Prognostic factors influencing prolonged ventilation after open mitral valve surgery

Objective: To determine prognostic factors influencing prolonged ventilation after surgery in our hospital. Method: Seventy-five patients fulfilled inclusion criteria were included in this retrospective cross-sectional study. Prognostic factors analyzed were age, chronic pulmonary disease, heart failure (NYHA class function), left ventricular (LV) dysfunction (based on ejection fraction), recent myocardial infarction, pulmonary hypertension (PH), duration of cardiopulmonary bypass (CPB), ischemic time and aorta clamp time, which were analyzed in relation to prolonged ventilation after open mitral valve surgery. Results: Subjects were 75 patients aged between 19 and 62 years old (mean 39.76, SD 11.44) whom underwent open mitral valve repair or replacement surgery. Twenty-three patients (30.67%) had prolonged ventilation (≥24 hours) after surgery. Bivariate analysis showed there were no significant correlation between age, heart failure, PH and LV dysfunction. There are different with statistically significance between groups (p<0.05). Conclusions: In this study, almost one-third of patients had prolonged ventilation after surgery. Factors influencing this morbidity were the duration of ischemic time, aorta clamp time and CPB. Age, heart failure, LV dysfunction and PH were not statistically related to the prolonged ventilation event

PENILAIAN KINERJA PEGAWAI APARATUR SIPIL NEGARA BADAN PENELITIAN DAN PENGEMBANGAN DAERAH KABUPATEN LAMPUNG TENGAH DENGAN PENDEKATAN IMPORTANCE PERFORMANCE ANALYSIS

This study aims to measure the performance of State Apparatus Employees (ASN) at the Central Lampung Regional Research and Development Agency. Assessment This study only uses services as an independent variable. In this study, 27 ASNs were involved as questionnaire respondents using the census method. Data testing techniques used in this study include validity testing with factor analysis, reliability testing, gaps, and Importance and Performance Analysis (IPA). IPA is a research method by comparing the level of importance with the level of implementation. The results showed that the results of the performance appraisal integrity and integrity are not important. Based on the research results, the most important attribute is increasing the priority to be done in order to remain competitive. Meanwhile, attributes that are deemed less important do not require temporary repairs, if necessary they are ignored or eliminated

Minat Membaca dan Motivasi Belajar Dalam Meningkatkan Indeks Prestasi

This study aims to determine the Effect of Reading Interest (X1), Learning Motivation (X2) and is in the process of determining Reading Interest (X1), Learning Motivation (X2) Against Learning Achievement Grade XI IPA2 Students in Sorong 1 Public High School (Y) ) This type of research is Ex post facto. Purposive sampling is a sampling technique used in this study. The interest and motivation of learning to read have a significant influence on the achievement index of students in class XI IPA2 of Sorong City Senior High School 1, respectively at 70.1% and 67.6%. Taken together the interest in reading and learning motivation has a significant influence on the achievement index of students in class XI IPA2 in Sorong City 1 Public High School, amounting to 74.8%

Ya'juj dan Ma’juj dalam tafsir Al-Azhar karya Buya Hamka

Salah satu tanda datangnya hari kiamat adalah munculnya Ya’ju>j dan Ma’ju>J. Ya’ju>j dan Ma’ju>j disebutkan dalam dua Surah di dalam Al-Qur’an yakni Surah Al-Kahfi ayat 94 dan Surah Al-Anbinya’ ayat 96. Di kalangan ahli tafsir terjadi perbedaan mengenai siapa itu Ya’ju>j dan Ma’ju>j, salah satunya Buya Hamka. Beliau memiliki keunikan tersendiri dalam menafsirkan ayat-ayat tentang Ya’ju>j dan Ma’ju>j dibandingkan dengan ahli tafsir lainnya. Keunikan yang di miliki Buya Hamka dalam menafsirkan ayat tentang Ya’ju>j dan Ma’ju>j menarik untuk diteliti. Penelitian ini bertujuan untuk mengetahui penafsiran ayat tentang Ya’ju>j dan Ma’ju>j menurut Buya Hamka serta yang melatarbelakangi penafsiran beliau. Metode yang digunakan adalah library research, yakni penelitian yang semua datanya berasal dari buku-buku, ensiklopedi, naskah, dokumen-dokumen serta jurnal-jurnal yang berkaitan dengan tema Ya’ju>j dan Ma’ju>j. Analisis yang digunakan oleh peneliti untuk menjelaskan penelitian ini adalah menggunakan bantuan hermeneutika Emilio Betti, yakni seorang peneliti tidak boleh pasif, dia harus merekrontruksi makna. Berdasarkan dari analisis yang telah dilakukan di ketahui bahwa Buya Hamka adalah orang yang sangat hati-hati dalam menafsirkan Al-Qur’an. Hamka mencoba menguraikan Ya’ju>j dan Ma’ju>j berdasarkan apa yang diungkap pertama kali di dalam Al-Qur’an yakni “Ya’ju>j dan Ma’ju>j yang merusak di bumi”. Karena tidak diungkapkan secara detail dalam Al-Qur’an, apakah sosok jenis makhluk atau tidak. Hamka mengambil kesimpulan bahwa Ya’ju>j dan Ma’ju>j adalah pikiran-pikiran jahat serta maksud buruk dan ideologi yang sesat. Penafsiran Buya Hamka tersebut dilatarbelakangi oleh faktor di atas, selain itu dilatarbelakangi oleh kondisi sosial budaya ketika itu dan juga pendidikan atau keilmuan yang di miliki belia

PENGEMBANGAN WILAYAH PESISIR KABUPATEN BARRU MELALUI KLASTER PENANGKAPAN IKAN LAUT

As the emergence of regional autonomy commenced in the early 2001, the local government is expected not to repeat the central government’s inappropriate management by setting its development priorities. The first priority is to create development system which puts emphasis on the basic economy (people’s basic economy). The second priority is to develop of local leading products from local resources. The third priority is to develop agri-bussiness. The last priority is to establish modern industries based on the local leading products from local resources.In that case the local government of Barru has began to develop the sea fishing catchment cluster. By this cluster model, all of existing stakeholders are involved, until each of them knows their appropriate roles in the system. By developing entrepreneurship, mastering the science and technology, and the empowerment by the local  government, it is expected that the sea  fishing catchment cluster in the sea cluster could grow stronger

Meningkatkan Kesejahteraan Pengrajin Gula Kelapa di Wilayah Kabupaten Purbalingga

Small and medium industries/enterprises in this time are very strategic and have a role on the regional economic growth, it’s spread in entire villages and cities in Indonesia. it can afford to absorb the low layer of society, and it can afford to hold out in the long economy crisis during 9 years latest. As small and medium industries/enterprises have been facing many constraints, besides the Government does not have political will to develop them as society economy-based. The local government of Purbalingga now begins to pay attention to the people who have basic economy in particular of coconut palm sugar or small business (home industry) with the real regional economic development priorities program. Keywords: Small and Medium Industry, empowerment, people economy, local government policy

MENINGKATKAN PRESTASI BELAJARPKn MATERI MENGHARGAI KEPUTUSAN BERSAMA MELALUI PEMBELAJARAN ROLE PLAYING KELAS V SD NEGERI 4 KARANGROWO KABUPATEN KUDUS SEMESTER II TAHUN PELAJARAN 2015/2016

Tujuan penelitian ini adalah untuk menguji apakah metode pembelajaran Role Playing dapat meningkatkan prestasi belajar mata pelajaran PKn pada peserta didik kelas V SD Negeri Karangrowo 4 Kabupaten Kudus Semester II Tahun Pelajaran 2015/2016 pada materi menghargai keputusan bersama. Jenis penelitian yang digunakan adalah Penelitian Tindakan Kelas. Data yang digunakan dalam Penelitian Tindakan Kelas ini bersumber dari tes hasil belajar dan lembar observasi motivasi belajar peserta didik. Berdasarkan analisis data hasil penelitian menunjukkan peningkatan dengan ketercapaian indikator keberhasilan penelitian tindakan kelas yaitu ketuntasan klasikal yang telah dicapai peserta didik sebesar 85%. Peningkatan rata-rata prestasi belajar PKn berdasarkan data awal rata-rata hasil belajar sebesar sebesar 62 pada siklus I sebesar 72 dan siklus II menjadi 79. Sedangkan untuk pencapaian ketuntasan belajar klasikal, kondisi awal sebesar 30% siklus I sebesar 65% dan siklus II sebesar 85%