The majority of catches by fishermen in Aceh, Indonesia are sold raw, directly to consumers, and in the local market. This contributes to the low price of fish and low income for the fishermen, and the COVID-19 outbreak has made this situation even worse. One solution could be the establishment of a cold storage business in the area. This study assessed the financial feasibility of a 200-ton cold storage business in Banda Aceh, the capital of Aceh province. Using secondary data collected from online sources, we applied the most common financial indicators used in feasibility studies, namely Net Present Value (NPV), Internal Rate of Return (IRR), and Benefit-Cost Ratio (BCR). A sensitivity test was also performed to predict the feasibility of the cold storage business if the basic assumptions are changed. We found that cold storage in Banda Aceh is financially feasible as the NPV was positive, the IRR was higher than the interest rate (i.e., the discount rate), and the BCR was higher than 1. Besides, the sensitivity test also suggested that cold storage would still be feasible even if there were a 20% increase or decrease in storage capacity and project costs.

<p>Regional Water Company (PDAM) Tirta Meulaboh is the only state- ownedof West Aceh district that provides clean water for the residents of West Aceh, especially the residents of the city of Meulaboh and its surroundings. But in its operation the company has not yet to have a risk management system, so it has the impact on the company's survival and not optimal service to its customers. The study aims to identify risk, risk analysis and risk evaluation, in order to do prevention and mitigation of the impact of risk on each section in PDAM Tirta Meulaboh using risk management system standard ISO 31000. The process steps of risk management based on ISO 31000, starting from risk identification to methods Risk Breakdown Structure (RBS), risk analysis using matrix risk quantification and Risk Priority Number (RPN), and the evaluation of risks by using risk map. The results showed that in PDAM Tirta Meulaboh there were 43 risk events that have the potential business problems, which if they were not solved immediately it could affect the performance of the company, even the survival of the company. Of the 43 potential risks that were logged to the red zone, there were 5 potential risks which occupies the first rank is on productions departement: the defective of production water meter, the defective of distribution water meter and retrieval water by tank car without through the water meter. Branch Kaway XVI: customers are reluctant to pay the water bill and in IKK Rantau Panjang: water meter of raw water was damaged. The Efforts to mitigate against the risk of those 43 events which were logged in the red zone has not been planned and done yet by the management of PDAM Tirta Meulaboh.</p><p><br />Keywords: ISO 31000, PDAM Tirta Meulaboh, Risk Management</p>

services. Secondary objectives were to categorize drug therapy recommendations based on therapeutic class of medication, determine the proportion of drug therapy recommendations associated with Institute for Safe Medical Practices (ISMP) highalert medications, and assess the clinical significance of drug therapy recommendations.Methods: This was a retrospective chart review conducted in three freestanding emergency departments that are part of a large health system. EM pharmacists provide on-site support at a tertiary care center ED as well as remote clinical coverage for the three FSEDs. Pharmacist interventions for FSED patients documented between 1/1/2017 and 12/31/2018 were eligible for inclusion. All eligible pharmacist documentation was abstracted from the health system EMR (Epic®) for further analysis by trained reviewers. Reviewers excluded documentation related to non-direct patient care, administrative activities, and educational activities and organized interventions into common themes (Table 1). Data was analyzed descriptively and proportions with 95% confidence intervals are reported. A random sample of interventions was reviewed by two independent reviewers using a previously published scale in order to assess clinical significance of interventions (severity of the medication error avoided by pharmacist intervention and the value of the service). A weighted Kappa statistic was calculated to assess inter-rater reliability.Results: A total of 4313 pharmacist interventions met inclusion criteria. Classification of interventions is summarized in Table 1. Of 1664 drug therapy recommendations, a total of 1424 were linked to a therapeutic class of medications. For these 1424 drug therapy recommendations, the most frequently implicated therapeutic classes were antimicrobial agents (n¼732; 51.4%), vaccines (n¼168; 11.8%), cardiovascular agents (n¼90; 6.3%), and analgesics (n¼86; 6%). 11% of recommendations were associated with Institute for Safe Medical Practices (ISMP) high-alert medications. The most common high-alert medication categories were antithrombotic agents (n¼51; 32.5%), insulin (34; 21.7%), and opioids (20; 12.7%). In assessing the clinical significance of interventions, 19.2% were rated as significant errors that were intercepted by pharmacists by both reviewers with moderate inter-rater reliability (k¼0.55; SE 0.09). For the value of service assessment, 59% of interventions were rated as significant by both reviewers but inter-rater reliability was only fair (k¼0.22; SE 0.05).Conclusion: Emergency medicine pharmacists documented several types of interventions with approximately 20% of drug therapy recommendations associated with prevention of significant medication errors. Provision of remote telepharmacy services at freestanding emergency departments may represent a novel approach to help optimize patient care and safety.

This study aims to analyze the factors that cause low intention of Islamic bank customers to continue using banks' services, especially among those who live in coastal areas. The population in this study is the coastal community who are customers of Islamic banks and domiciled in the coastal areas of Aceh and North Sumatra. The sample size in this study was 200 respondents (Hair, 2009). Sampling was done by stratified random sampling method with the following proportions: Aceh 40%, North Sumatra 60%. In this study, the sampling method used the census technique. Data analysis used SEM (Structural Equation Modelling) to verify the path of the relationship between variables in this study using IBM SPSS-AMOS software version 22. The results showed that Of the 3 direct hypotheses tested, the effect of Evaluation of bank's compliance with Islamic law on Customer satisfaction, the effect of Evaluation of bank's compliance with Islamic law on Continuous Intention to Use Islamic Banking and The effect of Customer Satisfaction on Continuous Intention to Use Islamic Banking, all of which show a significant effect. On the indirect effect tested, the effect of Evaluation of bank's compliance with Islamic law on Continuous Intention to Use Islamic Banking mediated by Customer Satisfaction has also a significant effect. In contrast to previous studies, which mostly analyzed the reluctance of customers to switch to sharia banks because of the profit motive, this study tries to look at the phenomenon of the reluctance of coastal communities to stay in Islamic banks, especially related to the aspect of compliance with Islamic law which is carried out by Islamic bank practitioners as seen from customer perceptions.