Evaluasi Area Kawasan Keselamatan Operasi Penerbangan (KKOP) Akibat Perubahan Panjang Runway (Studi Kasus : Bandar Udara Internasional Sultan Syarif Kasim II Pekanbaru)

The objective of the study was to evaluate and to calculate the required the existing 2016 and ultimate 2035 KKOP of Sultan Syarif Kasim II International Airport Pekanbaru. The KKOP area was drawn using ArcGIS Software package, the calculation was carried by using ICAO Manual Standard Annex 14 2013, Ministry Decree Number 60 2004 and Number 3 2016. It is identified that Approach and Take Off Surface in 2016 = 155 meters AES and in 2035 = 152 meters AES, the elevation for inner horizontal surface in 2016 = 50 meters AES and in 2035 = 47 meters AES , the discreapancy for both approach surface elevation of 1,97% to 6,38% for inner horizontal surface. It is also identified that runway length in 2016 = 2.600 meters will be extended to 3.000 meters in 2035, than area of inner horizontal in 2016 = 34.783.800 m2 became in 2035 = 50.300.000 m2, it's not necessary the change of runway length from 2016 to 2035 affected to unincreased in KKOP elevation usualless KKOP distance length

Perubahan Kadar Iodium Urin, Tsh, Dan T4 Bebas Pada Wus Setelah Pemberian Garam Dosis 30-35 PPM Kio3

Background. In several countries, iodine deficiency has been turned into iodineexcess. These iodine excess due to poor monitoring of iodine concentration onsalt, which cause high and uneven iodine rations. The objective of the study wasto determine if intervention of 30-35 ppm iodized salt improves UIE, TSH and fT4level in childbearing age women. Methods. This is a quasi-experimental study byproviding 30-35 ppm KIO3 iodized salt for 6 months on childbearing age women inIDD mild endemic area (n=71). The control group were only measured by iodine saltconsumption of each monthly used (n=76). The study conducted in in Bener villagePurworejo. Urinary iodine concentration (UIC), TSH and fT4 were measured atbaseline and endline. TSH and fT4 level were measured using ELISA method. UIEwas analysed using APDM method. Result. Subject characterisitcs of each groupare not much different. Iodine concentration median (range) of treatment group andcontrol group were 149 (20-400) μg/ L and 160 (28 – 698) μg/ L, respectively. MeanTSH level which were normal before intervention (3.03 ± 1.19 μIU/ ml vs 2.52 ±1.29 μIU/ ml), improved significantly after intervention compared to the control group(2.03 ± 1.28 μIU/ ml vs 2.71 ± 1.66 μIU/ ml). Mean free T4 level which were normalbefore intervention (1.29 ± 0.29 ng/ dl vs 1.32 ± 0.24 ng/ dl), decreased significantlyafter intervention compared to the control group (1.04 ± 0.24 ng/ dl vs 1.18 ± 0.43ng/ dl). Conclusion. 30 – 35 ppm iodized salt Intervention for 6 months was able toprovide iodine requirement, improve level of TSH and maintain level of fT4 in normallevel

Evaluasi Mutu Pelayanan Dan Hubungan Antara Kepuasan Konsumen Dan Pelaksanaan Pelayanan Kefarmasian Oleh Apoteker Pengelola Apotek Di Apotek-apotek Kota Kendari

Pharmaceutical service quality relate to consumer\u27s satisfaction. Twenty five percent curage of patient can be found from good pharmaceutical sevice and 75% from drug USAge. This study aimed to determine pharmaceutical service quality in community pharmacy of Kendari City and to determine correlation between consumer\u27s satisfaction and implementation of pharmaceutical service by pharmacist manager. This study is an observational analytic. Data collected from 519 respondents through questionnaires in June-August 2014 spread across ten community pharmacies City of Kendari with sampling method used simple random sampling, and accidental sampling for pharmacist manager. Correlation test used to determine correlation between cons umer satisfaction and implementation of pharmaceutical care by pharmacist manager in pharmacy. The result showed that the percentage rate is 76.70% for consumer satisfaction with moderate category. Fixed percentage of any document procedures and dispensing time is 60% with moderate category. Pharmacist manager percentage that manages quality guarantee is 40% with less category. Statistic correlation test showed that there is no cerrelation between consumer satisfaction and implementation of pharmaceutical care by pharmacist manager in pharmacy with p value 0,268 (> 0,05)

Faktor yang Berhubungan dengan Ekskresi Yodium dalam Urin di Kabupaten Grobogan Jawa Tengah

Universal salt iodination (USI) is global policy for eliminating iodine deficiency disorder (IDD), and the content of iodine salt was 30-80 ppm. Survey 2003 show that 35% urine iodine excretion (UIE) of school children is was high, more than 300 µg/L, survey 2004 in Grobogan district in central Java by Department of Health show that UIE is was high to. The objective of the study is to conduct some factors that related with level of UIE in district of Grobogan, Central Java. Method: This study was comparative cross sectional study. Elementary school children were collected by random and divided into three areas, area I was elementary school children with UIE high level, area II was optimal UIE anda area III was UIE in adequate. Total sample for UIE level was 242 elementary school children, by spectrohptometer. Sample of salt was 242, measured by titration, and 76 samples of drinking water was collected by spectrophotometer. Goitogenic and iodine UIE optimal (area 11) and UIE adequate (area III). Total to sample is 242 school children, 242 sample of salt, 76 sample of drinking water. Goitrogenic and iodine intake were collected by FFQ and recall 24 hour. The data was analysis by univariat, bivariat and regressi multivariate. There are 24,1% adequate iodine in salt at area I, 2,6% at area II and 7,3% at area III. The mean of iodine content in water drinking in area I is 156.74 µg/L, area II is 189.06 µg/L, and area III is 84.03 µg/L. Median UEI in area I is 542 µg/L, area II is 502 µg/L and area III is 467 µg/L. There are significantly factors related to UEI is iodine content in water drinking

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

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

PENAMPILAN REPRODUKSI SAPI PERAH FRIESIAN HOLSTEIN (FH) PADA BERBAGAI PARITAS DAN BULAN LAKTASI DI KETINGGIAN TEMPAT YANG BERBEDA

ABSTRAK Suatu penelitian dengan tujuan untuk mengetahui penampilan reproduksi sapi perah FH pada berbagai paritas dan bulan laktasi di ketinggian tempat yang berbeda telah dilakukan. Penelitian dilaksanakan di Koperasi Usaha Sapi Perah Nongkojajar (daerah dataran tinggi) dan Koperasi Usaha Sapi Perah Grati (daerah dataran rendah) Kabupaten Pasuruan. Hasil penelitian menyimpulkan bahwa  sapi FH yang dipelihara di dataran tinggi lebih baik penampilan reproduksinya dibandingkan yang dipelihara di dataran rendah.. Rata-rata nilai DO, CI dan S/C di dataran tinggi masing-masing 110,84±46,45 hari, 382,58±45,76 hari dan 1,58±0,78 sedangkan di dataran rendah  129,91±32,05 hari, 40,47±32,84 hari dan 2,82±0,77. Efisiensi reproduksi ternak di dataran tinggi menunjukkan penampilan  yang lebih baik daripada di dataran rendah. Paritas dan bulan laktasi tidak memberikan pengaruh yang nyata terhadap penampilan  reproduksi sapi perah FH.   Kata kunci: penampilan reproduksi, paritas, bulan laktasi dan  ketinggian tempat   The Performances of Reproductive Friesian Holstein (FH)  Dairy Cows at Various Parity and Month of Lactation in Different Altitude   ABSTRACT The aim of the research was to know  the reproductive performance of dairy cows Friesian Holstein (FH) at various parity and month of lactation in different altitude. The research was conducted at KPSP Setia Kawan Nongkojajar (highlands) and KUTT Suka Makmur  Grati (lowlands) Pasuruan regency. The results concluded that reproductive performance dairy cows at high altitude better than low altitude. The average value of DO, CI and S / C at highlands 110.84 ± 46.45 days, 382.58 ± 45.76 days and 1.58 ± 0.78 while at lowlands 129.91 ± 32.05 days, 401.47 ± 32.84 days and 2.82 ± 0.77. The parity and month of lactation not significant affected on the reproductive performance dairy cows..   Keywords: reproductive performance,  parity, month of lactation and altitud

الإشارة والعبارة وأثـرها في تحديد المصطلحات الصوفية

This study will analyze the use of the 'al-Isyārah' and 'al-Ibārah' diction in the perspective Sufi expressions of Ibn Athāillah as-Sakandary, as well as analyzing the influence of the diction on the technical terms in the discipline of Sufism. The technical term used by Sufis in their books has been criticized by ulama from other disciplines, because Sufis use technical terms that are rarely used and seem strange. Sufis prefer a cryptic language called 'isyārah', but in some cases they also use a clear language commonly called'al-Ibārah'. Ibn Athāillah (d. 709 h) has an interesting description of this topic and places it proportionally. Both ‘isyārah' and ‘ibārah' are basically a form of method for expressing intuitive knowledge about the secrets of God. ' al-Ibārah' can be used if a Sufi does have certain capabilities. Also, it can be used as a form of education for the sālik. Apart from these two things, a Sufi can express it with 'al-Isyārah' and 'rumziyyah' or choose to store it as personal knowledge. The way this disclosure impacts the technical terms used. Sufis choose metaphorical or technical expressions that differ from philosophical, kalam or tasawuf traditions. Thus, despite using such expressions, their technical term does not come out of the scientific standard