Analisa Perawatan Berbasis Resiko pada Sistem Pelumas Km. Lambelu

Pada kapal KM Lambelu yang dibuat pada tahun 04 september 1997 memiliki sistem penunjang operasional kapal. Salah satunya adalah sistem pelumas penunjang operasional mesin utama. Kerusakan sering terjadi pada komponen system pelumas KM. Lambelu seperti kerusakan pada filter yang diakibatkan umur komponen yang sudah tua dan perawatan yang tidak terencana sehingga mengganggu kinerja operasional mesin utama dan menyebabkan menurunnya kinerja komponen yang mengakibatkan terjadinya sebuah kegagalan. Tujuan penelitian ini untuk mengetahui tingkat resiko yang terjadi pada setiap komponen dan nilai Mean Time to Failure (MTTF). Metode yang digunakan dalam penelitian ini adalah analisis kualitatif meliputi FTA dan FMEA dan analisis Kuantitatif menggunakan model Distribusi Weibull untuk mengetahui nilai MTTF. Metode Risk Based Inspection and maintenance digunakan untuk mengetahui nilai resiko peralatan dan model penjadwalan perawatan. Dari hasil perhitungan dengan menggunakan distribusi Weibull nilai MTTF tangki harian 3120 jam, pompa transfer 1096 jam, filter duplex 103 jam, strainer 94 jam, dan cooler 674 jam. Pompa transfer memiliki tingkat resiko paling tinggi dan tangki harian, filter duplex, strainer dan cooler memiliki tingkat resiko menengah. Metode inspeksi yang digunakan berupa visual check

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

PENGARUH QUALITY OF WORK LIFE DAN WORK MOTIVATION DIMODERASI OLEH CHANGE MANAGEMENT TERHADAP ORGANIZATIONAL CITIZENSHIP BEHAVIOR MELALUI WORK ENGAGEMENT SEBAGAI VARIABEL INTERVENING (Studi Kasus Pada AOCC PT Angkasa Pura I (Persero))

This study aims to analyze the effect of Quality of Work Life and work motivation moderated by change management on organizational citizenship behavior through work engagement as an intervening variable. This type of research in this research is causality research with a quantitative method approach. The population in this study is the number of operational employees working at AOCC Branch Office of PT Angkasa Pura I (Persero) who have had a minimum working period of 2 (two) years while the sample taken was 101 people. Data collection is done by distributing questionnaires. The data analysis technique used is SEM analysis with PLS. The results in this study indicate that: (1) Quality of Work Life influences Work Engagement; (2) Quality of Work Life has no significant effect on Organizational Citizenship Behavior; (3) Work Motivation influences Work Engagement; (4) Work Motivation has no effect on Organizational Citizenship Behavior; (5) Work Engagement has no effect on Organizational Citizenship Behavior; (6) Quality of Work Life does not have a significant influence on Organizational Citizenship Behavior through Work Engagement; (7) Work Motivation does not have a significant influence on Organizational Citizenship Behavior through Work Engagement; (8) Change Management to influence the effect of Work Motivation on Organizational Citizenship Behavior

Pengaruh Fermentasi dan Asal Biji Kakao Terhadap Mutu Produk Olahan Kakao (Coklat Batang)

The source of raw materials and the fermentation process carried out really need to be considered when processing it into chocolate bar products. This research aimed to determine the effect of seed origin and fermentation treatment on product quality and quality. The treatments in this research were cocoa beans from Soppeng Regency (South Sulawesi) and Polman Regency (West Sulawesi) with differences in fermentation time, namely 5 days and 7 days. The research results show that the raw material for cocoa beans used in making processed chocolate bars is influenced by the origin of the beans and the fermentation treatment. Visual test results showed that there was no difference in results for seeds from Soppeng and Polman. The processed product is brown in color and has a distinctive aroma because it comes from fermented cocoa beans. Testing for water content and fat content is greatly influenced by the fermentation process where a good stirring process during the fermentation process can increase the fat content and reduce the water content. Test results for metal contamination: Lead <0.0134, Cadmium <0.0013, Tin <0.0776, Mercury and Arsenic <0.0002. The results of microbial testing were TPC 1.2 x 101 and 7.0 x 101 colonies/g, Escherichia coli <3, Mold and Yeast 1.3 x 102 and 7.0 x 101 colonies/g and Salmonella was negative. The results of testing for metal contamination and microbiology show that processed cocoa products (chocolate bars) at the Politani Pangkep cocoa processing workshop are safe for consumption because they have test results below the SNI reference value.The source of raw materials and the fermentation process carried out really need to be considered when processing it into chocolate bar products. This research aimed to determine the effect of seed origin and fermentation treatment on product quality and quality. The treatments in this research were cocoa beans from Soppeng Regency (South Sulawesi) and Polman Regency (West Sulawesi) with differences in fermentation time, namely 5 days and 7 days. The research results show that the raw material for cocoa beans used in making processed chocolate bars is influenced by the origin of the beans and the fermentation treatment. Visual test results showed that there was no difference in results for seeds from Soppeng and Polman. The processed product is brown in color and has a distinctive aroma because it comes from fermented cocoa beans. Testing for water content and fat content is greatly influenced by the fermentation process where a good stirring process during the fermentation process can increase the fat content and reduce the water content. Test results for metal contamination: Lead <0.0134, Cadmium <0.0013, Tin <0.0776, Mercury and Arsenic <0.0002. The results of microbial testing were TPC 1.2 x 101 and 7.0 x 101 colonies/g, Escherichia coli <3, Mold and Yeast 1.3 x 102 and 7.0 x 101 colonies/g and Salmonella was negative. The results of testing for metal contamination and microbiology show that processed cocoa products (chocolate bars) at the Politani Pangkep cocoa processing workshop are safe for consumption because they have test results below the SNI reference value

Pengaruh Fermentasi dan Asal Biji Kakao Terhadap Mutu Produk Olahan Kakao (Coklat Batang)

The source of raw materials and the fermentation process carried out really need to be considered when processing it into chocolate bar products. This research aimed to determine the effect of seed origin and fermentation treatment on product quality and quality. The treatments in this research were cocoa beans from Soppeng Regency (South Sulawesi) and Polman Regency (West Sulawesi) with differences in fermentation time, namely 5 days and 7 days. The research results show that the raw material for cocoa beans used in making processed chocolate bars is influenced by the origin of the beans and the fermentation treatment. Visual test results showed that there was no difference in results for seeds from Soppeng and Polman. The processed product is brown in color and has a distinctive aroma because it comes from fermented cocoa beans. Testing for water content and fat content is greatly influenced by the fermentation process where a good stirring process during the fermentation process can increase the fat content and reduce the water content. Test results for metal contamination: Lead <0.0134, Cadmium <0.0013, Tin <0.0776, Mercury and Arsenic <0.0002. The results of microbial testing were TPC 1.2 x 101 and 7.0 x 101 colonies/g, Escherichia coli <3, Mold and Yeast 1.3 x 102 and 7.0 x 101 colonies/g and Salmonella was negative. The results of testing for metal contamination and microbiology show that processed cocoa products (chocolate bars) at the Politani Pangkep cocoa processing workshop are safe for consumption because they have test results below the SNI reference value.The source of raw materials and the fermentation process carried out really need to be considered when processing it into chocolate bar products. This research aimed to determine the effect of seed origin and fermentation treatment on product quality and quality. The treatments in this research were cocoa beans from Soppeng Regency (South Sulawesi) and Polman Regency (West Sulawesi) with differences in fermentation time, namely 5 days and 7 days. The research results show that the raw material for cocoa beans used in making processed chocolate bars is influenced by the origin of the beans and the fermentation treatment. Visual test results showed that there was no difference in results for seeds from Soppeng and Polman. The processed product is brown in color and has a distinctive aroma because it comes from fermented cocoa beans. Testing for water content and fat content is greatly influenced by the fermentation process where a good stirring process during the fermentation process can increase the fat content and reduce the water content. Test results for metal contamination: Lead <0.0134, Cadmium <0.0013, Tin <0.0776, Mercury and Arsenic <0.0002. The results of microbial testing were TPC 1.2 x 101 and 7.0 x 101 colonies/g, Escherichia coli <3, Mold and Yeast 1.3 x 102 and 7.0 x 101 colonies/g and Salmonella was negative. The results of testing for metal contamination and microbiology show that processed cocoa products (chocolate bars) at the Politani Pangkep cocoa processing workshop are safe for consumption because they have test results below the SNI reference value

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58\ub75%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31\ub72%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10\ub72%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12\ub73%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9\ub74%] of 7339 patients), middle (549 [14\ub70%] of 3918 patients), and low (298 [23\ub72%] of 1282) HDI (p<0\ub7001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17\ub78%] of 574 patients in high-HDI countries; 74 [31\ub74%] of 236 patients in middle-HDI countries; 72 [39\ub78%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1\ub760, 95% credible interval 1\ub705\u20132\ub737; p=0\ub7030). 132 (21\ub76%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16\ub76%) of 295 patients in high-HDI countries, in 37 (19\ub78%) of 187 patients in middle-HDI countries, and in 46 (35\ub79%) of 128 patients in low-HDI countries (p<0\ub7001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication. Funding: DFID-MRC-Wellcome Trust Joint Global Health Trial Development Grant, National Institute of Health Research Global Health Research Unit Grant