Implementasi Kebijakan Peran Serta Lingkungan Pendidikan Tinggi Berwawasan Anti Narkoba Di Kota Semarang

Circulation and drug abuse in Indonesia is a multidimensional and multisectoral problem, all lines of life can be exposed to the dangers of drugs. Not apart from that students or young people are the main target of drug abuse, given the level of emotions that have not been stable so easily affected to abuse drugs. Based on Act No 35 of 2009, the Government established the National Narcotics Agency to tackle the drug problem that became a problem in Indonesia, BNN was given the authority of investigation and investigation of narcotics crime and narcotics precursor. In the effort to prevent abuse and illicit drug trafficking as well as handling of government drug problem to include all components of society both from campus environment and work environment. Based on the Regulatory Chief of BNN No 16 of 2014, a Community Participation Container was established to implement the policy towards the participation of the Higher Education Environment. Technical analysis to obtain data through interview with informant, observation, and supporting document. This research uses Merilee S. Grindle theory which argues that the driving factors of implementation have three main factors, namely policy content and policy environment, then the implementation result can be seen from the impact and change on society. The results of this study indicate that the Implementation of the Policy of the Role of the Environment of Higher Education with Anti-Drugs is quite successful in reducing the number of abuse in Semarang City, but still less than optimal with the decrease of performance, and the level of service provided, resulting in the decreasing interest of the Students to join the Unit Anti-drug duties. The desired changes to the creation of an Anti-Narcotics Based Higher Education Environment. The recommendations are to improve the performance and quality of training and counseling, innovation in order to provide facilities and infrastructure that are in line with community expectations

Alterations in trunk bending stiffness following changes in stability and equilibrium demands of a load holding task

The contribution of the trunk neuromuscular system (TNS) to spine stability has been shown in earlier studies by characterizing changes in antagonistic activity of trunk muscles following alterations in stability demands of a task. Whether and/or how much such changes in the response of TNS to alteration in stability demand of the task alter spinal stiffness remains unclear. To address this research gap, a repeated measure study was conducted on twenty gender-balanced asymptomatic individuals to evaluate changes in trunk bending stiffness throughout the lumbar spine's range of flexion following alterations in both stability and equilibrium demands of a load holding task. Trunk bending stiffness was determined using trunk stiffness tests in upright posture on a rigid metal frame under different equilibrium and stability demands on the lower back. Increasing the stability demand by increasing the height of lifted load ∼30 cm only increased trunk bending stiffness (∼39%) over the lower range of lumbar flexion and under the low equilibrium demand condition. Similarly, increasing the equilibrium demand of the task by increasing the weight of lifted load by 3.5 kg only increased trunk bending stiffness (55%) over the low range of lumbar flexion and under the low stability demand condition. Our results suggest a non-linear relationship between changes in stability and equilibrium demands of a task and the contribution of TNS to trunk bending stiffness. Specifically, alterations in TNS response to changes in stability and equilibrium demand of a given task will increase stiffness of the trunk only if the background stiffness is low

Open-Label Phase I Clinical Study to Assess the Safety and Efficacy of Cilostazol in Patients Undergoing Internal Carotid Artery Stent Placement

BACKGROUND: One-month dual antiplatelet treatment, with aspirin and clopidogrel, following internal carotid artery stent placement is the current standard of care to prevent in-stent thrombosis. Cilostazol, an antiplatelet drug, has been demonstrated to have a safety profile comparable to aspirin and clopidogrel. OBJECTIVE: To evaluate the safety and clinical efficacy of cilostazol and aspirin therapy following internal carotid artery stent placement up to 1 month postprocedure. METHODS: A phase I open-label, nonrandomized two-center prospective study was conducted. All subjects received aspirin (325 mg/day) and cilostazol (200 mg/day) 3 days before extracranial stent placement. Two antiplatelet agents were continued for 1 month postprocedure followed by aspirin daily monotherapy. The primary efficacy end point was the 30-day composite occurrence of death, cerebral infarction, transient ischemic attack, and in-stent thrombosis. The primary safety end point was bleeding. RESULTS: Twelve subjects (mean age ± SD, 66 ± 12 years; 9 males) were enrolled and underwent internal carotid artery angioplasty and stent placement. None of the subjects who successfully followed the study protocol experienced any complications at the 1- and 3-month follow-ups. One patient had a protocol deviation due to concurrent use of enoxaparin (1 mg/kg twice daily) in addition to aspirin and cilostazol, resulting in a fatal symptomatic intracerebral hemorrhage following successful stent placement on postprocedure day 1. One patient discontinued cilostazol after the first dose secondary to dizziness. CONCLUSION: The use of cilostazol and aspirin for internal carotid artery stent placement appears to be safe, but protocol compliance needs to be emphasize

Efek Larvasida Ekstrak Etanol Daun Mahkota Dewa (Phaleria Macrocarpa) terhadap Larva Aedes Aegypti

Dengue Hemorrhagic Fever ( DHF ) is a disease caused by type I, II , III and IV dengue virus which is transmitted by Aedes aegypti and Aedes albopictus mosquitos. The effort to control this dengue vector by chemical larvicides still have an adverse impact the population and causing vector's resistance . Botanical larvacides produced from plants material can be used as an alternative to reduce these impacts . Mahkota Dewa ( Phaleria macrocarpa ) is one of the potential plants as a botanical larvicidal. The aim of this research was to determine the larvacides effect of Phaleria macrocarpa leaves ethanol extract against Aedes aegypti larvae. The design of this research is an experimental includes preliminary test and final test. The final test divided into 7 groups, consists of 0 ppm , 100 ppm , 300 ppm , 500 ppm , 600 ppm , 900 ppm , 1000 ppm. Each group contained 20 larvae in 100 ml extract solution with 3 repetitions. The regression Probit Analysis concluded that the LC50 has 545,3 ppm and LC90 has 859,9 ppm

Large collective Lamb shift of two distant superconducting artificial atoms

Virtual photons can mediate interaction between atoms, resulting in an energy shift known as a collective Lamb shift. Observing the collective Lamb shift is challenging, since it can be obscured by radiative decay and direct atom-atom interactions. Here, we place two superconducting qubits in a transmission line terminated by a mirror, which suppresses decay. We measure a collective Lamb shift reaching 0.8% of the qubit transition frequency and exceeding the transition linewidth. We also show that the qubits can interact via the transmission line even if one of them does not decay into it.Comment: 7+5 pages, 4+2 figure

Information processing at the foxa node of the sea urchin endomesoderm specification network

The foxa regulatory gene is of central importance for endoderm specification across Bilateria, and this gene lies at an essential node of the well-characterized sea urchin endomesoderm gene regulatory network (GRN). Here we experimentally dissect the cis-regulatory system that controls the complex pattern of foxa expression in these embryos. Four separate cis-regulatory modules (CRMs) cooperate to control foxa expression in different spatial domains of the endomesoderm, and at different times. A detailed mutational analysis revealed the inputs to each of these cis-regulatory modules. The complex and dynamic expression of foxa is regulated by a combination of repressors, a permissive switch, and multiple activators. A mathematical kinetic model was applied to study the dynamic response of foxa cis-regulatory modules to transient inputs. This study shed light on the mesoderm–endoderm fate decision and provides a functional explanation, in terms of the genomic regulatory code, for the spatial and temporal expression of a key developmental control gene

Semiautomated and automated algorithms for analysis of the carotid artery wall on computed tomography and sonography: a correlation study.

Objectives—The purpose of this study was to compare automated and semiautomated algorithms for analysis of carotid artery wall thickness and intima-media thickness on multidetector row computed tomographic (CT) angiography and sonography, respectively, and to study the correlation between them. Methods—Twenty consecutive patients underwent multidetector row CT angiographic and sonographic analysis of carotid arteries (mean age, 66 years; age range, 59–79 years). The intima-media thickness of the 40 carotid arteries was measured with novel and dedicated automated software analysis and by 4 observers who manually calculated the intima-media thickness. The carotid artery wall thickness was automatically estimated by using a specific algorithm and was also semiautomatically quantified. The correlation between groups was calculated by using the Pearson ρ statistic, and scatterplots were calculated. We evaluated intermethod agreement using Bland-Altman analysis. Results—By comparing automated carotid artery wall thickness, automated intima-media thickness, semiautomated carotid artery wall thickness, and semiautomated intima-media thickness analyses, a statistically significant association was found, with the highest values obtained for the association between semiautomated and thickness analyses(Pearson ρ = 0.9; 95% confidence interval, 0.82–0.95; P = 0.0001). The lowest values were obtained for the association between semiautomated intima-media thickness and automated carotid artery wall thickness analyses (Pearson ρ = 0.44; 95% confidence interval, 0.15–0.66; P = 0.0047). In the Bland-Altman analysis, the better results were obtained by comparing the semiautomated and automated algorithms for the study of intima-media thickness, with an interval of –16.1% to +43.6%. Conclusions—The results of this preliminary study showed that carotid artery wall thickness and intima-media thickness can be studied with automated software, although the CT analysis needs to be further improved

Towards Designing an Integrated Earth Observation System for the Provision of Solar Energy Resource and Assessment

The GEOSS strategic plan specifically targets the area of improved energy resource management due to the importance of these to the economic and social viability of every nation of the world. With the world s increasing demand for energy resources, the need for new alternative energy resources grows. This paper overviews a new initiative within the International Energy Agency that addresses needs to better manage and develop solar energy resources worldwide. The goal is to provide the solar energy industry, the electricity sector, governments, and renewable energy organizations and institutions with the most suitable and accurate information of the solar radiation resources at the Earth's surface in easily-accessible formats and understandable quality metrics. The scope of solar resource assessment information includes historic data sets and currently derived data products using satellite imagery and other means. Thus, this new task will address the needs of the solar energy sector while at the same time will serve as a model that satisfies GEOSS objectives and goals

Early Versus Late Tracheostomy for Patients with High and Low Cervical Spinal Cord Injuries

Objectives: This study aimed to evaluate the effects of early versus late tracheostomies among patients with cervical spinal cord injuries (CSCIs). Methods: This retrospective study included 69 adult CSCI patients who underwent bedside percutaneous tracheostomies at the Intensive Care Unit of Khoula Hospital, Muscat, Oman, between January 2011 and October 2015. The tracheostomy was considered early if the procedure took place within one week of the CSCI. The impact of an early tracheostomy on patient outcomes was analysed in terms of duration of mechanical ventilation and intensive care unit (ICU) stay among patients with high (C1–C2 vertebrae) and low (C3–C7 vertebrae) CSCIs. Ventilator dependence, bradycardia episodes and surgical intervention outcomes were also examined. Results: Patients with a high CSCI who underwent an early tracheostomy spent significantly fewer days on mechanical ventilation compared to those who underwent a late tracheostomy (9.3 ± 7.2 days versus 13.7 ± 3.2 days; P = 0.041). Low CSCI patients who received an early tracheostomy also experienced significantly fewer days on mechanical ventilation compared to those undergoing a late tracheostomy (12.1 ± 10.4 days versus 25.2 ± 17.7 days; P = 0.035). Moreover, ICU mortality was significantly lower for high CSCI patients who underwent an early tracheostomy (P = 0.015). However, there was no association between length of ICU stay and either type of CSCI or timing of the tracheostomy procedure. Conclusion: An early tracheostomy is beneficial in reducing the duration of mechanical ventilation among patients with CSCIs, irrespective of the level of injury