Prognostic factors influencing prolonged ventilation after open mitral valve surgery

Objective: To determine prognostic factors influencing prolonged ventilation after surgery in our hospital. Method: Seventy-five patients fulfilled inclusion criteria were included in this retrospective cross-sectional study. Prognostic factors analyzed were age, chronic pulmonary disease, heart failure (NYHA class function), left ventricular (LV) dysfunction (based on ejection fraction), recent myocardial infarction, pulmonary hypertension (PH), duration of cardiopulmonary bypass (CPB), ischemic time and aorta clamp time, which were analyzed in relation to prolonged ventilation after open mitral valve surgery. Results: Subjects were 75 patients aged between 19 and 62 years old (mean 39.76, SD 11.44) whom underwent open mitral valve repair or replacement surgery. Twenty-three patients (30.67%) had prolonged ventilation (≥24 hours) after surgery. Bivariate analysis showed there were no significant correlation between age, heart failure, PH and LV dysfunction. There are different with statistically significance between groups (p<0.05). Conclusions: In this study, almost one-third of patients had prolonged ventilation after surgery. Factors influencing this morbidity were the duration of ischemic time, aorta clamp time and CPB. Age, heart failure, LV dysfunction and PH were not statistically related to the prolonged ventilation event

PENILAIAN KINERJA PEGAWAI APARATUR SIPIL NEGARA BADAN PENELITIAN DAN PENGEMBANGAN DAERAH KABUPATEN LAMPUNG TENGAH DENGAN PENDEKATAN IMPORTANCE PERFORMANCE ANALYSIS

This study aims to measure the performance of State Apparatus Employees (ASN) at the Central Lampung Regional Research and Development Agency. Assessment This study only uses services as an independent variable. In this study, 27 ASNs were involved as questionnaire respondents using the census method. Data testing techniques used in this study include validity testing with factor analysis, reliability testing, gaps, and Importance and Performance Analysis (IPA). IPA is a research method by comparing the level of importance with the level of implementation. The results showed that the results of the performance appraisal integrity and integrity are not important. Based on the research results, the most important attribute is increasing the priority to be done in order to remain competitive. Meanwhile, attributes that are deemed less important do not require temporary repairs, if necessary they are ignored or eliminated

Infective endocarditis as a morbidity predictor in patients who underwent mitral valve surgery

Infective endocarditis (IE) often develops into rheumatic heart disease (RHD) that has many perioperative complications during the evolution of the disease. Cardiac surgery in patients with IE is often followed by post-operative morbidities that can decrease the quality of life. This study aimed to investigate the correlations between preoperative IE and the emergence of various morbidities in patients undergoing heart valve surgery. This was a cross-sectional study with secondary data analysis of the medical record in 60 patients with mitral valve surgery at Dr. Sardjito General Hospital, Yogyakarta from 2012 to 2017. As much as 30 of 60 patients were suffered IE before mitral valve surgery. The most common valve disease in the IE group was mitral stenosis (60%). IE was significantly associated with arrhythmia and cardiac event with p=0.002 (PR: 6.91), prolonged ICU stay with p=0.011 (PR: 5.68), prolonged ventilator use with p=0.015 (PR: 12.43) and severe pulmonary arterial hypertension (PAH) with p=0.033 (PR: 0.192) post mitral valve surgery. As many as 26 (87%) and 29 (96.7%) of patients with IE had a prolonged ICU stay and prolonged ventilator after mitral valve surgery respectively. The incidence of severe PAH postoperatively in the IE group was lower than in the non-IE group (10% vs 36.7%). IE was significantly associated with the increased risk of arrhythmia, prolonged ventilator use and prolonged ICU stay after mitral valve surger

PENGARUH KOMITE AUDIT, STRUKTUR MODAL, DAN PERSISTENSI LABA TERHADAP KUALITAS LABA

Penelitian ini bertujuan untuk menguji pengaruh komite audit, struktur modal, dan persistensi laba terhadap kualitas laba. Komite audit diukur dengan jumlah anggota komite audit, struktur modal diukur dengan leverage, persistensi laba diukur dengan koefisien regresi antara laba akuntansi periode sekarang dengan laba akuntansi periode tahun sebelumnya, dan kualitas laba diukur dengan discretionary accruals model Modified Jones. Jenis penelitian ini adalah penelitian kuantitatif. Sampel dalam penelitian ini diperoleh dengan menggunakan metode purposive sampling, yaitu pemilihan sampel dengan kriteria-kriteria yang telah ditentukan. Berdasarkan metode tersebut diperoleh sebanyak 235 sampel dari 47 perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia selama tahun 2013-2017. Metode analisis yang digunakan adalah regresi linier berganda dengan menggunakan program SPSS versi 23. Hasil penelitian menunjukkan bahwa komite audit berpengaruh positif terhadap kualitas laba dan persistensi laba berpengaruh negatif terhadap kualitas laba. Sedangkan struktur modal tidak berpengaruh terhadap kualitas laba. Kata kunci: Komite Audit, Leverage, Persistensi Laba, DAC

PENYELESAIAN SENGKETA LINGKUNGAN MELALUI PENGADILAN TATA USAHA NEGARA

Masalah lingkungan merupakan masalah yang tidak dapat dipandang sebelah mata oleh para pihak, terutama Pemerintah sebagai pemangku kebijakan dan pemegang Kekuasaan. Pembangunan industri dinegara berkembang sangat mempengaruhi banyaknya masalah lingkungan. Dan masyarakat sangat membutuhkan aturan hukum dan penegakan yang dapat memberikan jaminan keamanan dan keseimbangan pembangunan sosial dan lingkungan. Maka dari itu Masyarakat, Pemerintah Dan Pengusaha harus sama sama menghomati aturan hukum yang berlaku demi terciptanya kesejahteraan masyarakat

Transport mukosilia hidung penderita rinitis kronik sebelum dan sesudah gurah

ABSTRACT Supomo Sukardono - Nasal mucocelia transport of chronic rhinitis patients before and after gurah. Bacground: " Gurah" is a traditional treatment for nasal and lower respiratory tract diseases or for establishing clearer voice, where the extract " Srigunggu" or "Sirgunggu" is used as nasal drop. The side effect of "gurah" on the mucocilliary system has not been known yet. Objective: The study was done to know the effects of "Gurah" on the mucocilliary transport, in chronic rhinitis patients. Method: The study was performed by pretest-posttest design.The study was performed at "Gurah" location of Kyai Hisyam, Giriloyo, Wukirsari, Imogiri, Kabupaten Bantul Daerah Istimewa Yogyakarta. The mucocilliary transport time of the subjects with chronic rhinitis were tested with saccharine method for three times i.e. on the second (Wt2) and the tenth day (Wt10) after "gurah". Procedure of the "gurah" was done by KH Hisyam himself, and the measurement of mucocilliary transport time was done by the author. The paired-t test was used to test the significant difference of the mucocilliary transport time between before and after "gurah". Result: On the second day after "gurah" there was significant difference of the mucocilliary transport time between before "gurah" and after "gurah" (P0.05). Conclusion: The mucocilliary transport time was prolonged significantly on second day after "gurah", but on the tenth day the mucocilliary transport time returned to the before \u27\u27gurah" value. Key word: "Gurah" â mucociliary transport tim

Minat Membaca dan Motivasi Belajar Dalam Meningkatkan Indeks Prestasi

This study aims to determine the Effect of Reading Interest (X1), Learning Motivation (X2) and is in the process of determining Reading Interest (X1), Learning Motivation (X2) Against Learning Achievement Grade XI IPA2 Students in Sorong 1 Public High School (Y) ) This type of research is Ex post facto. Purposive sampling is a sampling technique used in this study. The interest and motivation of learning to read have a significant influence on the achievement index of students in class XI IPA2 of Sorong City Senior High School 1, respectively at 70.1% and 67.6%. Taken together the interest in reading and learning motivation has a significant influence on the achievement index of students in class XI IPA2 in Sorong City 1 Public High School, amounting to 74.8%