20 research outputs found

    Validation of FGSI Scores in Predicting Fournier Gangrene in Tertiary Hospital

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    Bambang Sasongko Noegroho, Safendra Siregar, Akhmad Mustafa, Muhammad Aldito Rivaldi Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Barat, IndonesiaCorrespondence: Bambang Sasongko NoegrohoUrology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Jl. Pasteur No. 38 Bandung Jawa, Barat, 40161, IndonesiaTel +022 2034953/55Fax +022 2032216Email [email protected] and Aim: Fournier gangrene (FG) is a necrotizing fasciitis of perineal and/or genital regions that may progressively spread; necrotic tissue may cause morbidity and mortality related to sepsis and multi-organ dysfunction. Surgical intervention required for patients with Fournier gangrene may vary according to the severity of the infection. A Fournier Gangrene Severity Index (FGSI) has been devised to assess the risk of mortality in patients with Fournier gangrene. The aim of this study was to validate the implementation of the FGSI in predicting mortality of FG patients in our hospital.Methods: A retrospective study was performed on all patients with Fournier gangrene admitted and treated in Hasan Sadikin General Hospital during 2015– 2019. Data were collected from the medical records of the emergency room and outpatient clinics. Sociodemographic variables, preexisting comorbidities, outcome, management, and FGSI score were included as variables.Results: In this study, 83 patients were included from the period 2015– 2019, divided into two groups. From the Charlson Comorbidity Index, we found the first group average score was 2.5 (0– 9), and the second group this was 2 (1– 8). From the FGSI, in the first group, we found the average score was 5.5 (2– 15), and the average was 14 (10– 19) in the second group, which is significantly higher than the first group (p = 0.001).Conclusion: We find that the FGSI score system is a good tool for predicting severity of the disease and mortality risk of the patients, which is consistent with findings in other studies.Keywords: FGSI scores, Fournier gangrene, prognosi

    Optimalisasi Peran Pendamping Desa Dalam Pembangunan dan Pemberdayaan Masyarakat Desa

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    The presence of Village Facilitators is a demand for Law Number 6 of 2014 concerning Villages and Permendes No. 3 of 2015 concerning Village Assistance. Five years of the village fund and village assistance program have been running, but there are still problems in the field. The purpose of this study was to assess the research to determine the role of village facilitators in the development and empowerment of rural communities. This research is a qualitative study with a field approach. This research is located in villages in Klapanunggal District, Bogor Regency. The author uses data collection techniques in the form of interviews, documentation, and observation. The study results concluded that village facilitators were able to improve the accountability and transparency aspects of village government. Supervision and community participation as the subject and object of development and empowerment over the last five years, in general, have shown their existence towards a change in a healthy and independent village government system. However, the problem of not optimal assistance still occurs both at the central and regional government levels and at the village level

    Analisis kebutuhan soft skill mahasiswa magang di industri perbankan syariah

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    Pokok permasalahan dalam skripsi ini adalah kompetensi soft skill yang dimiliki oleh mahasiswa Prodi Perbankan Syariah UIN Syahada Padangsidimpuan pada saat melaksanakan magang. Penelitian ini bertujuan untuk mengetahui kebutuhan pihak Bank Syariah Indonesia Cabang Padangsidimpuan pada kemampuan soft skill yang dimiliki oleh mahasiswa program studi Perbankan Syariah UIN Syahada Padangsidimpuan pada saat melaksanakan magang. Jenis penelitian ini adalah penelitian lapangan menggunakan metode wawancara. Melalui teknis analisis deskriptif kualitatif, penelitian ini menghasilkan: Pertama, berdasarkan hasil analisis yang peneliti lakukan, peneliti menilai kemampuan berkomunikasi dan cepat bergaul, memiliki kreativitas atau inisiatif, dan kepercayaan diri yang dimiliki oleh mahasiswa Prodi Perbankan Syariah UIN Syahada Padangsidimpuan pada saat melakukan magang masih dibawah standard yang dibutuhkan oleh Bank Syariah Indonesia Cabang Padangsdimpuan. Sedangkan pada aspek kompetensi kerjasama, cepat dan tanggap dalam bekerja, serta etika sopan dan santun dalam berbicara maupun bersikap sudah memenuhi standard yang dibutuhkan oleh pihak Bank Syariah Indonesia Cabang Padangsidimpuan. Kedua, kemampuan berkomunikasi dan cepat bergaul, memiliki kreativitas atau inisiatif, dan kepercayaan diri yang ditunjukkan oleh mahasiswa Prodi Perbankan Syariah UIN Syahada Padangsidimpuan pada saat melakukan magang pada Bank Syariah Indonesia Cabang Padangsidimpuan belum bisa memenuhi kebutuhan seperti yang dikehendaki oleh pihak Bank Syariah Indonesia Cabang Padangsidimpuan. Sedangkan pada aspek kompetensi kerjasama, cepat dan tanggap dalam bekerja, serta etika sopan dan santun dalam berbicara maupun bersikap yang ditunjukkan oleh mahasiswa Prodi Perbankan Syariah UIN Syahada Padangsidimpuan pada saat melakukan magang peneliti nilai sudah bisa memenuhi kebutuhan yang diharapkan oleh pihak Bank Syariah Indonesia Cabang Padangsidimpua

    Kesadaran hukum masyarakat terhadap kewajiban pencatatan perkawinan di Kecamatan Batang Angkola Kabupaten Tapanuli Selatan

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    Penelitian ini berjudul “Kesadaran hukum Masyarakat Terhadap Kewajiban Pencatatan Perkawinan di Kecamatan Batang Angkola Kabupaten Tapanuli Selatan. Kemudian peneliti bertujuan untuk mengetahui bagaimana kesadaran masyarakat terhadap kewajiban pencatatan perkawinan khususnya di Kecamatan Batang Angkola Kabupaten Tapanuli Selatan, faktor-faktor yang menyebabkan masyarakat tidak mencatatkan perkawinannya serta bagaimana kesadaran pegawai pencatat nikah dalam hal meningkatkan kesadaran masyarakat terhadap kewajiban pencatatan perkawinannya. Metode penulisan skripsi ini menggunakan metode pendekatan analisis kualitatif lapangan. Dan jika ditinjau dari proses analisis datanya maka dapat digolongkan kepada research deskriptif. Analisa data dilakukan dengan menyusun data secara sistematis dan mengorganisasikan nya kemudian menyeleksi dan mendeskripsikan nya, serta menarik kesimpulan. Selanjutnya dari penelitian yang dilakukan di lokasi penelitian, bahwa hasil penelitian nya adalah kesadaran masyarakat terhadap kewajiban pencatatan perkawinan masih rendah, hal ini yang di uji dengan empat indikator kesadaran terhadap hukum yakni pengetahuan tentang hukum, pemahaman terhadap hukum, sikap dan perilaku terhadap hukum, adapun faktor-faktor yang menyebabkan sehingga masyarakat tidak mencatatkan perkawinannya adalah pemahaman masyarakat terhadap hukum pencatatan perkawinan, banyaknya perkawinan kedua tanpa adanya bukti otentik dengan istri pertama, banyaknya perkawinan yang dilaksanakan secara marlojong, pemahaman terhadap sahnya suatu perkawinan dan ketidak tahuan masyarakat terhadap hukum, serta kesadaran pegawai pencatat nikah dalam hal meningkatkan kesadaran masyarakat terhadap kewajiban pencatatan perkawinan masih rendah terbukti dari sosialisasi hukum yang dilaksanakan oleh Pegawai Pencatat Nikah hanya sekedar tambahan dalam suatu acara tertentu seperti pengajian-pengajian, safari jum’at serta penjelasan pencatatan perkawinan hanya pada Pembantu Pegawai Pencatat Nikah saja belum pernah dilaksanakan acara khusus untuk itu seperti acara penyuluhan hukum khusus pencatatan perkawinan dan lain-lain

    Penanggulangan Permasalahan Water Coning Pada Sumur Esp Menggunakan Metode Analisis Laju Alir Kritis Chiericci Dan Penurunan Frekuensi Pada Variable Speed Drive

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    Over time, oil production in well “R” has decreased, currently well “R” has an actual flow rate of 490 BFPD with a water cut of 90%, consisting of an oil flow rate of 49 BOPD and a water flow rate of 441 BWPD, with the high water flow rate in this well, well “R” is indicated to be experiencing water coning problems. Water coning occurs when the actual production rate exceeds the critical production rate, which is the fluid production rate permitted by a well to be produced without coning, so that excessive production causes the flow pressure gradient to exceed the gravitational force, resulting in the penetration of the productive layer by water. The Chierici method is one method that can be used to calculate the critical production rate in the "R" well in order to determine whether the well being studied is experiencing water coning. The method used to overcome the water coning problem in this study is to reduce the flow rate by reducing the frequency on the Variable Speed Drive (VSD). Well “R” uses an artificial lif electric submersible pump with an actual production rate of 490 BFPD exceeding the critical production rate of 157.487 BFPD, so to overcome the water coning problem, the flow rate is reduced by reducing the pump frequency using a variable speed drive, the frequency recommended by the author is 19 Hz with a flow rate of 155.17 BFPD

    KONSULTASI PENYAKIT KUCING DENGAN METODE FORWARD CHAINING

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    Cats are animals that are popular as house pets, because with their cute physique and adorable behavior, they are the reason people like to have cats. For pet hotel entrepreneurs, in caring for other people's pets for a long period of time they have to really care for their pets, most pet hotel entrepreneurs only pay attention to their diet and clean their cages but knowledge about symptoms and diseases is still minimal, especially cats. . Seeing some of the aspects above, one system that can help or be used as a suggestion is an expert system. An expert system is a system designed to solve the necessary problems based on expert knowledge, which is then supported by a computer system. Besides that, in order to support the results of the consultation, the author uses Forward chaining. a method that collects existing information or facts to draw conclusions. The method used for this research is the forward chaining method. Forward chaining is a method in expert systems to find problems by collecting data or facts sourced from experts. The stages used to solve this problem are starting from knowledge acquisition, knowledge representation, making rules or rules, making decision trees, and knowledge base. This study aims to create a system for diagnosing cat diseases and their treatment. Data collection techniques used are observation, interviews with experts, and literature study. The data obtained are 5 diseases, 19 symptoms, and 5 solutions. Application testing was carried out by pet hotel entrepreneurs using the black box method with results that can help, as a means to socialize to people who have a community of cat lovers

    Perancangan Perangkat Lunak Administrasi Take Order Pada Wingssurya

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    Take order administration where this software will help salesmen produce computerized sales invoices. Where the invoices will relate to the warehouse section where the warehouse clerk is given a special feature to monitor the stock of goods and the warehouse clerk can add stock if there are new items coming to the store as a result of the purchase of goods by the shop owner.In this study the author uses the Research and Development method. The data collection techniques that the author uses in this study by conducting interviews with Solar Wings shop owners in order to obtain relevant direct information from trusted sources.Order administration design on Pontianak solar wings is designed using Vb.net programming language, processing databases using MySQL and the XAMPP program to run application programs. In the process through the stages of analysis, the design stage, the development and testing stages. The results of this research are Administration of Take Order on Solar Wings. Conclusion The application that is designed is expected to help sales and employees know the stock of goods produced

    Design of an Optimum Battery Electric Fishing Vessel for Natuna Sea

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    Natuna Sea is one of the places in Indonesia, which has a high potency of fish up to one million ton per year. Fisherman in Indonesia relies too much on the fossil fuel, which has limited resources. The author wants to redesign the fishing vessel into the battery electric fishing vessel that can be recharge to reduce the use of fossil fuel and also to increasing the revenue of the fisherman. To minimize the capacity of the battery, the fishing activities concept is also change into centralized fishing activities which the activities is centralized in an open sea and has the offshore building as the fishing base that has power station to recharge the batteries and cold storage to collect all the fishes. As the object to redesign, it is used 10 GT purse seine fishing vessel. As the results of the calculation, it gets the total battery capacity 6000 Ah for operation 11 hours (4 hours travel time, 6.5 hours fishing activities, and 0.5 hours break). Based on the technical and economic analysis, it can be concluded that the battery electric fishing vessel has a better revenue and fewer expenses than the diesel-powered fishing vessel

    Optimalisasi Partisipasi Masyarakat dalam Pembentukan Undang-Undang Melalui Petisi Online

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    The House of Representatives is one of the state institutions that exercises legislative power as a representative of the people. However, in reality, the parliament has not been able to carry out its legislative function optimally because there is no guaranteed space for representative public participation. That way, one media is needed to be used to streamline the existence of community space in the middle of the parliament function. Based on that axiom, the author conducted this study to analyze the problem of public participation in the legislative process by the Parliament in terms of good governance principles. The research method used is normative juridical with a statutory approach and concept approach. Based on the results of the study, it shows that the resulting Law has not fully covered the interests of the community as a whole. This is because public participation in order to realize the principle of openness in the formation of laws has not been fulfilled optimally in the process. Thus, the use of Online Petitions accommodated by the parliament is considered as an initial initiative to improve the principle of openness in the implementation of Good Governance in the realm of government   Dewan Perwakilan Rakyat (DPR) merupakan salah satu lembaga negara yang menjalankan kekuasaan legislatif sebagai representasi rakyat. Namun, pada realitanya DPR belum dapat melaksanakan fungsi legislasi secara optimal karena tidak terjaminnya ruang partisipasi masyarakat yang representatif. Dengan begitu, dibutuhkan satu media yang digunakan untuk mengefektian keberadaan ruang masyarakat ditengah fungsi DPR. Berdasarkan aksioma itulah Penulis melakukan penelitian ini untuk menganalisa permasalahan partisipasi masyarakat terhadap proses legislasi oleh DPR ditinjau prinsip good governance. Adapun metode penelitian yang digunakan adalah yuridis normatif dengan pendekatan perundang-undangan (statute approach) dan pendekatan konsep (conceptual approach). Berdasarkan hasil penelitian menunjukkan menunjukkan bahwa Undang-Undang (UU) yang dihasilkan belum sepenuhnya mencakup kepentingan masyarakat secara menyeluruh. Hal ini dikarenakan partisipasi masyarakat dalam rangka mewujudkan prinsip keterbukaan dalam pembentukan UU belum terpenuhi secara maksimal dalam prosesnya. Maka, Pemanfaatan Petisi Online yang diakomodasi oleh DPR dianggap sebagai inisiatif awal untuk meningkatkan prinsip keterbukaan dalam implementasi Good Governance di ranah pemerintahan.

    Analisis customer engagement terhadap mobile e-sport gamer’s loyalty

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    The spread of technology and information has now entered all sectors which causes more and more competition. The growing competition caused by the internet can be an opportunity to earn income. One of them is the application in the field of mobile e-sports, because it is viewed from the perspective of business structure, business model, prize money, and competitions that are classified as top level. The purpose of this study was to analyze the effect of customer engagement on mobile e-sport gamer\u27s loyalty in Indonesia. Collecting data using a questionnaire with the measurement using an interval scale. The data collection technique used was purposive sampling with a total of 345 respondents. The analytical method used in this study was carried out using the Structural Equation Modeling (SEM) – Partial Least Square (PLS) method with the help of SmartPLS 3.0 software. The results showed that the customer engagement variable had an effect on gamer\u27s loyalty.
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