Grid computing is a combination of interconnected resources which can be spread all over the world having higher computing capabilities. The benefit of grid computing includes higher computation and memory capacity because of grid resources spread all over the world. The grid computing is managed by intra-grid scope which refers to the methodologies and the algorithms used for managing the grid network related issues such as task scheduling, resource balancing and security of the network. The advantages of grid computing include access to inaccessible resources, resource utilization and balancing, reliability, and parallel computing and scalability. The limitations of the grid computing include application in limited fields and suitability with applications running in batch mode only based on parallel processing

Background: Life expectancy and healthcare for people living with HIV (PLWHAs) have improved substantially in the last two decades since effective antiretroviral therapy has been available, and still continue to improve. However, a fewstudies have reported that some PLWHAs did not adhere to take anti retroviral therapy (ART), which might have lessen the effectiveness of ART. Limited studies have reported about the effect of non-adherence on patient survival in Indonesia. The aim of this study was to estimate the effect of adherence to ART on PLWHA survival in Wamena, Papua, after controlling for nutritional status and age. Subjects and Method: This was a retrospective cohort study conducted in Wamena Hospital, Papua from December 2017 to February 2018. A cohort of 304 PLWHA was selected for this study from the medical record at Wamena Hospital. The dependent variable was survival. The independent variables were adherence to ART, nutritional status, and age. The data were collected from medical record and questionnaire. The data were analyzed by Cox regression model. Results: The risk of dying of PLWHA if adherent to take the ART was much lower than not adherent to take the ART (HR= 0.04; 95% CI= 0.01 to 0.29; p= 0.001). The risk of dying of PLWHA with poor nutritional status was much higher than good nutritional status (HR= 15.06; 95% CI= 8.14 to 27.88; p< 0.001). The risk of dying of PLWHA aged ≥35 years was slightly higher than <35 years (HR= 1.45; 95% CI= 0.98 to 2.13; p= 0.062). Conclusion:The risk of dying of PLWHA decreases if adherent to take the ART, but increases with poor nutritional status and age ≥35 years.

Background: Quality of life (QoL) is an important component in the evaluation of the well-being of people living with HIV and AIDS (PLWHA), especially with the appreciable rise in longevity of PLWHA. The analysis of the quality of life is essential for the healthcare policies and services directed toward PLWHA, since this indicator values the perception of people about their own life and health. However, little is known about the determinant of QoL in PLWHA in Papua. The aim of this study was to analyze survival predictors of people living with HIV/ AIDS in Wamena, Papua, Indonesia. Subjects and Method: This was a retrospective cohort study conducted in Wamena Hospital, Papua, from December 2017 to February 2018. A cohort of 304 PLWHA was selected for this study from the medical record at Wamena Hospital. The dependent variable was survival. The independent variables were adherence to ART, nutritional status, age, and coinfection. The data were collected from medical record and questionnaire. The data were analyzed by Cox regression model. Results:The risk of dying of PLWHA if adherent to take the ART was lower than not adherent to take the ART (HR=0.45; 95% CI= 0.06 to 0.33; p= 0.002).The risk of dying of PLWHA with poor nutritional status was higher than good nutritional status (HR= 12.78; 95% CI= 6.81 to 23.98; p< 0.001). The risk of dying of PLWHA aged ≥35 years was slightly higher than <35 years (HR= 1.47; 95% CI= 1.00 to 2.17; p= 0.050). The risk of dying of PLWHA with coinfected was higher than without coinfected (HR= 1.59; 95% CI= 1.15 to 2.23; p= 0.006). Conclusion:The risk of dying of PLWHA decreases if adherent to take the ART, but increases with poor nutritional status, age ≥35 years, and coinfection.