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"Latar Belakang: Radioterapi baik sebagai terapi tunggal maupun sebagai terapi kombinasi, memegang peranan yang penting dalam penatalaksanaan kanker payudara kiri. Eskalasi dosis dikatakan mampu meningkatkan kontrol dan menurunkan angka kekambuhan namun di sisi lain dapat meningkatkan angka toksisitas. Hingga saat ini masih terus dilakukan studi untuk menganalisis parameter dosimetri diantara teknik Three Dimensional Conformal Radiotherapy-Field and Field, Volumetric Modulated Arc Therapy, dan Helical Tomotherapy pada kanker payudara di departemen Radioterapi RSUPN-CM. Metode: Studi eksperimental eksploratorik dengan melakukan intervensi pada 10 data CT plan pasien kanker payudara kiri yang diradiasi di Departemen Radioterapi RSUPN-CM. Dosis 50 Gy diberikan pada PTV dalam 25 fraksi. Cakupan PTV dievaluasi menggunakan Indeks konformitas CI dan indeks homogenitas HI. Menilai perbandingan PTV lokal D98, D95, D2, D50 dan supraklavikula dan menilai organ kritis sekitar target seperti paru kiri ipsilateral V20 le; 30, paru kanan contralateral V5 le; 50, jantung V25 le;10, payudara kanan contralateral Dmean < 5Gy. Hasil: Dari hasil analisis statistik tidak ditemukan adanya perbedaan yang bermakna antara 3DCRT-FIF, VMAT maupun HT dalam mencapai dosis D98 dan D95, pada D50 terdapat perbedaan yang bermakna antara 3DCRT-FIF dengan VMAT p=0,000, 3DCRT-FIF dengan HT p=0,000, namun tidak terdapat perbedaan yang bermakna antara VMAT dengan HT p=0,508. Dalam hal ini, ketiga teknik mampu memberikan cakupan dosis minimal yang baik pada volume target, meskipun begitu dari hasil penelitian ini teknik HT mampu memberikan nilai rerata D95 yang superior. Untuk D50 lokal ditemukan adanya perbedaan yang bermakna di 3 kelompok yang ada yaitu antara 3DCRT-FIF dengan VMAT p=0,000, 3DCRT-FIF dengan HT p=0,000, maupun VMAT dengan HT p=0,005. Didapat teknik HT memiliki nilai rerata D50 yang paling baik 50.01 0.25. Untuk D2 dari hasil analisis statistik ditemukan adanya perbedaan yang bermakna di 3 kelompok yang ada yaitu antara 3DCRT-FIF dengan VMAT p=0,005, 3DCRT-FIF dengan HT p=0,005, maupun VMAT dengan HT p=0,005.Kesimpulan: Tidak terdapat perbedaan bermakna rerata D98 dan D95, namun terdapat perbedaan bermakna pada cakupan dosis D2 dan D50 antara teknik 3DCRT-FIF vs VMAT, 3DCRT-FIF vs HT, dan VMAT vs HT, seluruhnya memperlihatkan perbedaan yang bermakna p < 0,05 . Rerata durasi penyinaran paling tinggi didapatkan dengan teknik HT dan paling rendah pada 3DCRT-FIF.

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Background: Radiotherapy as a main or combination therapy, holds an important role in the management of left breast cancer. Dose escalation is said to increase control and lower recurrence rate. On the other hand, dose escalation increases toxicity. Until now there is many study comparing dosimetry parameters between three different techniques; Three Dimensional Conformal Radiotherapy ndash; Field and Field 3DCRT-FIF, Volumetric Modulated Arc Therapy VMAT and Helical Tomotherapy HT and in relation to left breast cancer in radiotherapy department RSUPN-CM. Method: This is an experimental study with intervention on 10 left breast cancer patients, CT planning data. All the subjects underwent radiation in radiotherapy department RSUPN-CM. 50 Gy dose in 25 fractions was given for PTV. Afterwards, PTV coverage was evaluated using conformity index CI and homogeneity index HI . Comparison of critical organs was evaluated using Dmax le; 50 Gy spinal cord, V25 le; 10 heart, V20 le; 30 lung ipsilateral and V5 le; 30 lung contraleteral and Dmean < 5 Gy right breast. Results: From the statistical analysis there is no difference between 3DCRT-FIF, VMAT and HT in achieving D98 in local PTV. At the D95 value there is a difference between 3DCRT- and VMAT p = 0.022, 3DCRT-FIF with HT p = 0.005, but no value exists between VMAT and HT p = 0.508. In this case, one of the techniques employed gives a good minimum amount of volume targets, although the results of this technique HT are able to provide a superior D95% average. For D50% locally found, there are three groups that exist between 3DCRT-FIF with VMAT p = 0,000, 3DCRT-FIF with HT p = 0,000, and VMAT with HT p = 0,005. HT technique has the highest mean D50 50.01 0.25. For D2 of the analysis results found there were significant differences in 3 groups that existed between 3DCRT-FIF with VMAT p = 0,005, 3DCRT-FIF with HT p = 0,005, and VMAT with HT p = 0,005.Conclusion: There is no D98% and D95%, but there is still a difference with D2% and D50% between 3DCRT-FIF vs VMAT, 3DCRT-FIF vs HT, and VMAT vs HT, all significant differences (p <0.05). The highest average duration of exposure with HT and lowest on 3DCRT-FIF."

"RSUBY sebagai institusi pemberi Iayanan kesehatan dituntut untuk mengupayakan pemanfaatan setiap fasilitas layanan yang dimiliki secara optimal agar dapat tetap survive dalam situasi yang cukup kompetitif seperti sekarang ini. Salah satu fasilitas layanan yang penting adalah apotek, selain karena keberadaannya dibutuhkan untuk dapat memenuhi seluruh kebutuhan obat pasien, bila dikelola dengan baik, apotek akan menjadi salah satu sumber penghasilan bagi rumah sakit yang bersangkutan. Adanya kesenjangan yang cukup menyolok antara jumlah lembar resep penderita rawat jalan di RSUBY dengan jumlah lembar resep yang dilayani depertemen farmasi akan berpengaruh terhadap kelancaran layanan dan sekaligus mengurangi kesempatan menambah penghasilan bagi RSUBY. Untuk dapat mengoptimalkan peran apotek dalam rangka meningkatkan pendapatan rumah sakit perlu dilakukan penelitien survei dengan analisis kuantitatif dibantu dengan perhitungan statistik.Tujuan penelitian ini adalah untuk memperoleh gambaran tentang faktor-faktor yang berhubungan dengan keputusan pasien dalam pembelian obat di apotek. Pengumpulan data dilakukan secara survei dengan bantuan kuesioner, besar sampel 105, terhadap pasien poli anak dipilih sebagai responden, dihitung dengan p = 0,5; Cl = 95%. Analisis data yang digunakan analisis univariat dan bivariat.Dan hasil penelitian didapatkan responden yang berobat ke RSUBY adalah bukan pegawai negeri sipil, bertempat tinggal dekat, berpendidikan rendah, berpenghasilan rendah, membayar sendiri, berpersepsi biaya obat murah, berpersepsi obat lengkap, berpersepsi lama terhadap kecepatan pelayanan, berpersepsi tidak nyaman terhadap ruang tunggu, dan mengetahui adanya layanan apotek lain disekitar RSUBY. Penelitian ini menyimpulkan bahwa dari 10 variabel babas yang diteliti, terdapat 3 variabel (persepsi tentang ketersediaan obat, persepsi kecepatan pelayanan petugas, dan pengetahuan tentang adanya layanan apotek lain) yang terbukti mempunyai hubungan bermakna secara statistik dengan keputusan pembelian obat di departemen farmasi di SUBY.

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Related Factors to the Decision Of Outpatients Associated with Purchasing of Medicines in Pharmaceutical Departement at Bhakti Yudha Public Hospital, 2001The Bhakti Yudha Public Hospital as a service provider is demanded to cany out optimally the use of it's every service facility In order to survive in the current competitive situation. One of the prospective service facilities Is pharmacy departement. Beside to fulfil the whole medicine needed by the patient, if it is well managed, the pharmacy departement could become one of the profit centers of the hospital. The sharp gap between the number of the out-patients prescriptions of the Bhakti Yudha Public Hospital and the number of prescriptions served by the pharmaceutical departement will affect the level of services as well as reducing the opportunity to Increase the Income. In order to optimize the role of pharmaceutical departement to increase revenue of the hospital, a research needs to be done with quantitative analysis by using statistics program analysis.The objective of this research Is to obtain a description on the related factors to the decision of outpatients associated with purchasing of medicines in pharmaceutical departement . The reseach is using survei approach, data collection process is using queslonnaire which were directly asked to respodents, sampel size of 105 and p = 0,5; CI = 95%, Data analysis used are univariate and bivariate.The research has shown that respondents who are come to hospital are having non goverment employes, having residences close by hospital, having low education, having low income, self payment of medicine, having perception that medicine is cheap, having perception that the medicine is available, having perception that quality of service is bed, having perception that waiting room is uncomfortable, and understand that there are pharmacies located surrounding the Bhakti Yudha Public Hospital. The results of this research show that 7 out of 10 variables have no significant statistical relationship with the utilization of pharmaceutical departement."

"Penelitian ini membahas nomina berafiks pe-, per-, pe--an, dan per--an dalam naskah Hikayat Bayan Budiman, Hikayat Muhammad Hanafiyyah, dan Hikayat Raja Pasai. Penelitian ini menggunakan metode kualitatif, sedangkan teknik pengumpulan data yang digunakan adalah analisis kepustakaan. Berdasarkan penelitian yang dilakukan, terdapat beberapa perbedaan pola pembentukan nomina berafiks pe-, per-, pe--an, dan per--an. Selain memaparkan pola pembentukan nomina berdasarkan kaidah morfofonemik, penelitian ini juga mencoba menganalisis makna afiks pembentuk nomina pe-, per-, pe--an, dan per--an. Penelitian ini juga membahas perbedaan makna afiks pe-, per-, pe--an, dan per--an pada beberapa nomina yang terdapat dalam naskah Hikayat Bayan Budiman, Hikayat Muhammad Hanafiyyah, dan Hikayat Raja Pasai.

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This study discusses nouns affixed with pe-, per-, pe--an, and per--an in the manuscripts Hikayat Bayan Budiman, Hikayat Muhammad Hanafiyyah, and Hikayat Raja Pasai. This study uses qualitative method, while the data collecting technique used is literature analysis. Based on this study, there are some differences in the forming pattern of nouns affixed with pe-, per-, pe--an, and per--an. In addition to describing the noun-forming pattern based on morphophonemic rules, this study also tries to analyze the meaning of noun forming affixes pe-, per-, pe--an, and per--an. This study also discusses the differences of meaning of affixes pe-, per-, pe--an, dan per--an for several nouns in the manuscripts Hikayat Bayan Budiman, Hikayat Muhammad Hanafiyyah, and Hikayat Raja Pasai."

"Xilitol merupakan gula poliol yang memiliki kemanisan mirip dengan sukrosa namun jalur metabolismenya tidak terikat dengan keberadaan insulin, sehingga baik untuk penderita diabetes. Selain itu xilitol tidak menyebabkan karies pada gigi. Produksi xilitol dengan proses fermentasi menggunakan mikroorganisme dinilai lebih praktis dan ekonomis salah satunya dengan menggunakan Debaryomyces hansenii. Khamir ini tahan terhadap kondisi osmotik tinggi, sering dimanfaatkan pabrik anggur dan industri makanan sebagai perasa. Untuk mendapatkan galur murni yang tahan kondisi osmotik tinggi, diperlukan pra-perlakuan dengan memaparkan khamir pada kondisi osmotik tinggi dalam jangka waktu tertentu. Tujuan penelitian ini dilakukan untuk mengetahui pengaruh pemberian pra-perlakuan osmotik tinggi terhadap kemampuan biokonversi Debaryomyces hansenii dan mengetahui pengaruh konsentrasi substrat xilosa terhadap produksi xilitol. Garam NaCl dan KCl masing-masing dengan konsentrasi 2, 2,5, dan 3 M ditambahkan pada media prakultur dan diinkubasi selama 14 hari. Kondisi pra-perlakuan terpilih didapatkan berdasarkan nilai yield xilitol tertinggi dari fermentasi menggunakan substrat xilosa 10%. Hasil terbaik yang didapatkan berdasarkan nilai yield xilitol tertinggi adalah Debaryomyces hansenii yang diberikan pra-perlakuan menggunakan NaCl 3 M (Yield xilitol 13,83%). Uji coba dengan variasi konsentrasi substrat (xilosa) 5%, 10%, dan 15% menunjukkan hasil berupa penurunan nilai yield xilitol seiring dengan meningkatnya konsentrasi substrat.

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Xylitol is a sugar polyol which has a sweetness similar to sucrose metabolism pathway but not tied to the presence of insulin, so it is good for diabetics. Besides that xylitol does not cause dental caries. Xylitol production with fermentation process using microorganism is more efficient and economical either by using Debaryomyces hansenii. This yeast is resistant to high osmotic condition, often used in wine industries and food industries as flavouring agent. To get pure strains which resistant to high osmotic condition, needs pre-treatment by exposing yeast to high osmotic condition in a period of time.

The goal of this research is to determine the effect of giving high osmotic pre-treatment to bioconversion ability of Debaryomyces hansenii and to determine the effect xylose substrate concentration to the production of xylitol. NaCl and KCl salt are used with the concentration of 2, 2,5, and 3 M. The addition of salt is used on preculture medium and incubated for 14 days. Pre-treatment condition is chosen based on the highest number of xylitol's yield value.

The result based from the highet number of xylitol's yield value is Debaryomyces hansenii which is given pre-treatment using NaCl 3M (xylitol's yield value 13,83%). The test by using variation of substrate (xylose) concentration 5%, 10%, and 15% shows the decreasing number of xylitol's yield value and the increasing number substrate concentration in a row."

"[ABSTRAKPusat Kesehatan Masyarakat atau disebut juga Puskesmas berdasarkan Peraturan Menteri Kesehatan Nomor 30 Tahun 2014 tentang Standar Pelayanan Kefarmasian di Puskesmas merupakan unit pelaksana teknis dinas kesehatan kabupaten/kota yang bertanggung jawab menyelenggarakan pembangunan kesehatan di suatu wilayah kerja. Pembangunan kesehatan yang dilakukan di Puskesmas salah satunya ditunjang oleh pelayanan kefarmasian.Sebagai dasar untuk menjamin pelayanan kefarmasian yang bermutu di Puskesmas, pemerintah telah menetapkan standar pelayanan kefarmasian di Puskesmas berdasarkan Peraturan Menteri Kesehatan No 30 Tahun 2014 Tentang Standar Pelayanan Kefarmasian di Puskesmas, yaitu standar pengelolaan obat dan bahan medis habis pakai serta pelayanan farmasi klinik. Selain menjamin mutu pelayanan kefarmasian, standar pelayanan tersebut bertujuan untuk menjamin kepastian hukum bagi tenaga kefarmasian dan melindungi pasien dan masyarakat dari penggunaan obat yang tidak rasional dalam rangka keselamatan pasien (patient safety). Pengelolaan obat dan bahan medis habis pakai meliputi kegiatan perencanaan kebutuhan, permintaan, penerimaan, penyimpanan, pendistribusian, pengendalian, pencatatan, pelaporan, pengarsipan, dan pemantauan serta evaluasi pengelolaan. Sedangkan pelayanan farmasi klinik meliputi pengkajian resep, penyerahan obat, dan pemberian informasi obat; Pelayanan Informasi Obat (PIO); konseling; ronde/visite pasien (khusus Puskesmas rawat inap); pemantauan dan pelaporan efek samping obat; pemantauan terapi obat; dan evaluasi penggunaan obat

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ABSTRACTBased on Minister of Health Regulation No. 30 of 2014 on Standards of Pharmaceutical Services at the health center, Community Health Center also called Puskesmas is the technical implementation unit health districts which responsible for organizing health development in a work area. Health development conducted at the health center one of which is supported by the pharmaceutical services. As a basis for guaranteeing quality pharmacy services in health centers, the government has set the standard pharmacy services at the health center by Health Minister Regulation No. 30 Year 2014 About Standards of Pharmaceutical Services at the health center, which is the standard management of drugs and medical materials consumables and clinical pharmacy services. In addition to guaranteeing the quality of pharmaceutical services, service standards are intended to ensure legal certainty for pharmacy workers and protect patients and the public from the use of drugs that are not rational in the context of patient safety. Management of drugs and medical consumables materials includes planning needs, demand, acceptance, storage, distribution, control, record keeping, reporting, archiving, and monitoring and evaluation of management. While clinical pharmacy services include assessment prescription, drug delivery, and administration of drug information; Drug Information Service (PIO); counseling; round / visite patients (inpatient specialized health centers); monitoring and reporting drug side effects; monitoring drug therapy; and evaluation of drug use;Based on Minister of Health Regulation No. 30 of 2014 on Standards of Pharmaceutical Services at the health center, Community Health Center also called Puskesmas is the technical implementation unit health districts which responsible for organizing health development in a work area. Health development conducted at the health center one of which is supported by the pharmaceutical services. As a basis for guaranteeing quality pharmacy services in health centers, the government has set the standard pharmacy services at the health center by Health Minister Regulation No. 30 Year 2014 About Standards of Pharmaceutical Services at the health center, which is the standard management of drugs and medical materials consumables and clinical pharmacy services. In addition to guaranteeing the quality of pharmaceutical services, service standards are intended to ensure legal certainty for pharmacy workers and protect patients and the public from the use of drugs that are not rational in the context of patient safety. Management of drugs and medical consumables materials includes planning needs, demand, acceptance, storage, distribution, control, record keeping, reporting, archiving, and monitoring and evaluation of management. While clinical pharmacy services include assessment prescription, drug delivery, and administration of drug information; Drug Information Service (PIO); counseling; round / visite patients (inpatient specialized health centers); monitoring and reporting drug side effects; monitoring drug therapy; and evaluation of drug use;Based on Minister of Health Regulation No. 30 of 2014 on Standards of Pharmaceutical Services at the health center, Community Health Center also called Puskesmas is the technical implementation unit health districts which responsible for organizing health development in a work area. Health development conducted at the health center one of which is supported by the pharmaceutical services. As a basis for guaranteeing quality pharmacy services in health centers, the government has set the standard pharmacy services at the health center by Health Minister Regulation No. 30 Year 2014 About Standards of Pharmaceutical Services at the health center, which is the standard management of drugs and medical materials consumables and clinical pharmacy services. In addition to guaranteeing the quality of pharmaceutical services, service standards are intended to ensure legal certainty for pharmacy workers and protect patients and the public from the use of drugs that are not rational in the context of patient safety. Management of drugs and medical consumables materials includes planning needs, demand, acceptance, storage, distribution, control, record keeping, reporting, archiving, and monitoring and evaluation of management. While clinical pharmacy services include assessment prescription, drug delivery, and administration of drug information; Drug Information Service (PIO); counseling; round / visite patients (inpatient specialized health centers); monitoring and reporting drug side effects; monitoring drug therapy; and evaluation of drug use, Based on Minister of Health Regulation No. 30 of 2014 on Standards of Pharmaceutical Services at the health center, Community Health Center also called Puskesmas is the technical implementation unit health districts which responsible for organizing health development in a work area. Health development conducted at the health center one of which is supported by the pharmaceutical services. As a basis for guaranteeing quality pharmacy services in health centers, the government has set the standard pharmacy services at the health center by Health Minister Regulation No. 30 Year 2014 About Standards of Pharmaceutical Services at the health center, which is the standard management of drugs and medical materials consumables and clinical pharmacy services. In addition to guaranteeing the quality of pharmaceutical services, service standards are intended to ensure legal certainty for pharmacy workers and protect patients and the public from the use of drugs that are not rational in the context of patient safety. Management of drugs and medical consumables materials includes planning needs, demand, acceptance, storage, distribution, control, record keeping, reporting, archiving, and monitoring and evaluation of management. While clinical pharmacy services include assessment prescription, drug delivery, and administration of drug information; Drug Information Service (PIO); counseling; round / visite patients (inpatient specialized health centers); monitoring and reporting drug side effects; monitoring drug therapy; and evaluation of drug use]"

"Salah satu naskah dengan latar belakang Cina-Jawa adalah naskah Cariyos Sik Kong. Naskah yang kemudian disebut CSK NR 144 ini merupakan salah satu naskah koleksi Perpustakaan Pusat Universitas Indonesia yang berisi tentang kisah Tiongkok klasik pada masa Dinasti Tang 618-907 Masehi. Teks CSK NR 144 menggunakan bahasa dan aksara Jawa. Tokoh Sik Kong yang merupakan tokoh utama adalah panglima perang di bawah Raja-putra La Ling Ong yang berasal dari Tong Tya. Kisah utama yang diangkat merupakan kisah Raja-putra La Ling Ong yang sedang berseteru dengan Ratu Bu Cik Dyan dari Cyu Tya. Sik Kong sebagai panglima perang sangat patuh dan berjiwa kesatria, membantu Raja-putra La Ling Ong hingga berhasil merebut haknya berkuasa di Tong Tya. Informasi dalam naskah CSK NR 144 hanya dapat diakses jika kajian filologi terlebih dahulu dilakukan. Bersumber dari suntingan teks tersebut, pembaca yang tidak mengerti aksara Jawa akan terbantu untuk analisis lebih lanjut. Suntingan teks CSK NR 144 akan disajikan dengan mencantumkan data-data keberadaan teks dan pertanggungjawaban alih aksara yang bertujuan untuk mempermudah pembaca yang tidak mengenal aksara Jawa dalam teks CSK NR 144.

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One of the Chinese Javanese script is the manuscript of Cariyos Sik Kong. The manuscript, later called CSK NR 144, is one of the manuscripts of the University of Indonesia 39 s Library of Central Library which contains the classical past tales of the Tang Dynasty 618 907 AD . Text CSK NR 144 uses Java language and script. Sik Kong figure who is the main character is the warlord under the Sons of La Ling Ong who came from Tong Tya. The main story is the story of the sons of La Ling Ong who are at odds with Ratu Bu Cik Dyan from Cyu Tya. Sik Kong as a warlord is very obedient and spirited knight, helping the sons of La Ling Ong to successfully complete his right to power in Tong Tya. Information in CSK NR 144 manuscripts can only be accessed if the first philology studies are conducted. Sourced from the text edits, readers who do not understand the Javanese script will be helpful for further analysis. Text edits CSK NR 144 will be displayed by including data from text and accountability that connects to the meaning of readers who do not know Javanese script in text CSK NR 144."

"ABSTRAKPemeliharaan dan perawatan suatu bangunan memiliki tujuan untuk melestarikan bangunan sesuai dengan kondisi awal pada fungsional, struktural, dan estetika. Selain itu, aspek pemeliharaan mencakup siklus hidup yang panjang pada suatu bangunan, sehingga biaya pemeliharaan cenderung lebih besar dibandingkan fase konstruksi lainnya. Gedung Pemerintah milik negara juga tidak lepas dari permasalahan aspek pemeliharaan dan pembiayaan. Building Information Modelling BIM merupakan salah satu pendekatan sistem dan alat yang digunakan dalam aspek pemeliharaan dan perawatan. Tujuan dari penelitian ini adalah mengidentifikasikan faktor yang mempengaruhi pengembangan BIM-model dan bagaimana mengembangkan BIM-model untuk meningkatkan pelayanan dalam pemeliharaan dan perawatan gedung Pemerintah. Penelitian dilakukan dengan melakukan validasi konten kepada para pakar/ahli untuk mengetahui faktor yang berpengaruh dan selanjutnya melakukan pengembangan BIM-model dengan pengambilan data historis dan survey lapangan. Dari data tersebut selanjutnya dilakukan analisa kualitatif berdasarkan faktor yang berpengaruh. Dari penelitian ini diperoleh faktor yang berpengaruh dalam pengembangan BIM-model untuk meningkatkan pelayanan dalam pemeliharaan dan perawatan gedung Pemerintah dan tahapan yang dapat dilakukan untuk meningkatkan pelayanan dalam pemeliharaan dan perawatan pada gedung Pemerintah dengan menggunakan Building Information Modelling BIM.

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ABSTRACT Maintenance of a building has a purpose to preserve the building in accordance with the initial conditions on functional, structural, and aesthetic. In addition, maintenance aspects cover a long life cycle in a building, thusq maintenance costs tend to be larger than other construction phases. DPR RI building is one of the government buildings owned by the state which also can not be separated from maintenance and financing aspect. Building Information Modeling BIM is a system and tools approach used in the aspects of building maintenance. The purpose of this research is to identify factors that influence the development of BIM models and how to develop BIM models to improve services in building maintenance. The research was conducted by validating the content to the experts of building maintenance and BIM to find out the influencing factors and further develop the BIM model by taking of historical data and field survey. From the data then conducted an qualitative analysis based on the influencing factors. From this research, it is found that influential factor in BIM model development that improve service in maintenance of Government building and found steps that can be done to improve service in maintenance at Government building by using Building Information Modeling BIM ."