Pelayanan Kesehatan Pasien Rawat Jalan di Poliklinik Bedah RSU Haji Makassar

In order to health care management can reach desired target then must fulfill various of requirements, for example : available, appropriate, continue, acceptable, accesible, affordable, quality. All the requirement is referred same the importance and at recently effort upgrade service growing gets larger ones attention, easy to understand this condition because if certifiable health care can to carry out, not only will improve health care effectivity, but also also will be able to improve health care efficiency (Aditama, 2002). This research bent on for getting the information of outpatient health care in polyclinic of Hospital surgical operation Haji Makassar Tahun 2008 that evaluated from some aspects namely : Service pattern that given the party of hospital and service standard that expect patient. Method as used in research this is the research qualitative. Data is collected with method indepth interview, observation, and document study. Base research focus, amount infoman 13 where 6 on ones part RS one who are assumed competent and control aspect of outpatient health care management and 7 people on ones part patient. From research result obtained information about outpatient health care in surgical operation polyclinic RSU Haji Makassar in 2008 namely: 1) pattern of outpatient health care that given RS Haji specially in surgical operation polyclinic according to the party of service hospital that they give that have been good and in accordance with patient expectation, 2) Standard that defined by outpatient in surgical operation polyclinic RSU Haji Makassar, where patient does not find its expectation satisfaction to service that given RS, 3) By see conclusion of both variable above then two and two make four seen that the happening of difference between what given the party of hospital by what expect patient, where RS have not yet can give desired service the party of patient so its proves existence of weak service pattern. Service pattern in RS Haji specially in surgical operation polyclinic show existence of difference between RS as [the] provider and patient as user where RS have not yet can realize what expect patient start from registration process where lack of facilities and basic facilities makes patient kick ones heelses to get service either on counter or in pharmacy and time of doctor inspection that quick. Situation is referred show weak service pattern. Standard Nothing that defined by patient, where patient does not find its expectation satisfaction to service that given RS for no standard applied, specially in surgical operation polyclinic RS Haji.Key Words : Service Pattern and Service Standard

Pengaruh perendaman dengan larutan daun nangka (Artocarpus heterophyllus) terhadap kualitas telur ayam ras

Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh pengunaan larutan daun nangka (Artocarpus heterophyllus) terhadap kualitas telur ayam ras. Materi yang digunakan adalah telur ayam ras berumur 1 hari sebanyak 100 butir, daun nangka 4000 g, dan 4 Liter aquades. Penelitian ini menggunakan rancangan acak lengkap (RAL) dengan 5 perlakuan dan 4 ulangan yang terdiri dari: P0 = tanpa perendaman, P1 = perendaman dengan larutan daun nangka 15%, P2 = perendaman dengan larutan daun nangka 30%, P3 = perendaman dengan larutan daun nangka 45%, P4 = perendaman dengan larutan daun nangka 60%. Kemudian telur direndam dalam larutan daun nangka selama 24 jam dan disimpan selama 30 hari. Variabel yang diamati yaitu penurunan berat telur, pH telur, indeks putih telur dan indeks kuning telur. Data yang diperoleh dianalisa menggunakan analisis sidik ragam, dan untuk semua variabel yang berbeda dilanjutkan dengan uji BNJ. Hasil penelitian menunjukkan ada perbedaan yang nyata (P<0,05) terhadap penurunan berat telur, pH telur dan indeks kuning telur, tetapi tidak berbeda nyata (P>0,05) terhadap indeks putih telur. Berdasarkan hasil pembahasan maka dapat disimpulkan bahwa perendaman telur dengan larutan daun nangka 60% efektif menghambat penurunan berat telur, kenaikan pH telur dan menstabilkan indeks putih telur, sedangkan untuk indeks kuning telur hasil yang baik berada pada perendaman 15%.Kata Kunci: Telur ayam ras, larutan daun nangka, kualitas telu

3D structure and dynamics of filaments in turbulence simulations of WEST diverted plasmas

International audienceWe study the effect of a diverted magnetic geometry on edge plasma turbulence, focusing on the three-dimensional structure and dynamics of filaments, also called blobs, in simulations of the WEST tokamak, featuring a primary and secondary X-point. For this purpose, in addition to classical analysis techniques, we apply here a novel fully 3D Blob Recognition And Tracking (BRAT) algorithm, allowing for the first time to resolve the three-dimensional structure and dynamics of the blobs in a turbulent 3D plasma featuring a realistic magnetic geometry. The results are tested against existing theoretical scalings of blob velocity [Myra et al, Physics of Plasmas 2006]. The complementary analysis of the 3D structure of the filaments shows how they disconnect from the divertor plate in the vicinity of the X-points, leading to a transition from a sheath-connected regime to the ideal-interchange one. Furthermore, the numerical results show non-negligible effects of the turbulent background plasma: approximately half of the detected filaments are involved in mutual interactions, eventually resulting in negative radial velocities, and a fraction of the filaments is generated by turbulence directly below the X-point

Interpretative and predictive modelling of Joint European Torus collisionality scans

Transport modelling of Joint European Torus (JET) dimensionless collisionality scaling experiments in various operational scenarios is presented. Interpretative simulations at a fixed radial position are combined with predictive JETTO simulations of temperatures and densities, using the TGLF transport model. The model includes electromagnetic effects and collisions as well as □(→┬E ) X □(→┬B ) shear in Miller geometry. Focus is on particle transport and the role of the neutral beam injection (NBI) particle source for the density peaking. The experimental 3-point collisionality scans include L-mode, and H-mode (D and H and higher beta D plasma) plasmas in a total of 12 discharges. Experimental results presented in (Tala et al 2017 44th EPS Conf.) indicate that for the H-mode scans, the NBI particle source plays an important role for the density peaking, whereas for the L-mode scan, the influence of the particle source is small. In general, both the interpretative and predictive transport simulations support the experimental conclusions on the role of the NBI particle source for the 12 JET discharges

Operating a full tungsten actively cooled tokamak: overview of WEST first phase of operation

WEST is an MA class superconducting, actively cooled, full tungsten (W) tokamak, designed to operate in long pulses up to 1000 s. In support of ITER operation and DEMO conceptual activities, key missions of WEST are: (i) qualification of high heat flux plasma-facing components in integrating both technological and physics aspects in relevant heat and particle exhaust conditions, particularly for the tungsten monoblocks foreseen in ITER divertor; (ii) integrated steady-state operation at high confinement, with a focus on power exhaust issues. During the phase 1 of operation (2017–2020), a set of actively cooled ITER-grade plasma facing unit prototypes was integrated into the inertially cooled W coated startup lower divertor. Up to 8.8 MW of RF power has been coupled to the plasma and divertor heat flux of up to 6 MW m−2 were reached. Long pulse operation was started, using the upper actively cooled divertor, with a discharge of about 1 min achieved. This paper gives an overview of the results achieved in phase 1. Perspectives for phase 2, operating with the full capability of the device with the complete ITER-grade actively cooled lower divertor, are also described

Generation and dynamics of SOL corrugated profiles

International audienceThe staircase transport regime reported in kinetic simulations of plasma turbulent transport in magnetic confinement is recovered with a simple 2D fluid model allowing for reduced damping of the zonal flows. Some of the complex dynamics of the kinetic zonation regime are recovered but the pattern of the corrugation appears to be sinusoidal with a characteristic scale comparable to that of turbulence modes with largest spectral energy, in contrast to regimes observed in global and flux-driven kinetic simulations. Enhanced zonal flows govern both an overall reduction of the SOL width and a gradual steepening of the gradients with distance to the separatrix

A new mechanism for increasing density peaking in tokamaks: improvement of the inward particle pinch with edge E x B shearing

Developing successful tokamak operation scenarios, as well as confident extrapolation of present-day knowledge requires a rigorous understanding of plasma turbulence, which largely determines the quality of the confinement. In particular, accurate particle transport predictions are essential due to the strong dependence of fusion power or bootstrap current on the particle density details. Here, gyrokinetic turbulence simulations are performed with physics inputs taken from a JET power scan, for which a relatively weak degradation of energy confinement and a significant density peaking is obtained with increasing input power. This way physics parameters that lead to such increase in the density peaking shall be elucidated. While well-known candidates, such as the collisionality, previously found in other studies are also recovered in this study, it is furthermore found that edge E x B shearing may adopt a crucial role by enhancing the inward pinch. These results may indicate that a plasma with rotational shear could develop a stronger density peaking as compared to a non-rotating one, because its inward convection is increased compared to the outward diffusive particle flux as long as this rotation has a significant on E x B flow shear stabilization. The possibly significant implications for future devices, which will exhibit much less torque compared to present day experiments, are discussed

Synthetic diagnostic for the JET scintillator probe lost alpha measurements

A synthetic diagnostic has been developed for the JET lost alpha scintillator probe, based on the ASCOT fast ion orbit following code and the AFSI fusion source code. The synthetic diagnostic models the velocity space distribution of lost fusion products in the scintillator probe. Validation with experimental measurements is presented, where the synthetic diagnostic is shown to predict the gyroradius and pitch angle of lost DD protons and tritons. Additionally, the synthetic diagnostic reproduces relative differences in total loss rates in multiple phases of the discharge, which can be used as a basis for total loss rate predictions

Ion cyclotron resonance heating scenarios for DEMO

The present paper offers an overview of the potential of ion cyclotron resonance heating (ICRH) or radio frequency heating for the DEMO machine. It is found that various suitable heating schemes are available. Similar to ITER and in view of the limited bandwidth of about 10 MHz that can be achieved to ensure optimal functioning of the launcher, it is proposed to make core second harmonic tritium heating the key ion heating scheme, assisted by fundamental cyclotron heating He-3 in the early phase of the discharge; for the present design of DEMO-with a static magnetic field strength of B-o = 5.855 T-that places the T and 3He layers in the core for f = 60 MHz and suggests centering the bandwidth around that main operating frequency. In line with earlier studies for hot, dense plasmas in large-size magnetic confinement machines, it is shown that good single pass absorption is achieved but that the size as well as the operating density and temperature of the machine cause the electrons to absorb a non-negligible fraction of the power away from the core when core ion heating is aimed at. Current drive and alternative heating options are briefly discussed and a dedicated computation is done for the traveling wave antenna, proposed for DEMO in view of its compatibility with substantial antenna-plasma distances. The various tasks that ICRH can fulfill are briefly listed. Finally, the impact of transport and the sensitivity of the obtained results to changes in the machine parameters is commented on