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Basir, Basran Nur, Muhammad Dassir, and Makkarennu Makkarennu. "Peran Struktur Sosial Masyarakat Sekitar Hutan Dalam Pengelolaan Hutan Kemasyarakatan di Desa Betao Riase." Jurnal Hutan dan Masyarakat 12, no. 1 (2020): 39. http://dx.doi.org/10.24259/jhm.v12i1.9210.
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Abstract:Struktur sosial merupakan suatu bangunan sosial yang terdiri dari unsur-unsur sosial yang saling berkaitan satu sama lain secara fungsional. Struktur sosial dianggap mampu menjaga kelestarian hutan dan kesehjatraan masyarakat melalui berbagai peran yang dilakukan oleh seseorang yang menempati kedudukan tertentu. Penelitian ini mengkaji tentang peranan struktur sosial masyarakat (Stratifikasi dan Diferensiasi) dalam kaitanya dengan pengelolaan Hutan kemasyarakatan di Desa Betao Riase. Tujuan dari penelitan ini untuk mendeskripsikan peran struktur sosial dalam setiap tahapan pengelolaan hutan kemasyarakatan di Desa Betao Riase. Penelitian ini dilaksanakan pada bulan Mei 2019 – Januari 2020 bertempat di Desa Beato Riase, Kecamatan Pitu Riawa Kabupaten Sidenreng Rappang. Proses pengambilan data dilakukan dengan melakukan wawancara dan diskusi dengan 30 sampel yang dipilih secara purposive sampling. Data hasil wawancara dan diskusi kemudian di analisis dengan mengunakan metode analisis deskriptif. Hasil penelitian menunjukkan faktor pembentuk stratifikasi sosial pada pengelolaan Hutan Kemasyarakatan di Betao Riase ditentukan oleh kemampuan ekonomi, kemampuan pendidikan, kekuasaan, dan kehormatan. Adapun peran yang dilaksankan pada setiap tahapan pengelolaan Hutan kemasyarakatan (penyususnan struktur organisasi, perencanaan, persiapan lahan, jenis tanaman dan pola tanam, penanaman dan pemeliharaan, pemanenan serta pemasaran dan bagi hasil) berupa bantuan pendidikan dan kesehatan, bantuan pengurusan administrasi, bantuan dana dan sumbangan yang ketiga hal ini biasa dilakukan oleh orang yang menempati kedudukan yang tinggi dan orang yang menempati kedudukan yang rendah hanya memberikan bantuan tenaga kerja. Pada pengelolan Hutan kemasyarakat dapat menjadi sosial kontrol untuk terciptanya kelestarian hutan dan juga berperan sebagai pendukung dari segi ekonomi dan material untuk kesejahtraan masyarakat.
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von der Embse, Nathaniel, Justin Barterian, and Natasha Segool. "Test Anxiety Interventions for Children and Adolescents: A Systematic Review of Treatment Studies from 2000-2010." Psychology in the Schools 50, no. 1 (2012): 57–71. http://dx.doi.org/10.1002/pits.21660.
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Stera, Giacomo, Luca Pierantoni, Riccardo Masetti, et al. "Impact of SARS-CoV-2 Pandemic on Bronchiolitis Hospitalizations: The Experience of an Italian Tertiary Center." Children 8, no. 7 (2021): 556. http://dx.doi.org/10.3390/children8070556.
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SARS-CoV-2 pandemic restrictions have deeply altered the common respiratory illnesses burden. The aim of this paper was to clarify how these measures may have influenced bronchiolitis epidemiology, exploring possible explanations. We studied 342 infants hospitalized for bronchiolitis at our center from four different epidemic seasons (October–April 2017–2018, 2018–2019, 2019–2020 and 2020–2021). March–April hospitalization rate, RSV (respiratory syncytial virus) infection, pediatric intensive care unit (PICU) admission and oxygen therapy administration data were compared among different seasons to outline any changes during the SARS-CoV-2 outbreak. In March–April, 30 (23.1%), 28 (24.6%) and 5 (5.1%) infants were hospitalized for bronchiolitis, respectively, in 2017–2018, 2018–2019 and 2019–2020, with a lower rate in March–April 2020 (p < 0.001). No hospitalizations for bronchiolitis occurred during the epidemic season of 2020–2021. No significant differences in RSV infections, oxygen therapy administration and PICU admissions across seasons were outlined. In conclusion, we report a severe decrease in hospitalizations for bronchiolitis at our center throughout the entire SARS-CoV-2 outbreak rather than only during the lockdown periods. This seems to suggest a pivotal role for the systematic implementation of cost-effective non-pharmaceutical interventions (NPIs) such as compulsory face masks and hand hygiene, which were deployed for the entire pandemic, in reducing the circulation of infectious agents.
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Kralj, Jelena, Miloš Martinović, Tomica Rubinić, Davor Krnjeta, and Luka Jurinović. "Dynamics of Common Sterna hirundo and Little Tern Sternula albifrons populations along the Sava River in North-western Croatia between 2002 and 2019." Acrocephalus 40, no. 180-181 (2019): 49–54. http://dx.doi.org/10.1515/acro-2019-0002.
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AbstractBetween 2002 and 2019, monitoring of Common Tern Sterna hirundo and Little Tern Sternula albifrons along the Sava River near Zagreb, Croatia was conducted. Natura 2000 site “Sava kod Hrušćice” was designated to protect colony at river islands, with estimated population sizes of 100–150 pairs of Common and 20 pairs of the Little Tern. Flooding of the colony caused breeding failure in several years. Common Terns moved to breed on islands in gravel pits with a total population around 150 pairs, while Little Tern did not breed after 2010. In the last few years, terns have not bred at Hrušćica and the only colony inside the Natura 2000 site is situated on a breeding platform at Siromaja gravel pit. Channelling of rivers and hydropower plants are the main threats, changing natural dynamics of water level and causing reduction of gravel sediment in rivers.
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Lauring, Adam S., Maria M. Anderson, and Julie Overbaugh. "Specificity in Receptor Usage by T-Cell-Tropic Feline Leukemia Viruses: Implications for the In Vivo Tropism of Immunodeficiency-Inducing Variants." Journal of Virology 75, no. 19 (2001): 8888–98. http://dx.doi.org/10.1128/jvi.75.19.8888-8898.2001.
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ABSTRACT Cytopathic, T-cell-tropic feline leukemia viruses (FeLV-T) evolve from FeLV-A in infected animals and demonstrate host cell specificities that are distinct from those of their parent viruses. We recently identified two cellular proteins, FeLIX and Pit1, required for productive infection by these immunodeficiency-inducing FeLV-T variants (M. M. Anderson, A. S. Lauring, C. C. Burns, and J. Overbaugh, Science 287:1828–1830, 2000). FeLV-T is the first example of a naturally occurring type C retrovirus that requires two proteins to gain entry into target cells. FeLIX is an endogenous protein that is highly related to the N-terminal portion of the FeLV envelope protein, which includes the receptor-binding domain. Pit1 is a multiple-transmembrane phosphate transport protein that also functions as a receptor for FeLV-B. The FeLV-B envelope gene is derived by recombination with endogenous FeLV-like sequences, and its product can functionally substitute for FeLIX in facilitating entry through the Pit1 receptor. In the present study, we tested other retrovirus envelope surface units (SUs) with their cognate receptors to determine whether they also could mediate infection by FeLV-T. Cells were engineered to coexpress the transmembrane form of the envelope proteins and their cognate receptors, or SU protein was added as a soluble protein to cells expressing the receptor. Of the FeLV, murine leukemia virus, and gibbon ape leukemia virus envelopes tested, we found that only those with receptor-binding domains derived from endogenous FeLV could render cells permissive for FeLV-T. We also found that there is a strong preference for Pit1 as the transmembrane receptor. Specifically, FeLV-B SUs could efficiently mediate infection of cells expressing the Pit1 receptor but could only inefficiently mediate infection of cells expressing the Pit2 receptor, even though these SUs are able to bind to Pit2. Expression analysis of feline Pit1 and FeLIX suggests that FeLIX is likely the primary determinant of FeLV-T tropism. These results are discussed in terms of current models for retrovirus entry and the interrelationship among FeLV variants that evolve in vivo.
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Isdiyanto, Ilham Yuli, and Deslaely Putranti. "Perlindungan Hukum atas Ekspresi Budaya Tradisional dan Eksistensi Masyarakat Hukum Adat Kampung Pitu." Jurnal Ilmiah Kebijakan Hukum 15, no. 2 (2021): 231. http://dx.doi.org/10.30641/kebijakan.2021.v15.231-256.
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Masyarakat Kampung Pitu masih memegang tradisi dan budaya asal usulnya hingga sekarang, bahkan jumlah Kepala Keluarga yang tidak boleh lebih dari 7 (tujuh) juga masih bertahan hingga sekarang. Sebagai masyarakat tradisional yang khas, masyarakat Kampung Pitu memiliki berbagai macam bentuk Ekspresi Budaya Tradisional (EBT) yang disisi lain hal ini perlu mendapatkan perhatian serius oleh pemerintah. Regulasi di Indonesia mengatur perlindungan EBT melalui UU No. 28/2014 tentang Hak Cipta, sehingga dapat menjadi perlindungan EBT masyarakat Kampung Pitu agar tetap lestari. Penelitian ini menjadi sangat penting karena tidak banyak masyarakat tradisional yang mempertahankan hak asal-usulnya di wilayah Daerah Istimewa Yogyakarta. Penelitian ini menggunakan pendekatan yuridis-normatif dan pengumpulan data baik primer maupun sekunder yang diperoleh secara daring serta analisa deskriptif-kualitatif. Hasilnya, masyarakat Kampung Pitu dapat dikategorikan sebagai Masyarakat Hukum Adat yang memiliki hak identitas dan tradisional atas asal-usulnya sehingga harus dilindungi dalam pelestariannya. Walaupun tidak ada regulasi ataupun penetapan dari tingkat Pusat sampai Daerah terkait Kampung Pitu, namun Kampung Pitu sudah ditetapkan sebagai Warisan Budaya Takbenda sehingga menjadi dasar perlindungan.
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Atay, Gurkan, Canan Hasbal, Mücahit Türk, Seher Erdoğan, and Betül Sözeri. "The Role of Therapeutic Plasma Exchange (TPE) in Multisystem Inflammatory Syndrome in Children (MIS-C)." Children 8, no. 6 (2021): 498. http://dx.doi.org/10.3390/children8060498.
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Multisystemic inflammatory syndrome in children (MIS-C) is a new potentially life-threatening disease that is related to coronavirus disease 2019 (COVID-19). The aim of this study is to reveal the clinical and laboratory results of MIS-C and the role of therapeutic plasma exchange (TPE) in its treatment. Clinical, laboratory and radiological characteristics of the patients who were admitted to the pediatric ward and pediatric intensive care unit (PICU) of a tertiary hospital with a diagnosis of MIS-C between April 2020 and March 2021 were included in the study. Forty-one patients were admitted to our hospital with a diagnosis of MIS-C. Twenty-one (51.2%) patients were admitted to the PICU. Six patients needed invasive mechanical ventilation (14.6%), 10 patients (24.4%) TPE and 3 patients (7.3%) needed extracorporeal membrane oxygenation (ECMO). The patients were grouped according to need for PICU admission (Group 1: no need for PICU, Group 2: need for PICU admission). Group 2 had significantly higher levels of C-reactive protein (CRP), alanine aminotransferase (ALT), ferritin, D-dimer, pro-B type natriuretic peptide (pro BNP) and lactate (p < 0.05). Hyponatremia found to be an independent risk factor for inpatient MIS-C in the PICU. We think that dynamic laboratory trending is beneficial in determining the need for PICU admission and TPE may be effective in critically ill patients.
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Comoretto, Rosanna, Danila Azzolina, Angela Amigoni, et al. "Predicting Hemodynamic Failure Development in PICU Using Machine Learning Techniques." Diagnostics 11, no. 7 (2021): 1299. http://dx.doi.org/10.3390/diagnostics11071299.
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The present work aims to identify the predictors of hemodynamic failure (HF) developed during pediatric intensive care unit (PICU) stay testing a set of machine learning techniques (MLTs), comparing their ability to predict the outcome of interest. The study involved patients admitted to PICUs between 2010 and 2020. Data were extracted from the Italian Network of Pediatric Intensive Care Units (TIPNet) registry. The algorithms considered were generalized linear model (GLM), recursive partition tree (RPART), random forest (RF), neural networks models, and extreme gradient boosting (XGB). Since the outcome is rare, upsampling and downsampling algorithms have been applied for imbalance control. For each approach, the main performance measures were reported. Among an overall sample of 29,494 subjects, only 399 developed HF during the PICU stay. The median age was about two years, and the male gender was the most prevalent. The XGB algorithm outperformed other MLTs in predicting HF development, with a median ROC measure of 0.780 (IQR 0.770–0.793). PIM 3, age, and base excess were found to be the strongest predictors of outcome. The present work provides insights for the prediction of HF development during PICU stay using machine-learning algorithms.
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Boeschoten, Shelley A., Annemie L. Boehmer, Peter J. Merkus, et al. "Risk factors for intensive care admission in children with severe acute asthma in the Netherlands: a prospective multicentre study." ERJ Open Research 6, no. 3 (2020): 00126–2020. http://dx.doi.org/10.1183/23120541.00126-2020.
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RationaleSevere acute asthma (SAA) can be fatal, but is often preventable. We previously observed in a retrospective cohort study, a three-fold increase in SAA paediatric intensive care (PICU) admissions between 2003 and 2013 in the Netherlands, with a significant increase during those years of numbers of children without treatment of inhaled corticosteroids (ICS).ObjectivesTo determine whether steroid-naïve children are at higher risk of PICU admission among those hospitalised for SAA. Furthermore, we included the secondary risk factors tobacco smoke exposure, allergic sensitisation, previous admissions and viral infections.MethodsA prospective, nationwide multicentre study of children with SAA (2–18 years) admitted to all Dutch PICUs and four general wards between 2016 and 2018. Potential risk factors for PICU admission were assessed using logistic regression analyses.Measurements and main results110 PICU and 111 general ward patients were included. The proportion of steroid-naïve children did not differ significantly between PICU and ward patients. PICU children were significantly older and more exposed to tobacco smoke, with symptoms >1 week prior to admission. Viral susceptibility was not a significant risk factor for PICU admission.ConclusionsChildren with SAA admitted to a PICU were comparable to those admitted to a general ward with respect to ICS treatment prior to admission. Preventable risk factors for PICU admission were >7 days of symptoms without adjustment of therapy and exposure to tobacco smoke. Physicians who treat children with asthma must be aware of these risk factors.
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Sikame Tagne, N. R., T. E. Mbou, O. Harzallah, et al. "Physicochemical and Mechanical Characterization of Raffia vinifera Pith." Advances in Materials Science and Engineering 2020 (December 16, 2020): 1–10. http://dx.doi.org/10.1155/2020/8895913.
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In this paper, the physicochemical and mechanical properties of Raffia vinifera pith (RVP) are discussed. Microscopic observations have shown that the structure of the RVP is similar to that of a composite consisting of natural fibers. The effective area ratio of Raffia vinifera (RV) fibers was evaluated along the raffia stem using ImageJ software, and it decreases from the periphery to the center. Energy dispersion spectrometer (EDS) analysis shows that RVP is essentially composed of carbon and oxygen. Densities of RVP and its matrix were determined using Archimedes’ principle and law of mixtures, respectively; from the results obtained, they can be considered as one of the lightest materials. Young’s modulus of RVP has been obtained from tensile and bending tests, while that of matrix has been obtained using the law of mixtures during tensile tests. RVP has better specific properties, and the results of the matrix properties show that we can easily select another matrix which has better properties than the case studied during the elaboration of composites.
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Mariya, Sri. "ANALISIS PERTUMBUHAN PENDUDUK TERHADAP PERUBAHAN PENGGUNAAN LAHAN DI KOTA BUKITTINGGI." JURNAL GEOGRAFI 5, no. 2 (2016): 200. http://dx.doi.org/10.24036/geografi/vol5-iss2/32.
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Bukitinggi city is the most populous city in West Sumatra, experiencing an increase in population from year to year, the limitations of urban space that causes pressure on urban space. Such as the occurrence of land conversion for the physical construction of the city, such as: settlement, trade and services, and others. Based on this research, the aim of this study is to obtain information, discuss and analyze (1) population growth of Bukittinggi City in 2000-2010, (2) to identify land use change of Bukitinggi city in 2000-2010, and (3) to identify the characteristics of change Land use due to population growth and how the utilization of Bukitinggi City space.
 The type of research used is descriptive research with secondary data analysis method with the support of Geographic Information System (GIS). The data used are population data of Bukittinggi City 10 years (2000-2010), Land Use Map of Bukit Tinggi City (2000 and 2010), and Map of RTRW Kota Bukitinggi 2010 as final analysis.
 The results showed that: (1) the population growth of Bukittinggi City in 2000-2010 was 0.02 or 2% which indicated an increase in population. The dominant factor that affects is migration (residents coming). The most populous urban village is Sapiran 12orang / km2 which is the center of TNI and Polri dormitory, while the urban village is Puhun Pintu Kabun with density of 2 person / km2, (2) land use change in settlement, rice field, mixed or moorland, Services. The largest expansion occurred from mixed or cultivated gardens of 1.75 km2. Other changes occurred in the settlement of 0.06 km2 and trade and services 0.14 km2. (3) Characteristics of land use change due to population growth in relation to spatial use dominated by mixed or mooring farms into 6.89% (174.6 ha) settlements, rice fields became 0.25% (6.4 ha) settlements, and rice fields became Mixed garden 0.55% (14 ha). Linkages to the use of space is the study of green space: Park City, Village Pintu Kabun and Bukit Apit there is development of settlements as the development of the area towards the north which needs to be done policy priorities.
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Manning, Joseph C., Jos M. Latour, Martha A. Q. Curley, et al. "Study protocol for a multicentre longitudinal mixed methods study to explore the Outcomes of ChildrEn and fAmilies in the first year after paediatric Intensive Care: the OCEANIC study." BMJ Open 10, no. 5 (2020): e038974. http://dx.doi.org/10.1136/bmjopen-2020-038974.
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IntroductionAnnually in the UK, 20 000 children become very ill or injured and need specialist care within a paediatric intensive care unit (PICU). Most children survive. However, some children and their families may experience problems after they have left the PICU including physical, functional and/or emotional problems. It is unknown which children and families experience such problems, when these occur or what causes them. The aim of this mixed-method longitudinal cohort study is to understand the physical, functional, emotional and social impact of children surviving PICU (aged: 1 month–17 years), their parents and siblings, during the first year after a PICU admission.Methods and analysisA quantitative study involving 300 child survivors of PICU; 300 parents; and 150–300 siblings will collect data (using self-completion questionnaires) at baseline, PICU discharge, 1, 3, 6 and 12 months post-PICU discharge. Questionnaires will comprise validated and reliable instruments. Demographic data, PICU admission and treatment data, health-related quality of life, functional status, strengths and difficulties behaviour and post-traumatic stress symptoms will be collected from the child. Parent and sibling data will be collected on the impact of paediatric health conditions on the family’s functioning capabilities, levels of anxiety and social impact of the child’s PICU admission. Data will be analysed using descriptive and inferential statistics. Concurrently, an embedded qualitative study involving semistructured interviews with 24 enrolled families at 3 months and 9 months post-PICU discharge will be undertaken. Framework analysis will be used to analyse the qualitative data.Ethics and disseminationThe study has received ethical approval from the National Health Services Research Ethics Committee (Ref: 19/WM/0290) and full governance clearance. This will be the first UK study to comprehensively investigate physical, functional, emotional and social consequences of PICU survival in the first-year postdischarge.Clinical Trials Registration Number: ISRCTN28072812 [Pre-results]
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Setyawati, Dewi, Rasti Sastro, and Siti Aisah. "Nurses' Anxiety amid of COVID-19 Pandemic." South East Asia Nursing Research 3, no. 2 (2021): 59. http://dx.doi.org/10.26714/seanr.3.2.2021.59-65.
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The psychological response toward pandemics experienced by medical workers is increased due to the anxiety about their health condition and the risk to infect the family member. This research was aimed to describe the nurses’ anxiety amid the COVID 19 pandemic at Piru Hospital. This research was descriptive quantitative research with the cross-sectional approach. The research was conducted from December 29, 2020, to March 4, 2021. The population was 125 medical workers at RSUD Piru, with 95 respondents taken as a sample by using the random cluster sampling technique. The instrument used was Hamilton Rating Scale for Anxiety (HRS-A). The data was then analyzed by using frequency distribution data classified in a table. The result of univariate data analysis showed that 91 respondents (95.8%) didn’t experience anxiety, and 2 respondents (2.1%) experienced anxiety. In case of anxiety, 95.8% of nurses at Piru Hospital in West Seram Regency, Maluku didn’t experience anxiety. The research finding shows the importance of prevention and early detection of anxiety disorder to minimize further impact. Individual identification on the early stage of psychological disorder could be an effective intervention strategy.
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Wang, Chunxia, Yun Cui, Huijie Miao, et al. "Apolipoprotein A-V Is a Novel Diagnostic and Prognostic Predictor in Pediatric Patients with Sepsis: A Prospective Pilot Study in PICU." Mediators of Inflammation 2020 (January 13, 2020): 1–9. http://dx.doi.org/10.1155/2020/8052954.
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Background. Sepsis induces the release of lipid mediators, which control both lipid metabolism and inflammation. However, the role of serum apolipoprotein A-V (ApoA5) in sepsis is poorly understood in pediatric patients. Methods. ApoA5 was screened from serum proteomics profile in lipopolysaccharide- (LPS-) treated mice for 2 h, 24 h, and controls. Then, we conducted a prospective pilot study, and patients with sepsis admitted to a pediatric intensive care unit (PICU) were enrolled from January 2018 to December 2018. Serum ApoA5 levels on PICU admission were determined using enzyme-linked immunosorbent assays (ELISA). Blood samples from 30 healthy children were used as control. The correlation of ApoA5 with the clinical and laboratory parameters was analyzed. Logistic regression analyses and receiver operating characteristic curve (ROC) analysis were used to investigate the potential role of serum ApoA5 as a prognostic predictor for PICU mortality in pediatric patients with sepsis. Results. A total of 101 patients with sepsis were enrolled in this study. The PICU mortality rate was 10.9% (11/101). Serum ApoA5 levels on PICU admission were significantly lower in nonsurvivors with sepsis compared with survivors (P=0.009). In subgroup analysis, serum levels of ApoA5 were significantly correlated with sepsis-associated multiple organ dysfunction syndrome (MODS) (P<0.001), shock (P=0.002), acute kidney injury (AKI) (P<0.001), acute liver injury (ALI) (P=0.002), and gastrointestinal (GI) dysfunction (P=0.012), but not respiratory failure, brain injury, and pathogenic species (all P>0.05). Correlation analyses revealed significant correlations of serum ApoA5 with Ca2+ concentration. Remarkably, the area under ROC curve (AUC) for serum ApoA5 levels on PICU admission was 0.789 for prediction of PICU mortality with a sensitivity of 75% and a specificity of 84.5% at a threshold value of 822 ng/mL. Conclusions. Serum ApoA5 level is associated with sepsis-associated shock, AKI, ALI, GI dysfunction, or MODS in children. Moreover, the findings of the present study suggest a prognostic value of ApoA5 in children with sepsis, and lower serum ApoA5 than 822 ng/mL predicts worse outcome in pediatric sepsis.
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Juwita Hapsari, Veronika, and Chaikal Nuryakin. "Analisis Profil Wisatawan Mancanegara Yang Keluar Melalui Pintu Soekarno Hatta Dan Ngurah Rai." Jurnal Kepariwisataan Indonesia: Jurnal Penelitian dan Pengembangan Kepariwisataan Indonesia 13, no. 1 (2019): 17–30. http://dx.doi.org/10.47608/jki.v13i12019.17-30.
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Indonesia has enormous tourism potential. This potential is spread throughout almost all regions of Indonesia. However, until now Indonesian tourism is only synonymous with Bali. Development of other destinations besides Bali (non-Bali destinations) has begun to take place in almost all parts of Indonesia due to the economic potential of tourism which can drive the region's economy.
 Although not as many as Bali, foreign tourists have visited non-Bali destinations. This proves that non-Bali destinations also have the potential to be developed due to tourism demand from tourists. This research aims to profile foreign tourists for non-Bali destinations as one of the steps in developing tourism marketing according to the National Tourism Development Master Plan 2010-2025.
 In conclusion, tourists who visit non-Bali destinations are predominantly male and repeater
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Hayes, Charlotte, and Teresa Brooks. "P16 CEASE: deprescribing on discharge from PICU." Archives of Disease in Childhood 105, no. 9 (2020): e14.1-e14. http://dx.doi.org/10.1136/archdischild-2020-nppg.25.
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AimTo develop a screening tool for prescribers to aid desprescribing on discharge from paediatric intensive care (PICU). Deprescribing is defined as ‘the process of withdrawal of an inappropriate medication supervised by a healthcare professional with the goal of managing polypharmacy and improving outcomes’.1 On the subject of deprescribing in paediatrics there is currently a lack of published literature however it is thought that we will be able to rationalise medicine use by being able to identify and document their indications.2MethodAn audit was completed of twenty-five paediatric patients following discharge from PICU. Data was collected on which medicines were not appropriately stopped by PICU prescribers when patients were stepped down to the ward. These medicines were categorised by their indication and this information was used to create a deprescribing screening tool. Prescribers on PICU were educated on this new tool and a further audit is currently underway to assess the impact of this.ResultsTwenty-five children were discharged from PICU to wards within the hospital over a four week period. Of these all twenty-five had two medicines or more that should have been deprescribed or a plan documented for before stepping down. A total of 110 medicines could have been deprescribed (median 4 per patient, range 2–8). These medicines were categorised by their indication: sedation 38.2% (n=42), electrolytes 33.6% (n=37), additional charts 18.2% (n=20), gastro-protection 4.5% (n=5), antibiotics 2.7% (n=3), other 2.7% (n=3).We found that these medicines included high risk critical care only medicines that were unsafe to be administered on a ward such as high strength potassium infusions or inotropes, oral and IV sedative agents and antibiotics with no documented plan. Based on this information the following ‘CEASE’ screening tool was created:Charts - are additional charts still in use and appropriate?Electrolytes - have all PICU only electrolytes been stopped?Antibiotics - do all antibiotics have a documented plan?Sedation - has all sedation been stopped or if not is there a documented plan of when and how to stop?Enteral - if enteral feeds have started has all gastro-protection been stopped?A further audit is currently underway to assess the impact of the ‘CEASE’ tool.ConclusionThe audit has shown that a range of different medicines were inappropriately continued outside of PICU, this includes high risk medicines not suitable for use on the ward. The development of the ‘CEASE’ tool has been created to aid prescribers in the identification of medicines which should be deprescribed. This should help to provide better treatment, improve patient safety and promote antimicrobial stewardship.ReferencesReeve E, Gnjidic D, et al. A systematic review of the emerging definition of ‘deprescribing’ with network analysis: implications for future research and clinical practice. Br J Clin Pharmacol 2015;80:1254–68.Begum R, Tomlin S. Deprescribing in paediatrics. Eur J Hosp Pharm 2017;24:70.
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Liang, Peng, Yanbo Zhang, Xulong Yao, Lin Sun, and Baozhu Tian. "Experimental Investigation of the Formation of Rockburst Pits in Circular Tunnel Based on CT Scanning." Advances in Civil Engineering 2020 (October 8, 2020): 1–16. http://dx.doi.org/10.1155/2020/8872478.
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The rockburst simulation experiments of granite samples with a circular hole under biaxial loading were conducted, and the samples were scanned by computed tomography (CT) at the end of experiment. Through a series of CT images, the failure characteristics of the circular hole wall were analysed to determine the types of rockburst pits, and the detailed formation process of different types of rockburst pits was studied in combination with the crack characteristics around them. The experimental results indicate that there are mainly two types of rockburst pits, namely, pan-shaped and V-shaped, which can occur symmetrically or asymmetrically on the left and right sidewall of the circular hole. The formation of rockburst pits is related to the cracks parallel and perpendicular to the principal stress. Cracks parallel to the principal stress can determine the depth of the rockburst pit and affect the type of the rockburst pit, and cracks perpendicular to the principal stress determine the width of the rockburst pit. There is a correlation between the formation process of pan and V-shaped rockburst pits. During the formation of a V-shaped rockburst pit, several rockbursts occur, and each rockburst forms a pan-shaped rockburst pit. In the process of developing from the tunnel wall to the deep rock, the width of the pan-shaped rockburst pit gradually decreases and a V-shaped rockburst with a stepped upper and lower boundary is formed.
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Morton, Kathryn, Anne-Sophie Emma Darlington, and L. V. Marino. "Protocol for a multicentre longitudinal mixed-methods study: feeding and survivorship outcomes in previously healthy young paediatric Intensive care survivors (the PIES Study)." BMJ Open 10, no. 12 (2020): e041234. http://dx.doi.org/10.1136/bmjopen-2020-041234.
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IntroductionAn admission to paediatric intensive care unit (PICU) is associated with multiple physical and environmental stressors, often involving many negative and painful oral experiences. Evidence from children with complex medical conditions suggests that feeding difficulties post-PICU stay are common, causing significant parental anxiety. Adult intensive care unit (ICU) survivor studies suggest feeding issues lasting up to 3 months post-discharge from ICU. There is, however, a paucity of evidence regarding feeding outcomes for previously healthy children following a PICU admission and whether painful oral experiences during an admission contribute to feeding difficulties post-discharge, negatively impacting on parental/caregiver anxiety.Methods and analysisThis longitudinal mixed-methods study will explore the impact of feeding difficulties, identifying any clinical risk factors during the first 6 months of PICU discharge in previously healthy young children (≤4 years). Parents/caregivers of children will be asked to complete questionnaires relating to: feeding difficulties, parental/caregiver stress, and child and parental/caregivers’ feeding behaviours at the point of PICU discharge, 1, 3 and 6 months post-discharge. Parents/caregivers will be invited to participate in qualitative semistructured interviews at 3 and 6 months post-PICU discharge exploring parental/caregiver experiences of feeding their child after PICU. Statistical analysis of the survey data will consist of descriptive and inferential statistics, plus qualitative analysis of any free text comments using thematic analysis.Ethics and disseminationThis study will provide an insight and increase our understanding of the prevalence of feeding difficulties in previously healthy children admitted to PICU and parental/caregiver experiences. Multiple methods will be used to ensure that the findings are effectively disseminated to service users, clinicians, policy and academic audiences. The study has full ethical approval from the National Health Service Research Ethics Committee (Ref: 20/YH/0160) and full governance clearance.
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Sick-Samuels, Anna C., Matthew Linz, Jules Bergmann, et al. "Diagnostic Stewardship of Endotracheal Aspirate Cultures in a PICU." Pediatrics 147, no. 5 (2021): e20201634. http://dx.doi.org/10.1542/peds.2020-1634.
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Simanjuntak, Imelda U. V., Agung Y. Basuki, and M. Ridlon. "RANCANG BANGUN SISTEM PENGAMANAN PINTU RUMAH TINGGAL MENGGUNAKAN E-KTP DAN MAGNETIC DOOR LOCK BERBASIS ATMEGA328." Jurnal Ilmiah Teknologi dan Rekayasa 25, no. 2 (2020): 149–60. http://dx.doi.org/10.35760/tr.2020.v25i2.2822.
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Seiring dengan pertumbuhan ekonomi yang tidak diikuti dengan pertumbuhan lapangan pekerjaan mendorong angka kiminalitas pun meningkat. Hal ini terlihat dengan maraknya pembobolan rumah dan semacamnya. Pada saat ini keamanan rumah masih menggunakan sistem penguncian manual yaitu dengan menggunakan kunci konvensional yang mudah digandakan. Oleh karena itu, dibutuhkan sistem keamanan rumah, dimana yang dapat mengakses dan membuka pintu tersebut hanya orang-orang tertentu saja. Penelitian ini bertujuan untuk membuat sebuah sistem pengaman pintu otomatis yang menggunakan e-KTP sebagai kuncinya. Alat ini mengunakan RFID reader RC522 yang berfungsi sebagai pembaca data e-KTP yang kemudian data tersebut diproses oleh ATmega328. Bila hasil pemrosesan data tersebut cocok, maka magnetic door lock akan diaktifkan melalui driver relay. Sistem pengaman ini dilengkapi dengan sensor magnetic MC 38 yang bekerja sebagai pendeteksi apabila pintu rumah dibuka secara paksa sehingga buzzer akan berbunyi sebagai tanda peringatan. Sistem pengaman pintu rumah tinggal ini memiliki kemampuan pembacaan modul RFID terhadap e-KTP dengan jarak maksimal sebesar 2.2 cm. Modul RFID reader tidak akan bisa bekerja bila dihalangi material berbentuk logam. Apabila pintu dibuka secara paksa, maka sensor magnetic MC38 aktif dan menngaktifkan alarm berupa buzzer dan lampu.
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Hulac, David, Natalie D. Johnson, Shiho C. Ushijima, and Maryia M. Schneider. "PUBLICATION OUTLETS FOR SCHOOL PSYCHOLOGY FACULTY: 2010 to 2015." Psychology in the Schools 53, no. 10 (2016): 1085–93. http://dx.doi.org/10.1002/pits.21977.
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Saeed, Amir, Eslam Shorafa, Anahita Sanaeidashti, and Mohammad Rahim Kadivar. "Clinical presentation of paediatric patients with COVID-19 admitted to a single paediatric intensive care unit (PICU) in Iran." BMJ Paediatrics Open 4, no. 1 (2020): e000715. http://dx.doi.org/10.1136/bmjpo-2020-000715.
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ObjectivesTo describe the clinical characteristics of paediatric patients admitted to a single paediatric intensive care unit (PICU) in Iran with COVID-19.MethodsA cross-sectional study of paediatric patients who were admitted to a COVID-19-dedicated PICU from 16 March 2020 to 21 April 2020 with COVID-19.ResultsSix children had confirmed COVID-19 and four had suspected COVID-19. Six had pre-existing chronic medical conditions. Nine had respiratory failure and needed ventilation. Five children, of whom four had chronic medical conditions, died. Four had cardiac arrhythmias. Clinical presentation included fever and cough.ConclusionCOVID-19 can be fatal in paediatric patients, especially in those with a chronic medical condition.
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Nursyirwan, Nursyirwan, Delfi Enida, and Alfalah Alfalah. "KEANEKARAGAMAN BUDAYA SEBAGAI JATI DIRI KOMUNITAS TUALANG SIAK TERHADAP PERTUNJUKAN MUSIK KOMPANG." Gorga : Jurnal Seni Rupa 10, no. 1 (2021): 107. http://dx.doi.org/10.24114/gr.v10i1.24873.
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Research on cultural diversity as the identity of Tualang people in playing kompang music, is the development of previous kompang music research. In finding the identity of tualang people must start things for themselves, certainly not easy in the discovery of that identity, as a characteristic of heterogeneous areas. The purpose of maintaining the existence of kompang music for the Tualang community as a binding solidarity of the community area. Data is collected through observation, field research, interviews, and documentation. Analyzed with qualitative descriptive techniques, interpretative analysis. Interviews were conducted by purposive sampling. The result of the study : the context of kompang music in Tualang community, namely at wedding celebrations, aqiqah, welcoming party for important guest, festival events and religious celebrations. Its exixtence is seen inthe development of kompang music area in Tualang area. The concept of kompang music is inseperable from the philosopihical background of various cultures, religions, and creativity of the community over the development of market taste. Creativity is not only the birth of music as an expression but is the result of the interaction of the players in it which gives bitrh to a variety of creativity in performance.Keywords: music, kompang, identity, multiculture.AbstrakPenelitian keanekaragaman budaya sebagai jati diri orang-orang Tualang dalam memainkan musik kompang, adalah pengembangan penelitian musik kompang sebelumnya. Dalam menemukan jati diri masyarakat Tualang harus memulai hal-hal untuk diri sendiri, tentu tidak mudah dalam penemuan jati diri itu, sebagai penciri khas daerah yang heterogen. Tujuan tetap mempertahankan keberadaan musik kompang bagi masyarakat Tualang sebagai pengikat solidaritas kedaerahan komunitas. Data dikumpulkan melalui observasi, penelitian lapangan, wawancara, dan dokumentasi. Dianalisis dengan teknik deskriptif kualitatif, analisis interpretatif. Wawancara dilakukan dengan cara purposive sampling. Hasil penelitian: konteks musik Kompang dalam masyarakat Tualang, yakni pada perayaan pernikahan, khitanan, aqikahan, penyambutan tamu penting, acara festival, perayaan agama. Eksistensinya terlihat pada perkembangan wilayah musik kompang di daerah Tualang. Konsep musik kompang tidak terlepas dari latar belakang filosofi bermacam budaya, agama, dan kreativitas masyarakat atas perkembangan selera pasar. Kreativitas tidak hanya pada pelahiran musik sebagai ekspresi akan tetapi merupakan hasil dari adanya interaksi pemain di dalamnya yang melahirkan variasi kreativitas dalam sebuah pertunjukan.Kata Kunci: musik, kompang, jati diri, multiculture.Authors:Nursyirwan : Institut Seni Indonesia PadangpanjangDelfi Enida : Institut Seni Indonesia PadangpanjangAlfalah : Institut Seni Indonesia PadangpanjangReferences:Armes, Hengki. (2015). Interaksi Sosial Dalam Kesenian Kompang Di Masyarakat Dusun Delik Kecamatan Bantan Kabupaten Bengkalis. Tesis tidak diterbitkan. Padangpanjang: Program Pascasarjana ISI Padangpanjang.Brannen, Julia. (2005). Memandu Metode Penelitian Kualitatif dan Kuantitatif. Samarinda: Pustaka Pelajar.Depdiknas. (2008). Kamus Besar Bahasa Indonesia. Jakarta: Gramedia Pustaka Utama.Enida, Delfi. (2019). “Notasi Pukulan Kompang”. Hasil Dokumentasi Pribadi: 7 Maret 2019, Kecamatan Tualang.Hadi, Y. Sumandiyo. (2012). Seni Pertunjukan dan Masyarakat Penonton. Yogyakarta: BP ISI Yogyakarta.Hatley, Barbara. (2014). Seni Pertunjukan Kontemporer di Jawa Tengah: Memanggungkan Identitas, Membangun Komunitas dalam Seni Pertunjukan Indonesia Pasca Orde Baru. Yogyakarta: Univ. Sanata Dharma.Hauser, Arnold. (1982). The Sosiology of Art. Terj. Kenneth J. Northcoot. Chicago and London: The University of Chicago Press.McHale, John. (1969). The Future of the Future. New York: George Braziller.Nettl, Bruno. (1964). Theory and Method in Ethnomusicology. London: The Free Press of Glencoe.Nursyirwan. (2019). “Bunyi Pukulan Kompang”. Hasil Dokumentasi Pribadi: 7 Maret 2019, Kecamatan Tualang.Nursyirwan. (2000). Paradima Musikologis Musik Kompang Di Kelakap Tujuh Dumai Barat. Laporan penelitian tidak diterbitkan. Padangpanjang: STSI Padangpanjang.Sari, Fani Dila, Haria Nanda Pratama, Indra Setiawan. (2020). Identifikasi Umah Adat Pitu Ruang sebagai Produk Kebudayaan Gayo. Studi Kasus: Umah Reje Baluntara Di Aceh Tengah. Gorga: Jurnal Seni Rupa, 09(2), 451-454. https://doi.org/10.24114/gr.v9i2.22116.Simatupang, Lono. (2013). Pergelaran sebuah Mozaik Penelitian Seni-Budaya. Yogyakarta: Jalasutra.Steijlen, Fridus. (2014). Pasar Malam Indo-Eropa: Identitas dan Pertunjukan Kebudayaan Di Belanda”, dalam Seni Pertunjukan Indonesia Pasca Orde Baru. Yogyakarta: Univ. Sanata Dharma. Suwardi MS. (2014). Dari Melayu ke Indonenesia. Yogyakarta: Pustaka Pelajar.Whitehead, Alfred North. (1929). Process and Reality. New York: Free Press.Wolf. R, Eric. (1983). Petani suatu Tinjauan Antropologis. Terjemahan TIM Yayasan Ilmu-Ilmu Sosial. Bandung: Rajawali.
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Trouillas, Jacqueline, Marie-Lise Jaffrain-Rea, Alexandre Vasiljevic, Gérald Raverot, Federico Roncaroli, and Chiara Villa. "How to Classify Pituitary Neuroendocrine Tumors (PitNET)s in 2020." Cancers 12, no. 2 (2020): 514. http://dx.doi.org/10.3390/cancers12020514.
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Adenohypophyseal tumors, which were recently renamed pituitary neuroendocrine tumors (PitNET), are mostly benign, but may present various behaviors: invasive, “aggressive” and malignant with metastases. They are classified into seven morphofunctional types and three lineages: lactotroph, somatotroph and thyrotroph (PIT1 lineage), corticotroph (TPIT lineage) or gonadotroph (SF1 lineage), null cell or immunonegative tumor and plurihormonal tumors. The WHO 2017 classification suggested that subtypes, such as male lactotroph, silent corticotroph and Crooke cell, sparsely granulated somatotroph, and silent plurihormonal PIT1 positive tumors, should be considered as “high risk” tumors. However, the prognostic impact of these subtypes and of each morphologic type remains controversial. In contrast, the French five-tiered classification, taking into account the invasion, the immuno-histochemical (IHC) type, and the proliferative markers (Ki-67 index, mitotic count, p53 positivity), has a prognostic value validated by statistical analysis in 4 independent cohorts. A standardized report for the diagnosis of pituitary tumors, integrating all these parameters, has been proposed by the European Pituitary Pathology Group (EPPG). In 2020, the pituitary pathologist must be considered as a member of the multidisciplinary pituitary team. The pathological diagnosis may help the clinician to adapt the post-operative management, including appropriate follow-up and early recognition and treatment of potentially aggressive forms.
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Mamani Daza, Lolo Jua, Ana Rosario Miaury Vilca, Liliana Rosario Alvarez Salinas, and Hilda Lizbeth Pinto Pomareda. "Migration and Education: Challengs of Interculturality." Universidad Ciencia y Tecnología 25, no. 110 (2021): 40–47. http://dx.doi.org/10.47460/uct.v25i110.474.
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The teaching work implies facing constant challenges, in all academic senses, and among these, the challenges of cultural diversity in the classroom, where scientific, technological, social and cultural traditions of each person's place of origin coexist in the classroom. This paper evaluates epistemological proposals for intercultural teaching practices. Academic works developed to improve multicultural teaching practice are reviewed. The results show that there has not been a real and conscious debate on multiculturalism in the classroom and aspects related to migration and education. Anthropology has not taken a significant role in the subject.
 Keywords: Multiculturalism, migration, education.
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Phelps, LeAdelle. "Academic achievement of children in China: The 2002 Fulbright experience." Psychology in the Schools 42, no. 3 (2005): 233–39. http://dx.doi.org/10.1002/pits.20074.
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Villarreal, Victor, Maria J. Castro, Ileana Umaña, and Jeremy R. Sullivan. "CHARACTERISTICS OF INTERVENTION RESEARCH IN SCHOOL PSYCHOLOGY JOURNALS: 2010-2014." Psychology in the Schools 54, no. 5 (2017): 548–59. http://dx.doi.org/10.1002/pits.22012.
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Dani, Akhmad Wahyu, Fina Supegina, and Fadli Sirait. "Rancang Bangun Sistem Pintu Busway Otomatis Berbasis Internet Of Things." Jurnal Teknologi Elektro 11, no. 3 (2020): 120. http://dx.doi.org/10.22441/jte.2020.v11i3.001.
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Busway yang bertujuan sebagai transportasi massal yang diharapkan dapat menanggulangi kemacetan yang ada di Jakarta. Dan di bangun pula jalur busway yang bertujuan untuk memisahkan antara jalur utuk kendaraan umum dengan jalur khusus busway serta di buat portal sebelum memasuki jalur busway supaya tidak ada kendaraan lain yang ikut masuk ke jalur busway. Namun pemasangan portal ini memiliki kelemahan yaitu harus adanya petugas yang harus siap membukanya dengan tepat supaya busway dapat melaluinya dan menutupnya dengan cepat. Dengan adanya perkembangan di bidang teknologi yakni RFID (Radio Frequency Identification) yang dapat dimanfaatkan untuk mendeteksi busway yang hendak melewati portal, yang kemudian portal akan membuka dan menutup secara otomatis tanpa harus adanya lagi petugas. Oleh karena itu dibuatlah sistem automasi palang pintu busway ini supaya dapat berkerja otomatis dengan teknologi RFID. Dari pengujian yang telah dilakukan pada rancang bangun sistem palang pintu busway otomatis berbasis internet of things ini adalah pada pengujian motor Servo 1 dengan aplikasi MIT App Inventor 2 didapat hasil rata-rata waktu 2.26 detik sedangkan dengan pembacaan RFID didapat hasil rata-rata waktu 1.4 detik. Pada pengujian motor Servo 2 dengan aplikasi MIT App Inventor 2 didapat hasil rata-rata waktu 2.33 detik sedangkan dengan pembacaan RFID didapat hasil rata-rata waktu 1.15 detik.
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Alali, Hamza, Mohannad Antar, Ali AlShehri, Ousaima AlHamouieh, Khaled Al-Surimi, and Yasser Kazzaz. "Improving physician handover documentation process for patient transfer from paediatric intensive care unit to general ward." BMJ Open Quality 9, no. 4 (2020): e001020. http://dx.doi.org/10.1136/bmjoq-2020-001020.
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BackgroundInadequate handover communication is responsible for many adverse events during the transfer of care, which can be attributed to many factors, including incomplete documentation or lack of standardised documentation process. The quality improvement project aimed to standardise the handover documentation process during patient transfer from paediatric intensive care unit (PICU) to the general paediatric ward.MethodsData analysis revealed lack of proper handover documentation with the omission of vital information when transferring patients from PICU to general ward. The quality improvement team assessed the current handover documentation practice using a brainstorming technique during multiple meetings. The team evaluated the process for possible causes of incomplete handover documentation, framed the existing challenges, and proposed improvement interventions, including a standardised handover form and conducting education sessions for the new proposed process. The main quality measures included physician’s compliance with handover documentation elements, physician’s satisfaction and PICU emergency readmission rate within 48 hours.ResultsPhysician compliance to handover documentation improved from 29.5% to 95.5% before and after implanting the improvement interventions, respectively. The level of physician satisfaction with the quality of communicated information during the handover process improved from 47.5% to 84%, and the PICU emergency readmission rate declined from 3.8% to zero after all improvement interventions were implanted.ConclusionImplementation of standardised handover form is essential to improve physician compliance for clear handover documentation and to avoid data omission during the patient transfer process. Documented handover in patient’s medical record has positive impact on physician satisfaction when managing patients recently discharged from PICU.
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Grunewald, Stephanie, David Shriberg, Anitra S. Wheeler, Antoinette Halsell Miranda, Elisabeth C. O'bryon, and Margaret R. Rogers. "EXAMINING DIVERSITY RESEARCH LITERATURE IN SCHOOL PSYCHOLOGY FROM 2004 TO 2010." Psychology in the Schools 51, no. 5 (2014): 421–33. http://dx.doi.org/10.1002/pits.21764.
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BARCELOS, LUCAS A., and VANESSA K. VERDADE. "Reassessment of a fossil specimen of Rhinella marina (Linnaeus, 1758) (Anura: Bufonidae), from Early Pleistocene of Bolivia." Zootaxa 4830, no. 2 (2020): 392–400. http://dx.doi.org/10.11646/zootaxa.4830.2.10.
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Bufonidae is a cosmopolite and speciose clade that is currently hypothesized to have originated in Gondwana around 78–99 Ma (Pramuk et al. 2008). The systematics of the family was assessed using morphological and molecular data, alone or in a total evidence analysis (Pramuk 2006; Pramuk et al. 2008; Bocxlaer et al. 2010; Pyron & Wiens 2011). Due to taxonomic changes, most of the South American species of Bufo Garsault were relocated to the genus Rhinella Fitzinger, currently the second most speciose genus with 92 scientifically named and valid species (Frost 2020). The species in the genus are arranged in six taxonomic groups (crucifer, granulosa, margaritifera, marina, spinulosa, veraguensis species groups [Frost 2020]); the Rhinella marina group is characterized by specimens with well-ossified and exostosed skull, ornamented with deep striations, pits, and rugosities (Maciel et al. 2010). The Rhinella marina group includes eleven living species, distributed in two main clades named after their geographical distribution: the north-central clade and south-central clade. The south-central clade bears the species: R. achavali (Maneyro, Arrieta & de Sá), R. arenarum (Hensel), R. icterica (Spix), and R. rubescens (Lutz). The north-central clade bears the species: R. cerradensis Maciel, Brandão, Campos & Sebben, R. horribilis (Wiegmann), R. jimi (Stevaux), R. marina (Linnaeus), R. poeppigii (Tschudi), R. schneideri (Werner), and R. veredas (Brandão, Maciel & Sebben).
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Putra Widyatmika, I. Dewa Gede Agung, and I. Gede Riana. "PENGARUH KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KOMITMEN ORGANISASIONAL, DENGAN KEPUASAN KERJA SEBAGAI VARIABEL MEDIASI." E-Jurnal Manajemen Universitas Udayana 9, no. 10 (2020): 3486. http://dx.doi.org/10.24843/ejmunud.2020.v09.i10.p04.
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Tujuan penelitian adalah: untuk mengetahui pengaruh kepemimpinan transformasional terhadap kepusasan kerja dan komitmen organisasional pada Hotel Pita Maha Resort & Spa Ubud, untuk mengetahui pengaruh kepuasan kerja terhadap komitmen organisasional pada Hotel Pita Maha Resort & Spa Ubud, dan untuk mengetahui peran mediasi kepuasan kerja pada pengaruh kepemimpinan transformasional terhadap komitmen organisasional pada Hotel Pita Maha Resort & Spa Ubud. Populasi yang digunakan dalam penelitian ini adalah seluruh karyawan yang bekerja pada Hotel Pita Maha Resort & Spa Ubud yang berjumlah 102 orang. Data jumlah karyawan Hotel Pita Maha Resort & Spa Ubud tahun 2018. Sampel ditentukan sebanyak 102 orang dengan teknik sampling jenuh. Pengumpulan data dilakukan dengan menyebar kuesioner secara langsung kepada karyawan Hotel Pita Maha Resort & Spa Ubud dan dianalisis menggunakan statistik deskriptif rata-rata hitung serta uji asumsi klasik dan analisis jalur serta uji sobel. Hasil analisis data menunjukkan bahwa variabel kepemimpinan transformasional berpengaruh positif dan signifikan terhadap kepuasan kerja, variabel kepuasan kerja berpengaruh positif dan signifikan terhadap komitmen organisasi, variabel kepemimpinan transformasional berpengaruh positif dan signifikan terhadap komitmen organisasi dan variabel kepuasan kerja berpengaruh positif dan signifikan dalam memediasi parsial pengaruh kepemimpinan transformasional terhadap komitmen organisasi pada Hotel Pita Maha Resort & SPA Ubud.
 Kata Kunci: komitmen organisasional, kepuasan kerja, kepemimpinan transformasional
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Ramjani, SA, J. John Gunasekar, P. Vijayakumary, and J. Ramachandran. "Characterization of coir pith for fluidized bed gasification." International Journal of Chemical Studies 8, no. 6 (2020): 1120–24. http://dx.doi.org/10.22271/chemi.2020.v8.i6p.10912.
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Devlin, B., K. Golchin, and R. Adair. "Paediatric airway emergencies in Northern Ireland, 1990–2003." Journal of Laryngology & Otology 121, no. 7 (2007): 659–63. http://dx.doi.org/10.1017/s0022215107000588.
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The management of paediatric airway emergencies is part of ENT practice. The most common conditions are acute viral laryngotracheobronchitis (croup), acute epiglottitis and bacterial tracheitis. Management of these conditions is significantly different and accurate diagnosis is crucial. We performed a retrospective analysis of all acute airway admissions to the paediatric intensive care unit (PICU) at the Royal Belfast Hospital for Sick Children from 1990 to 2003. The results showed a gradual decrease in the number of admissions due to croup. Acute epiglottitis admissions decreased markedly after 1992 but rose again in 2000, with a peak in 2002. Bacterial tracheitis is now the most common paediatric airway emergency requiring PICU admission and its incidence has been steadily increasing since 1990, peaking in 2003. The total number of admissions showed little change over the 14-year period audited. The significant shift in the nature of these conditions and these findings confirm the ongoing requirement for caution in dealing with a suspected airway emergency.
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Iklima, Zendi. "Rancang Bangun Prototipe Sistem Kontrol Terdistribusi untuk Pemantauan dan Pengendali Ketinggian Permukaan Air pada 5 Pintu Air Berbasis IoT (Internet of Things) menggunakan Socket.IO." Jurnal Teknologi Elektro 11, no. 3 (2020): 153. http://dx.doi.org/10.22441/jte.2020.v11i3.008.
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Pemantauan tinggi permukaan air pada sungai merupakan salah satu tindakan untuk mengurangi terjadinya banjir akibat kelebihan debit air sungai dan ketinggiannya. Pengembangan sistem pemantauan permukaan air sungai telah banyak dilakukan. Namun, sistem tersebut tidak saling terhubung antar pintu air yang saling berhubungan. Maka dari itu penelitian ini bertujuan untuk mengembangkan Sistem tersebut dalam pengembangan teknologi IoT (Internet of Things) yaitu menggunakan workflow Socket sebagai sistem kontrol terdistribusi. Dengan adanya pengembangan pada sistem tersebut diharapkan memberikan informasi yang akurat dan tepat waktu (real-time) mengenai status dari ketinggian permukaan air yaitu Siaga I, Siaga II, Siaga III dan Normal. Dengan sistem yang terpusat (centralized Sistem) maka sistem ini dapat melakukan pemantauan dan pengkontrolan pintu air yang terintegrasi dalam suatu wilayah desa, kota, provinsi dan negara tertentu. Maka hasil pemantuan ketinggian permukaan air sungai pada 5 kanal diketahui memiliki respons 7.05ms dengan data berkapasitas 117B. Data yang diolah tersebut didistribusikan oleh server kesemua client yang terkoneksi didalam sistem dan mengirim notifikasi dengan Google SMTP Server. Sistem ini merekam semua data yang diambil dari sensor HC-SR04 secara real-time serta men-tigger untuk membuka pintu air (gate servo MG90S) dalam status tertentu sehingga disediakan sebuah dashboard untuk melakukan pemantauan dan pengendalian sistem terintegrasi pada pintu air.
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Yudha, Donan Satria, Yonathan Yonathan, Rury Eprilurahman, Septiana Indriawan, and Eka Cahyaningrum. "Keanekaragaman dan Kemerataan Spesies Anggota Ordo Anura di Lereng Selatan Gunung Merapi Tahun 2012." Biosfera 32, no. 1 (2015): 1. http://dx.doi.org/10.20884/1.mib.2015.32.1.289.
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Merapi volcano as one of national park is an ecotourism site which is very potential to visit. Information about species diversity for a national park is very important especially if its area fluctuated susceptibly. Two years after 2010 Merapi eruption, there are no research about species diversity and evenness of Anuran in that place. The research is carried out during June-November 2012 which is dry season. The objective of this research is to study the species diversity and evenness of Anuran in southern slope of Mount Merapi. The research is carried out in 6 locations; those are Kali Kuning, Telogo Muncar, Telogo Nirmolo, Petak Pitu, Bukit Turgo, and Bukit Plawangan. We used Visual Encounter Survey (VES) method combined with transect in Kali Kuning, Telogo Muncar, and Petak Pitu. VES method combined with time search in Telogo Nirmolo and Bukit Turgo. VES method combined with track exploration in Bukit Plawangan. Species diversity is analyzed with Shanon-Wiener diversity index. Species evenness is analyzed with Pielou evenness index. Total individuals each species is counted to know species abundance. Species diversity of anuran in southern slope of Mount Merapi is consisted of 12 species’ which is distributed in 6 locations. The highest diversity and evenness of anuran is at Bukit Turgo (H’=1.31; E=0.94). The lowest diversity and evenness of anuran is at Petak Pitu (H’=0.49; E=0.3). Species diversity of anuran in southern slope of Mount Merapi is low (Bukit Turgo and Kali Kuning) and very low (Bukit Plawangan, Telogo Muncar, Telogo Nirmolo, and Petak Pitu). Species evenness of anuran in southern slope of Mount Merapi is stable (Telogo Nirmolo and Bukit Turgo), still labil (Bukit Plawangan, Kali Kuning, and Telogo Muncar), and oppressed (Petak Pitu).
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Nadeau, Nicole, Michael C. Monuteaux, Jaya Tripathi, Anne M. Stack, Catherine Perron, and Mark I. Neuman. "Does Timing Matter?: Timing and Outcomes Among Early Unplanned PICU Transfers." Hospital Pediatrics 11, no. 8 (2021): 896–901. http://dx.doi.org/10.1542/hpeds.2020-004978.
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Mckenney, Elizabeth L. W., Julie Dorencz, Ryan M. Bristol, and Lacey P. Hall. "PUBLISHING ABOUT AUTISM SPECTRUM DISORDER IN SIX SCHOOL PSYCHOLOGY JOURNALS: 2002-2012." Psychology in the Schools 52, no. 3 (2015): 265–83. http://dx.doi.org/10.1002/pits.21820.
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REBOLLEDO, J., D. IGOE, J. O'DONNELL, et al. "Influenza in hospitalized children in Ireland in the pandemic period and the 2010/2011 season: risk factors for paediatric intensive-care-unit admission." Epidemiology and Infection 142, no. 9 (2013): 1826–35. http://dx.doi.org/10.1017/s0950268813002732.
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SUMMARYInfluenza causes significant morbidity and mortality in children. This study's objectives were to describe influenza A(H1N1)pdm09 during the pandemic, to compare it with circulating influenza in 2010/2011, and to identify risk factors for severe influenza defined as requiring admission to a paediatric intensive care unit (PICU). Children hospitalized with influenza during the pandemic were older, and more likely to have received antiviral therapy than children hospitalized during the 2010/2011 season. In 2010/2011, only one child admitted to a PICU with underlying medical conditions had been vaccinated. The risk of severe illness in the pandemic was higher in females and those with underlying conditions. In 2010/2011, infection with influenza A(H1N1)pdm09 compared to other influenza viruses was a significant risk factor for severe disease. An incremental relationship was found between the number of underlying conditions and PICU admission. These findings highlight the importance of improving low vaccination uptake and increasing the use of antivirals in vulnerable children.
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Kusumawardani, Desinta Wahyu. "Menjaga Pintu Gerbang Negara Melalui Pembatasan Kunjungan Warga Negara Asing Dalam Mencegah Penyebaran COVID-19." Jurnal Ilmiah Kebijakan Hukum 14, no. 3 (2020): 517. http://dx.doi.org/10.30641/kebijakan.2020.v14.517-538.
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Pada Desember 2019, Coronavirus Disease (Covid-19) pertama kali teridentifikasi di Kota Wuhan, Tiongkok dan dengan cepat menyebar ke berbagai negara. Menyadari bahwa perjalanan orang masuk/keluar negara potensial menjadi carrier bagi Covid-19, Kementerian Hukum dan HAM Republik Indonesia (Kemenkumham) melalui Direktorat Jenderal Imigrasi (Ditjen Imigrasi) mengambil kebijakan regulatif sebagai upaya pencegahan penyebaran virus. Jurnal ini menjelaskan mengenai strategi kebijakan yang dilakukan oleh Kemenkumham dalam merespon upaya pencegahan penyebaran Covid-19. Secara lebih mendalam, melalui perspektif kebijakan publik, penulis menganalisis Peraturan Menteri Hukum dan HAM (Permenkumham) Nomor 11 Tahun 2020 Tentang Pelarangan Sementara Orang Asing Masuk Wilayah Republik Indonesia. Metodologi penelitian menggunakan pendekatan kualitatif melalui studi data sekunder berupa buku, dokumen, dan catatan peristiwa. Berdasarkan hasil studi, dinamika strategi kebijakan melibatkan tiga penerbitan Peraturan Menteri Kemenkumham (Permenkumham) yakni Permenkumham Nomor 3, 7, dan 8 Tahun 2020. Strategi kebijakan tersebut efektif menurunkan angka perjalanan orang dari/ke luar negeri. Selanjutnya, melalui Permenkumham Nomor 11 Tahun 2020, Kemenkumham kembali meregulasi pembatasan pergerakan orang dengan pengecualian demi kepentingan proyek strategis nasional. Kebijakan ini memungkinkan adanya pergerakan orang dari/ke luar negeri. Pandemi Covid-19 menjadi pembelajaran bagi pemerintah untuk meningkatkan kemampuan deteksi dini terhadap potensi bencana nonalam, dan menerapkan kebijakan yang tepat sebagai upaya pencegahan dan penanggulangan virus.
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Haq, Arinil, Yeffi Masnarivan, Detri Mayang Sari, Hukma Shabiyya, and Muhammad Fadhil. "UPAYA PENCEGAHAN PENULARAN COVID-19 DI KELURAHAN PUHUN PINTU KABUN KOTA BUKITTINGGI." BULETIN ILMIAH NAGARI MEMBANGUN 3, no. 3 (2020): 173–80. http://dx.doi.org/10.25077/bina.v3i3.221.
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Kasus Covid-19 mulai dilaporkan di Indonesia dengan 2 kasus konfirmasi positif pada tanggal 2 Maret 2020. Terhitung hingga tanggal 2 Mei 2020 di Provinsi Sumatera Barat telah ditemukan 182 kasus terkonfirmasi positif Covid-19. Permasalahan di masyarakat saat ini terkait Covid-19 antara lain tingginya urgensi dalam upaya-upaya pencegahan penularan Covid-19 khususnya di tingkat individu atau anggota masyarakat, seperti penggunaan masker, menjaga kebersihan tangan, mengkonsumsi makanan dengan gizi seimbang, dan lainnya. Kegiatan ini bertujuan untuk meningkatkan ketahanan pangan masyarakat melalui pendistribusian sembako dan peningkatan pengetahuan masyarakat melalui media leaflet, serta pemberian masker non-medis. Kegiatan ini dilaksanakan di RW 003 Kelurahan Puhun Pintu Kabun Kota Bukittinggi. Khalayak sasaran merupakan masyarakat yang memiliki status ekonomi menengah ke bawah atau terdampak secara ekonomi dari pandemi Covid-19. Sebagian peserta mengisi kuisioner untuk menilai tingkat pengetahuan terkait Covid-19 secara umum. Kegiatan pendistribusian sembako, leaflet dan masker telah terlaksana dengan baik pada 40 orang khalayak sasaran. Berdasarkan hasil yang didapatkan dari kuisioner gambaran pengetahuan masyarakat diketahui bahwa sebagian besar pengetahuan sudah baik. Pengetahuan yang baik diharapkan dapat diikuti dengan sikap dan perilaku dalam upaya pencegahan Covid-19. Disarankan agar masyarakat dapat menerapkan upaya-upaya pencegahan penularan Covid-19 yang telah disampaikan melalui media leaflet termasuk menggunakan masker, menjaga kebersihan tangan dan lainnya.
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Tan, Lingfang, Jianzhong Dang, Zhongping Liu, and Fang Zheng. "Elevated Interleukin-6 Levels within 72 Hours Post Admission Are Associated with Disease Progression in Nonseptic Critically Ill Children." BioMed Research International 2020 (July 10, 2020): 1–6. http://dx.doi.org/10.1155/2020/4596851.
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It has been established that the innate and adaptive immune suppression was heterogeneous in septic and nonseptic critically ill patients, while the value of immune function in pediatric patients with nonseptic critical illness is limited. We conducted a single-center retrospective study to explore this issue. A total of 65 children with nonseptic illnesses were studied for lymphocyte subpopulations, immunoglobulin concentrations, complement concentrations, and cytokines in peripheral blood in the next 72 hours after admission to our Pediatric Intensive Care Unit (PICU). When compared to clinically recovered patients, patients with disease progression had a numerically lower but not significantly different median pediatric critical illness score and longer PICU median stays. The analysis of serum immunoglobulin (IgG, IgM, and IgA), serum complement (C3, C4) concentrations, and lymphocyte subpopulations showed no significantly difference between patients with and without relieved clinical symptoms by day 4. For the cytokine analysis, the level of IL-6 was significantly higher in patients with disease progression than that in patients who clinically recovered (p=0.046). In the univariate Cox regression analysis, plasma IL-6 levels were associated with outcome. Multivariate analysis evidenced that the level of plasma IL-6 was one of the factors determining the length of hospital stays. In conclusions, our results demonstrate that increased IL-6 levels in the initial 72 hours post admission are associated with prolonged stays and disease progression in nonseptic critically ill children in the PICU.
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Williams, Thomas C., Clare MacRae, Olivia V. Swann, et al. "Indirect effects of the COVID-19 pandemic on paediatric healthcare use and severe disease: a retrospective national cohort study." Archives of Disease in Childhood 106, no. 9 (2021): 911–17. http://dx.doi.org/10.1136/archdischild-2020-321008.
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ObjectivesTo determine the indirect consequences of the COVID-19 pandemic on paediatric healthcare utilisation and severe disease at a national level following lockdown on 23 March 2020.DesignNational retrospective cohort study.SettingEmergency childhood primary and secondary care providers across Scotland; two national paediatric intensive care units (PICUs); statutory death records.Participants273 455 unscheduled primary care attendances; 462 437 emergency department attendances; 54 076 emergency hospital admissions; 413 PICU unplanned emergency admissions requiring invasive mechanical ventilation; and 415 deaths during the lockdown study period and equivalent dates in previous years.Main outcome measuresRates of emergency care consultations, attendances and admissions; clinical severity scores on presentation to PICU; rates and causes of childhood death. For all data sets, rates during the lockdown period were compared with mean or aggregated rates for the equivalent dates in 2016–2019.ResultsThe rates of emergency presentations to primary and secondary care fell during lockdown in comparison to previous years. Emergency PICU admissions for children requiring invasive mechanical ventilation also fell as a proportion of cases for the entire population, with an OR of 0.52 for likelihood of admission during lockdown (95% CI 0.37 to 0.73), compared with the equivalent period in previous years. Clinical severity scores did not suggest children were presenting with more advanced disease. The greatest reduction in PICU admissions was for diseases of the respiratory system; those for injury, poisoning or other external causes were equivalent to previous years. Mortality during lockdown did not change significantly compared with 2016–2019.ConclusionsNational lockdown led to a reduction in paediatric emergency care utilisation, without associated evidence of severe harm.
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Zulfiqar, Lamae, and Muhammad Rafiq. "Exploring experiences and coping strategies of nurses working in intensive care unit: A qualitative study." Anaesthesia, Pain & Intensive Care 24, no. 1 (2020): 42–49. http://dx.doi.org/10.35975/apic.v24i1.1223.
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Background: The nursing profession is in its developing stages in the country yet when it comes to the work itself, the environment can be very competitive. Though nurses, in general, go through a tough time, it is the intensive care unit (ICU) nurses who have to be on their toes all the time. Those working in the pediatric department, deal with young patients requiring constant supervision and care compared to other ICUs.
 The aim of the current project was to explore the experiences and coping strategies of nurses working in pediatric ICUs in a public sector hospital of Lahore, Pakistan.
 Methodology: Semi structured in-depth interviews were conducted with 5 nurses who were working in pediatric ICU (PICU) in a public sector hospital. All the nurses were female.
 Results: The data was managed and analyzed using NVivo 12 version. The four superordinate themes, e.g. vocational problems, psychological problems, biosocial problems and coping had 11 master themes and 70 sub themes. 
 Conclusion: Nurses in PICU face a lot of problems in their everyday work life, yet they have found their own ways to cope with their stress. Regardless the shortage of staff and constant complaints against them, nurses of PICU find solace in religious coping and socialization (as much as they can get). These results will help authorities to look into the problems and provide suitable solutions.
 Citation: Zulfiqar L, Rafiq M. Exploring experiences and coping strategies of nurses working in intensive care unit: A qualitative study. Anaesth Pain Intensive Care 2020;24(1):__
 DOI: https://doi.org/10.35975/apic.v2i1.
 Received – 03 February 2020;
 Reviewed – 7 March 2020;
 Revised – 11 March 2020;
 Accepted – 12 March 2020;
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Flanagan, Rosemary, Jeffrey A. Miller, and Susan Jacob. "The 2002 revision of the American Psychological Association's ethics code: Implications for school psychologists." Psychology in the Schools 42, no. 4 (2005): 433–45. http://dx.doi.org/10.1002/pits.20097.
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Vasyliev, Georgii S., and Oleg M. Kuzmenko. "Pitting Suppression of AISI 316 Stainless Steel Plates in Conditions of Ultrasonic Vibration." International Journal of Chemical Engineering 2020 (December 4, 2020): 1–7. http://dx.doi.org/10.1155/2020/6697227.
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Plate heat exchangers are widespread type of equipment that suffers from pitting corrosion in chloride containing solutions. Anodic behaviour of AISI 316 stainless steel was tested in 3.5% NaCl solution in conditions of ultrasound vibration (27 kHz, 10 W). The potentiodynamic sweep, potentiostatic technique, and galvanostatic technique were used coupled with surface morphology investigation after polarization. The pitting potential increased from 0.26 ± 0.02 V/SSCE to 0.42 ± 0.05 V/SSCE, and repassivation potential increased from 0.03 ± 0.01 V/SSCE to 0.18 ± 0.04 V/SSCE when vibration was applied. The anodic current at applied potential in pitting region was two orders of magnitude lower in conditions of ultrasound vibration. A possible mechanism of vibration influence on pitting is proposed, which is the elimination of pit covers from the vibrating surface, vibration-induced electrolyte motion in and out of the pits, and repassivation of active metal inside the pits.
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Rismala Dewi. "Pediatric Sequential Organ Failure Assessment Score: Modifikasi Sistem Skor Pada Sepsis Anak." Journal Of The Indonesian Medical Association 70, no. 2 (2020): 32–37. http://dx.doi.org/10.47830/jinma-vol.70.2-2020-176.
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Pendahuluan: Society of Critical Care Medicine (SCCM) dan European Society of Intensive Care Medicine (ESICM) mengeluarkan definisi sepsis terbaru (Sepsis-3) yaitu disfungsi organ yang mengancam jiwa akibat disregulasi respon imun pejamu terhadap infeksi. Skor Sequential Organ Failure Assessment (SOFA) telah dipilih dan divalidasi sebagai sistem penilaian untuk mengukur disfungsi organ dikarenakan skor SOFA pada pasien dewasa dengan kecurigaan infeksi, sebanding atau bahkan lebih unggul daripada sistem penilaian lainnya dalam membedakan mortalitas rumah sakit. Untuk mengadaptasi definisi Sepsis-3, skor SOFA diadaptasi dan divalidasi untuk pasien anak-anak yang mengidap sakit kritis (pSOFA) dengan menggunakan kriteria yang telah disesuaikan berdasarkan usia. Hasil penelitian menunjukan perkiraan mortalitas pada pSOFA saat waktu kedatangan, hari 2, 4, 7 dan 14 setelah masuk Pediatric Intensive Care Unit (PICU) lebih baik dibandingkan skor disfungsi organ lainnya. Evaluasi serial dari skor pSOFA pada hari pertama setelah masuk PICU juga sangat baik dalam memprediksi prognosis dari pasien pediatri onkologi yang memakai ventilator selama 3 hari, anak-anak dengan sepsis di PICU dan berguna untuk memprediksi mortalitas 30 hari pada populasi PICU, namun kurang berhasil dalam memprediksi lamanya pasien untuk dirawat di PICU.
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Graciano, Ana Lia, Adnan T. Bhutta, and Jason W. Custer. "Reduction in paediatric intensive care admissions during COVID-19 lockdown in Maryland, USA." BMJ Paediatrics Open 4, no. 1 (2020): e000876. http://dx.doi.org/10.1136/bmjpo-2020-000876.
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As a public health measure during the COVID-19 pandemic, governments around the world instituted a variety of interventions to ‘flatten the curve’. The government of Maryland instituted similar measures. We observed a striking decline in paediatric intensive care unit (PICU) admissions during that period, mostly due to a decease in respiratory infections. We believe this decline is multifactorial: less person-to-person contact, better air quality and perhaps ‘fear’ of going to a hospital during the pandemic. We report an analysis of our PICU admissions during the lockdown period and compared them with the same time period during the four previous years.
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Michel, Erik, and Boris Zernikow. "Can PRISM predict length of PICU stay? An analysis of 2000 cases." Medical Informatics and the Internet in Medicine 28, no. 3 (2003): 209–19. http://dx.doi.org/10.1080/14639230310001617814.
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Praptiwi, Agnes, G. Dharma Mulyo, Henny Rosita Iskandar, and Yuliatmoko Suryatin. "Kadar Albumin Pasien Rawat PICU RSAB Harapan Kita Tahun 2010: Dampak Terhadap Mortalitas dan Morbiditas." Sari Pediatri 14, no. 4 (2016): 256. http://dx.doi.org/10.14238/sp14.4.2012.256-9.
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Latar belakang. Pada anak dengan sakit kritis sering dihubungkan dengan kadar albumin serum yang rendah.Hipoalbuminemia terjadi karena peningkatan kebocoran kapiler sehingga protein hilang ke ruang interstitial.Pada kasus dewasa, kadar albumin yang rendah tersebut dihubungkan dengan mortalitas dan morbiditaspasien rawat Intensive Care Unit (ICU). Pada pasien anak belum banyak data mengenai hal tersebut.Tujuan. Untuk mendapatkan data kadar albumin serum serta dampaknya terhadap mortalitas dan morbiditaspasien sakit kritis yang dirawat di Pediatric Intensive Care Unit (PICU) Rumah Sakit Anak Bersalin (RSAB)Harapan kita.Metode. Penelitian kohort retrospektif, kriteria inklusi adalah semua subyek yang dirawat di PICU RSABHarapan Kita, sejak Januari hingga Desember 2010. Kriteria eksklusi adalah subyek yang tidak terdapat datakadar serum albumin saat masuk ruangan PICU. Terdapat 345 pasien rawat, 290 (84%) diikutsertakan,berumur 1 bulan hingga 18 tahun. Dikelompokkan pasien hipoalbuminemia, apabila kadar albumin serum<3,5 g/dL dan normoalbuminemia, apabila kadar albumin serum >3,5 g/dL. Kedua kelompok dibandingkanterhadap mortalitas dan morbiditas, di antaranya risiko pemakaian ventilator, pemakaian obat inotrop/vasoaktif, disfungsi lebih dari dua organ dan lama perawatan.Hasil. Terdapat 190 (65,5%) pasien hipoalbuminemia dan 100 (34,5%) normoalbuminemia. Sebagianbesar berumur 1-12 bulan 118 (40,7%). Terbanyak laki-laki 153 (54,1%) dan perempuan 136 (45,9%).Kelompok hipoalbuminemia mempunyai mortalitas lebih tinggi dibandingkan normoalbuminemia. Risikopemakaian ventilator dan pemakaian obat inotrop atau vasoaktif yang lebih besar dibandingkan kelompoknormoalbuminemia.Kesimpulan. Lebih dari separuh (65,5%) anak sakit kritis yang dirawat di PICU RSAB Harapan Kitamempunyai albumin serum <3,5 g/dL. Hanya sekitar 37 (12,8%) pasien yang mengalami gizi buruk dankurang. Hipoalbuminemia ini mempengaruhi mortalitas, penggunaan ventilador dan pemakaian obatinotrop/vasoaktif pasien rawat PICU.