11 research outputs found

    Analisis Kuat Tekan Beton Dengan Bahan Tambah Reduced Water Dan Accelerated Admixture

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    Concrete consist of: cement mortar, coarse aggregate, fine aggregate, water, and addictive materials. The main ingredient in manufacturing of concrete: rock material that called as aggregates. Aggregate has an important role on the quality of the concrete. Various types and trademarks for admixture of concrete that can be used as addictive of the concrete mix with specific purpose. The study aims to determine the effect of the added material of Reduced Water and Accelerated Admixture (Bestmittel) on compressive strength of concrete.The research was conducted in four variations with compressive strength of 25 MPa. One of each variation consists of nine cylinders with length of 30 cm and diameter of 15 cm. Concrete mix with added material Reduced Water and Accelerated Admixture (Bestmittel) in testing at the age of 7 days, 14 days and 28 days, with a variation of 0.2%, 0.4% and 0.6% with 9 samples one of each them. One is normal concrete cylindrical specimen as comparison.The research show by adding Reduced Water and Accelerated Admixture (Bestmittel) by 0.2%, 0.4% and 0.6% by weight of cement and water will (1) increase the workability and (2) increase of average compressive strength of normal concrete (0,2% for 25.61 Mpa; 0,4% for 27.66 Mpa; 0,4% for 29.50 Mpa; and 0,6% for 31.44 Mpa)

    Pengembangan Modul Pembelajaran Tematik Terpadu Berbasis Kearifan Lokal Kabupaten Sumenep Kelas IV Subtema Lingkungan Tempat Tinggalku

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    Student books from the government are less contextual. Therefore, the learning module has an important role as a complement to the shortage. This study aims to produce an integrated thematic learning module based on local wisdom of Sumenep Regency on Class IV subtheme of Lingkungan Tempat Tinggalku which has a validity and effectiveness. The development model used was Borg & Gall with little modification. The validation test result of material, linguistic and design experts was 76,3%, 92.74%, 82.80%, respectively. The field test results showed the comprehensiveness of affective, psychomotor and cognitive aspect 96.25; 90.27; 89.54, respectively. The results of module research and development in this study indicated that the module had validity and effectiveness, thus it was feasible to use.Buku siswa dari pemerintah kurang kontekstual. Oleh karena itu, modul pembelajaran memiliki peran penting sebagai pelengkap kekurangan tersebut. Penelitian ini bertujuan untuk menghasilkan modul pembelajaran tematik terpadu berbasis kearifan lokal Kabupaten Sumenep kelas IV subtema Lingkungan Tempat Tinggalku yang memiliki kevalidan dan keefektivan. Model pengembangan yang digunakan yaitu Borg & Gall dengan sedikit modifkasi. Hasil uji validasi ahli materi, bahasa dan desain beturut-turut 76,3%, 92,74%, dan 82,80%. Hasil uji lapangan menunjukkan nilai ketuntasan aspek sikap, keterampilan, dan pengetahuan berturut-turut 96,25; 90,27; 89,54. Hasil penelitian dan pengembangan modul pada penelitian ini menunjukkan bahwa modul yang dihasilkan memiliki kevalidan dan keefektivan sehingga layak digunakan

    Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda

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    <p>Abstract</p> <p>Background</p> <p>Male partner attendance of skilled Antenatal Care (ANC) is beneficial to improving maternal outcomes. This study investigated the level, perceived benefits and factors associated with male partner attendance of skilled ANC in a peri-urban community recovering from two decades of civil conflict.</p> <p>Methods</p> <p>This cross-sectional survey used multi-stage sampling in 12 villages of Omoro county to select 331 married male respondents aged 18 years or more, whose female spouses had childbirth within 24 months prior to the survey. A structured questionnaire elicited responses about male partner attendance of ANC during pregnancy at a public health facility as the main outcome variable. Analysis used Generalized Linear Model (GLM) in Stata version 10.0 to obtain Prevalence Risk Ratios (PRR) for association between the binary outcome and independent factors. All factors significant at p < 0.15 and potential confounders were included in the multivariable model.</p> <p>Results</p> <p>Overall, 65.4% (95%CI; 60.3, 70.5) male partners attended at least one skilled ANC visit. Mean age was 31.9 years [SD 8.2]. Perceived benefits of attending ANC were: HIV screening (74.5%), monitoring foetal growth (34%) and identifying complications during pregnancy (18.9%). Factors independently associated with higher ANC attendance were: knowledge of 3 or more ANC services (adj.PRR 2.77; 95%CI 2.24, 3.42), obtaining health information from facility health workers (adj.PRR 1.14; 95%CI 1.01, 1.29) and if spouse had skilled attendance at last childbirth (adj.PRR 1.31; 95%CI 1.04-1.64). However, factors for low attendance were: male partners intending their spouse to carry another pregnancy (adj.PRR 0.83; 95%CI 0.71, 0.97) and living more than 5 Km from a health facility (adj.PRR 0.83, 95%CI 0.70, 0.98).</p> <p>Conclusions</p> <p>Men who were knowledgeable of ANC services, obtained health information from a health worker and whose spouses utilised skilled delivery at last pregnancy were more likely to accompany their spouses at ANC, unlike those who wanted to have more children and lived more than 5 km from the health facility. These findings suggest that empowering male partners with knowledge about ANC services may increase their ANC participation and in turn increase skilled delivery. This strategy may improve maternal health care in post conflict and resource-limited settings.</p

    CURATION AND MANAGEMENT OF CULTURAL HERITAGE THROUGH LIBRARIES

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    Libraries, museums and archives hold valuable collections in a variety of media, presenting a vast body of knowledge rooted in the history of human civilisation. These form the repository of the wisdom of great works by thinkers of past and the present. The holdings of these institutions are priceless heritage of the mankind as they preserve documents, ideas, and the oral and written records. To value the cultural heritage and to care for it as a treasure bequeathed to us by our ancestors is the major responsibility of libraries. The past records constitute a natural resource and are indispensable to the present generation as well as to the generations to come. Libraries preserve the documentary heritage resources for which they are primarily responsible. Any loss of such materials is simply irreplaceable. Therefore, preserving this intellectual, cultural heritage becomes not only the academic commitment but also the moral responsibility of the librarians/information scientists, who are in charge of these repositories. The high quality of the papers and the discussion represent the thinking and experience of experts in their particular fields. The contributed papers also relate to the methodology used in libraries in Asia to provide access to manuscripts and cultural heritage. The volume discusses best practices in Knowledge preservation and how to collaborate and preserve the culture. The book also deals with manuscript and archives issues in the digital era. The approach of this book is concise, comprehensively, covering all major aspects of preservation and conservation through libraries. The readership of the book is not just limited to library and information science professionals, but also for those involved in conservation, preservation, restoration or other related disciplines. The book will be useful for librarians, archivists and conservators. We thank the Sunan Kalijaga University, Special Libraries Association- Asian Chapter for their trust and their constant support, all the contributors for their submissions, the members of the Local and International Committee for their reviewing effort for making this publication possible

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Pengembangan Media Pembelajaran Matematika Berbasis Adobe Flash Profesional pada Materi Sifat-Sifat Bangun Ruang

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    Penelitian ini bertujuan untuk mengembangkan media pembelajaran yang inovatif, efektif dan praktis pada materi sifat-sifat bangun ruang. Penelitian ini dilatarbelakangi oleh masih banyak SD/MI yang tidak mempunyai media sifat-sifat bangun ruang yang menari. Metode pengembangan media pembelajaran ini menggunakan metode langkah-langkah penelitian dan pengembangan (Research and Development) yang dikembangkan oleh Borg and Gall yang terdiri dari 5 tahapan utama, yaitu 1) Tahap identifikasi yaitu melakukan analisis produk yang akan dikembangkan, 2) Tahap desain dan pengembangan, 3) Tahap evaluasi yaitu validasi ahli media dan ahli materi serta revisi, 4) Ujicoba lapangan skala kecil dan revisi produk,dan 5) Uji coba lapangan skala besar dan produk akhir. Hasil penelitian menunjukkan media pembelajaran Adobe Flash Profesional masuk ke dalam kategori sangat layak dan sangat efektif. Media pembelajaran ini dinyatakan sangat layak berdasarkan uji kelayakan menurut ahli media dengan persentase total sebesar 90%, ahli materi dengan persentase sempurna sebesar 100%. Media pembelajaran ini sangat efektif berdasarkan uji efektivitas dengan hasil uji kelompok kecil dengan persentase total sebesar 94,45% dan uji coba kelompok besar dengan persentase total sebesar 94,32% sedangkan dalam penerapannya mampu meningkatkan nilai rata-rata kelas menjadi 90,33 sehingga media pembelajaran Berbasis Adobe Flash Profesional termasuk ke dalam kategori valid, sangat layak dan sangat efektif

    Antologi Strategi Pembelajaran Jasmani Olahraga Kesehatan di Masa Pandemi

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    Pendidikan jasmani merupakan bagian integral pada semua tingkat satuan pendidikan, baik dari tingkat sekolah dasar, menengah hingga pendidikan tinggi. Tujuan pendidikan tidak hanya sekedar capaian jasmani nya saja, melainkan bersifat menyeluruh. Hal ini menunjukkan bahwa pendidikan jasmani memiliki kedudukan yang penting dalam pembelajaran, sehingga harus dilaksanakan dengan seksama. Maka dari itu, pembelajaran yang kelak akan disampaikan oleh calon-calon pengajar yang duduk di Peguruan Tinggi, khususnya mahasiswa Program Studi Pendidikan Jasmani Kesehatan dan Rekreasi (PJKR) perlu memahami berbagai cara dan strategi agar tujuan pembelajaran tercapai, khususnya pada era milenial dan pada masa pandemic saat ini. Penyusunan materi pada modul Strategi Pembelajaran Pendidikan Jasmani ini berdasarkan beberapa rujukan dari beberapa materi yang telah disusun oleh para pakar pendidikan, khusunya dalam pendidikan olahraga, pendidikan jasmani dan pendidikan lainnya dalam lingkup tingkat satuan pendidikan mendasar dan menengah hingga pendidikan tinggi, yang kemudian diteliti oleh para mahasiswa PJKR selama perkuliahan. Sehingga antologi modul ini adalah kumpulan hasil penelitian dari para mahasiswa PJKR di lingkungan FKIP Universitas Suryakancana pada semester genap 2020/2021

    Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries

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    Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy (vol 33, pg 110, 2019)

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