liability costs were fit with regression models to compare trends by calendar year, adjusting for age at diagnosis.ResultsThe monthly treatment costs for a 72-year-old patient, diagnosed with lung cancer in 2000, in the first 6 months ranged from $2687 (no active treatment) to$9360 (chemo-radiotherapy); costs varied by stage at diagnosis and histologic type. Patient liability represented up to 21.6% of care costs and increased over the period 1992–2003 for most stage and treatment categories, even when care costs decreased or remained unchanged. The greatest monthly patient liability was incurred by chemo-radiotherapy patients, which ranged from $1617 to$2004 per month across cancer stages.ConclusionsCosts for lung cancer care are substantial, and Medicare is paying a smaller proportion of the total cost over time

Assessing Inequalities in Wellbeing at a Neighbourhood Scale in Low-Middle-Income-Country Secondary Cities and Their Implications for Long-Term Livability

Correction: FEB 15 2022 DOI10.3389/fsoc.2022.856609To ensure future sustainability, cities need to consider concepts of livability and resident wellbeing alongside environmental, economic and infrastructure development equity. The current rapid urbanization experienced in many regions is leading to sustainability challenges, but also offers the opportunity to deliver infrastructure supporting the social aspects of cities and the services that underpin them alongside economic growth. Unfortunately, evidence of what is needed to deliver urban wellbeing is largely absent from the global south. This paper contributes to filling this knowledge gap through a novel interdisciplinary mixed methods study undertaken in two rapidly changing cities (one Thai and one Kenyan) using qualitative surveys, subjective wellbeing and stress measurements, and spatial analysis of urban infrastructure distribution. We find the absence of basic infrastructure (including waste removal, water availability and quality) unsurprisingly causes significant stress for city residents. However, once these services are in place, smaller variations (inequalities) in social (crime, tenure) and environmental (noise, air quality) conditions begin to play a greater role in determining differences in subjective wellbeing across a city. Our results indicate that spending time in urban greenspaces can mitigate the stressful impacts of city living even for residents of informal neighborhoods. Our data also highlights the importance of places that enable social interactions supporting wellbeing-whether green or built. These results demonstrate the need for diversity and equity in the provision of public realm spaces to ensure social and spatial justice. These findings strengthen the need to promote long term livability in LMIC urban planning alongside economic growth, environmental sustainability, and resilience.Peer reviewe

Change Management and Capacity Utilisation: A Critical Requirement for Business Sustainability among Small and Medium-Sized Enterprises (SMEs) in Nigeria

This study focuses on the practice of change management and operational resilience among Small and Medium Enterprises (SMEs) in Nigeria. The research adopts an empirical approach, relying on secondary data sourced from the 2014 enterprise survey of the World Bank and applied the logit regression analysis. Results showed that product development and experience are statistically significant and positively related to capacity utilisation. While political instability, spoilage (loss of product in transit, due to theft, breakage or spoilage) and financial constraint are negatively related to capacity utilisation. This implies that the increased level of product development is capable of increasing capacity utilisation by approximately 0.4, 0.5 and 0.7 units, respectively. In the same way, the manager's experience increase capacity utilisation by 0.44units, which conforms to the ‘a priori’ expectation, for managers to be resilient, the experience is highly required. Similarly, the results show that political instability is statistically significant and has negative (0.61, 0.69, 0.50, 0.80 and 0.65) impacts on capacity utilisation. Based on findings, the study recommends the need for further research to consider other approaches such as longitudinal research, comparative research to unearth learning about the factors that affect change management practice. It is also suggested for further research to consider critical change management effects such as resistance and ethical balance in practice, especially in developing economy like Nigeria

Treatment patterns and outcomes among nontransplant newly diagnosed multiple myeloma patients in Spain

Aim: To describe treatment patterns and outcomes in nontransplant newly diagnosed multiple myeloma (NDMM) patients in Spain. Methods: This retrospective study included two cohorts of NDMM patients diagnosed between 1 January 2012 to 31 December 2013 and 1 April 2016 to 31 March 2017. Results: Among 113 patients, proteasome inhibitor (PI) + alkylator combinations (49%) and PI-based regimens without an alkylator (30%) were the most common first-line (1L) therapies. Use of PI + immunomodulatory drug-based regimens increased between the cohorts; PI-based regimens without an alkylator/immunomodulatory drug decreased. Use of 1L oral regimens was low but increased over time; use of maintenance therapy was low across both periods. Median 1L duration of treatment was 6.9 months. Conclusion: Short 1L duration of treatment and low use of 1L oral regimens and maintenance therapy highlight unmet needs in NDMM. © 2021 The Authors