Identifikasi dan Penilaian Obyek Daya Tarik Wisata Alam (Studi Kasus di Taman Nasional Ujung Kulon)

Ujung Kulon National Park has a wide variety of natural tourist different and nice. However, this potential has not been identified by either. For this tourism potential need to be identified and assessment as an effort to develop this location. This research id aimed to identify the potential of nature tourism and assess of object natural tourist attraction at this conservation area. The method used is a case study, in which data collection is done through in-depth interviews and involved observation. Data were analyzed using assessment of object natural tourist attraction. The results showed that the potential of tourism in Gunung Tilu and Curug Cibayoni which has a high value rated with excellent criteria it needs to be included into the form of tourist activities in accordance with the assessment of Object Natural Tourist Attraction. Forms of nature tourism activities are educational tour; religious tour; recreation; tracking; set up a stall for society; agricultural education tour; and handicraft

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Vicariance and oceanic barriers drive contemporary genetic structure of widespread mangrove species Sonneratia alba J. Sm in the Indo-West Pacific

10.3390/f8120483Forests81248