ANALYSIS AND EVALUATION OF THE DRAINAGE NETWORK SYSTEM IN THE HOUSING AREA OF VILA RIZKI ILHAMI 2 SAWANGAN, DEPOK-WEST JAVA

<p>The impact that occurs from the rampant development of residential areas will certainly make the volume of surface water flow or run off become large. Drainage is a system created to deal with the problem of excess water flow that is above the surface of the earth, some of the things that cause excess water are caused by high water intensity and the long duration of rain. In this study, the problem that occurred was in the drainage network in the residential area of Vila Rizki Ilhami 2 Sawangan, which was a transfer of land functions from infiltration land into a residential area. Evaluation that must be done is covering hydrological analysis and hydraulics analysis to get the amount of flood discharge plan that will be used to analyze the capacity of the planned channel so that no flooding occurs at the location of the settlement area when the settlement is built, recommendations for drainage system design and determine the size of the river dimension / size / times that should be made when accommodating water discharge during maximum rain so that the flood control system can be well integrated. With 3 methods of calculating rainfall, the method of calculation is selected using the gumbel method which is SNI (Indonesian National Standard) with a return period of 2 years, 5 years and 10 years. From the evaluation obtained is to add height height or free board to accommodate flood discharge plan.</p>

Evaluation of the Open Diversion Channel Capacity on Margatiga Dam Construction Project using 6D BIM Analysis

The Margatiga Dam is designed to combine a gravity concrete dam and rockfill with an upright core. In the Margatiga Dam Project, river diversion is carried out in 2 stages. Stage 1 through a trapezoidal open channel with discharge plan of Q10 years approximately 789.10 m3/second and stage 2 with the diversion discharge of Q25 years approximately 976.90 m3/second. During construction, the stage 1 diversion channel is built with a capacity that exceeds the planned design due to the very high water level fluctuations. Moreover, an evaluation is needed regarding the annual plan discharge that passes through stage 1. The Evaluation is based on data from the desk study and 6D BIM analysis. Based on the analysis, the water level is at elevation +19.50. The discharge through the diversion channel on this stage is 884.69 m3/second; this discharge exceeds the planned discharge design for diversion channel stage 1 with an annual Q10 discharge of approximately 789.10 m3/second.

Retrospective evaluation of patients with and without 14-day readmissions following hospitalization for COVID-19

Hospitalized patients with COVID-19 must have a safe discharge plan to prevent readmissions. We assessed patients with COVID-19 admitted to hospitals belonging to a single health system between April 2020 and June 2020. Demographics, vitals and laboratory data were obtained by electronic data query and discharge processes were reviewed by manual abstraction. Over the study period, 94 out of 912 (10.3%) patients were readmitted within 14 days of discharge. Readmitted patients were older and spent more time in the intensive care unit (p<0.01). Statistical differences were noted in discharge-day heart rates, temperatures, platelet counts, and neutrophil and lymphocyte percentages between the readmitted and non-readmitted groups. Readmitted patients were less likely to be discharged home and to receive complete discharge instructions or home oxygen (p<0.01). Age, duration of intensive care unit stay, disposition destinations other than home, incomplete discharge planning and no arrangement for home oxygen may be associated with 14-day readmissions in patients with COVID-19. Certain clinical parameters on discharge day, while statistically different, may not reach clinically discriminant thresholds. Structured discharge processes may improve outcomes.

An Exploratory Descriptive Study of the Needs of Parents after their Young Child Is Discharged from Hospital Following an Admission with an Acute Illness

<p>In New Zealand there are concerns about the high numbers of preventable admissions of young children with acute illnesses. These admissions are concentrated in the under five age group, with higher rates of admissions for tamariki Maori and Pacific children. This study sought to address these concerns by focusing on what happened once these children were discharged. Its aims were to find out what the expressed needs of parents were, as they cared for their child, once home. Whilst there has been a small amount of international research undertaken in this area, there is little known about expressed parent need in the New Zealand context. This exploratory descriptive study involved parents of under five year old children, who had been admitted to a hospital, with one of five acute illnesses. Eighteen parents were surveyed over the telephone. This study found the parents expressed a need for reassurance and advice once home, and that they worried about their child getting sick again. It highlighted gaps in discharge planning and support. None of the parents had received a written discharge plan for their child. Only five parents had received either a contact number for advice or a referral back to their primary care provider. This study found that whilst some parents considered their discharge needs had been met, others considered that they had not. Four local discharge practice opportunities to support these families were recommended, these included, providing parents and caregivers with an individualised written discharge plan, giving a contact number for advice after discharge, offering a follow-up phone call in the first 48 hours, and ensuring that all children have a referral back to their primary health care provider. Areas for further research were highlighted, including the need for a larger study to explore and compare the needs of rural and urban parents, and Maori and Pacific parents.</p>

An Exploratory Descriptive Study of the Needs of Parents after their Young Child Is Discharged from Hospital Following an Admission with an Acute Illness

<p>In New Zealand there are concerns about the high numbers of preventable admissions of young children with acute illnesses. These admissions are concentrated in the under five age group, with higher rates of admissions for tamariki Maori and Pacific children. This study sought to address these concerns by focusing on what happened once these children were discharged. Its aims were to find out what the expressed needs of parents were, as they cared for their child, once home. Whilst there has been a small amount of international research undertaken in this area, there is little known about expressed parent need in the New Zealand context. This exploratory descriptive study involved parents of under five year old children, who had been admitted to a hospital, with one of five acute illnesses. Eighteen parents were surveyed over the telephone. This study found the parents expressed a need for reassurance and advice once home, and that they worried about their child getting sick again. It highlighted gaps in discharge planning and support. None of the parents had received a written discharge plan for their child. Only five parents had received either a contact number for advice or a referral back to their primary care provider. This study found that whilst some parents considered their discharge needs had been met, others considered that they had not. Four local discharge practice opportunities to support these families were recommended, these included, providing parents and caregivers with an individualised written discharge plan, giving a contact number for advice after discharge, offering a follow-up phone call in the first 48 hours, and ensuring that all children have a referral back to their primary health care provider. Areas for further research were highlighted, including the need for a larger study to explore and compare the needs of rural and urban parents, and Maori and Pacific parents.</p>

The impact of an enhanced recovery programme on length of stay and post-discharge resource usage following hip and knee arthroplasty

Aims The aim of this study is to assess the impact of a pilot enhanced recovery after surgery (ERAS) programme on length of stay (LOS) and post-discharge resource usage via service evaluation and cost analysis. Methods Between May and December 2019, 100 patients requiring hip or knee arthroplasty were enrolled with the intention that each would have a preadmission discharge plan, a preoperative education class with nominated helper, a day of surgery admission and mobilization, a day one discharge, and access to a 24/7 dedicated helpline. Each was matched with a patient under the pre-existing pathway from the previous year. Results Mean LOS for ERAS patients was 1.59 days (95% confidence interval (CI) 1.14 to 2.04), significantly less than that of the matched cohort (3.01 days; 95% CI 2.56 to 3.46). There were no significant differences in readmission rates for ERAS patients at both 30 and 90 days (six vs four readmissions at 30 days, and nine vs four at 90 days). Despite matching, there were significantly more American Society of Anesthesiologists (ASA) grade 3 patients in the ERAS cohort. There was a mean cost saving of £757.26 (95% CI £-1,200.96 to £-313.56) per patient. This is despite small increases in postoperative resource usage in the ERAS patients. Conclusion ERAS represents a safe and effective means of reducing LOS in primary joint arthroplasty patients. Implementation of ERAS principles has potential financial savings and could increase patient throughput without compromising care. In elective care, a preadmission discharge plan is key. Cite this article: Bone Jt Open 2021;2(11):966–973.

Hydraulic analysis of Semarang River in supporting the drainage channel as water tourism

The Semarang River is a flushing channel located in the Semarang River Drainage Sub-System and has the potential to be used as a water tourism area with the concept of Historical River Front City Walk. The planned water tourism area is in the form of procuring boats in the Kota Lama area, which is a historic area in the city of Semarang. This analysis aims to hydrology and hydraulics model of the Semarang River using SWMM 5.1. The method is carried out by observing the existing conditions of the study area, determination of flood discharge plans, and hydraulic analysis. The analysis starts from the Simongan Weir Bridge upstream of the Semarang River to the Berok 2 Bridge, which is located in the Kota Lama area. The results showed the intensity of rainfall designed 25 years is 155.7 mm/hour with the capacity of the Semarang River in existing and planning conditions can still accommodate the flood discharge plan, and a weir with a height of 1 m is needed to maintain the water level in boundary condition so that boat tours can operate optimally.

A Structured Multimodal Program for Improving The Pediatric Discharge Summaries At The University Teaching Hospital

Objective: Discharge Summary (DS) is the vital document for the ongoing patient care. We aimed to improve the quality of DS given from our pediatric ward of tertiary teaching hospital. Methods: We introduced longitudinal multimodal program. Residents preparing the DS were given the education in a small group. Peer audit of the summaries were done by each residents at several occasions followed by feedback from consultant concluding the lesions for improvement. Summaries rechecking by senior residents or consultants was made mandatory once prepared by junior residents. Discussion on discharge processes was emphasized during the ward round including DS documentation points. We didn’t find suitable pediatric DS assessment tool in the literature. We developed a scoring system evaluating 33 components of DS under seven broad headings. A scoring tool had good inter-rater reliability. We introduced the program in May 2018. 33 summaries were evaluated each from last quarter (October to December) of the calendar year 2017, 2018, and 2019 as a pre-intervention, post-intervention, and retention analysis respectively. Results: Analysis of Variance (ANOVA) revealed that the Mean(SD) total % score improved significantly (P<0.001). However, the post-hoc test showed that the improvement was significant (p=0.01) from 2017 to 2018 but from 2018 to 2019 improvement was statistically non-significant (p=0.43). Domains like History, Physical Examination, and Discharge Plan were improved significantly, but the domain of Hospital Course was resistant to improve despite interventions. Conclusion: DS quality prepared by the residents in a teaching institute can be improved by various educations approaches and work system changes.