Pengembangan Mekanisme Pembayaran Pujasera (Food Court) Menggunakan Teknologi RFID Yang Dilengkapi Dengan PIN

Pengembangan mekanisme pembayaran pujasera menggunakan teknologi RFID yang dilengkapi dengan PIN ini bertujuan untuk membuat sistem pembayaran pada pujasera menjadi lebih efisien dan memiliki pembagian hasil yang jelas antara tenant dan pengelola. Sistem ini menggabungkan teknologi RFID, komunikasi aktif antara client dengan server, dan dilengkapi dengan PIN sebagai proses konfirmasi dan keamanan. Yang membedakan sistem ini dengan sistem RFID ataupun sistem pembayaran pujasera yang lain, adalah adanya komunikasi aktif antara cilent dan server. Dengan kata lain, keseluruhan informasi konsumen terdapat pada server, bukan pada tag RFID yang mereka miliki.Fitur – fitur yang dimiliki pada sistem ini adalah fungsi keamanan dengan PIN pada akun setiap konsumen, pencatatan pembelian makanan dan saldo pada database. Namun aplikasi pada database belum mencapai pencatatan pembagian hasil setiap tenant, pencatatan makanan yang dipesan per-harinya, dan pengontrol menu serta harga pada tenant melalui server

Moving back: The radiation dose received from lumbar spine quantitative fluoroscopy compared to lumbar spine radiographs with suggestions for dose reduction

Purpose: Quantitative fluoroscopy is an emerging technology for assessing continuous inter-vertebral motion in the lumbar spine, but information on radiation dose is not yet available. The purposes of this study were to compare the radiation dose from quantitative fluoroscopy of the lumbar spine with lumbar spine radiographs, and identify opportunities for dose reduction in quantitative fluoroscopy. Methods: Internationally reported dose area product (DAP) and effective dose data for lumbar spine radiographs were compared with the same for quantitative fluoroscopy and with data from a local hospital for functional radiographs (weight bearing AP, lateral, and/or flexion and extension) (n = 27). The effects of procedure time, age, weight, height and body mass index on the fluoroscopy dose were determined by multiple linear regression using SPSS v19 software (IBM Corp., Armonck, NY, USA). Results and conclusion: The effective dose (and therefore the estimated risk) for quantitative fluoroscopy is 0.561 mSv which is lower than in most published data for lumbar spine radiography.The dose area product (DAP) for sagittal (flexion + extension) quantitative fluoroscopy is 3.94 Gy cm2 which is lower than local data for two view (flexion and extension) functional radiographs (4.25 Gy cm2), and combined coronal and sagittal dose from quantitative fluoroscopy (6.13 Gy cm2) is lower than for four view functional radiography (7.34 Gy cm2).Conversely DAP for coronal and sagittal quantitative fluoroscopy combined (6.13 Gy cm2) is higher than that published for both lumbar AP or lateral radiographs, with the exception of Nordic countries combined data.Weight, procedure time and age were independently positively associated with total dose, and height (after adjusting for weight) was negatively associated, thus as height increased, the DAP decreased. © 2014 The College of Radiographers

Sleep continuity: a new metric to quantify disrupted hypnograms in non-sedated intensive care unit patients

Introduction: Sleep in intensive care unit (ICU) patients is severely altered. In a large proportion of critically ill patients, conventional sleep electroencephalogram (EEG) patterns are replaced by atypical sleep. On the other hand, some non-sedated patients can display usual sleep EEG patterns. In the latter, sleep is highly fragmented and disrupted and conventional rules may not be optimal. We sought to determine whether sleep continuity could be a useful metric to quantify the amount of sleep with recuperative function in critically ill patients with usual sleep EEG features. Methods: We retrospectively reanalyzed polysomnographies recorded in non-sedated critically ill patients requiring non-invasive ventilation (NIV) for acute hypercapnic respiratory failure. Using conventional rules, we built two-state hypnograms (sleep and wake) and identified all sleep episodes. The percentage of time spent in sleep bouts (10 and 30 minutes) was used to describe sleep continuity. In a first study, we compared these measures regarding good (NIV success) or poor outcome (NIV failure). In a second study performed on a different patient group, we compared these measurements during NIV and during spontaneous breathing. Results: While fragmentation indices were similar in the two groups, the percentage of total sleep time spent in short naps was higher and the percentage of sleep time spent in sleep bouts was lower in patients with successful NIV. The percentage of total sleep time spent in long naps was higher and the percentage of sleep time spent in sleep bouts was lower during NIV than during spontaneous breathing; the level of reproducibility of sleep continuity measures between scorers was high. Conclusions: Sleep continuity measurements could constitute a clinically relevant and reproducible assessment of sleep disruption in non-sedated ICU patients with usual sleep EEG

Unexpected random urinary protein:creatinine ratio results-limitations of the pyrocatechol violet-dye method.

BACKGROUND: For clinicians, it is important to rely on accurate laboratory results for patient care and optimal use of health care resources. We sought to explore our observations that urine protein:creatinine ratios (PrCr) ≥30 mg/mmol are seen not infrequently associated with normal pregnancy outcome. METHODS: Urine samples were collected prospectively from 160 pregnant women attending high-risk maternity clinics at a tertiary care facility. Urinary protein was measured using a pyrocatechol violet assay and urinary creatinine by an enzymatic method on Vitros analysers. Maternal/perinatal outcomes were abstracted from hospital records. RESULTS: 91/233 (39.1%) samples had a PrCr ≥30 mg/mmol, especially when urinary creatinine concentration was <3 mM (94.1%) vs. ≥3 mM (16.4%) (p < 0.001). When using the last sample before delivery, 47/160 (29.4%) had a PrCr ≥30 mg/mmol in diluted urine vs. only 17/160 (15.4%) in more concentrated urine (p < 0.001); PrCr positive results were also more frequent among the 32 (20.0%) women with known normal pregnancy outcome (90.9% vs. 0) (p < 0.001). Using the same analyser, 0.12 g/L urinary protein was 'detected' in deionised water. Re-analysis of data from two cohorts revealed substantially less inflation of PrCr in dilute urine using a pyrogallol red assay. CONCLUSIONS: Random urinary PrCr was overestimated in dilute urine when tested using a common pyrocatechol violet dye-based method. This effect was reduced in cohorts when pyrogallol red assays were used. False positive results can impact on diagnosis and patient care. This highlights the need for both clinical and laboratory quality improvement projects and standardization of laboratory protein measurement

EFFICACY OF ULTRASOUND WITH MAITLAND MOBILIZATION OVER SHORT WAVE DIATHERMY WITH MAITLAND MOBILIZATION IN IMPROVING THE FUNCTIONAL PERFORMANCE OF PATIENTS WITH PERIARTHRITIS SHOULDER

Objective: To investigate the effectiveness of ultrasound with Maitland mobilization over Short wave diathermy with Maitland mobilization in improving the functional performance of patients with Periarthritis of shoulder Design: A simple randomized controlled clinical trail Setting: The study was conducted in the department of physiotherapy in Ganga Hospital Coimbatore (India), Vinayaka Mission Hospital Salem (India). Subjects: 30 patients were selected randomly from the population using simple random sampling procedure (Lottery Method) and were divided into two equal groups. Intervention : The experimental group (n=15) were given Ultrasound with Maitland mobilization with 1 MHz in frequency, continuous mode and 1.5 W/cm 2 of intensity with 5cm 2 sized transducer for 10 minutes of treatment duration .The control group (n=15) were given Short wave diathermy with Maitland mobilization for period of 15 min with contra planar technique. Outcome measures: The functional performance was measured using Shoulder Pain and Disability Index (SPADI) scale. Results: In Group-A (Experimental Group ) and Group-B (Control Group), all data was expressed as mean ± , SD and was statistically analysed using paired &apos;t&apos; test and independent &apos;t&apos; test to determine the statistical difference among the parameters at 0.5% level of significance. Statistical data of SPADI showed that, Group-A is significantly different from Group-B with p&lt;0.05; i.e 95% of significance. Conclusion: The post ultrasound Maitland mobilization is found more effective and beneficial than post SWD Maitland mobilization on shoulder functions in periarthritis. KEYWORDS: Maitland mobilizations, Short wave diathermy, Ultrasound, Periarthritis, Glides. Quick Response cod