Analisis Audit Energi Terhadap Intensitas Konsumsi Energi Listrik Sistem Pencahayaan dan Sistem Penyimpanan Ikan di Cold Storage Kabupaten Malang

Nowadays energy has a very important role in the life of human civilization. One of the energy that is still widely used and almost cannot be reduced from the community is electrical energy. Energy audit is one of the processes in managing energy use to become more efficient. The purpose of this study was to determine the potential for energy savings that can be carried out optimally and accurately in Cold Storage, Malang Regency. This study uses data collection methods with Web-based Power Quality Meter PM5110 and account data from energy use during the period June 2020 to May 2021. Data retrieval using a Web-based Power Quality Meter PM5110 which is carried out for 24 hours on weekdays, then the total consumption of kWh in one day reached 119,538 kWh, while the total usage of kWh in one month is 3586.14 kWh for the month of June and for the total usage for the period of one year is 43631.37 kWh. Regarding the value of energy consumption kWh in a period of one year, it can be generated by dividing the total energy consumed by the building in one year by the total gross floor area of the building. Based on the results of the IKE calculation in the Cold Storage Building, Malang Regency from the results before the recommendation of 34.91 kWh/m2/year and for the result after the recommendation is 174,841 kWh/m2/year, which is included in the very efficient category according to the ASEAN USAID 1987 standard. For energy saving opportunities in the lighting system and cooling system, it can be done by using energy-efficient lamps and changing the operating pattern in the cooling room.

ASSESSMENT OF PREVALENCE OF DIGITAL EYE STRAIN AMONG DIGITAL SCREEN USERS IN SETTING OF COVID-19 PANDEMIC.

AIMS AND OBJECTIVES: To assess the impact of the increased digital device usage and its ocular surface health implications along with circadian rhythm abnormalities related to digital eye strain during COVID-19 pandemic. METHODS: A validated questionnaire was provided to all the participants and various symptoms people experienced were analyzed. Dry eye tests were performed in all the study subjects. RESULTS: A total of 256 participants were included of which 88.3% of subjects reported an increase in their screen time since the onset of pandemic. The average increase in digital device usage was calculated at about 4.4 ± 1.9 h per day. The total usage per day was found to be7.85 ± 3.63 hours. Sleep disturbances have been reported by 59.8% of participants. Typically, 93% of respondents had experienced at least one symptom related to digital device usage, and 66.4% said that the frequency and intensity of these symptoms increased since the pandemic started. Dry eye diagnosed clinically by Schirmer's test was present in 18.8 % of participants. CONCLUSION: The study highlights the increase in usage of digital devices after the onset of the COVID-19 pandemic leading to increase in digital eye strain across all age groups.

Evaluation of CPAP mask performance during 3 years of mask usage: time for reconsideration of renewal policies?

BackgroundContinuous positive airway pressure (CPAP) mask renewal policies vary inside and between countries. There are no independent studies on the optimal mask renewal frequency. We aimed to evaluate CPAP mask function over time in a real-life clinical setting, and to compare the results against current renewal policies.MethodsDaily performance data of 1846 CPAP masks (65% nasal, 22% nasal pillows, 12% oronasal) were recorded from 450 participants (68% male, mean age 59 years) with obstructive sleep apnoea. The unintentional leak, Apnoea-Hypopnoea Index (CPAP-AHI) and usage data were exported from the CPAP device.ResultsOf 656 324 nights of CPAP usage, the mean renewal time was 497 days (SD 327), mean leak 5.7 L/min (SD 8.1) and CPAP-AHI 3.8 events/h (SD 3.6). The difference in mean leak between one (5.2 L/min, SD 7.5), 12 (6.0 L/min, SD 10.2) and 24 months (5.8 L/min, SD 7.5) was minimal (p=0.59). Mean CPAP-AHI remained normal and unchanged in nasal masks and pillows up to 30 months, and was highest in oronasal masks. Different mask manufacturers performed similarly. Masks’ daily or total usage did not affect the results. Shifting the mask renewal policy to 24 months could reduce the mask-related cost up to 50%–88%.ConclusionsNasal masks and pillows could be used at least 2 years without significant changes in unintentional leak and CPAP-AHI. We suggest updating the mask renewal policies of nasal masks and pillows; results on oronasal masks and other manufacturers CPAP devices need further verification.

Changes in the Comprehensiveness of Rural Medical Care for Older Japanese Patients during the COVID-19 Pandemic

Help-seeking behaviors (HSBs) refer to how people use lay and medical care to address their symptoms and diseases. The COVID-19 pandemic may have changed older, rural patients’ preferences and experiences regarding HSBs, thereby, affecting the comprehensiveness of medical support for communities. This study identified changes in the comprehensiveness of medical care for older, rural patients, who are often dependent on others for accessing medical services. This observational study was performed with patients who lived in Unnan City. Patients’ dependency and changes in comprehensiveness of medical services were assessed and calculated. The total usage of medical care decreased from 2018 to 2020 at all medical care levels. The proportion of patients who received comprehensive care was higher in 2020 than in 2018, at all care levels. At care dependent levels 3 to 5, the differences in the proportions were statistically significant. This study illustrates an association between the COVID-19 pandemic and the proportion of comprehensiveness of medical care among older rural patients with a decrease in medical care usage. Moreover, an improved proportion of comprehensiveness of medical care leads to appropriate HSBs. Going forward, HSBs and patient-centered care should be promoted by policy makers.

Technologies for reducing emissions and costs in combined heat and power production

According Finnish Energy association, in Finland roughly three-quarters of district heat production is based on combined heat and power (CHP) generation. Correspondingly, one-third of electricity is generated using CHP. In Finland, the market share of CHP derived electricity is significant, and therefore used technologies and fuels should be carefully chosen in terms of costs and emissions. In this paper we consider a case of Kuopio, which is the 9th biggest city in Finland. In the past few years, the total usage of fossil fuels has been decreasing and the use of renewable fuels has correspondingly been increasing. The amount of electricity produced with peat has gradually decreased during the last 15 years. The common explaining factor for these trends is the political will and national and municipal level shared common aim to reduce greenhouse gases and emissions. Furthermore, there are new technical innovations available, such as flue gas scrubber and district cooling system, which has been proven to be significant tools to reduce emission and at the same time investments into these innovations have been shown to save energy and money, meaning being greener has been also financially lucrative decision for these sustainability enhancing technology investors.

New usage reports, new insights! How to use your COUNTER data in decision making processes

Librarians have been receiving COUNTER Release 5 reports since February 2019 and are becoming familiar with the new robust usage data. In this paper three experts explain how the new usage reports provide greater clarity and how they give insight into users’ actions. Athena Hoeppner outlines the new reports and metrics and explains how to interpret book usage data and how to use the data effectively in decision making process. Sonja Lendi focuses on journal usage data and the differences between Release 4 and Release 5 of the COUNTER Code of Practice. She also explains Distributed Usage Logging (DUL). This protocol enables publishers to capture traditional usage activity related to their content that happens on sites other than their own so they can provide reports of “total usage” regardless of where that usage happens. Kornelia Junge explains how librarians can use Microsoft Excel to analyse usage.

Model Pengadaan Obat dengan Metode ABC VEN Di RS X Semarang

Procurement of drugs at RS X was carried out unsystematically by the head of the RS Pharmacy Installation. This procurement causes the costs incurred by the Hospital to be unplanned and inefficient. The value of the use of active pharmaceutical supplies in 2016 with the number of pharmaceutical supplies of 2119 is worth Rp. 168,232,696 and the number of 2041 inactive supplies worth Rp. 533,260,268. The data shows the inefficiency of pharmaceutical supplies within 1 year which results in the use of budget funds less efficiently. The purpose of this study was to determine the role of the ABC VEN method as a basis for procurement systems in Hospital X. The type of research conducted is quantitative, pre experimental using descriptive analytical methods with analysis of ABC and VEN methods. Samples were taken as much as 500 from the data of drug use for 1 year in RS X Pharmacy Installation. The results of the study of 500 drug items with the ABC method found Group A 19.8%, Group B 40%, Group C 40.2%, the VEN method obtained group V 7.8%, Group E 88.8%, group N 3, 4%, with the ABC method VEN AV group 2%, AE 17.6%, AN 0.3%, BV 4.2%, BE 35%, BN 1.2%, CV 1.8%, CE 37%, CN 1.8%. The CE (C Essential) group is more due to its function as prevention and prevention of patient diseases. Before doing the ABC VEN method the inventory value is Rp. 6,188,183,555 and after the ABC VEN method was Rp. 5.833.095.547 with a difference of Rp. 355.089.998, (6.8%) of the total usage fee. The conclusion of this study is that the system used by the Pharmacy Pharmacy Installation has not been efficient, causing losses for hospitals. Difference in inventory value before and after the ABC VEN method is Rp. 355,089,998. Suggestions are changing the old system to a new system through prior socialization and regulation.

Effects of Holy Quran Listening on Physiological Stress Response in Intensive Care Unit Patients

Introduction: The intensive care unit (ICU) is one of the most stressful environments among various clinical settings. ICU patients are not only compromised by the illness, but they also faced with a wide range of stressors such as pain, unfamiliar environment and loss of interaction with family and friends. Stress and anxiety will increase the sympathetic tone (sympathet ic nervous system) and stimulate the hypothalamus-pituitary-adrenal (HPA) axis response. Stressful circumstances as well as chronic diseases may alter the normal cortisol mechanisms resulting in marked increases in plasma levels. Thus, high stress response will lead to delayed healing and prolong stays in ICU. Recitation of Quran by the sick person or for the sick person has shown to have direct healing effect on the sick person. Holy Quran Listening is the most suitable way for the patients in reduces stress responses during ICU stay.Objectives: To examine the effectiveness of Holy Quran Listening (HQL) in reducing stress response among ICU patients.Methods: A randomized controlled clinical trial was conducted in the Intensive Care Unit. Total 94 subjects were recruited and randomly assigned to either Control (n=49) or Holy Quran Listening (n=45) group respectively. The HQL given via headphone for 7 hours while control group given no music. Primary measures include mean blood pressure, heart rate, systolic blood pressure, diastolic blood pressure, serum cortisol level and serum blood sugar. Secondary outcomes include duration of stay in intensive care unit, total usage of insulin and sedation.Results: The HQL group show clinically significant in reducing HR and SBP over time. Serum cortisol level is stable in HQL group. However, there are no significantt reduction in duration of stay, total usage of sedation and insulin.Conclusion: HQL is one of the adjunct methods that can be used to reduce stress response among ICU patients.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 36

Clustering User Characteristics Based on the influence of Hashtags on the Instagram Platform

Instagram is a social media that has the potential to be used to increase awareness of a product. Approximately 70% of users spend their time searching for a product on Instagram. Many people promote their products with a lack of attention to the target. So that not infrequently the information distributed is inaccurate information and not following user characteristics. This study aims to cluster the characteristics of Instagram users based on hashtag compatibility. The method used in this study is the K-Means Clustering method. Based on the results of the experiment, this research succeeded in clustering Instagram users based on the hashtag match on the text caption. Besides, TF-IDF can be used as a feature suitable for the K-Means Klastering method. The results of the hashtag "#kopi" analysis resulted in hashtag suggestions that can be used for the promotion of a product related to coffee, including the hashtag #coffeeshop and #coffee with total usage of 14968 captions.