Evaluasi Efisiensi Dan Efektivitas Pengelolaan Keuangan Daerah Pada Badan Pengelola Keuangan Dan Barang Milik Daerah (Bpkbmd) Kota Bitung

Pengukuran kinerja sektor publik adalah suatu sistem yang bertujuan untuk membantu manajer publik menilai pencapaian suatu strategi melalui alat ukur finansial dan nonfinansial. Efisiensi merupakan perbandingan antara output dengan input, efektivitas umumnya berkaitan dengan suatu ukuran kemampuan untuk mencapai tujuan tertentu. Hasil penelitian ini bertujuan mengevaluasi apakah pengelolaan keuangan daerah di Badan Pengelola Keuangan dan Barang Milik Daerah (BPKBMD) Kota Bitung telah dilakukan Efektif dan Efisien. Metode yang digunakan adalah analisis deskriptif. Hasil penelitian berdasarkan pedoman penilaian pengelolaan keuangan daerah pada BPKBMD Kota Bitung secara keseluruhan, Tingkat efektivitas pengelolaan keuangan daerah BPKBMD Kota Bitung dari tahun 2012-2015 rata-rata diatas 100%, hal ini berarti bahwa pengelolaan keuangan daerah BPKBMD Kota Bitung sangat efektif. Hasil pengukuran tingkat efisiensi pengelolaan keuangan daerah BPKBMD Kota Bitung dengan menggunakan rumus rasio perbandingan dan diberikan penilaian dengan menggunakan kriteria penilaian, maka tingkat efisiensi pengelolaan keuangan daerah BPKBMD Kota Bitung dari tahun 2012-2015 kurang efisien. Hal ini dikarenakan pengeluaran daerah masih tinggi dibandingkan total penerimaan daerah. Pengeluaran yang tertinggi berdasarkan hasil penelitian terjadi pada tahun 2015

Media Pembelajaran Tune-upsepeda Motor 4 Tak Dengan Audio Visual

Program ini bertujuan untuk mengatasi masalah dalam penyampaian materi pelajaranteknik otomotif yang selama ini sering terjadi misscomunication antara instruktur denganpeserta didik. Pembuatan media pembelajaran Tune-Up sepeda motor dengan audio visualini diharapkan dapat meningkatkan pemahaman peserta didik terhadap cara-cara Tune-Up sepeda motor baik itu 2 tak maupun 4 tak.Metode pembuatan media pembelajaran ini dilakukan dengan berbagai tahapdiantaranya yaitu dengan cara mengambil gambar, membuat animasi untuk gambarnya,dan menggunakan Macromedia Flash untuk tulisannya serta pengisian suara dilakukandengan video editing setelah format gambar dan tulisan dalam bentuk MPEG file.Hasil yang dicapai antara lain terbuatnya CD Audio Visual Tune-Up sepeda motor 4tak. Untuk selanjutnya diadakan uji kelayakan media yang dilakukan dengan dua cara yaitudengan mengkonsultasikan media pembelajaran tersebut kepada pakar mediapembelajaran audio visual untuk mengetahui seberapa layak media pemebelajaran inidigunakan sebagai media pembelajaran untuk bidang pendidikan. Uji berikutnya adalahuji materi media pembelajaran ini dengan cara mengujicobakan langsung kepada pesertadidik yang dilanjutkan dengan evaluasi oleh peserta didik, baik itu evaluasi materi maupunevaluasi media pembelajaran tersebut

Dalihan Natolu Role in Traditional Marriage Portland, Oregon Sekar Rose Country Village of Sand Turtle Indragiri Upstream

The party marriage ceremony is the most important thing for the people of Batak. The wedding is the bridge that brings Na Tolu from parents bride with Na Tolu from parents of the bride. The purpose of this study was to investigate the Marriage Procedure Toba Batak society, to understand the function and role of Na Tolu Batak Toba traditional wedding in the village of Pasir Penyu District Roses Flower District IV, to find out people's views on the village of Roses Flower Dalihan function and role Natolu Village Flower Rose District of Pasir Penyu district Kite, Dalihan Natolu To determine the role as a mediator for the resolution of problems in the marriage Batak Toba. The method used is descriptive qualitative. When the study began filing title until the completion of a revised proposal last essay writer. The results of this study indicate that Natolu Dalihan role in marriage Batak Toba indigenous peoples is a matter that can not be separated during a traditional wedding ceremony held valid by tradition Toba Batak society

How to Prevent Student Mental Health Problems in Metaverse Era?

Abstract: Metaverse, a combination of social media, gaming, and virtual reality technology innovation, is a new concept that has attracted the attention of various groups. This concept has also aided numerous groups of people, including the academician. As Metaverse offers various means to innovate, it is projected to change human lives and patterns of interaction. However, Metaverse also presents a number of negative impacts on mental health, even greater than the impacts of online games. This literature review aims to examine the impacts of the Metaverse on adolescents. Then, it develops the relevant preventive strategy through school guidance and counseling programs. This study is motivated by the lack of research related to the impact of Metaverse on adolescents’ mental health and intervention strategies. By applying the PRISMA steps, the study was conducted on scientific articles published from 2017 to 2022 extracted using Publish or Perish software. From the data collection process, we garnered and analyzed 25 relevant articles from ScienceDirect, SpringerLink, Sage Journals, Google Scholar, WoS, ProQuest, Taylor & Francis Group, Emerald Insight, DOAJ, and Garuda. Our analysis results showed that Metaverse potentially has negative impacts on adolescents, especially on non-cognitive aspects, such as social skills, empathy, self-esteem, self-control, and self-regulated learning. In addition, a basic guidance and counseling strategy using various approaches and techniques is required, particularly group guidance using information technology and social media to develop youth literacy about mental health in this metaverse era.Abstrak: Metaverse yang merupakan perpaduan inovasi teknologi media sosial, game, dan virtual reality, adalah konsep baru yang menarik perhatian berbagai kalangan. Konsep ini juga telah membantu banyak kalangan, termasuk akademisi. Metaverse yang menawarkan berbagai cara untuk berinovasi, juga diproyeksikan akan mengubah kehidupan manusia dan pola interaksi. Namun, Metaverse juga menghadirkan sejumlah dampak negatif terhadap kesehatan mental, bahkan lebih besar dari dampak game online. Tinjauan literatur ini bertujuan untuk mengkaji dampak Metaverse pada remaja kemudian mengembangkan strategi pencegahan yang relevan melalui program bimbingan dan konseling sekolah. Penelitian ini dilatarbelakangi oleh minimnya penelitian terkait dampak Metaverse terhadap kesehatan mental remaja dan strategi intervensi. Dengan menerapkan langkah-langkah PRISMA, penelitian dilakukan terhadap artikel ilmiah terbitan tahun 2017 hingga 2022 yang diekstrak menggunakan aplikasi Publish or Perish. Dari proses pengumpulan data, kami mengumpulkan dan menganalisis 25 artikel relevan dari ScienceDirect, SpringerLink, Sage Journals, Google Scholar, WoS, ProQuest, Taylor & Francis Group, Emerald Insight, DOAJ, dan Garuda. Hasil analisis kami menunjukkan bahwa Metaverse berpotensi berdampak negatif pada remaja, terutama pada aspek non-kognitif, seperti keterampilan sosial, empati, harga diri, pengendalian diri, dan pembelajaran mandiri. Selain itu, diperlukan strategi bimbingan dan konseling dasar dengan berbagai pendekatan dan teknik, khususnya bimbingan kelompok dengan menggunakan teknologi informasi dan media sosial untuk mengembangkan literasi remaja tentang kesehatan jiwa di era Metaverse ini

The Impact of Donor Risk Index, Recipients’ and Operative Characteristics on Post Liver Transplant One-Year Graft Failure: A Cohort Analysis

Background and Aims: The donor risk index (DRI) quantifies donor-related characteristics potentially associated with increased risk of early graft failure. We aimed to assess the impact of the DRI, recipient and perioperative factors on post liver transplant (LT) outcomes. Methods: This was a singlecenter retrospective cohort study including all adult (≥18 years) patients who underwent LT from 01/2019 to 12/2019 at Curry Cabral Hospital, Lisbon, Portugal. Primary endpoint was 1-year graft failure post LT. Associations were studied with logistic regression. Results: A total of 131 cadaveric donor LT procedures were performed in 116 recipients. Recipients’ median (IQR) age was 57 (47–64) years and 101/131 (77.1%) were males. Cirrhosis was the underlying etiology in 95/131 (81.2%) transplants. Based on 8 predefined donors’ characteristics, median (IQR) DRI was 1.96 (1.67–2.16). Following adjustment for MELDNa score pre LT and SOFA score (adjusted odds ratio [aOR], 95% confidence interval [CI] = 0.91 [0.56–1.47]) or lactate (aOR [95% CI] = 2.76 [0.71–10.7]) upon intensive care unit (ICU) admission post LT, DRI was not associated with 1-year graft failure. However, higher SOFA score (aOR [95% CI] = 1.20 [1.05–1.37]) or lactate (aOR [95% CI] = 1.27 [1.10–1.46]) upon ICU admission post LT were independently associated with higher odds of 1-year graft failure. Conclusions: In a recent cohort of patients who underwent LT, DRI, despite being high, was not associated with 1-year graft failure, but SOFA score or lactate upon ICU admission post LT were.info:eu-repo/semantics/publishedVersio

From weak-scale observables to leptogenesis

Thermal leptogenesis is an attractive mechanism for generating the baryon asymmetry of the Universe. However, in supersymmetric models, the parameter space is severely restricted by the gravitino bound on the reheat temperature $T_{RH}$. For hierarchical light neutrino masses, it is shown that thermal leptogenesis {\it can} work when $T_{RH} \sim 10^{9}$ GeV. The low-energy observable consequences of this scenario are $BR(\tau \to \ell \gamma) \sim 10^{-8} - 10^{-9}$. For higher $T_{RH}$, thermal leptogenesis works in a larger area of parameter space, whose observable consequences are more ambiguous. A parametrisation of the seesaw in terms of weak-scale inputs is used, so the results are independent of the texture chosen for the GUT-scale Yukawa matrices.Comment: a few references adde

Leptogenesis in Neutrino Textures with Two Zeros

The leptogenesis is studied in the neutrino textures with two zeros, which reduce the number of independent phases of the CP violation. The phenomenological favored neutrino textures with two zeros are decomposed into the Dirac neutrino mass matrix and the right-handed Majorana one in the see-saw mechanism. Putting the condition to suppress the $\mu \to e\gamma$ decay enough, the texture zeros of the Dirac neutrino mass matrix are fixed in the framework of the MSSM with right-handed neutrinos. These textures have only one CP violatig phase. The magnitude of each entry of the Dirac mass matrix is determined in order to explain the baryon asymmetry of the universe by solving the Boltzman equations. The relation between the leptogenesis and the low energy CP violation is presented in these textures.Comment: Latex file with 20 pages, 6 eps figure

Synergistic effect of static compliance and d-dimers to predict outcome of patients with covid-19-ards: A prospective multicenter study

The synergic combination of D-dimer (as proxy of thrombotic/vascular injury) and static compliance (as proxy of parenchymal injury) in predicting mortality in COVID-19-ARDS has not been systematically evaluated. The objective is to determine whether the combination of elevated D-dimer and low static compliance can predict mortality in patients with COVID-19-ARDS. A “training sample” (March–June 2020) and a “testing sample” (September 2020–January 2021) of adult patients invasively ventilated for COVID-19-ARDS were collected in nine hospitals. D-dimer and compliance in the first 24 h were recorded. Study outcome was all-cause mortality at 28-days. Cutoffs for D-dimer and compliance were identified by receiver operating characteristic curve analysis. Mutually exclusive groups were selected using classification tree analysis with chi-square automatic interaction detection. Time to death in the resulting groups was estimated with Cox regression adjusted for SOFA, sex, age, PaO2/FiO2 ratio, and sample (training/testing). “Training” and “testing” samples amounted to 347 and 296 patients, respectively. Three groups were identified: D-dimer ≤ 1880 ng/mL (LD); D-dimer > 1880 ng/mL and compliance > 41 mL/cmH2O (LD-HC); D-dimer > 1880 ng/mL and compliance ≤ 41 mL/cmH2O (HD-LC). 28-days mortality progressively increased in the three groups (from 24% to 35% and 57% (training) and from 27% to 39% and 60% (testing), respectively; p < 0.01). Adjusted mortality was significantly higher in HD-LC group compared with LD (HR = 0.479, p < 0.001) and HD-HC (HR = 0.542, p < 0.01); no difference was found between LD and HD-HC. In conclusion, combination of high D-dimer and low static compliance identifies a clinical phenotype with high mortality in COVID-19-ARDS

Transarterial Chemoembolization for Hepatocellular Carcinoma in Clinical Practice: Temporal Trends and Survival Outcomes of an Iterative Treatment

Background: Transarterial chemoembolization (TACE) is one of the most frequently applied treatments for hepatocellular carcinoma (HCC) worldwide. In this study, we aimed at evaluating whether and how TACE application and repetition, as well as the related outcome, have changed over the last three decades in Italy. Methods: Data of 7,184 patients with HCC were retrieved from the Italian Liver Cancer (ITA.LI.CA) database. Patients were divided according to the period of diagnosis in six cohorts: P1 (1988–1993), P2 (1994–1998), P3 (1999–2004), P4 (2005–2009), P5 (2010–2014), and P6 (2015–2019). All the analyses were repeated in the overall patient population and in Barcelona Clinic Liver Cancer (BCLC) B patients, who are the subgroup of HCC patients originally supposed to receive TACE according to guidelines. TACE was defined as either the first or the main (more effective) treatment. Results: The proportion of patients receiving TACE as first or main therapy declined over time, and less than 50% of BCLC B patients were treated with chemoembolization from P3 onward. Conversely, TACE was widely used even outside the intermediate stage. Survival of TACE-treated patients progressively increased from P1 to P6. Although TACE was performed only once in the majority of patients, there was an increasing proportion of those receiving 2 or ≥3 treatments sessions over time. The overall survival (OS) of patients undergoing repeated treatments was significantly higher compared to those managed with a single TACE (median OS 40.0 vs. 65.0 vs. 71.8 months in 1, 2, and ≥3 TACE groups, respectively; p < 0.0001). However, after a first-line TACE, the adoption of curative therapies provided longer survival than repeating TACE (83.0 vs. 42.0 months; p < 0.0001), which in turn was associated with better outcomes compared to systemic therapies or best supportive care (BSC). Conclusions: Despite a decline in the percentage of treated patients over time, TACE has still an important role in the management of HCC patients. The survival of TACE-treated patients gradually improved over time, probably due to a better patient selection. Iterative TACE is effective, but an upward shift to curative therapies provides better outcomes while transition to systemic therapies and BSC leads to a worse prognosis