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"Perguruan tinggi ditantang meningkatkan kualitasnya melalui penerapan sistem penjaminan mutu. Program Studi Keperawatan Waingapu merupakan salah satu perguruan tinggi keperawatan yang telah mengikuti akreditasi LAMPTKes, namun belum optimal melaksanakan sistem penjaminan mutu. Diperlukan kepemimpinan yang kuat dan kinerja organisasi untuk meningkatkan mutu pendidikan. Penelitian ini bertujuan untuk mengetahui mutu pendidikan Program Studi Keperawatan Waingapu dengan menggunakan kriteria ekselen Baldrige. Metode penelitian deskriptif melalui telaah dokumen pendidikan dan non pendidikan dan meminta pendapat dari pemimpin senior sebanyak 10 orang dan 132 orang mahasiswa untuk mengetahui tingkat kepuasan mereka terhadap kinerja pendidikan berdasarkan kriteria ekselen Baldrige, yaitu kepemimpinan, strategi, pelanggan, pengukuran, analisa dan manajemen pengetahuan, tenaga kerja, operasi dan hasil kinerja organisasi. Hasil penelitian menunjukkan hasil 388,75 dari 1000 poin. berada pada kelompok early improvement dengan global image average. Hasil uji statistik terdapat hubungan yang signifikan dengan hasil- hasil kinerja organisasi dengan OR tertinggi pada operasi dengan hasil kinerja. Saran meningkatkan dan mngembangkan operasi manajemen dan pengelolaan tenaga kerja dengan membangin tim yang kuat dan perencaaan strategis. Disarankan untuk uji coba kriteria Baldrige mengembangkan dan peningkatan mutu sehingga mencapai sistem penjaminan mutu internal yang baik.

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Universities are challenged to improve their quality through the implementation of quality assurance system. Nursing Study Program Waingapu is one of nursing universities that have followed LAMPTKes accreditation, but not yet optimal to implement quality assurance system. Strong leadership and organizational performance is needed to improve the quality of education.

This study aims to determine the quality of education Waingapu Nursing Study Program using Baldrige ekselen criteria. Descriptive research method through the study of education and non-education documents and asked the opinion of senior leaders as many as 10 people and 132 students to know their level of satisfaction on education performance based on Baldrige's excellent criteria, leadership, strategy, customer, measurement, analysis and knowledge management, labor, operations and organizational performance results.

The results showed 388.75 out of 1000 points. is in the early improvement group with global image average. The statistical test results have a significant relationship with the organizational performance results with the highest OR on the operation with the performance results.

Suggestions to improve and develop management and management operations by building strong teams and strategic planning. It is recommended to test the criteria Baldrige develops and improves the quality so as to achieve a good internal quality assurance system."

"By the Primary Law 1945 mentioned that state of Indonesia is a united state along with decentralization principle. Based on the certain criteria that is established with the government regulation. A certain are can be settled to become local autonomy divide into several area when it considered has a potention that is possible to be settled with a new territory. One of the manifestation from the local autonomy implementation is a plan to established a local autonomy of Raha City. The writters has done a research in Muna Regency at South East Celebes Province that is has a plan to established City of Raha. This phenomenon who is the writer take up had a focus on the process of a new local autonomy settles of Raha City and also a requirements to be local autonomy. This research method using qualitative method with description design. The qualitative method is being chosen to get the meaning and the understanding about the aspect that to be local autonomy. This research method using qualitative method with description design. The qualitative method is being chosen to get the meaning and the understanding about the aspect that is being research about the plan of city established such as the spreading from a territory in order to be a local autonomy. based on the writter research appearance policy established of Raha City caused by, first of all , the people power aspiration and the other stakeholders in efforts to settled Raha City. Secondly , juridicaly is very possible espicialy BY the 2004 ordinance number 32 about local government, erasing and the Government Rules Number 78 In 2007 about the established arrangement , erasing, and the marging territory. Seen from the proper aspect of a local settled in Raha City based on the criteria of cities level that is consist of economic ability criteria, the occupation, equality and people density, wide area and wide building area , cities fasility, the role and city function from the government state. Shown that the settled plan of Raha City should be observe still further. Because of several criteria that is not filled the requirement such as a part if the society occupation in agriculture sector and from the level of people density is still under the standard but from the proper aspect, the settled of Raha city the standard because many part of the settled criteria of autonomy city is being completed. Thinking about there is already have two indicators that is not filled yet criteria of the city settled, then the writter suggested in order to main part of Raha is not settled as an autonomy city but go through with a new regency."

"Tesis ini membahas tentang Indentifikasi Perubahan Peiilaku residen di UPT BNN melalui Observable Behavioral Check List ( OBCL). Dari hasil penelitian ini diketahui bahwa OBCL telah dapat mengidentifikasi perubahan perilaku residen selama menjalani terapi rehabilitasi. Untuk menyebarluaskan OBCL ke BNP dan BNK harus diadakan pelatihan kepada petugas untuk menoperasikan OBCL

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This thesis discusses the identification of behavioral changes in residents at UPT BNN through the Observable Behavioral Check List (OBCL). From the results of this study, it is known that OBCL has been able to identify changes in resident behavior during rehabilitation therapy. To disseminate OBCL to BNP and BNK, training must be held for officers to operate OBCL."

"In the software development cycle, validation is the important stage which is held in final stage especially in intelligent system. Validation obtains the validity, credibility and trustworthy of the system. It is needed to ensure that the intelligent system has same manner as human experts. Whilst with the importance of validation stage, determining the validation criteria is also important. This paper presents the evaluation of validation criteria which is commonly used in intelligent system validation process. The evaluation is carried out by reviewing the literature of intelligent system validation process. The result shows that the validation criteria have its own characteristic so it requires for understanding the validation criteria characteristics, purposes of validation and also the intelligent system itself to hold validation process.Pada siklus pengembangan perangkat lunak, validasi adalah tahap penting yang diadakan ditahap akhir terutama dalam bidang sistem cerdas. Validasi dilakukan untuk memperoleh validitas, kredibilitas, dan kepercayaan terhadap sistem. Hal ini diperlukan untuk memastikan bahwa sistem cerdas memiliki cara yang sama seperti para ahli. Sementara itu dengan pentingnya tahap validasi, penentuan kriteria validasi juga menjadi penting. Makalah ini menyajikan evaluasi kriteria validasi yang umum digunakan dalam proses validasi sistem cerdas. Evaluasi dilakukan dengan melakukan review literatur dari proses validasi sistem cerdas. Hasil penelitian menunjukkan bahwa kriteria validasi memiliki karakteristik tersendiri sehingga untuk melaksanakan proses validasi diperlukan pemahaman terhadap karakteristik kriteria validasi, tujuan validasi dan juga sistem cerdas itu sendiri."

"Latar belakang: Kriteria klasifikasi ACR 1997, SLICC 2012, dan EULAR/ACR 2019 telah banyak digunakan untuk membantu penegakan diagnosis LES. Sensitivitas dan spesifisitas masing-masing klasifikasi tersebut telah banyak dilaporkan pada populasi dewasa. Akan tetapi, penelitian performa diagnostik pada populasi anak masih sedikit. Penelitian ini bertujuan untuk membandingkan performa diagnostik ketiga kriteria klasifikasi tersebut pada LES anak.Metode: Rekam medis pasien yang tercatat sebagai penderita penyakit autoimun dengan hasil ANA positif pada periode Januari 2010-Mei 2021 diikutsertakan dalam penelitian. Rekam medis ini kemudian dinilai oleh dua orang konsultan alergi-imunologi untuk penentuan diagnosis LES atau bukan LES. Setiap kasus kemudian diekstrapolasi ke dalam ketiga kriteria klasifikasi, kemudian dinilai performa diagnostik.Hasil: Sebanyak 86 kasus LES (rerata usia saat diagnosis 12,73±2,97 tahun) dengan rasio perempuan : lelaki adalah 11:1 dan 44 kasus bukan LES (rerata usia saat diagnosis 8,86±4,78 tahun) dengan rasio perempuan : lelaki adalah 2:1. Kriteria klasifikasi EULAR/ACR 2019 memiliki sensitivitas tertinggi sebesar 100% dibandingkan dengan ACR 1997 (90%) dan SLICC 2012 (98%). Spesifisitas ACR 1997, SLICC 2012, dan EULAR/ACR 2019 masing-masing 90%, 86%, dan 68%. Nilai prediksi positif ACR 1997 tertinggi dibandingkan SLICC 2012 dan EULAR/ACR 2019 yaitu 94%, 91%, dan 86%. Sedangkan, nilai prediksi negatif EULAR/ACR 2019 tertinggi dibandingkan ACR 1997 dan SLICC 2012 masing-masing 100%, 83%, dan 95%.Simpulan: Kriteria klasifikasi EULAR/ACR 2019 memiliki sensitivitas tertinggi, sedangkan kriteria klasifikasi ACR 1997 memiliki spesifisitas yang paling baik dibandingkan dua kriteria klasifikasi lainnya.Background: The classification criteria of ACR 1997, SLICC 2012, and EULAR/ACR 2019 have been widely used to establish the diagnosis of childhood-onset SLE. The sensitivity and specificity of these classification criteria have been reported in the adult-onset SLE. However, only few studies have been conducted in the childhood-onset SLE. This study aims to compare the diagnostic performance of the three classification criteria in childhood-onset SLE.Methods: Medical records of patients diagnosed with autoimmune diseases who had positive ANA from January 2010 to May 2021 were reviewed.  Each record was assessed by two allergy-immunology consultants to determine the diagnosis of SLE or not SLE. Each subject data was extrapolated to fullfil classification criteria and was calculated of the diagnostic performance.Results: This study consisted of 86 cases of SLE (mean age at diagnosis 12.73±2.97 years), female to male ratio was 11:1. There were 44 subject non-SLE (mean age at diagnosis 8.86±4.78 years), female to male ratio was 2:1. The sensitivity of EULAR/ACR 2019 was 100% (the highest sensitivity) while SLICC 2012 was 98% and ACR 1997 was 90%. The specificity of ACR 1997, SLICC 2012, and EULAR/ACR 2019 were 90%, 86%, and 68%, respectively. The positive predictive value for 1997 ACR was the highest one compare to SLICC 2012 and EULAR/ACR 2019 (94%, 91%, and 86%, respectively).  Meanwhile, the negative predictive value for EULAR/ACR 2019, SLICC 2012, and ACR 1997 were 100%, 95%, and 83%, respectively.Conclusion: The classification criteria of EULAR/ACR 2019 has the highest sensitivity and ACR 1997 has the highest specificity than the other classification criteria."

"LATAR BELAKANG : Sirosis hati merupakan salah satu masalah kesehatan di Indonesia. Penyakit ini merupakan penyakit hati yang sering dijumpai selain hepatitis virus akut dan kanker hati. Komplikasi sirosis hati yang tersering adalah asites. Adanya asites merupakan prognosis yang buruk karena hanya sekitar 50% penderita sirosis hati dengan asites dapat bertahan hidup dalarn waktu 2 tahun. Asites juga merupakan faktor predisposisi terjadinya komplikasi berbahaya seperti Peritonitis Bakteri Spontan (PBS).BAHAN DAN METODE : 74 subyek penelitian penderita sirosis hati dengan asites. Pada cairan asites dilakukan biakan aerob-anaerob, pemeriksaan hitung leukosit dengan alat hitung sel otomatis Sysmex XT2000i®, hitung jenis leukosit dengan mikroskop dan uji leukosit esterase carik celup urin sedangkan pemeriksaan albumin, protein dan LDH dilakukan untuk serum dan cairan asites.HASIL : Pada penelitian ini didapatkan penderita PBS sebanyak 14 orang (18.92%). Pada kelompok PBS didapatkan netrositik asites sebanyak 12 orang (85.71%). Dari hasil biakan yang positif pads kelompok penderita PBS berhasil diisolasi dua jenis kuman golongan Enterobacteriaceae yaitu Escherichia call dan Enterobacter aerogenes. Kedua kuman ini diduga menghasilkan Extended Spectrum Beta Lactamase (ESBL). Dengan menggunakan cara perhitungan stastistik menurut Bland-Altman didapatkan bahwa hasil hitung jumlah leukosit pada cairan asites dengan menggunakan alat otomatis Sysmex XT2000P tidak berbeda bermakna dengan cara manual. Untuk memperkirakan jumlah PMN cairan asites ? 250 sellpL maka cut off point untuk MuitistixlOSG® adaiah pada skala trace sedangkan untuk Comburl4M® adalah pada skala positif-2. Sebagian besar cairan asites pada penderita PBS termasuk transudat berdasarkan kriteria Light (85.71 %). Pada 92.86 % penderita PBS mempunyai SAAG > 1.1 g/dL.KESIMPULAN : Pada penelitian ini diperoleh proporsi PBS sebesar 18.92 % dan proporsi netrositik asites sebesar 85.71%. Kedua jenis kuman batang Gram negatif diduga menghasilkan ESBL sehingga resisten terhadap Sefotaksim. Hitung leukosit cairan asites dapat dilakukan dengan alat penghitung sel otomatis Sysmex XT2000i. Leukosit esterase carik celup urin Multistixi OSG® dan Comburl0M@ dapat digunakan untuk memperkirakan jumlah PMN cairan asites > 250 sellpL. Cairan asites pada penderita PBS temasuk transudat menurut modifikasi kriteria Light. PBS tidak mempengaruhi SAAG.SARAN : Parasentesis diagnostik harus dilakukan sebelum pemberian antibiotik empirik. Leukosit esterase carik celup urin dapat digunakan sebagai salah satu cara untuk memdiagnosis PBS secara "bedside". Penelitian lanjutan untuk mendapatkan pola dan kepekaan antibiotika kuman penyebab PBS.

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Cirrhosis is identified as one of major health problems in Indonesia. It is found to be the most prevalent liver disease in addition to acute viral hepatitis and liver cancer. Ascites is the most common complication associated with cirrhosis. About 50% of patients with cirrhosis who develop ascites die within 2 years of diagnosis. Ascites also predisposes life-threatening complication such as Spontaneous Bacterial Peritonitis (SBP).

Materials and Methods. 74 cirrhosis patients who develop ascites were included in the study. The ascitic fluid was cultured in aerobic and anaerobic media. Leukocytes were evaluated for leukocytes count using Sysmex XT2000iT"" automatic cell counter, leukocytes differential count was observed under the microscope, and dip stick urine of leukocyte esterase test. Moreover, albumin, protein, and LDH level were assessed for both serum and ascitic fluid.

Results. Spontaneous Bacterial Peritonitis was diagnosed in 14 subjects (18.92%). Twelve subjects (85.71%) within this group developed neutrocytic ascites. Enterobacteriaceae pathogens, i.e. Eschericiiia coil and Enterobacter aerogerles, had been isolated from the ascitic fluid culture. These pathogens were suspected for producing Extended Spectrum Beta Lactamase (ESBL). Using Bland-Altman test, it was discovered that there were no significant differences in leukocytes count of ascitic fluid either measured with Sysmex XT2000iT"' automatic cell counter or conventional method. The cut-off point for MultistixlOSGTm was set on trace scale, whereas the ComburlOMTM was set on scale positive-2 to obtain a number of PMN leukocytes count of more than 250 cellslpL. Based on Light criteria, 85.71% of ascitic fluid from the SBP patients were considered as transudates. Meanwhile, 92.86% of SBP group showed an SHAG ? 1.lg/dL.

Conclusions. The study reveals that the proportion of SBP is 18.92% and neutrocytic ascites is 85.71%. Both of the Gram-negative bacteria are considered producing ESBL that induce resistance to Cefotaxime. Leukocytes count of ascitic fluid can be measured using Sysmex XT2000iTM automatic cell counter. To predict PMN leukocyte count of more than 250 cells/pL, the dip stick urine leukocytes esterase test using MultistixlOSGT"^ and ComburlOMTM are available. The ascitic fluid in SBP patients are classified as transudates, based on Light criteria. SBP has no effect against SAAG.

Suggestions. A diagnostic paracentesis should be performed prior to empirical antibiotics therapy. The dip stick urine leukocytes esterase test can be use as an alternative method to diagnose SBP along with the other bedside techniques. Further study is required to attain pattern and sensitivity of SBP pathogens."

"Tujuan : Mengetahui kondisi intubasi 60 delik setelah peinberian rokuronium 0,6 mg/kg berat badan dengan menggunakan teknik induksi kombinasi propofol-efedrin 10 mg intravena dan teknik induksi propolbl intravena.Desain: Prospektif, data dikumpulkan pada salah pusat penelilian dengan uji acak tersamar ganda.Metode: 42 pasien dengan status fisik ASA 1 atau 2 yang akan dilakukan pembedahan berencana dengan anestesia uimnl dan intubasi endotrakea disertakan dalaah penelitiaa ini. Pasien dibagi dalam dua kelompok, kelompok I diberikan kombinasi propofol 2,5 mg/kg berat badan-efedrin 10 mg intravena (kelompok efedrin) dan kelompok II diberikan propofol 2,5 mg/kg berat badan intravena (kelompok salin). Premedikasi dengan midazolam 0,05 mg/kg berat badan dan fentanyl 1 pg/kg berat badan diberikau 3 merit sebeluin induksi. Setelah pemberian obat induksi, diberikan rokuronium 0,6 mg/kg berat badan. Kondisi intubasi dinilai bcrdasarkan kritcria Krieg dan peman[auan neuromuskular dengan nicnggunakan Train-of-four pada otot adductor pollicir.Hasil: Kelompok efedrin didapatkan kondisi intubasi yang sangat baik 85,7% dan baik 14,3%. Kelompok satin didapatkan kondisi intubasi yang sangat balk 75% dan baik 25%.Kesimpulan . Kondisi intubasi 60 delik selclah pemberian rokuronium 0,6 mg/kg berat badan dengan inenggunakan teknik induksi kombinasi propofol-efedrin 10 ing intravena saina baiknya dengan teknik induksi propofol intravena.

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Objective : The aim of this study was to evaluate intubating conditions 60 second after rocuronium 0,6 mg/kg body weight administration using induction technique propofol-ephedrine 10 mg intravenous in combination and induction technique propofol intravenous.

Design : Prospective, randomiked controlled trial study.

Methods : 42 patients with physical status ASA 1 or 2 who were scheduled for elective surgery requiring general anaesthesia and tracheal intubation. Patients were randomly assigned to receive either propofol 2,5 ing/kg body weight-ephedrine 10 mg intravenous in combination (ephedrine group) or propofol 2,5 mg/kg body weight intravenous (saline group). Premedication drugs were midazolam 0,05 mg/kg body weight and fenlanyl l }mg/kg body weight, 3 minute prior to induction. Alter induction drugs were administered. then rocuronium 0,6 inglkg body weight was given. Criteria of Krieg was used to evaluate when intubating conditions and neuromuscular function which was assessed by using Train-of dour monitoring at the adductor pollicis.

Results : In the ephedrine group the intubating conditions were excellent 85,7% and good 14,3%. In the saline group the intubating condition were excellent 75% and good 25%.

Conclusion : intubating conditions 60 second after rocuronium 0,6 mg/kg body weight administration using induction technique propofol-ephedrin 10 mg intravenous in combination as good as induction technique propofol intravenous."