Hospital deveploment project "STC" in Jakarta City got delays on the structure work. As the contractor, they shouldconsiderthe next step for accelerate the project's completion time. Replacing materials used in wall work is one of the alternative that can be done by the contractor. There are three alternative material: light brick, sandwich panel, and precast concrete. The choice of three options determined by consider the analysis of cost, time, material, and work procedure required for each material application. The analysis begins by studying literature of work procedure of each material and knowing the situation in the field. The wall area requirement is 10560.76 m 2 . The budget plan of light brick wall, sandwich panel wall, and precast wallhave a ratio for1: 1.54: 1.07. The time duration of making light brick wall, sandwich panel wall, and precast wall have a ratio for 3.59 : 1.84 : 1. On procedure aspect, precast wall is the most effective procedure to applied on this project. After compairing all the variables, the most suitable material for substitute material is precast wall.

Penggunaan antibiotik menjadi salah satu terapi yang banyak diberikan pada bayi di Neonatal Intensive Care Unit (NICU). Penelitian ini ditujukan untuk mengetahui profil dan mengkaji biaya, ketepatan dan ketercampuran atau kompatibilitas penggunaan antibiotik pada pasien di NICU salah satu rumah sakit pemerintah di Surabaya dalam kurun waktu November–Desember 2015. Penelitian ini merupakan penelitian potong lintang yang dilakukan secara prospektif dengan memanfaatkan data rekam medis sebagai sumber data utama. Seluruh informasi yang diperoleh dari pasien NICU yang menggunakan antibiotik dan masuk dalam kriteria inklusi dan eksklusi dianalisis secara deskriptif. Total 32 orang pasien dilibatkan dalam penelitian ini. Penggunaan antibiotik terdiri dari 25 kali penggunaan antibiotik tunggal dan 14 kali penggunaan antibiotik kombinasi. Ampisilin merupakan antibiotik tunggal yang paling banyak digunakan, sedangkan penggunaan antibiotik kombinasi terbanyak adalah penggunaan kombinasi ampisilin dan gentamisin. Dari total seluruh pasien, hanya terdapat 13 pasien dengan diagnosis infeksi dan hanya 2 pasien (15,38%) yang mendapat terapi antibiotik yang tepat. Proses pergantian terapi didominasi oleh proses de-eskalasi yaitu sebesar 44,44%. Berdasarkan analisis kompatibilitas, terdapat banyak pencampuran sediaan antibiotik intravena yang tidak dapat diklasifikasikan compatible atau not compatible akibat tidak tersedianya informasi terkait kompatibilitasnya. Biaya penggunaan antibiotik yang harus dikeluarkan pasien rata-rata sebesar Rp265.252,00 (min–max= Rp16.100,00 s.d. Rp2.091.590,00). Ketepatan penggunaan antibiotik di ruang NICU perlu ditingkatkan sebagai upaya untuk meminimalkan risiko dampak negatif khususnya peningkatan biaya dan risiko resistensi.Kata kunci: Biaya antibiotik, kajian penggunaan antibiotik, kompatibilitas, neonatal intensive care unit Antibiotics Utilization Review in a Neonate Intensive Care Unit of a Public Hospital in SurabayaAbstractAntibiotic is frequently used in the Neonatal Intensive Care Unit (NICU). The aim of this study was to identify the usage pattern and to review the cost, appropriateness, and compatibility of antibiotics given to the patients in the NICU of one public hospital in Surabaya during November to December 2015. This was a cross-sectional study using medical record as the main source of the data. All information about eligible patients receiving antibiotics in the NICU was analysed descriptively. A total of 32 patients was involved in this study. The antibiotics utilization profile consisted of 25 single and 14 combination therapy. Ampicillin and ampicillin-gentamycin were found as the most frequently used in the single and combination therapy, consecutively. From all patients received antibiotics, 13 patients had confirmed with infections problem and only 2 patients (15.38%) received appropriate antibiotics therapy. From all therapeutic modification made, 44.44% was de-escalation. According to the compatibility analysis, lots of antibiotic intravenous admixtures in this research could not be clearly identified as compatible or not compatible because no information was available. The average cost of antibiotics per patient was IDR 265,252 (range IDR 16,100 to IDR 2,091,500). There is a need to optimize the use of antibiotics in the NICU in order to minimize the risk of adverse outcomes especially the increased cost and risk of resistance.Keywords: Antibiotics utilisation review, compatibility, cost of antibiotics, neonatal intensive care unit

The advancement of the construction industry in Indonesia is often not accompanied with adequate infrastructure system, especially in terms of regulations and legal system. The enactment of Law no 80–1999 has contributed to the expansion of construction market by allowing the private sector, including those from overseas, to play bigger roles in the industry. Although strongly acknowledged by stakeholders in the industry, the progress made by the government and the practitioner in the industry to response to the needs for more appropriate actions to cope with this ever increasingly complex system has been very slow. The dynamic of the construction industry in the region has changed the formerly rigid government-dominated construction sector to become an intricate one. The impact of such dynamic in the industry has been apparent. In particular, construction disputes have been experiencing changing in the dynamic of the way the disputes were handled; from the traditional litigation approach toward modern alternative dispute resolution mechanism. While litigation remains the dominant construction dispute resolution mechanism, nonlitigation approaches such as arbitration and dispute review board are beginning to gain recognition in industry. This paper presents a study on the development of anatomy of construction dispute in Indonesia, which will serve as a framework for analyzing the dynamic of construction disputes in Indonesia. Such a framework will help to identify factors affecting construction dispute mechanism, from the initiation of disputes to the resolution. The anatomy is developed based on analysis of construction dispute cases that have been recorded in judicial courts as well as from Indonesian Arbitration Board.

This study identifies the causes and impacts of change orders on government projects in the water resources sector in West Sumatra Province by using the path analysis method. The research was conducted by distributing questionnaires to the parties involved in the implementation of projects in the field of water resources, including PPK, PPTK and Supervisors. The results showed that the factors that had a significant effect were changes in plans a nd scope of 8.6%, natural factors of 20.6%, poor coordination between interested parties of 76.6%. The land acquisition problem variable does not directly affect the frequency of change orders (CO) but has an effect on changes in plans and scope of 39.6%. The impact of CO has more influence on time performance by 26.7%.Kata kunci: konstruksi, change order, path analysis Abstrak Penelitian ini mengidentifikasi faktor penyebab dan dampak change order pada proyek pemerintah bidang sumber daya air yang berada pada Provinsi Sumatera Barat dengan menggunakan metode path analysis. Penelitian ini dilakukan dengan menyebar kuesioner kepada pihak-pihak yang terlibat pada pelaksanaan proyek bidang sumber daya air, diantaranya Pejabat Pembuat Komitmen (PPK), Pejabat Pelaksana Teknis Kegiatan (PPTK) dan Pengawas. Hasil penelitian didapatkan faktor yang berpengaruh signifikan yaitu perubahan rencana dan ruang lingkup sebesar 8,6%, faktor alam sebesar 20,6%, koordinasi yang tidak baik antar pihak yang berkepentingan sebesar 76,6%. Untuk variabel masalah pembebasan lahan tidak berpengaruh langsung terhadap frekuensi change order (CO) tetapi berpengaruh terhadap perubahan rencana dan ruang lingkup sebesar 39,6%. Dampak CO lebih berpengaruh terhadap kinerja waktu sebesar 26,7%.

Intelligent Transportation Systems (ITS) is an important part of sustainable transportation. Implementation of ITS at large bus terminal is needed in order to increase the service quality to the passenger and encourage people to use public transportation. Unfortunately, not all of large bus terminal in large cities in Indonesia have implemented ITS yet. The aim of this study is to identify availability of ITS implementation at the large bus terminal, to evaluate whether the ITS system has fulfil the ITS standard in Indonesia, and to recommend ITS design to be implemented based on the needs, priority, and local condition at the large bus terminal. Implementation of ITS is compulsory but priority is also important based on limited support of financial, officer's capability, and commitment of the authority are the challenges. Case study is carried out at Cicaheum large bus terminal type-A in Bandung, Indonesia. Standard used is regulation of Ministry of in Indonesia, and number 132 year 2015 regarding information technology standard, including safety aspect, security aspect, reliability aspect, convenience aspect, easily aspect, and equality aspect of ITS implementation. Data collection used is direct observation of ITS implementation at Cicaheum large bus terminal in Bandung, Indonesia, questionnaire and interview with the bus terminal authority regarding the ITS implementation. Analysis method is Simple Additive Weighting. Result indicated that ITS design priority is CCTV application, topping bus ticket, automatic door bar at terminal gate, availability of facility of disable person, digital facility sign, traffic sign development, on time bus schedule, passenger information in the terminal regarding bus delay, and online/ mobile ticketing. Since these part of ITS is implemented, then based on existing condition of the large bus terminal, other part of ITS can also be implemented in the future.