Pemanfaatan Lahan Pasca Tambang sebagai Destinasi Wisata Taman Reklamasi “Danau Goa Pote” Kabupaten Bangkalan, Provinsi Jawa Timur

Kota Bangkalan, di pintu gerbang Pulau Madura, adalah rumah bagi bekas tambang batu kapur yang disebut Danau Goa Pote. Danau Goa Pote terletak 27 mil dari kota Surabaya melintasi jembatan terpanjang di Indonesia, Jembatan Suramadu. Daerah ini merupakan gundukan tambang batu kapur seluas 500 hektar yang terletak di tiga desa: Jadi, Labassan dan Parse. Bekas luka yang ditinggalkan peralatan pertambangan di perbukitan kapur membuat puncak bukit putih ini fotogenik. Menarik wisatawan lokal. Tempat tersebut rupanya berhasil menarik perhatian mereka yang haus akan tempat wisata unik dan menarik lainnya. Berkunjung ke Danau Goa Pote langsung disambut bongkahan batu kapur besar dan berbagai gratas. . Goresan di tempat ini bukan disebabkan oleh faktor alam, melainkan disebabkan oleh para penambang yang sudah bertahun-tahun menambang di tempat ini, sehingga tempat perbukitan ini patut untuk dilewatkan oleh mereka yang sangat menyukainya. tidak seharusnya. Danau Goa Pote merupakan perpaduan kawasan pertambangan dan objek wisata.The city of Bangkalan, at the gateway to Madura Island, is home to a former limestone quarry called Lake Goa Pote. Goa Pote Lake is located 27 miles from the city of Surabaya across the longest bridge in Indonesia, the Suramadu Bridge. This area is a 500-hectare limestone quarry located in three villages: Jadi, Labassan and Parse. The scars that mining equipment leaves on the limestone hills make this white hilltop photogenic. Attracts local tourists. The place seems to have succeeded in attracting the attention of those who are thirsty for other unique and interesting tourist attractions. A visit to Lake Goa Pote was immediately greeted by large limestone boulders and various freebies. . Scratches in this place are not caused by natural factors, but are caused by miners who have been mining in this place for years, so this hilly place is worth to be missed by those who really like it. not supposed to. Goa Pote Lake is a combination of mining area and tourist attraction

Resource allocation within the National AIDS Control Program of Pakistan: a qualitative assessment of decision maker's opinions

BACKGROUND: Limited resources, whether public or private, demand prioritisation among competing needs to maximise productivity. With a substantial increase in the number of reported HIV cases, little work has been done to understand how resources have been distributed and what factors may have influenced allocation within the newly introduced Enhanced National AIDS Control Program of Pakistan. The objective of this study was to identify perceptions of decision makers about the process of resource allocation within Pakistan's Enhanced National AIDS Control Program. METHODS: A qualitative study was undertaken and in-depth interviews of decision makers at provincial and federal levels responsible to allocate resources within the program were conducted. RESULTS: HIV was not considered a priority issue by all study participants and external funding for the program was thought to have been accepted because of poor foreign currency reserves and donor agency influence rather than local need. Political influences from the federal government and donor agencies were thought to manipulate distribution of funds within the program. These influences were thought to occur despite the existence of a well-laid out procedure to determine allocation of public resources. Lack of collaboration among departments involved in decision making, a pervasive lack of technical expertise, paucity of information and an atmosphere of ad hoc decision making were thought to reduce resistance to external pressures. CONCLUSION: Development of a unified program vision through a consultative process and advocacy is necessary to understand goals to be achieved, to enhance program ownership and develop consensus about how money and effort should be directed. Enhancing public sector expertise in planning and budgeting is essential not just for the program, but also to reduce reliance on external agencies for technical support. Strengthening available databases for effective decision making is required to make financial allocations based on real, rather than perceived needs. With a large part of HIV program funding dedicated to public-private partnerships, it becomes imperative to develop public sector capacity to administer contracts, coordinate and monitor activities of the non-governmental sector

Clinical Manifestations, Treatment Characteristics, and Clinical Outcomes in Patients with Immune Thrombotic Thrombocytopenic Purpura (iTTP) in a Real-World Setting: An Interim Analysis of the Turkish iTTP Registry

Objective: This study aimed to investigate the clinical manifestations, treatment patterns, and clinical outcomes of patients with immune thrombotic thrombocytopenic purpura (iTTP) across Türkiye via an interim analysis of the Turkish iTTP Registry. Materials and Methods: A total of 215 patients with iTTP (median age at diagnosis: 41 years; 58.6% female) diagnosed between 2001 and 2023 were retrospectively analyzed in the interim analysis of a prospective non-interventional observational multicenter iTTP registry study (ClinicalTrials.gov Identifier: NCT05950750) conducted at 19 tertiary hematology centers. Data on patient demographics, disease characteristics at initial admission, treatment characteristics and responses, exacerbations/relapses, and survival outcome were obtained from electronic case report forms. Results: Infection (15.0%), new drug initiation (9.7%), and pregnancy/ postpartum period (6.3%) within 3 weeks before diagnosis were the most prevalent potential triggers. Patients presented most commonly with systemic/constitutional (fatigue: 68.8%; fever: 18.1%) and neurological (headache: 40.0%; vertigo: 32.1%) symptoms, followed by hemorrhagic, gastrointestinal, renal, and cardiovascular manifestations. Based on PLASMIC risk scoring, 77.8% of patients were initially at high risk for TTP. The initial treatment was begun within the first 48 hours of hospital admission for 64.1% of patients (36.2% on the day of admission). Treatment was mainly based on therapeutic plasma exchange (92.1%) and steroids (63.7%), while rituximab was used in 15.8% of patients. The clinical response rate was 79.9% and clinical remission was achieved by 68.2% of patients. Regarding a thrombospondin type 1 motif member (ADAMTS13) 13 levels, partial and complete responses were achieved by 17.7% and 14.6%, respectively. During a median of 30 months (range: 0.1-262.4 months) of follow-up, 35 patients experienced exacerbations/relapses. Mortality occurred in 11 (5.5%) patients and was found to be diseaserelated in 6 cases (3.0%). Conclusion: This interim analysis of the nationwide Turkish iTTP Registry study provides valuable data on real-world clinical practices in the diagnosis and management of iTTP at different hematology clinics across the country

Memoar senarai kiprah sejarah; diangkat dari majalah Tempo; buku ketiga

viii.; 326 hal.; ill.; 19 c

An integrated environmental risk assessment framework for coal‐fired power plants: A fuzzy logic approach

AbstractThis study quantifies the environmental risk of a coal‐fired thermal power plant during operation by using environmental monitoring data, site surveys, and documented evidence. The following criteria are assessed: emissions (CO, SO2, NOx, PM10), impact on aquatic ecosystem (fish protection at cooling water intake and cooling water discharge temperature), and waste management (fly ash and bottom ash). Fuzzy sets were defined for each criterion, taking environmental regulatory context as an expert judgment. A survey was conducted with multiple stakeholders to determine the relative importance of risk factors. The survey results showed that the most concerned risks are SO2and NOxemissions. The proposed method estimates the risk of each environmental criterion separately and then accumulates them into an environmental risk index (ERI). Accordingly, we assessed the Catalagzi coal‐fired power plant, which has been in operation on the Black Sea coast in northwestern Turkey. For this case study, the ERI resulted in a value of 0.78 (on a scale of 0–1), showing high environmental risk to the facility. Moreover, the applicability of the proposed framework was tested in several existing coal‐fired power plants using simultaneous measurements. All studied coal‐fired power plants in Turkey have unacceptable pollutants (PM10, SO2, and NOx) concentration levels indicating high health risk potential. The application of the integrated environmental risk assessment framework showed that new environmental regulations are needed in Turkey to specify more strict emission limits and to monitor CO2, fine particulate matter emissions, cooling water discharge, and fish protection at cooling water intake.</jats:p