Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
In Indonesia, one of the regions that have good potential for Floating Offshore Wind Turbine (FOWT) installations is the Natuna Sea which has a fairly good average wind speed in the range of 10.0 - 15.0 m/s. In addition, the Natuna Sea has a water depth of around 50-250 m with relatively mild wave height. This condition is a suitable environment for the installation of the FOWT. Therefore, it is necessary to investigate the appropriate mooring system configuration due to the motion of the structure. This paper examined the analysis of mooring system of the SPAR type FOWT structure due to its global motion through numerical modelling by using open source software FAST. The analysis was carried out for operation condition, by varying three configurations of the mooring system for the direction of environmental loads (waves and winds), namely 0 degrees (perpendicular in front of the turbine), 45 degrees, and 90 degrees (the turbine side direction) and wind speed. With the scope of such analysis, it could be properly examined the mooring system due to the global motion of heave, roll and pitch of the Spar.
The novel coronavirus disease-2019 (COVID-19), caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has become a public health emergency of international concern. The first confirmed COVID-19 case in Indonesia was announced on 2 March 2020, and later on, 11,192 confirmed cases were reported as of 3 May. The World Health Organization has stated that performing a real-time reverse transcription–polymerase chain reaction (RT-PCR) specific for SARS-CoV-2 on specimens from the upper and the lower respiratory tracts, especially nasopharyngeal and oropharyngeal swabs, is the standard diagnostic procedure for COVID-19. In Indonesia, we also use other diagnostic tests, such as rapid antibody tests specific for SARS-CoV-2. Herein, we report an atypical case of COVID-19 and describe the diagnostic process, the clinical course, with progression to severe pneumonia on Week 3 of illness and the case management. We also try to highlight the possibility of false-negative RT-PCR tests.
Snacks are foods that can be consumed instantly and are liked by adults and children alike. Most children really like snacks because they like snacks with various shapes, striking colors and good taste. Therefore, the purpose of this counseling was to provide an understanding of how to choose healthy snacks at the 04 Tengguli Elementary School in Tengguli, Sajad District, Sambas Regency, West Kalimantan. The approach used in this activity includes a model of material exposure, educational games, and evaluation. The counseling activities carried out went smoothly, it could be seen that the elementary school students were enthusiastic in participating in the activities from beginning to end. This counseling is expected to provide education to students, especially students of SDN 04 Tengguli so that they can distinguish between healthy snacks and unhealthy snacks, besides that students are also expected to understand the impact of consuming unhealthy snacks.
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