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The people of Gunung Jati Urban Village, Kendari District, Kendari City have a relatively low economic level amidst the increasing demand. The agricultural products obtained by the community are still considered unable to meet the needs of life. In addition, they are located in the area around the Nipa-Nipa Grand Forest Park (GFP) which is relatively steep and critical, so there is great concern if the community is cutting trees that could threaten forest sustainability. Therefore, the purpose of this service are 1) To provide understanding to farmers about the importance of developing multi-purpose plants and 2) Realizing forest conservation by providing multi-purpose plant seeds to be planted on community-owned land. The method of implementing the program is community-based, namely through multi-purpose plant cultivation training accompanied by assistance with counseling and discussions. The results of this service are 1) The understanding of farmers has begun to increase, namely about 18 people (72%) who already have a very good understanding of developing MPTS plants and 2) The success of planting can be seen from the percentage of seeds that grow and develop by 90% which is part of from vegetative conservation. Lack of public awareness in preserving the Tahura Nipa-Nipa including maintaining the plants that have been given, because economic pressure is still a serious obstacle. Therefore, there is still ongoing assistance with socialization and the addition of multi-purpose plant seeds in the next program.

Regional development coupled with economic growth requires support for the use of renewable energy to support sustainable management of natural resources and the environment. Furthermore, economic growth towards industrialization has an impact on increasing energy consumption. This study aims to analyze: (1) Economic growth work as a determinant of the use of renewable energy in supporting regional development; (2) The direct and indirect effects of economic growth, the effectiveness of natural resource utilization, and the use of renewable energy on improving the quality of the environment and the sustainability of regional development; (3) Formulating an economic growth model based on the use of renewable energy, natural resource management and sustainable regional development. This study uses a qualitative and quantitative approach sequentially. Data obtained through observation, in-depth interviews, surveys, and documentation. The results showed that economic growth followed by the use, of new and renewable energy had an impact on increasing the productivity of economic enterprises and a positive contribution to improving the quality of the environment. Gowa Regency's future development orientation is oriented towards optimizing the regional economic base sectors, increasing the contribution of the strategic economic sector, effective use of natural resources, strengthening human resource capacity, ensuring the availability and distribution of energy services, increasing regional revenues, and optimizing sources of income new. Furthermore, future economic growth is oriented towards increasing people's incomes, opening new jobs, equitable development, and improving people's welfare. This study recommends that the use of renewable energy is an important aspect that needs to be considered in the formulation of development policies towards economic growth, natural resource management and sustainable regional development of the Gowa Regency South Sulawesi, Indonesia.Keywords: economic growth; renewable energy; environmental quality; regional productivity; sustainable development.JEL Classification: Q5DOI: https://doi.org/10.32479/ijeep.11676

Background In the last two decades, the global prevalence of paediatric hypertension increased by approximately 75%. Nearly 25% of children are now classified as obese or overweight. Substantial evidence suggests that risk factors for cardiovascular disease (CVD) begin to develop in childhood, thus warranting the need for tools to better screen for early CVD risk in youth. Vascular ageing, the deterioration of vascular structure and function, may be a potentially useful tool for detecting the early and asymptomatic signs of CVD burden. However, it is currently unclear what differentiates normal from pathological ageing in youth as existing reference values for vascular ageing in youth are limited by small sample size or homogenous populations. The international Youth Vascular Consortium (YVC) has been established to address these issues. Aims The primary aim of the YVC is to develop reference intervals of normal vascular ageing in children, adolescents, and young adults. The secondary, exploratory, aim is to perform head-to-head comparisons of vascular ageing biomarkers to determine which biomarker is most strongly related to cardiometabolic health. Study design The YVC is a retrospective, multicentre study and will collate data on vascular ageing in children (5–12 years), adolescents (13–18 years) and young adults (19–40 years), as well as routine clinical biochemistry, lifestyle, sociodemographic factors and parental health. Conclusion To date, 31 research groups from 19 countries have joined the YVC. To our knowledge, this will be the largest study of its kind to investigate vascular ageing in youth.

Purpose Frequent fire incidences in various hospitals across the globe with devastating effects on humans and other resources have multiplied. Stakeholders in the health-care sector are worried because of the yearly fire outbreak increase. However, fire safety management has been proved as a successful platform to mitigate fire in health-care facilities. How far regarding public health-care facilities is yet to receive in-depth studies in Malaysia. This paper aims to investigate the issues associated with fire safety management and proffers possible solutions to improve safety in public health-care facilities from the operators’ perception. Design/methodology/approach The objectives were achieved through a combination of case studies of five selected Malaysia’s public hospitals and a qualitative approach. Thematic analysis with the assistance of MAXQDA (software program designed for computer-assisted qualitative and mixed methods data) 2018, a type of qualitative data analysis software was used to analyse the collated data which emerged from the knowledgeable participants. Findings Lax implementation of safety policy, inadequate water pressure, poor maintenance, inadequate communication system, amongst others, emerged as the issues. Findings proffer five main measures to possibly improve fire safety management in public health-care buildings. This includes a feasible institutional framework, improve the emergency response team, improve the occupational health and safety system and others. Research limitations/implications This paper is limited to exploring the issues associated with fire safety management and proffer possible solutions to improve safety in public health-care facilities from the operators’ perception. Future research is needed to engage useful information in advancing fire safety management in public hospital buildings and possibly developing a qualitative model using a generic fire response model. Also, to investigate the level of compliance with the requirements of a fire safety management plan and possibly develop a well-detailed fire safety plan in Malaysia’s public health-care buildings. Practical implications As part of the paper implications, the paper concludes that improved fire protection systems via modern technologies and training of key staff members in accident response and recovery during fire emergencies should be encouraged. This can be achieved through the enforcement and implementation of a fire safety management plan. Thus, this study is encouraging the implementation and sustainability of a fire safety management plan for health-care buildings across Malaysia. Originality/value To the best of this paper’s knowledge, this is possibly the first comprehensive paper on fire safety management in public health-care facilities that engaged operators in Malaysia. Moreover, this paper proffers feasible policy solutions to improve the fire safety management plan in public health-care buildings.

Accelerated development of the Takalar Regency area towards economic growth has an impact on the productivity of the community's economic enterprises. Furthermore, the increase in the productivity of economic enterprises coupled with the development of the Minapolitan area will contribute positively to meeting renewable energy needs and improving environmental quality towards sustainable development. This study aims to analyze: (1) Economic growth and work productivity as determinants of increasing energy demand for the Minapolitan area; (2) The effect of economic growth, utilization of renewable energy, and strengthening of institutional capacity on improving environmental quality and sustainable development of Minapolitan areas. This study uses a qualitative-quantitative approach sequentially. Data obtained through observation, in-depth interviews, surveys, and documentation. The results of the study indicate that economic growth coupled with the preparation of energy infrastructure in the development of the Minapolitan area has a positive contribution to increasing the productivity of community economic enterprises. The effect of total economic growth, utilization of renewable energy, and strengthening of institutional capacity on environmental quality improvement is 63.36%. Furthermore, the residual effect or residue that was not examined on the improvement of environmental quality was 36.64%. The direct effect of increasing the quality of the environment on the sustainability of the development of the Minapolitan area is 67.73%. The remaining effect or residue is 32.27%. Thus, economic growth, renewable energy utilization, and strengthening of institutional capacity together have an effect, on improving environmental quality with a determination coefficient of 46.65%, and an increase in environmental quality affects the sustainability of the Minapolitan area development with a determination coefficient of 39.56%. This study recommends that the direction of the sustainable development of the Minapolitan area is very important to optimize the use of renewable energy towards environmental, economic, and social sustainability, followed by strengthening the institutional capacity of the government and society in ensuring a balanced development in the future.Keywords: economic growth; Minapolitan area; economic productivity; renewable energy; sustainable development.JEL Classification: Q5DOI: https://doi.org/10.32479/ijeep.11502

This study aims to describe the development of Islamic behavior of students through the practice of worship at SMAN Bandung. Based on observations and interviews of researchers to several principals of SMAN schools in Bandung who have athlete students, found that not all students who profess to be Muslim to perform worship well during sports practice while in school, only some students who want to perform worship in school, such as performing sunnah prayers or obligatory prayers in school mosques , on the grounds that his clothes are dirty because of sweat, responsibility is training and clashing with training time. Whereas if praying his clothes must be clean and holy. Sometimes, even many students have not prayed if they are not ordered and many others lack. Not infrequently students who when at home and at school show good Islamic behavior, but when outside the house and outside the school shows bad behavior seen in terms of Islam, such as smoking, hanging out on the side of the road, and excessive dating. This study uses qualitative approach with descriptive method. Data collection techniques through interviews, observations, and documentation. Data analysis techniques use data analysis techniques consisting of data reduction, data presentation, and drawing conclusions. The results of this study are: 1) Islamic behavior development program in high school in Bandung, namely congregational prayers before the start and at the end of teaching and learning activities, memorizing Asmaul Husna, reading the Quran 15 minutes before the first hour. 1) learning begins, praying dhuha congregation, praying midday congregation, infaq or setting aside some pocket money for alms. 2) The process of fostering islamic keisk behavior of students through religious practice activities in SMAN throughout Bandung needs to be held, religious lectures, guidance and supervision. 3) The behavior of students after receiving guidance through the practice of worship in SMAN throughout The City of Bandung is quite good. Students can be responsible and disciplined in performing worship. Students can also work together and socialize well.

OBJECTIVE This study sought to examine the effects of two diabetes prevention approaches and of widespread use of sodium–glucose cotransporter 2 inhibitors (SGLT2is) among people with diabetes on the future incidence of diabetes-related end-stage kidney disease (ESKD-D). RESEARCH DESIGN AND METHODS We developed a life table model to project the incidence of ESKD-D for type 2 diabetes in Australia until 2040. We projected incident ESKD-D under three separate scenarios: a large-scale lifestyle modification program for diabetes prevention; a population-wide sugar-sweetened beverage tax for diabetes prevention; and widespread use of SGLT2is among people with diabetes. RESULTS Assuming current trends, we projected that the annual incidence of ESKD-D will increase from 3.7 per 100,000 of the general population in 2014 to 5.7 by 2040. Incorporating the diabetes prevention approaches, we projected that the annual incidence of ESKD-D will be between 5.2 and 5.5 per 100,000 by 2040. When we modeled scenarios in which 50% and 70% of eligible people with diabetes were prescribed an SGLT2i, the annual incidence of ESKD-D by 2040 was projected to be 4.7 and 4.3 per 100,000, respectively. SGLT2is were projected to reduce the total number of incident ESKD-D cases between 2020 and 2040 by 12–21% compared with current trends, whereas diabetes prevention reduced cases by 1–3%. CONCLUSIONS It is likely that the number of people developing ESKD-D will increase over the coming decades, although widespread SGLT2i use will be effective at limiting this increase. Diabetes prevention will be crucial to prevent an ever-increasing burden of diabetes complications.

This research aims to identify the supporting and inhibiting factors of educational innovation implemented by SD Muhamadiyah 7 Kota Bandung. By identifying supporting and inhibiting factors, the implementation of the innovation program is hoped can be more successful. The research method that was used in this research was descriptive qualitative. Data collection techniques through observation, interviews, and documentation study. Data analysis was performed by reducing data, displaying it, taking conclusions, verifying, analyzing, summarizing, and analyzing data. The research results show; supporting and inhibiting factors for educational innovation SD Muhammadiyah 7 Bandung City in developing the quality of school management, some are internal and external.

The study aims to find out how the influance of E-filing in effort to increase the obligation of taxpayers in the southerm makassar tax service office. The subject of the study is the southerm makassar tax service office. This research data collection technique is by conduction observation and interviews directly with parties. This result of this study apply that the exixtence of an E-filing based tax reporting system can improve tax complience is very effective. This can be seen from secondary data obtained from the parties concerned.

Career development is the process of identifying the employee's career potential and material and applying the right ways to develop this potential. The teacher career development process at Pesantrren Darul Ihsan begins with the implementation of monitoring and evaluation of teacher performance. This study aims to analyze and find: 1) the concept of teacher career development at Pesantren Darul Ihsan Hamparan Perak Deli Serdang, and 2) the types of teacher career development at Pesantren Darul Ihsan Hamparan Perak Deli Serdang. The two focuses are studied with the theoretical approach of career management, human resource management, and human resource development as well as several other relevant theories. This study uses a qualitative research model with a case study approach. The data collection technique is by using semi-structured interviews and document studies. Furthermore, after the data has been collected, it is analyzed using several steps: data condensation, data display and conclusion, drawing and verification. The results of this study: 1) Teacher career development is carried out in the form of a personal and career advancement plan, as well as monitoring and evaluation which have implications for: (a) repositioning, (b) dismissal, c) resignation, d) retire. 2) Types of teacher career development that are: short courses, study assignments or study permit, and in house training (IHT). Meanwhile, pesantren support for the career development of teachers is conditional and unconditional.

The 1945 Constitution of the Republic of Indonesia mandates that a good and healthy environment is a human right and constitutional right for every Indonesian citizen. Therefore, the state, government, and all stakeholders must protect and manage the environment to implement sustainable development. The Indonesian environment can remain a source and support for the Indonesian people; this is in line with implementing the SDGs. The study aims to analyze environmental law enforcement efforts in Indonesia towards SDGs implementation. The research method used a normative approach, with statutory and a conceptual process. The data collect the use of secondary data with literature and statue approach. The study results showed that environmental law enforcement in Indonesia (Number 32/2009) concerning Environmental Protection and Management is preventive and repressive. Three legal instruments in environmental law enforcement are recognized administrative, civil, and criminal law. Environmental law enforcement and the implementation of SDGs in Indonesia are connected. The government implements preventive and repressive law enforcement as regulated in Law by granting expansive powers to local governments to provide protection and environmental management in their respective regions so that the environment remains sustainable. The regulation is in line with the Goals of 6, 7, 12, 13, 14, and 15 of the SDGs directly related to environmental sustainability.

Nowadays, the education world in learning method is not only using a conventional method, which is basically, by an explanation from a teacher and merely from the learning books. But, with an effective and efficient learning method, so that the students are able to keep up and participate actively during the lesson, by taking an advantage of IT (Information Technology), especially for facing the changes in learning due to pandemic COVID-19. The contribution from people is one of the ways to carry out the socialisation of information technology. This community service, will be implemented in this research entitled "Active Learning in Online Teaching, in Swakarya Senior High School, Binjai", with an intention to assist teachers while in the process of learning, to be more interesting and enjoyable although it is done through a distance learning. The learning application will be given to all of the senior high school teachers, as is to prepare and use this learning application, in order to broaden the perception and to motivate the teachers, and eventually they will be able to motivate the students as well. Moreover, this will help to upgrade the quality of education.

PurposeThe occurrence of fire accidents in hospital buildings has become a serious challenge and more serious in developing nations. The purpose of this paper intends to assess fire safety measures in Nigerian hospital facilities. The significance of this study is to ensure that the design and construction of hospital facilities enhance the safety of users and properties.Design/methodology/approachThe data were collected via a case study and questionnaire survey and administered to the facility users. The study survey is to assess the respondents' perception of fire safety measures in hospital facilities and suggest possible policy measures that will be employed to enhance safety.FindingsThis paper found that 91% of the respondents have awareness of fire safety measures in hospital facilities. Electrical faults and combustible materials were identified as the frequent causes of fire occurrences in hospital facilities. This can be averted where flammable materials and electrical appliances are correctly installed, and safety rules enforced. Findings show that safety rules are lax in public than standard private hospitals.Research limitations/implicationsThis paper is limited to fire safety measures in Nigerian healthcare facilities. Future research is needed to evaluate the level of compliance from design, construction and post-construction of precautionary fire safety measures in hospital facilities in Nigeria.Practical implicationsThis paper recommended that designers and hospital administrators should improve on fire safety measures via the development of fire safety management plan and education. Thus, enforcement of fire safety measures in hospital facilities as specified in building codes should be implemented and monitored during and after the design of the hospital buildings. Findings provide valuable lessons on how to improve the fire safety measures in healthcare facilities across the states and other developing countries with similar healthcare situations.Originality/valueThis paper demonstrates that the stakeholders, especially government agencies concern with approval and enforcement of fire safety measures in healthcare facilities need to reawaken to her responsibility because of the lax implementation across the states.

Strut is used in vertical axis wind turbine (VAWT) to restraint the framework. In this study, struts are analyzed to show the pressure losses in VAWT. ANSYS computational fluid dynamics (CFD) software is used to investigate triangle strut in VAWT. This study aims to show a CFD simulation of struts, which affects the aerodynamic of VAWT. In CFD software, the aerodynamic of VAWT can be analyzed in terms of pressure losses in the struts. The simulation method starts by making a struts model, then meshing and setting up ANSYS's boundary conditions. The last iteration runs in ANSYS until convergence. Our results show the percentage of pressure losses with the variation of the angle of wind 0°, 20°, 40°, and 60° are 0.67 %, 0.52 %, 0.48 %, and 0.52 %. The effect of triangle strut in VAWT did not affect the wind flow to the VAWT blade. The results also indicated that the triangle strut could be applied in the multi-stage of VAWT system.

This article deals with Islamic Religious Education (PAI) learning technology innovation at the junior high school level. The focus of the problem studied is related to what is innovation, technology and how is PAI's learning technology innovation at junior high school level. The results showed that the form of PAI learning technology innovation at junior high school level included; educational innovation, technology, learning technology, development of learning technology, web-based learning (e-learning), as well as the internet as a source of learning with an approach to developing inquiry and discovery learning methods. The effectiveness of this learning technology innovation makes the subject matter more understood by students, because the material from teaching material is discovered and practiced by students themselves. While the response of students is very enthusiastic and positive. The weakness of this learning technology innovation is that there are obstacles in operating learning technology because not all students have a representative media in implementing technology-based learning (online).

Distance learning media is a learning component that is an integral part of the learning process during the Covid-19 pandemic. The use of distance learning media can help the process of delivering messages from teachers to students to be more effective. Selection of the right distance learning media requires the use of certain principles and criteria so that it is appropriate in choosing a distance learning media because each learning media should have different characteristics and usability specifications. This study aims to conduct a summative evaluation of the accuracy of selecting distance learning media during the Covid-19 pandemic. Distance learning media that will be summative evaluation are all subjects found by researchers in junior high schools throughout Banjarmasin City through the population method and the sample using purposive random sampling technique as many as 5 Banjarmasin City Junior High Schools. The data analysis technique in this summative evaluation is carried out in a descriptive-qualitative manner using a model of the principles and criteria used to evaluate the accuracy of the selection of distance learning media which consists of four components, namely: suitability with the material, suitability with student characteristics, suitability with learning styles. students, and the suitability of supporting facilities. The results showed that the mapping of the accuracy of the selection of distance learning media in the Banjarmasin City Junior High School has fulfilled the four criteria for the accuracy of selecting the right learning media with good categories. Keywords: Evaluation, Accuracy of Distance Learning Media Selection

Difficulty consumption is the complaint of most parents when it comes to paediatricians. Difficult eating continuously results in decreased calorie intake needed so that it can affect the growth and development of children. Acupressure can be a non-pharmacological therapy choice for increasing a child's appetite. Acupressure is a form of physiotherapy by providing massage and stimulation at specific points on the body. The purpose of this study was to determine the effectiveness of acupressure therapy to increase appetite in infants aged 1-5 years. In this study used pre-experimental design with one group pre post-test approach. The variables in this study were acupressure therapy and appetite. Respondents are children aged 1 to 5 years. The treatment is acupressure therapy six times (every three days). The pretest is done before acupressure therapy with weight measurement and posttest weight measurement after surgery. Paired T Test tested analysis of the two data. The results of this study indicate a T-test correlation of 0.952 with a significance value of 0,000 where α = 5% = 0.005 so that 0,000

Nowadays, climbing mountains has become a lifestyle for young people. Outdoor industries that produce clothing, bags and sports shoes participate in developing and following the desires of the market. Each company in producing its products has a special brand. Shop Pos 1 is one of the shops that sell various climbing equipment commonly used by climbers to climb mountains. In addition, Pos 1 stores also find it difficult to get updated information about the level of sales per period. Therefore, we need a decision support systems and methods that can be used to determine business strategies that can provide efficient and effective information, namely data mining using a priori technology association methods. The author chooses mountain bag products only as research material by selecting brands, completing Avtech, Consina, Co-tracks, Cozmed, Eiger, Forester, Rei, Loss. In analyzing the data, the writer uses a priori algorithm calculation by testing the hypothesis of two variables between the value of support and the value of trust. After that, a priori algorithm is calculated using Tanagra. Based on analysis conducted by the author, the operator most preferred by climbers is Avtech, Consina, Cozmed. From these results, it can be used by Pos 1 to prepare brand inventory of mountain bag products that are widely bought by buyers and increase brand inventory. Keywords: Bag Brand, Data Mining, apriori algorithm.

Background The investigational medicinal product GKT137831 is a selective inhibitor of NOX 1 and 4 isoforms of the nicotinamide adenine dinucleotide phosphate (NADPH) oxidase family of enzymes, which has the potential to ameliorate diabetic kidney disease. An investigator-initiated, double-blind, randomised, placebo-controlled, multicentre phase 2 clinical trial started recruitment in December 2017, with the aim of evaluating the efficacy and safety of GKT13783, in adults with type 1 diabetes mellitus and persistently elevated urinary albumin excretion over a period of 48 weeks. Methods/design The trial is currently recruiting in Australia and New Zealand, with recruitment expected to end on 30 June 2020. The primary outcome measure of the trial is the urinary albumin excretion level measured at 48 weeks of treatment. This statistical analysis plan presents an update to the published trial protocol and provides a comprehensive description of the statistical methods that will be used for the analysis of the data from this trial. In doing so, we follow the “Guidelines for the content of statistical analysis plans in clinical trials” to support transparency and reproducibility of the trial findings. Discussion With the use of this prior statistical analysis plan, we aim to minimise bias in the reporting of the findings of this trial, which evaluates the investigational medicinal product GKT137831. The results of the trial are expected to be published in 2022. Trial registration ANZCTR registry: ACTRN12617001187336. Registered on 14 July 2017. Universal Trial Number: U1111-1187-2609; Protocol number: T1DGKT137831; Genkyotex trial number: GSN000241.

This study aims to determine the effect of profitability (ROA), leverage (DER) and liquidity (CR) on corporate value (PBV) in food and beverage manufacturing companies listed on the Jakarta Stock Exchange. Research Methodology research uses the data panel regression analysis method with the model used is fixed effect. The results of the F test show that profitability (ROA), leverage (DER), and liquidity (CR) adequately explain the influence on firm value (PBV). Result of research show that profitability (ROA) and leverage (DER) have significant effect to company value variable (PBV) while variable of liquidity (CR) has no significant effect to company value variable (PBV). The results of Determination Coefficient Test showed that the proportion influence of profitability, leverage and liquidity to company value was 86%. While the rest of 14% influenced by other variables.

This study aims to evaluate the implementation of Computer-Based School Exams in SMK Negeri 1 Panjalu, this is important to be discussed because for evaluation materials as well as follow-up for the implementation of Computer-Based School Exams especially the subjects of Islamic Education in the coming years can work better. This research method uses participatory descriptive research, Partisifan of this study are the teachers in SMK 1 Panjalu Ciamis. The instrument used refers to the implementation of the Computer Based School Examination (USBK) as a whole in the form of an analysis instrument, and interview guidelines. The conclusion in this study is; (1) Profile of achievement of student learning outcomes in the implementation of Computer-Based School School Exams (USBK) especially Islamic Education subjects where the average score of students is 73.66 and also explained that the average student answers multiple choices of 82 % and answer 18% 2) problems related to the implementation of Computer-Based School School Exams (USBK) both seen in general implementation and related matter questions especially Islamic Education subjects, where the solution in implementing Computer-Based School School Exams (USBK) must be prepared carefully both in terms of the carrying capacity of the facilities and the carrying capacity of human resources, especially teachers because they are related to the application and related to the subject matter of the students, they do not understand the material related to mawaris and the arguments both Al Quran and Hadith, effective and efficient in teaching students about mat eri mawaris.

Purpose Globally, several studies have shown that hospital building is charged with multiple inherent risks because a large number of users are vulnerable in tragic events. Thus, the need for the fire safety management plan (FSMP) has been proved as an instrument to mitigate fire and related risks in healthcare facilities. In Malaysia, FSMP regarding public healthcare building is yet to be explored in-depth. Therefore, this paper explores the information necessary to develop the FSMP framework for public hospital buildings. Design/methodology/approach The paper’s objectives were accomplished via a combination of five face-to-face interviews and observations of five selected public hospitals in Pulau Pinang, Malaysia. The five key participants were across the five public hospitals and collated data analysed through thematic analysis with the assistance of MAXQDA 2018. Findings Findings show that fire safety stakeholders practice system, fire safety action plan and fire risk management were the three main variables that promote fire safety programme and will improve FSMP for Malaysia’s public hospital buildings. Research limitations/implications This paper’s data collection is limited to Penang, Malaysia, and a qualitative research approach was used, but this does not deteriorate the strength of the findings. Future studies are needed to consider validating findings from this paper via a quantitative approach. Practical implications The suggested framework can be employed by Malaysia’s public hospital authorities as a guideline to mitigate fire hazards in the country’s healthcare facilities. Originality/value This paper is encouraging hospital operators and other key stakeholders to improve on their FSMP for healthcare buildings across Malaysia as part of the study implications.

The association between rate of kidney function decline and age-of-onset or duration of diabetes has not been well investigated. We aimed to examine whether rates of estimated glomerular filtration rate (eGFR) decline differ by age-of-onset or duration in people with type 2 diabetes. Using the Action to Control Cardiovascular Risk in Diabetes study which included those with HbA1c ≥ 7.5% and who were at high risk of cardiovascular events,, rates of eGFR decline were calculated and were compared among groups defined by the known age-of-onset (0–39, 40–49, 50–59, 60–69 and > 70 years) and 5-year diabetes duration intervals. Changes in renal function were evaluated using median of 6 (interquartile range 3–10) eGFR measurements per person. eGFR decline was the slowest in those with known age-at-diagnosis of 50–59 years or those with duration of diabetes 20 years compared to those diagnosed at 50–59 or those with duration of diabetes

Aim To examine psychosocial and behavioural impacts of the novel coronavirus disease 2019 (COVID‐19) pandemic and lockdown restrictions among adults with type 2 diabetes. Methods Participants enrolled in the PRogrEssion of DIabetic ComplicaTions (PREDICT) cohort study in Melbourne, Australia (n = 489 with a baseline assessment pre‐2020) were invited to complete a phone/online follow‐up assessment in mid‐2020 (i.e., amidst COVID‐19 lockdown restrictions). Repeated assessments that were compared with pre‐COVID‐19 baseline levels included anxiety symptoms (7‐item Generalised Anxiety Disorder scale [GAD‐7]), depressive symptoms (8‐item Patient Health Questionnaire [PHQ‐8]), diabetes distress (Problem Areas in Diabetes scale [PAID]), physical activity/sedentary behaviour, alcohol consumption and diabetes self‐management behaviours. Additional once‐off measures at follow‐up included COVID‐19‐specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance). Results Among 470 respondents (96%; aged 66 ± 9 years, 69% men), at least ‘moderate’ worry about COVID‐19 infection was reported by 31%, and 29%–73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional well‐being). Younger participants reported more negative impacts (p

Some studies have suggested a declining mortality in type 1 diabetes, but it is unclear if the pattern of mortality trends differs by country and age group, and how mortality trends in type 1 diabetes relate to trends in the general population mortality. We assembled aggregated data on all-cause mortality in people with type 1 diabetes by 5-year age group and sex between 2000 and 2016 from an international diabetes consortium database, GLOBODIAB. Data were from administrative sources, health insurance records and registries. We used joinpoint regression analysis to examine trends in annual mortality rates (standardized to the 2010 European Union population) and mortality rate ratios (MRRs) (relative to the mortality in people without diabetes) in all age groups, and stratified by age ( In conclusion, all-cause mortality in type 1 diabetes has declined in recent years in the majority of data sources, but remains considerably higher than in the nondiabetic population. These data highlight that there is still scope to improve mortality in type 1 diabetes and reduce inequalities within and between populations. Disclosure P. Lopez-doriga ruiz: None. G. A. Nichols: Research Support; Self; Boehringer Ingelheim International GmbH, Bristol-Myers Squibb Company, National Institute of Diabetes and Digestive and Kidney Diseases. S. Pildava: None. S. H. Read: Employee; Self; Certara. S. Wild: Advisory Panel; Self; Gilead Sciences, Inc., Other Relationship; Self; Novo Nordisk. J. E. Shaw: Advisory Panel; Self; Eli Lilly and Company, Merck Sharp & Dohme Corp., Pfizer Inc., Research Support; Self; AstraZeneca, Speaker’s Bureau; Self; AstraZeneca, Eli Lilly and Company, Novo Nordisk. D. J. Magliano: None. L. Chen: None. J. I. Morton: None. A. Salim: None. B. Carstensen: Stock/Shareholder; Self; Novo Nordisk. E. W. Gregg: None. M. E. Pavkov: None. M. Mata-cases: Consultant; Self; Mundipharma International, Speaker’s Bureau; Self; Boehringer Ingelheim Pharmaceuticals, Inc., MSD Corporation, Novo Nordisk. D. Mauricio: None. Funding Centers for Disease Control and Prevention

In the Law of the Republic of Indonesia Number 12 Year 1995 regarding Penitentiary states that one of the rights of prisoners is to get adequate health and food services, health services and foods that meet health requirements. This research is a kind of juridical-empirical research with the fact approach and the statue approach. Data collection procedures used are interviews, documentation and observation. Data analysis uses descriptive qualitative analysis methods. The results of research that have been carried out that fulfillment of the rights of TanjungGustaLapas inmates in getting health and food services has been going well according to applicable laws and regulations. However, due to over capacity, health and food services are less than optimal. General obstacles faced by TanjungGustaLapas Medan officers are inmates who are not yet registered as BPJS holders, over capacity which causes health and food services as well as skills training for inmates less than optimal.

Indonesia is one country with enormous natural resource potential that can be maximized in the tourism industry sector. Besides that, there is great hope that this tourism sector can increase PDRB in an area. According to the results of the analysis, this study shows the influence of the number of foreign tourist visits and hotel occupancy on the receipt of the tourism industry's PDRP sector in 2008-2018. The data used is time series data from the Central Bureau of Statistics and the Department of Tourism. This research uses quantitative research methods and uses partial addjustmen models using time series processes. In this study, the independent variables are foreign tourists (W1) and hotels (H2) while the dependent variable is PDRP (R). The results of the study using known multiple regression analysis and simultaneous regression test (F test) note that F -st5959.6 confidence below 1 percent indicates that foreign tourists and hotels have a significant effect on PDRP in Jember Regency. Partial regression test (t test) shows that there is a significant influence between the variables of foreign tourists and hotel occupancy on the PDRP of Jember Regency. The magnitude of the effect is that (R2) of 0.95. This means that the PDRP as the dependent variable is explained by the independent variables namely foreign tourists and hotel occupancy by 95% and the remaining 5% is explained by other variables outside the research.

Objective-Giant Cell Tumors (GCT) in bone is a rare musculoskeletal tumor. The purpose of this study was to study the characteristics of patients with Giant Cell Tumors in RSUP. Haji Adam Malik for 2013- 2018. Materials and Methods-The type of research conducted is a retrospective descriptive research method. This research was conducted in RSUP. Adam Malik Haji Medan based on medical records of patients with Giant Cell Tumors during the period of January 2013 - December 2018. The collected medical and demographic data is tabulated and presented in the form of a frequency distribution chart or table and analyzed in full. Data analysis used in this study uses total sampling which is presented in the form of tables or diagrams.Results-During the period of the study taken from the medical record data of Medan Haji Adam Malik Hospital, 37 patients with Giant Cell Tumors were treated. Distribution of the number of sample subjects with diagnoses of giant cell tumors of male sex as many as 19 patients (51.3%) while female sex numbered 18 patients (48.6%). Based on the location of giant cell tumors obtained by distal radius of 3 patients (8.1%), femur as many as 9 patients (24.3%), fibula as many as 2 patients (5.4%), proximal tibia as many as 14 patients (37 , 9)%), then in categories other than long bones (digiti) as many as 5 patients (13.5%), patella as many as 2 patients (5.4%), and pedis as many as 2 patients (5.4%). Based on the actions taken, as many as 21 people (56.7%) carried out extensive excision, curettage + bone cement as many as 11 people (29.7%), amputation in 3 patients (8.1%), ORIF + bone grafts by 2 people (5.5%). In this study, of 37 patients with giant cell tumors with stage 1 no patients, stage 2 as many as 12 people (32.4%), stage 3 as many as 25 people (67.5%).Conclusion- Patients with tumor giant cells were found at productive age, there was not much difference in sex, the most campanacci stage was in stage 3, the most common sites were proximal to the tibia, the most extensive measures were also available, and metastases were not available to other organs.

This study empirically tries to investigate the determinants of export service in selected West African countries (Ghana, Benin, Cote d'Ivoire, Gambia, Mali, Niger, Sierra Leone, Togo, Nigeria and Burkina Faso). The study adopted the export demand function introduced by Bahmani-Oskooee (1986) with little additions and modifications of variables based on the reviewed literature. It was discovered from the empirical results that the value added by the services has no impact on service export. However, variables such as foreign direct investment, communication facilities, real exchange rate, and foreign income level possesses a significant robust impact on export trade in services in the selected countries. These countries should therefore widen their opportunities to strive in exporting services worldwide. This can be materialized by exploiting their potentials with relative competitiveness and reasonable negotiations in the global export markets.

Contraceptive devices and medicine have a very strategic value in supporting family planning operations.This study therefore aims to determine the trend of contraceptive need and usein Dayak societies, andanalyze the supply chain as well as the management of contraceptives required to fullfill this need. Theresearch design used a case study, and qualitative data were obtained from in-depth interviews supported bysecondary data. Meanwhile, quantitative data were collected through questionnaire survey, and data analysiswas performed using the triangulation method. Subsequently, the results of qualitative data analysis werecombined with the results of quantitative data analysis to acquire final conclusions. In Dayak societies,injections are the contraceptive form most required and used by people in the local community (30.21%).Furthermore, there is a significant correlation between need and use of contraceptives (Sig. = 0.000). Thedemand for contraceptives is based on the remaining stock at the health center, as well as the community’srequest. During the acceptance process, the quality, quantity, and type of contraceptives are checked, andcounseling is provided, especially for new acceptors. Meanwhile, the suitability of the contraceptive storageconditions at the health center was discovered to be 61.46%, compared to the standard. Currently, supportingmanagement isnot run optimally, especially in terms of formulatingan operating standard procedure, aswell as monitoring, evaluating, and implementing training.Thus, the availability of contraceptives at thesupplier and local community’s need for contraceptives are taken into consideration and as a strategy formanaging contraceptives in the Primary Health Care of Dayak societies, in order to ensure the availabilityof contraceptives at Puskesmas and fullfill the contraceptive needs of Dayak societies.

This study discusses analyzing zakat in the calculation of personal tax in Baznas Makassar city. This type of research is a comparative study that aims to discuss the comparison of zakat as a deduction for taxable tax with zakat arrangements as a direct deduction of translation tax. Data retrieval of this research refers to interviews and document techniques. The type of data consists of primary data. Based on the research that has been carried out, the conclusions from the research proposed in this study are zakat as a personal tax calculation in Baznas Makassar city in accordance with the procedures stipulated in applicable laws and regulations, zakat which is used as deduction from taxable results of individuals management both from success and distribution increases in terms of capacity and improvement and its application that increases development from year to year in which the number of ASNs that pay zakat increases every year.

In the business world, data is a very important information company in order to expand and develop its business space. The business world, especially health places such as pharmacies, clinics, and hospitals is demanded to be able to develop and improve their business strategies in drug sales. Pharmacy Metro Medica Center is a Pharmacy located in West Pejaten that still uses manual methods, with each transaction must be written in a ledger, this causes difficulties because so much transaction data exists and it will be difficult to find previous data, and there will be a possibility the data is lost because it is still manual. With the development of technology, it is necessary to process large data by using Data Mining with the Association method. This research was conducted by applying the apriori algorithm by looking at drugs/items that meet the minimum support and minimum confidence. Data mining produces association rules between items in January 2019 until December 2019, known patterns of drug sales. If you buy PARACETAMOL, you will buy AMOXICILLIN and PONSTAN with a support value of 33% and a confidence value of 66.67%.

The preference of ideal number of children among adolescents can predict future fertility rates and populationgrowth. This study aims to analyze the determinants of preference of ideal number of children in adolescentsaged 15-24 years in Indonesia. The method used in this study is descriptive with data analysis of IDHS 2017.The results show that the preference of ideal number of children among adolescents in Indonesia is 2.7children. This figure increase from the average preference of ideal number of children in 2012 and is higherthan the 2015 Total Fertility Rate, which is 2.28. Factors that influence the preference of ideal number ofchildren among adolescent are the characteristics and socio-demographic background, exposure to media,and the discussion on adolescent reproductive health.

The teaching and learning process is a very important activity and must be carried out even though the situation is not possible in schools amid the Covid-19 pandemic as it is today. So this study aims to analyze learning difficulties, distance learning, and analysis of student learning difficulties in PJJ amid the Covid-19 pandemic. This research uses a qualitative approach to the type of case studies, in-depth interviews, and documentation studies. The results of the study show First, learning difficulties in students can be experienced due to disruption in him both from within and outside himself. This condition can also occur amid the Covid-19 pandemic. In the end, through various appeals from several parties, students were asked to carry out their learning activities in their respective homes. Second, with the appeals and suggestions of students studying at home, then Distance Learning (PJJ) becomes an alternative learning activity for students in order to break the corona virus transmission chain. Third, during the Covid-19 pandemic with PJJ students faced problems accessing internet devices and quotas, thus the government and all education administrators to provide internet quota subsidies, emergency curricula, and develop effective learning strategies for communities affected by Covid-19.

The theft mode of the four defendants is by jointly harvesting oil palm fruit belonging to PT. SDK 4 Bukit Benua Block 13QQ slices B and C located in Penjernang Hulu Village, Sungai Tebelian District, Sintang Regency. The harvested palm oil is then transported to the side of the road and arranged with a total of 102 (one hundred two) pieces of fresh palm oil bunches of about 2 (two) tons to be sold. It was not yet possible to be transported for sale that TJ, a harvest inspector and a West Kalimantan Regional Police Mobile Brigade, who were conducting routine patrols in the PT. SDK 4 Bukit Benua, then at 12:30 a.m. Witness witnessed diareal Block 13 QQ sliced Bdan C found there were 6 (six) people who were illegally harvesting to steal the area’s palm oil and Brimob succeeded in securing evidence of palm fruit, egrek and one unit the defendant’s motorcycle, the defendant ran away.Keywords: Analysis, Sanctions, Theft.

Motivation: Continuous glucose monitoring (CGM) systems are an essential part of novel technology in diabetes management and care. CGM studies have become increasingly popular among researchers, healthcare professionals, and people with diabetes due to the large amount of useful information that can be collected using CGM systems. The analysis of the data from these studies for research purposes, however, remains a challenge due to the characteristics and large volume of the data. Results: Currently, there are no publicly available interactive software applications that can perform statistical analyses and visualization of data from CGM studies. With the rapidly increasing popularity of CGM studies, such an application is becoming necessary for anyone who works with these large CGM datasets, in particular for those with little background in programming or statistics. CGMStatsAnalyser is a publicly available, user-friendly, web-based application, which can be used to interactively visualize, summarize, and statistically analyze voluminous and complex CGM datasets together with the subject characteristics with ease.

Exclusive breastfeeding is very important for babies to maintain their immune system, brain intelligence,emotion stability and to protect babies from various diseases that are causes of death. Breastfeeding willalso benefit the mother, which will reduce blood loss during menstruation, restore maternal weight as beforepregnancy, reduce the risk of breast cancer, and uterine cancer. The purpose of this study was to determine theinfluences of antenatal care, postnatal care and early initiation of breastfeeding on an exclusive breastfeedingpattern. The samples used in this study were mothers who had babies aged 7-12 months in June to August2018 as many as 48 respondents in the working area of Manukan Kulon Health Center in Surabaya. Thisstudy used the descriptive and bivariate analyses. The obtained results were antenatal care (p = 0.001),postnatal care (p = 0.002) and early initiation of breastfeeding (p = 0,000). During pregnancy the majority ofmothers make complete antenatal care visits with a frequency of 10 times, antenatal care is very importantfor mothers, especially the pattern of breastfeeding. In addition to the importance of antenatal care visits,mothers who have given birth and are entering the postnatal care phase are required to make postnatal carevisits. Socialization from health workers and the support of closest people are required in order to achievethe exclusive breastfeeding.

Foster Family Toddlers (FFT) as an effort program to improve the knowledge and skills of parents fosteringthe development of children in a whole and optimal way. The result of 2018 Basic Health Research, EastJava Province shows the percentage low birth weight is 6.5%, underweight of toddler is 15%, wasting oftoddler is 8% and the coverage of exclusive breast milk is 40%. East Java Health Profile 2018 showed of lowbirth weight is 3,7% and the coverage of exclusive breast is 76.83%, underweight and wasting in toddler isnot found numbers, but there is the weight of toddler in under red line is 0.77%. Therefore, needs to knowtrend of the implementation of FFT in East Java. This study was quantitative descriptive research designwith secondary data. The result showed the reporting of FFT group from 2015-2017 increased by 4.52% anddecreased in 2017-2019 by 4.52% and has not reached the target of KKP 80%. FFT member participationin 2015-2017 increased by 3.78% and decreased in 2017-2019 by 12.55%. FFT family attendance at the2015-2016 Meeting increased by 1.38% and decreased in 2016-2019 by 1.24%, and the family of membersof FFT Child Card Users in 2015-2019 saw a continuous increase of 9.52%. So the result of the trend of theimplementation of activities is less maximal because there are still some obstacles to be considered.

This research was conducted at PT Bank Syariah Mandiri, Maros Branch. This study aims to determine the application of financial statement analysis as a material for consideration of credit. In this study, the author is more specialized in Micro Financing (short-term credit) that uses a murabahah financing system. Data in the form of financial statements and data obtained in written form in the form of a general description of the company, namely data collection through direct interviews in the Accounting, Marketing, and HR sections, which are related to the problems examined at PT. Bank Syariah Mandiri Branch Maros. The results of the study concluded, that the debtor's financial statements are influential as material for consideration of giving credit to PT. Bank Syariah Mandiri Branch Maros.

Objective Provincial government is part of the central government which autonomously has its own authority in carrying out its APBD so that it can be utilized as much as possible for the prosperity of the people. Good financial performance of the regional government will make the welfare of the people in the area also better. This research is a literature study on the regional government of the province of Nangroe Aceh Darussalam for ten years 2009-2018. Method - The type of data used is secondary data, APBD (Regional Budget) reports in the form of audited budget and realization. Financial performance instruments are measured based on effectiveness, efficiency and independence. Data were analyzed using Pearson bivariate correlation analysis. Results - Research has fulfilled the classical assumption test, and the results of Pearson's bivariate correlation show that revenue, expenditure and taxs have a very close positive relationship with the financial performance of the Aceh government, while capital and grand have a weak relationship. Implications - The results show that the financial performance of the Nangroe Aceh Darussalam provincial government is quite good. This good condition can be improved to be very good through efforts to focus improvements on the variables that are lacking, namely capital and grand.

This type of research is classified as qualitative with the research approach used is: a sociological approach because researchers conduct environmental interactions in accordance with social units, Individuals, Groups, Institutions or Society. Furthermore, the data collection methods used are literature survey, observation and interview. Then, data management and analysis techniques are carried out through three stages, namely: Data Collection, Data Reduction, Data Presentation, and the final stage is drawing conclusions. The results of this study indicate that the Cekkeng traditional market has the potential to improve the economy of traders. The Cekkeng market potential is first, the price is cheaper than other traditional markets. Second, the variety of products, time and strategic location. In addition, the supporting factor is the attention of the local government, namely, first, the existence of price controls. Second, preventing fraud in the market such as preventing fraud in scales and size. Third, preventing the sale of damaged goods, and acts that damage morale.

Unwanted pregnancy is a world problem. In 2008, there were 208 million pregnancies in the world, and 41% of them were unwanted pregnancy. Cross-national reproductive health studies have indicated that the unwanted pregnancy rates remain substantially high in many developing regions, including in Indonesia (Bearak et al. 2018). Unwanted pregnancies in Indonesia increased from 13.6% in 2012 to 16% in 2015. The high rates of unwanted pregnancies are often linked to the gaps in family planning services such as the effective use of contraceptive methods which is also influenced by family socioeconomic backgrounds such as their occupational status. Using the case study at health clinics of PKBI in East Java, this paper attempts to explore the association or relationship between the risk of unwanted pregnancy among couples of childbearing age (CCA) with their use of contraceptive methods and occupational status. A quantitative method of a case-control research design was applied by using a random sampling technique. The study was 50 women couples of childbearing age (15–45 years), who had unwanted and wanted pregnancies. Simple correlation analysis shows that the association are relatively significant between the occurrence of an unwanted pregnancy with the long-term contraceptive use (p-value = 0.008), and with the employed in occupational status (p-value = 0.027). However, there is no correlation between the unwanted pregnancy occurrence with the short-term contraceptives use (p-value = 0.118). The study concludes that the use of short-term contraceptive methods and the employed status can still affect the risk of unwanted pregnancies, while the effective use of long-term contraceptive method has a vital role in preventing unwanted pregnancies.

The participation of men in family planning in Indonesia is still very low, where the men who use the MedicalMale Operations (MOP) method are only 0.2% while the condom use is 3.1% (IDHS 2017), Likewise inEast Java only 3.7% of the total new KB participants in 2019. The conditions most in need of attention arein underdeveloped areas, borders, islands and poor areas, which are in dire need of appropriate strategicbreakthroughs. The conditions most in need of attention are underdeveloped areas, borders, islands andpoor areas, which are in need of appropriate strategic breakthroughs. Strengthen the advocacy efforts fornew regional leaders so that the family planning program can continue to run in the regencies/cities withouthaving to start from zero again, provide training to male family planning motivators so that the informationprovided to prospective acceptors is more detailed and accurate and follows up the results of training ofmedical personnel and midwives.

The problem of population in Indonesia is complex. Population policy in the era of decentralization is still notintegrated and sustainable. Grand Design of Population Development is a guideline for population-orientedpolicies, strategies and development programs, which contains important current population issues, desiredpopulation conditions, population development programs, population development roadmaps coveringpopulation quantity control, quality development population, family development, spatial planning andpopulation regulation and population administration development. Approach Grand Design of PopulationDevelopment can influencing policy and responsive policy towards population dynamics. With the GrandDesign of Population Development, a region can prepare itself to welcome the demographic bonus that canbe done through improving human quality. Human development as an effort to develop capability the abilityof human self, which contains four elements, namely productivity, equity, sustainability and empowerment.The roadmap set out in Grand Design of Population Development will be implemented on an ongoing basisto improve human quality, reflected in the increasing Human Development Index.

Background: Aortic valve stenosis is an increasingly prevalent degenerative and inflammatory disease. Transcatheter aortic valve implantation (TAVI) has revolutionized its treatment, thereby avoiding its life-threatening/disabling consequences. Whether aortic valve stenosis is accelerated by inflammation and whether it is itself a cause of inflammation are unclear. We hypothesized that the large shear forces exerted on circulating cells, particularly on the largest circulating cells, monocytes, while passing through stenotic aortic valves result in proinflammatory effects that are resolved with TAVI. Methods: TAVI provides a unique opportunity to compare the activation status of monocytes under high shear stress (before TAVI) and under low shear stress (after TAVI). The activation status of monocytes was determined with a single-chain antibody, MAN-1, which is specific for the activated β 2 -integrin Mac-1. Monocyte function was further characterized by the adhesion of myocytes to stimulated endothelial cells, phagocytic activity, uptake of oxidized low-density lipoprotein, and cytokine expression. In addition, we designed a microfluidic system to recapitulate the shear rate conditions before and after TAVI. We used this tool in combination with functional assays, Ca 2+ imaging, siRNA gene silencing, and pharmacological agonists and antagonists to identify the key mechanoreceptor mediating the shear stress sensitivity of monocytes. Last, we stained for monocytes in explanted stenotic aortic human valves. Results: The resolution of high shear stress through TAVI reduces Mac-1 activation, cellular adhesion, phagocytosis, oxidized low-density lipoprotein uptake, and expression of inflammatory markers in monocytes and plasma. Using microfluidics and pharmacological and genetic studies, we could recapitulate high shear stress effects on isolated human monocytes under highly controlled conditions, showing that shear stress–dependent calcium influx and monocyte adhesion are mediated by the mechanosensitive ion channel Piezo-1. We also demonstrate that the expression of this receptor is shear stress dependent and downregulated in patients receiving TAVI. Last, we show monocyte accumulation at the aortic side of leaflets of explanted aortic valves. Conclusions: We demonstrate that high shear stress, as present in patients with aortic valve stenosis, activates multiple monocyte functions, and we identify Piezo-1 as the mainly responsible mechanoreceptor, representing a potentially druggable target. We demonstrate an anti-inflammatory effect and therefore a novel therapeutic benefit of TAVI.