Evaluasi Traffic Profile pada Jaringan Data Existing Universitas Riau

Quality Of Service is very significant to measures data network performance indicator in the existing system in Riau University. This paper discusses performance analysis of existing datanetworks Riau University. The detail of performance analysis consists of several parameters such as throughput, packet loss and delay. It uses approach Action Research. The measurement was conducted when idle condition. The result shows Economics Faculty in good performance and the opposite result is indicated by Fisheries Faculty. Traffic problems arising from accessing the peak season occurs due to scheduling KRS which does not refer to the numberof each user on the faculties

Socio-culture and Health Problem Factors on Traditional Medicine Use among Indonesian Adult: A Cross-sectional Analysis from National Survey

Traditional medicines utilization has been significantly increased over the past years. Knowledge on traditional medicine use and its influencing socio-culture and health problem factors especially among generationally-related group in Indonesia is still limited. This study aimed to determine the prevalence and the association socio-culture and health problems factors and traditional medicine use among adults which were middle-aged (millennial) and elder-adult (generation X) in Indonesia while controlling other covariates. of traditional medicine use among This cross-sectional study used the data from the Indonesia Family Life Survey wave 5 (2014): a cross-sectional national population survey. This national survey used a multistage stratified random sampling to select the respondents to response to a structured questionnaire interview. There were 10,325 adults passed our inclusion criteria for the analysis. The adult who was born between1960 to 1982 was called the Gen X, whereas the Millennia is for those who were born between 1983 and 2000. A multivariable logistic regression was used to identify the association. Among 10,325 respondents, 78.42 % were millennial while 21.58 % were generation x or older adults.  Less than a quarter of the respondents used traditional medicine (13.37 %; 95% CI: 12.73-14.04). The factor significantly associated with traditional medicine used among Indonesian adults were; be Gen X (adj. OR = 1.24, 95%CI= 1.08 -1.43), female (adj.OR1.27, 95%CI: 1.13 to 1.43, p<0.001) Islamic (adj. OR = 1.91, 95%CI= 1.47 -2.36), married (adj. OR = 1.64, 95%CI= 1.44 -1.87),lived in urban area (adj. OR = 1.48, 95%CI= 1.31-1.68). Other covariate were unhealthy (adj.OR: 1.36, 95% CI: 1.18-1.1.58), experienced headache (adj.OR: 1.50, 95% CI: 1.31-1.47),  experienced stomachache (adj.OR: 1.28, 95% CI: 1.12-.47), and experienced fever (adj.OR: 1.30, 95% CI: 1.15- 1.47). Sociocultural and age group as well as health problems were associated with traditional medicine use

Cost-effectiveness of apixaban and warfarin in the prevention of thromboembolic complications among atrial fibrillation patients

Background: To reduce the risk of thromboembolic complications, clinical guidelines recommend anticoagulation treatment for almost all atrial fibrillation (AF) patients. Although warfarin has long been the primary treatment alternative, now newer alternatives such as apixaban have proven effective in prevention of the thromboembolic complications of non-valvular AF. The aim of this study is to assess the cost-effectiveness of apixaban when compared with warfarin in the prevention of AF-associated thromboembolic complications in Finland.Methods: The assessment was performed with a lifetime Markov-model with the following health states: non-valvular AF, ischemic stroke, hemorrhagic stroke, other intracranial bleed, other major bleed, clinically relevant non-major bleed, myocardial infarction, and systemic embolism. The treatment efficacies were obtained from the ARISTOTLE trial. Representative Finnish input data were used for the model states, including background mortality, resource use, costs (in 2014 values), and EQ-5D-3L-based quality of life. The results (with 3 % annual discounting) are presented as incremental cost-effectiveness ratios [ICER, cost per quality-adjusted life year (QALY) gained], the expected value of perfect information (EVPI), and the probability of apixaban being cost-effective at various willingness-to-pay levels.Results: Apixaban increased life-expectancy by 0.17 years and quality-adjusted life-expectancy by 0.14 QALYs when compared with warfarin. Additional QALY was gained with apixaban at a cost of 1824 euros based on the deterministic analysis. The maximum EVPI was 649 euros/patient at 1282 euros per QALY gained in the probabilistic analysis. The probability of apixaban being cost-effective reached 80 % when the willingness-to-pay per QALY gained was 14,857 euros. In deterministic sensitivity analyses, ICERs varied from dominance of apixaban to additional QALY being gained at a cost of 12,312 euros.Conclusions: The ICERs obtained were well below the WHO-CHOICE threshold values for cost-effective interventions, suggesting that apixaban is a very cost-effective treatment alternative for warfarin in Finnish patients with AF

Superconducting NbN microstrip detectors

Superconducting NbN strip transmission line counters and coupling circuits were processed on silicon wafers using thin film techniques, and they were characterized with several methods to verify the design principles. The stripline circuits, designed using microwave design rules, were simulated using a circuit design tool enhanced to include modelling of the superconducting lines. The strips, etched out of the 282 nm thick top NbN film with resistivity 284 µ?cm at 20 K, have critical temperatures in the range 12 to 13 K and a critical current density approximately Jc(0) = 3.3·105 A/cm2. The linearized heat transfer coefficient between the strip and the substrate is approximately 1.1·105 W/(m2K) and the healing length is about 1.6 µm between 3 and 5 K temperatures. Traversing 5 MeV a-particles caused the strips to quench. No events due to electrons could be detected in agreement with the predicted signal amplitude which is below the noise threshold of our wideband circuitry. The strip bias current and hence the signal amplitude were limited due to a microbridge at the isolator step of the impedance transformer

The Increased Risk for Autoimmune Diseases in Patients with Eating Disorders

Peer reviewe

Robotic Versus Conventional Sternotomy Mitral Valve Surgery: A Systematic Review and Meta-Analysis

Background: Robotic-assisted mitral valve surgery (RMVS) is becoming an increasingly performed procedure in cardiac surgery, however, its true safety and efficacy compared to the gold standard conventional sternotomy approach [conventional sternotomy mitral valve surgery (CSMVS)] remains debated. The aim of this meta-analysis was to provide a comprehensive analysis of all available literature comparing RMVS to CSMVS. Methods: An electronic search of five databases was performed to identify all relevant studies comparing RMVS to CSMVS. Pre-defined primary outcomes of interest included all-cause mortality, cerebrovascular accidents (CVA) and re-operation for bleeding. Secondary outcomes of interest included cross clamp time, cardiopulmonary bypass (CPB) time, intensive care unit (ICU) and hospital length of stay (LOS), postoperative atrial fibrillation (POAF) and red blood cell (RBC) transfusion. Results:The search strategy identified fourteen studies qualifying for inclusion in this meta-analysis comparing RMVS to CSMVS. The outcomes of 6,341 patients (2,804 RMVS and 3,537 CSMVS) were included. RMVS had significantly lower mortality when compared to CSMVS group in both the unmatched [odds ratio (OR) 0.33; 95% confidence interval (CI): 0.19–0.57; P Conclusions: Current evidence on comparative outcomes of RMVS and CSMVS is limited with only lowquality studies currently available. This present meta-analysis suggests that RMVS may have lower mortality and shorter ICU and hospital LOS, however CSMVS may be associated with significantly shorter cross clamp and CPB times. Further analysis of high-quality studies with randomized data is required to verify these results