The Malaysian Orthopaedic Association humanitarian mission to Indonesia and Sri Lanka.
Sharaf, I; Saw, A; Hyzan, Y; Sivananthan, K S
2005-07-01
The tsunami which occurred off the west coast of North Sumatra on December 26, 2004 devastated the coastal areas of North Sumatra, South-West Thailand, South-East India and Sri Lanka killing more than a quarter of a million people. The destruction was enormous with many coastal villages destroyed. The other countries affected were Malaysia, Myanmar, Maldives, Bangladesh, Somalia, Kenya, Tanzania and the Seychelles. In January 2005, volunteers went in weekly rotation to Banda Aceh in collaboration with Global Peace Mission. These were Dr Hyzan Yusof, Dr Suryasmi Duski, Dr Sharaf Ibrahim, Dr Saw Aik, Dr Kamariah Nor and Dr Nor Azlin. In Banda Aceh, the surgical procedures that we could do were limited to external fixation of open fractures and debriding infected wounds at the Indonesian Red Crescent field hospital. In February, a team comprising Dato Dr K S Sivananthan, Dr T Kumar and Dr S Vasan spent a week in Sri Lanka. In Sri Lanka, Dato Sivananthan and his team were able to perform elective orthopaedic operations in Dr Poonambalam Memorial Hospital. We appealed for national and international aid and received support from local hospitals and the orthopaedic industry. International aid bound for Banda Aceh arrived in Kuala Lumpur from the Philippine Orthopaedic Association, the Chiba Children's Hospital in Japan and the Chinese Orthopaedic Association. The COA donated 1.5 tons of orthopaedic equipments. A special handing over ceremony from the COA to the Indonesian Orthopaedic Association was held in Putrajaya in March. Malaysia Airlines flew in the donated equipment to Kuala Lumpur while the onward flight to Aceh was provided by the Royal Malaysian Air Force. In April, Dr Saw Aik and Dr Yong Su Mei joined the Tsu-Chi International Medical Association for volunteer services on Batam Island, Indonesia. The MOA acknowledges the many individuals and organizations, both governmental and non-governmental, for their contributions in the humanitarian efforts.
Investigating and profiling the leadership behaviours of Jordanian nursing leaders.
Mrayyan, Majd; Khasawneh, Israa
Leadership' is a social process in which a member or members of a group influence the interpretation of events, choice of goals/outcomes, organization of work activities, motivation, abilities, power relations, and shared orientations. This study identifies leadership behaviours of Jordanian nursing leaders. A descriptive comparative design was used to collect data from four governmental and three private hospitals. Data were collected during April 2005. The total number of recruited nursing leaders was 140 with a 70% response rate. T-tests and chi-squares were performed to compare the phenomenon of interest. The mean reported leadership behaviours were slightly higher in private hospitals than those in governmental hospitals. However, more than half of the time, leaders in both types of hospitals used supportive leadership behaviours. There were significant differences between governmental and private hospitals in most demographics of the sample. Based on types of hospitals and gender, differences in leadership behaviours were advantageous for nursing leaders in private hospitals, while differences based on units and wards were advantageous for nursing leaders in governmental hospitals. In general, Jordanian nursing leaders used supportive leadership behaviours. Differences in leadership behaviours have implications for nursing practice, research, and education.
Will Catholic hospitals survive without government reimbursements?
Archer, David L
2017-02-01
This brief essay will begin to address the feasibility of operating a Catholic healthcare system without reimbursement from government healthcare programs such as Medicare and Medicaid. This question stems from the recent ACA/HHS "Nondiscrimination in Health Programs and Activities" final rule. Summary : The average hospital in the United States receives 40-50 percent of its net revenues from governmental sources. Participation in Medicare is contingent upon the hospital having a Medicare provider agreement. Participation in other governmental programs (Medicaid) as well as most commercial insurance is also contingent upon that agreement. Hospitals, including "Catholic" hospitals, cannot survive without a Medicare provider agreement. That agreement may be terminated for non-compliance with Medicare and other governmental regulations such as the recent ACA/HHS "Nondiscrimination in Health Programs and Activities" final rule, which could require "Catholic" hospitals to provide services which violate moral principals of the Church.
Santosaningsih, Dewi; Santoso, Sanarto; Budayanti, Nyoman S; Kuntaman, Kuntaman; Lestari, Endang S; Farida, Helmia; Hapsari, Rebriarina; Hadi, Purnomo; Winarto, Winarto; Milheiriço, Catarina; Maquelin, Kees; Willemse-Erix, Diana; van Belkum, Alex; Severin, Juliëtte A; Verbrugh, Henri A
2014-04-01
Data of Staphylococcus aureus carriage in Indonesian hospitals are scarce. Therefore, the epidemiology of S. aureus among surgery patients in three academic hospitals in Indonesia was studied. In total, 366 of 1,502 (24.4%) patients carried S. aureus. The methicillin-resistant S. aureus (MRSA) carriage rate was 4.3%, whereas 1.5% of the patients carried Panton-Valentine leukocidin (PVL)-positive methicillin-sensitive S. aureus (MSSA). Semarang and Malang city (odds ratio [OR] 9.4 and OR 9.0), being male (OR 2.4), hospitalization for more than 5 days (OR 11.708), and antibiotic therapy during hospitalization (OR 2.6) were independent determinants for MRSA carriage, whereas prior hospitalization (OR 2.5) was the only one risk factor for PVL-positive MSSA carriage. Typing of MRSA strains by Raman spectroscopy showed three large clusters assigned type 21, 24, and 38, all corresponding to ST239-MRSA-SCCmec type III. In conclusion, MRSA and PVL-positive MSSA are present among patients in surgical wards in Indonesian academic hospitals.
Santosaningsih, Dewi; Santoso, Sanarto; Budayanti, Nyoman S.; Kuntaman, Kuntaman; Lestari, Endang S.; Farida, Helmia; Hapsari, Rebriarina; Hadi, Purnomo; Winarto, Winarto; Milheiriço, Catarina; Maquelin, Kees; Willemse-Erix, Diana; van Belkum, Alex; Severin, Juliëtte A.; Verbrugh, Henri A.
2014-01-01
Data of Staphylococcus aureus carriage in Indonesian hospitals are scarce. Therefore, the epidemiology of S. aureus among surgery patients in three academic hospitals in Indonesia was studied. In total, 366 of 1,502 (24.4%) patients carried S. aureus. The methicillin-resistant S. aureus (MRSA) carriage rate was 4.3%, whereas 1.5% of the patients carried Panton-Valentine leukocidin (PVL)-positive methicillin-sensitive S. aureus (MSSA). Semarang and Malang city (odds ratio [OR] 9.4 and OR 9.0), being male (OR 2.4), hospitalization for more than 5 days (OR 11.708), and antibiotic therapy during hospitalization (OR 2.6) were independent determinants for MRSA carriage, whereas prior hospitalization (OR 2.5) was the only one risk factor for PVL-positive MSSA carriage. Typing of MRSA strains by Raman spectroscopy showed three large clusters assigned type 21, 24, and 38, all corresponding to ST239-MRSA-SCCmec type III. In conclusion, MRSA and PVL-positive MSSA are present among patients in surgical wards in Indonesian academic hospitals. PMID:24567320
A study on the utilization of forest policy to review from the aspect of climate change
NASA Astrophysics Data System (ADS)
Ardhana, I. Putu Gede
2017-11-01
The purpose of this study was to review the utilization of forests from the policy aspects of climate change. This was then associated with the implementation of governmental commitment to carry out REDD+ to cope with the impact of climate change and to achieve sustainable development. Firstly, the author studied this problem from data and information about vast forest areas and conservative water areas in Indonesia. According to provincial governments, there have been several decision letters from the Minister of Forestry from different years ranging from 1999-2014. Comparing the forest areas in letters of 2005, 2008, and 2015, it can be suggested that the areas allocated as productive forest exceeded the areas of conserved or protected forest. This indicates that the utilization of forest as a development resource has occurred, and will continue to become an important element in Indonesia. Furthermore, Indonesian forests continue to suffer deforestation and forest degradation. Therefore, the author presented data and information about deforestation and forest degradation that occurred from forest damage and forest fires. Thirdly, the author presented data and information about the deforestation rate from 2000-2014. In 1989, rehabilitation activities were carried out for critical lands, and from 2012-2014, rehabilitation of forest and riverside areas occurred. This research uses descriptive methods with an approximation of legislation and an approach to librarianship. Then, this study is described in a narrative as well as an interpretive style, and compiled in the form of a working paper. From the results of this research, it can be concluded that Indonesian governmental policy regarding forest utilization has wide potential mitigations, and it is absolutely necessary to consistently implement a number of such programs related to climate change.
Singh, Simone R; Bakken, Erik; Kindig, David A; Young, Gary J
2016-01-01
Achieving meaningful population health improvements has become a priority for communities across the United States, yet funding to sustain multisector initiatives is frequently not available. One potential source of funding for population health initiatives is the community benefit expenditures that are required of nonprofit hospitals to maintain their tax-exempt status. In this article, we explore the importance of nonprofit hospitals' community benefit dollars as a funding source for population health. Hospitals' community benefit expenditures were obtained from their 2009 IRS (Internal Revenue Service) Form 990 Schedule H and complemented with data on state and local public health spending from the Association of State and Territorial Health Officials and the National Association of County & City Health Officials. Key measures included indicators of hospitals' community health spending and governmental public health spending, all aggregated to the state level. Univariate and bivariate statistics were used to describe how much hospitals spent on programs and activities for the community at large and to understand the relationship between hospitals' spending and the expenditures of state and local health departments. Tax-exempt hospitals spent a median of $130 per capita on community benefit activities, of which almost $11 went toward community health improvement and community-building activities. In comparison, median state and local health department spending amounted to $82 and $48 per capita, respectively. Hospitals' spending thus contributed an additional 9% to the resources available for population health to state and local health departments. Spending, however, varied widely by state and was unrelated to governmental public health spending. Moreover, adding hospitals' spending to the financial resources available to governmental public health agencies did not reduce existing inequalities in population health funding across states. Hospitals' community health investments represent an important source for public health activities, yet inequalities in the availability of funding across communities remain.
Assessment of safety culture in isfahan hospitals (2010).
Raeisi, Ahmed Reza; Nazari, Maryam; Bahmanziari, Najme
2013-01-01
Many internal and external risk factors in health care organizations make safety important and it has caused the management to consider safety in their mission statement. One of the most important tools is to establish the appropriate organizational structure and safety culture. The goal of this research is to inform managers and staff about current safety culture status in hospitals in order to improve the efficiency and effectiveness of health services. This is a descriptive-survey research. The research population was selected hospitals of Isfahan, Iran. Research tool was a questionnaire (Cronbach alpha 0.75). The questionnaire including 93 questions (Likert scale) classified in 12 categories: Demographic questions, Individual attitude, management attitude, Safety Training, Induced stress, pressure and emotional conditions during work, Consultation and participation, Communications, Monitoring and control, work environment, Reporting, safety Rules, procedures and work instructions that distributed among 45 technicians, 208 Nurses and 62 Physicians. All data collected from the serve was analysis with statistical package of social science (SPSS). In this survey Friedman test, Spearman correlation, analysis of variance (ANOVA) and factor analysis have been used for data analyzing. The score of safety culture dimensions was 2.90 for Individual attitude, 3.12 for management attitude, 3.32 for Safety Training, 3.14 for Induced stress, pressure and emotional conditions during work, 3.31 for Consultation and participation, 2.93 for Communications, 3.28 for Monitoring and control, 3.19 for work environment, 3.36 for Reporting, 3.59 safety Rules, procedures and work instructions that Communication and individual attitude were in bad condition. Safety culture among different hospitals: governmental and educational, governmental and non-educational and non-governmental and different functional groups (physicians, nurses, diagnostic) of studied hospitals showed no significant differences. There was no relationship between safety culture and demographic data. It was concluded that is no different among governmental and educational, governmental and non-educational and non-governmental in level of safety culture, all of them were on intermediate level so it is essential to attention to the safety culture in hospitals and planning to improve it.
Akco, Seda; Dagli, Tolga; Inanici, Mehmet Akif; Kaynak, Hatice; Oral, Resmiye; Sahin, Figen; Sofuoglu, Zeynep; Ulukol, Betul
2013-11-01
Since ratification of the United Nations Convention on the Rights of the Child in 1995, significant efforts were made in Turkey to improve protection of children from abuse and neglect. The government took steps to amend relevant laws. Several state departments recognized the need for professional in-service training of relevant governmental agency staff. University hospitals established numerous hospital-based multidisciplinary child protection centres. The government established an Interministerial Higher Council, which has been overseeing the foundation of 13 child advocacy centres for a multidisciplinary and interagency response to child sexual abuse. In addition to undertaking research, non-governmental organizations contributed to this process by instituting professional and public education. These ground-breaking developments in the last decade give promise of even further improvement in the national child protection system from investigative, child protective and rehabilitative perspectives.
E I, Auerkari; V, Joewono; D R, Handjari; A T, Sarwono; A W, Suhartono; K, Eto; M A, Ikeda
2014-01-01
Cancer cells exhibit characteristic damage of DNA and its expression. The expression of the tumor suppressors E-cadherin and p27(Kip1) has been tested on 57 head and neck squamous cell carcinomas (HNSCC) of Indonesian subjects. HNSCC tumor samples including both primary and (unrelated) nodal cases were obtained from the archives of Indonesian hospitals, in accordance with acknowledged ethical requirements. Only modest correlation was found between reduced expression of E-cadherin or p27(Kip1) with increased malignancy of primary and nodal growth. The observed strong correlation regardless of malignancy between the expressed levels of E-cadherin and p27(Kip1) suggests that also in combination these would not help to better predict the outcome of HNSCC.
Hospital-based surveillance of congenital rubella syndrome in Indonesia.
Herini, Elisabeth Siti; Gunadi; Triono, Agung; Mulyadi, Asal Wahyuni Erlin; Mardin, Niprida; Rusipah; Soenarto, Yati; Reef, Susan E
2017-03-01
Congenital rubella syndrome (CRS) has serious consequences, such as miscarriage, stillbirth, and severe birth defects in infants, resulting from rubella virus infection during pregnancy. However, rubella vaccine has not yet been implemented in Indonesia. This study aimed (1) to estimate the incidence of CRS in Indonesia, (2) describe the clinical features of CRS at our referral hospital, and (3) pilot a CRS surveillance system to be extended to other hospitals. We conducted a 4-month prospective surveillance study of infants aged <1 year with suspected CRS in 2013 at an Indonesian hospital. Infants with suspected CRS were examined for rubella-specific IgM antibody or rubella IgG antibody levels. Of 47 suspected cases of CRS, 11/47 (23.4%), 9/47 (19.1%), and 27/47 (57.5%) were diagnosed as laboratory-confirmed, clinically compatible, and discarded CRS, respectively. The most common defects among laboratory-confirmed CRS cases were hearing impairment (100%), congenital cataracts (72.7%), microcephaly (72.7%), and congenital heart defects (45.5%). The number of laboratory-confirmed CRS cases among Indonesian infants is high. Furthermore, hearing impairment is the most common clinical feature of CRS in infants. Our findings indicate the importance of implementation of rubella vaccine in Indonesia. Conducting hospital-based surveillance of CRS in other hospitals in Indonesia may be appropriate. What is Known: •Congenital rubella syndrome (CRS) has serious consequences in infants resulting from rubella virus infection during pregnancy. •The incidence of CRS in most developed countries has greatly decreased since implementation of rubella vaccination. •Rubella vaccine has not yet been implemented in many developing countries. What is New: •The number of laboratory-confirmed CRS cases among Indonesian infants was high. •Implementation of rubella vaccine into immunization programs in Indonesia is important because of the high number of CRS cases. •Our study highlights the need for ongoing prospective surveillance of CRS in Indonesia.
Indonesian dengue burden estimates: review of evidence by an expert panel.
Wahyono, T Y M; Nealon, J; Beucher, S; Prayitno, A; Moureau, A; Nawawi, S; Thabrany, H; Nadjib, M
2017-08-01
Routine, passive surveillance systems tend to underestimate the burden of communicable diseases such as dengue. When empirical methods are unavailable, complimentary opinion-based or extrapolative methods have been employed. Here, an expert Delphi panel estimated the proportion of dengue captured by the Indonesian surveillance system, and associated health system parameters. Following presentation of medical and epidemiological data and subsequent discussions, the panel made iterative estimates from which expansion factors (EF), the ratio of total:reported cases, were calculated. Panelists estimated that of all symptomatic Indonesian dengue episodes, 57·8% (95% confidence interval (CI) 46·6-59·8) enter healthcare facilities to seek treatment; 39·3% (95% CI 32·8-42·0) are diagnosed as dengue; and 20·3% (95% CI 16·1-24·3) are subsequently reported in the surveillance system. They estimated most hospitalizations occur in the public sector, while ~55% of ambulatory episodes are seen privately. These estimates gave an overall EF of 5·00; hospitalized EF of 1·66; and ambulatory EF of 34·01 which, when combined with passive surveillance data, equates to an annual average (2006-2015) of 612 005 dengue cases, and 183 297 hospitalizations. These estimates are lower than those published elsewhere, perhaps due to case definitions, local clinical perceptions and treatment-seeking behavior. These findings complement global burden estimates, support health economic analyses, and can be used to inform decision-making.
Amir, Yufitriana; Lohrmann, Christa; Halfens, Ruud Jg; Schols, Jos Mga
2017-02-01
The objective of this article was to study characteristics of pressure ulcer patients and their ulcers, pressure ulcer preventive and treatment measures in four Indonesian general hospitals. A multicentre cross-sectional design was applied to assess pressure ulcers and pressure ulcer care in adult patients in medical, surgical, specialised and intensive care units. Ninety-one of the 1132 patients had a total of 142 ulcers. Half (44·0%) already had pressure ulcers before admission. The overall prevalence of category I-IV pressure ulcers was 8·0% (95% CI 6·4-9·6), and the overall nosocomial pressure ulcer prevalence was 4·5% (95% CI 3·3-5·7). Most pressure ulcer patients had friction and shear problems, were bedfast, had diabetes and had more bedridden days. Most ulcers (42·3%) were category III and IV. One third of the patients had both pressure ulcers and moisture lesions (36·3%) and suffered from pain (45·1%). The most frequently used prevention measures were repositioning (61·5%), skin moisturising (47·3%), patient education (36·3%) and massage (35·2%). Most pressure ulcer dressings involved saline-impregnated or antimicrobial gauzes. This study shows the complexities of pressure ulcers in Indonesian general hospitals and reveals that the quality of pressure ulcer care (prevention and treatment) could be improved by implementing the recent evidence-based international guideline. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Laine, Katariina; Hassan, Sahar; Fosse, Erik; Lieng, Marit; Zimmo, Kaled; Anti, Marit; Sørum Falk, Ragnhild; Vikanes, Åse
2018-01-01
Objective To assess the differences in rates and odds for emergency caesarean section among singleton pregnancies in six governmental Palestinian hospitals. Design A prospective population-based birth cohort study. Setting Obstetric departments in six governmental Palestinian hospitals. Participants 32 321 women scheduled to deliver vaginally from 1 March 2015 until 29 February 2016. Methods To assess differences in sociodemographic and antenatal obstetric characteristics by hospital, χ2 test, analysis of variance and Kruskal-Wallis test were applied. Logistic regression was used to estimate differences in odds for emergency caesarean section, and ORs with 95% CIs were assessed. Main outcome measures The primary outcome was the adjusted ORs of emergency caesarean section among singleton pregnancies for five Palestinian hospitals as compared with the reference (Hospital 1). Results The prevalence of emergency caesarean section varied across hospitals, ranging from 5.8% to 22.6% among primiparous women and between 4.8% and 13.1% among parous women. Compared with the reference hospital, the ORs for emergency caesarean section were increased in all other hospitals, crude ORs ranging from 1.95 (95% CI 1.42 to 2.67) to 4.75 (95% CI 3.49 to 6.46) among primiparous women. For parous women, these differences were less pronounced, crude ORs ranging from 1.37 (95% CI 1.13 to 1.67) to 2.99 (95% CI 2.44 to 3.65). After adjustment for potential confounders, the ORs were reduced but still statistically significant, except for one hospital among parous women. Conclusion Substantial differences in odds for emergency caesarean section between the six Palestinian governmental hospitals were observed. These could not be explained by the studied sociodemographic or antenatal obstetric characteristics. PMID:29500211
Al-Rawajfah, Omar M; Tubaishat, Ahmad
2017-10-01
The recognized international organizations on infection prevention recommend using an observational method as the gold standard procedure for assessing health care professional's compliance with standard infection control practices. However, observational studies are rarely used in Jordanian infection control studies. This study aimed to evaluate injection practices among nurses working in Jordanian governmental hospitals. A cross-sectional concealed observational design is used for this study. A convenience sampling technique was used to recruit a sample of nurses working in governmental hospitals in Jordan. Participants were unaware of the time and observer during the observation episode. A total of 384 nurses from 9 different hospitals participated in the study. A total of 835 injections events were observed, of which 73.9% were performed without handwashing, 64.5% without gloving, and 27.5% were followed by needle recapping. Handwashing rate was the lowest (18.9%) when injections were performed by beginner nurses. Subcutaneous injections were associated with the lowest rate (26.7%) of postinjection handwashing compared with other routes. This study demonstrates the need for focused and effective infection control educational programs in Jordanian hospitals. Future studies should consider exploring the whole infection control practices related to waste disposal and the roles of the infection control nurse in this process in Jordanian hospitals. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Marjadi, B; McLaws, M-L
2010-11-01
Few attempts to increase healthcare workers' hand hygiene compliance have included an in-depth analysis of the social and behavioural context in which hand hygiene is not undertaken. We used a mixed method approach to explore hand hygiene barriers in rural Indonesian healthcare facilities to develop a resource-appropriate adoption of international guidelines. Two hospitals and eight clinics (private and public) in a rural Indonesian district were studied for three months each. Hand hygiene compliance was covertly observed for two shifts each in three adult wards at two hospitals. Qualitative data were collected from direct observation, focus group discussions and semistructured in-depth and informal interviews within healthcare facilities and the community. Major barriers to compliance included longstanding water scarcity, tolerance of dirtiness by the community and the healthcare organisational culture. Hand hygiene compliance was poor (20%; 57/281; 95% CI: 16-25%) and was more likely to be undertaken after patient contact (34% after-patient contact vs 5% before-patient contact, P<0.001) and 'inherent' opportunities associated with contacts perceived to be dirty (49% 'inherent' vs 11% 'elective' opportunities associated with clean contacts, P<0.001). Clinicians frequently touched patients without hand hygiene, and some clinicians avoided touching patients altogether. The provision of clean soap and water and in-service training will not overcome strong social and behavioural barriers unless interventions focus on long term community education and managerial commitment to the provision of supportive working conditions. Copyright © 2010 The Hospital Infection Society. All rights reserved.
Setiawan, Didik; Kotsopoulos, Nikolaos; Wilschut, Jan C.; Postma, Maarten J.; Connolly, Mark P.
2016-01-01
Background Cervical cancer poses a substantial burden in terms of morbidity, mortality, and economic losses, especially in low/middle-income countries. HPV vaccination and/or cervical cancer screening among females may reduce the burden of HPV-related diseases, including cervical cancer. However, limited funds may impede the implementation of population-based programmes. Governmental investments in the prevention of infectious disease may have broader economic and fiscal benefits, which are not accounted in conventional economic analyses. This study estimates the broader economic and fiscal impacts of implementing HPV vaccination and/or cervical cancer screening in Indonesia from the perspective of the government. Methods A government-perspective quantitative analytic framework was applied to assess the Net Present Value (NPV) of investment on cervical cancer prevention strategies including HPV vaccination, cervical screening and its combination in Indonesia. All monetary values were presented in International Dollars (I$). Results Based on a cohort of 10,000,000 Indonesian 12-year-old females, it was estimated that HPV vaccination and/or cervical cancer screening result in a positive NPV for the Indonesian government. The combination of cervical screening and HPV vaccination generated a substantial reduction of cervical cancer incidence and HPV-related mortality of 87,862 and 19,359, respectively. It was estimated that HPV vaccination in combination with cervical screening is the most favorable option for cervical cancer prevention (NPV I$2.031.786.000), followed by HPV vaccination alone (NPV I$1.860.783.000) and cervical screening alone (NPV I$375.244.000). Conclusion In addition to clinical benefits, investing in HPV vaccination and cervical screening may yield considerable fiscal benefits for the Indonesian governments due to lifelong benefits resulting from reduction of cervical cancer-related morbidity and mortality. PMID:27490258
Setiawan, Didik; Kotsopoulos, Nikolaos; Wilschut, Jan C; Postma, Maarten J; Connolly, Mark P
2016-01-01
Cervical cancer poses a substantial burden in terms of morbidity, mortality, and economic losses, especially in low/middle-income countries. HPV vaccination and/or cervical cancer screening among females may reduce the burden of HPV-related diseases, including cervical cancer. However, limited funds may impede the implementation of population-based programmes. Governmental investments in the prevention of infectious disease may have broader economic and fiscal benefits, which are not accounted in conventional economic analyses. This study estimates the broader economic and fiscal impacts of implementing HPV vaccination and/or cervical cancer screening in Indonesia from the perspective of the government. A government-perspective quantitative analytic framework was applied to assess the Net Present Value (NPV) of investment on cervical cancer prevention strategies including HPV vaccination, cervical screening and its combination in Indonesia. All monetary values were presented in International Dollars (I$). Based on a cohort of 10,000,000 Indonesian 12-year-old females, it was estimated that HPV vaccination and/or cervical cancer screening result in a positive NPV for the Indonesian government. The combination of cervical screening and HPV vaccination generated a substantial reduction of cervical cancer incidence and HPV-related mortality of 87,862 and 19,359, respectively. It was estimated that HPV vaccination in combination with cervical screening is the most favorable option for cervical cancer prevention (NPV I$2.031.786.000), followed by HPV vaccination alone (NPV I$1.860.783.000) and cervical screening alone (NPV I$375.244.000). In addition to clinical benefits, investing in HPV vaccination and cervical screening may yield considerable fiscal benefits for the Indonesian governments due to lifelong benefits resulting from reduction of cervical cancer-related morbidity and mortality.
Zuidervaart, Huib J; Van Gent, Rob H
2004-03-01
The transits of Venus in 1761 and 1769 appear to mark the starting point of instrumental science in the Dutch East Indies (now Indonesia). This essay examines the conditions that triggered and constituted instrumental and institutional science on Indonesian soil in the late eighteenth century. In 1765 the Reverend J. M. Mohr, whose wife had received a large inheritance, undertook to build a fully equipped private observatory in Batavia (now Jakarta). There he made several major astronomical and meteorological observations. Mohr's initiative inspired other Europeans living on Java around 1770 to start a scientific movement. Because of the lack of governmental and other support, it was not until 1778 that this offspring of the Dutch-Indonesian Enlightenment became a reality. The Bataviaasch Genootschap van Kunsten en Wetenschappen tried from the beginning to put into effect the program Mohr had outlined. The members even bought his instruments from his widow, intending to continue his measurements. For a number of reasons, however, this instrumental program was more than the society could support. Around 1790 instrumental science in the former Dutch East Indies came to a standstill, not to be resumed for several decades.
NASA Astrophysics Data System (ADS)
Jonny, Zagloed, Teuku Yuri M.
2017-11-01
This paper aims to present an integrated health care model for Indonesian health care industry. Based on previous researches, there are two health care models in the industry such as decease- and patient-centered care models. In their developments, the patient-centered care model is widely applied due to its capability in reducing cost and improving quality simultaneously. However, there is still no comprehensive model resulting in cost reduction, quality improvement, patient satisfaction and hospital profitability simultaneously. Therefore, this research is intended to develop that model. In doing so, first, a conceptual model using Kano's Model, Quality Function Deployment (QFD) and Balanced Scorecard (BSC) is developed to generate several important elements of the model as required by stakeholders. Then, a case study of an Indonesian hospital is presented to evaluate the validity of the model using correlation analysis. As a result, it can be concluded that the model is validated implying several managerial insights among its elements such as l) leadership (r=0.85) and context of the organization (r=0.77) improve operations; 2) planning (r=0.96), support process (r=0.87) and continual improvement (r=0.95) also improve operations; 3) operations improve customer satisfaction (r=0.89) and financial performance (r=0.93) and 4) customer satisfaction improves the financial performance (0.98).
Medical Education, 1922-1924. Bulletin, 1925, No. 31
ERIC Educational Resources Information Center
Colwell, N. P.
1925-01-01
This bulletin documents: (1) a quarter century's progress in medical education, including inadequate governmental control over medical education, action by a voluntary agency, legal power v. publicity, greatly enlarged teaching plants, hospitals as related to medical education, hospital internships, and the hospital as an important educational…
Semachew, Ayele
2018-03-13
The purpose of this survey was to evaluate the implementation of the nursing process at three randomly selected governmental hospitals found in Amhara Region North West Ethiopia. From the total 338 reviewed documents, 264 (78.1%) have a nursing process format attached with the patient's profile/file, 107 (31.7%) had no nursing diagnosis, 185 (54.7%) of nurses stated their plan of care based on priority, 173 (51.2%) of nurses did not document their interventions based on plan and 179 (53.0%) of nurses did not evaluate their interventions. The overall implementation of nursing process among Felege Hiwot Referal hospital, Debretabor general hospital and Finoteselam general hospitals were 49.12, 68.18, and 69.42% respectively. Nursing professionals shall improve documentation required in implementing the nursing process. Nursing managers (matron, ward heads) shall supervise the overall implementation of nursing process. Hospital nursing services managers (matrons) shall arrange and facilitate case presentations by the nursing staffs which focus on documentation and updates on nursing process. Hospitals need to establish and support nursing process coordinating staff in their institution.
Zimmo, Mohammed; Laine, Katariina; Hassan, Sahar; Fosse, Erik; Lieng, Marit; Ali-Masri, Hadil; Zimmo, Kaled; Anti, Marit; Bottcher, Bettina; Sørum Falk, Ragnhild; Vikanes, Åse
2018-03-02
To assess the differences in rates and odds for emergency caesarean section among singleton pregnancies in six governmental Palestinian hospitals. A prospective population-based birth cohort study. Obstetric departments in six governmental Palestinian hospitals. 32 321 women scheduled to deliver vaginally from 1 March 2015 until 29 February 2016. To assess differences in sociodemographic and antenatal obstetric characteristics by hospital, χ 2 test, analysis of variance and Kruskal-Wallis test were applied. Logistic regression was used to estimate differences in odds for emergency caesarean section, and ORs with 95% CIs were assessed. The primary outcome was the adjusted ORs of emergency caesarean section among singleton pregnancies for five Palestinian hospitals as compared with the reference (Hospital 1). The prevalence of emergency caesarean section varied across hospitals, ranging from 5.8% to 22.6% among primiparous women and between 4.8% and 13.1% among parous women. Compared with the reference hospital, the ORs for emergency caesarean section were increased in all other hospitals, crude ORs ranging from 1.95 (95% CI 1.42 to 2.67) to 4.75 (95% CI 3.49 to 6.46) among primiparous women. For parous women, these differences were less pronounced, crude ORs ranging from 1.37 (95% CI 1.13 to 1.67) to 2.99 (95% CI 2.44 to 3.65). After adjustment for potential confounders, the ORs were reduced but still statistically significant, except for one hospital among parous women. Substantial differences in odds for emergency caesarean section between the six Palestinian governmental hospitals were observed. These could not be explained by the studied sociodemographic or antenatal obstetric characteristics. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Garner, M; Grossman, W
1991-02-01
The Financial Accounting Foundation's (FAF's) November 1989 decision to uphold the 1984 jurisdictional arrangement between the Financial Accounting Standards Board (FASB) and the Government Accounting Standards Board (GASB) leaves little doubt that the healthcare industry will now be subject to two sets of accounting standards. The FAF's decision created a distinction between the accounting practices of government-owned hospitals and non-hospital governmental entities and their adherence to standards set by FASB, GASB, and the American Institute of Certified Public Accountants. A governmental healthcare organization should carefully determine which accounting rules it follows and remain attentive to further GASB developments.
Aisyiyah Organization and Social Change for Women
ERIC Educational Resources Information Center
Qodariah, Lelly
2016-01-01
The rise of Indonesian women cannot be separated from the role of Aisyiyah organization since it was established in 1917. The examples are in education, social, religious, charity and society for more than four thousands of Aisyiyah Bustanul Afthal Kindergarten, big hospitals, health business such as mother children health, economic activities,…
The impact of HMO and hospital competition on hospital costs.
Younis, Mustafa Z; Rivers, Patrick A; Fottler, Myron D
2005-01-01
This study examines the impact of HMO penetration and competition on health system performance, as measured by hospital cost per adjusted admissions. The study population consisted of acute-care hospitals in the United States. The findings of this study suggest that there is no relationship between HMO competition and hospital cost per adjusted admission. Governmental efforts to stimulate competition in the hospital market, if focused on promoting HMOs, are not likely to produce cost-containing results quickly.
Zyoud, Sa'ed H; Al-Jabi, Samah W; Bali, Yara I; Al-Sayed, Afnan M; Sweileh, Waleed M; Awang, Rahmat
2014-02-21
Poisoning exposures continue to be a significant cause of morbidity and mortality worldwide. The lack of facilities, treatment resources, and antidotes in hospitals may affect the treatments provided and outcomes. This study aimed to determine the availability of gastrointestinal (GI) decontamination, stabilisation, elimination enhancement resources, and antidotes for the management of acute toxic exposures and poisonings in emergency departments (EDs) among various types of governmental and private hospitals in Palestine. A cross-sectional study using semi-structured questionnaire was performed. Data were collected based on hospital resources; GI decontamination, stabilisation, elimination enhancement resources and antidotes from Palestinian hospitals. Eighteen hospitals (94.7%) have responded. Among them, paracetamol poisoning was the most frequently reported cases by EDs (mean frequency score = 7.6 ± 2.1), followed by bee stings (mean = 6.9 ± 2.7) and organophosphate poisoning (mean = 6.7 ± 2.7). The availabilities of most resources related to GI decontamination items varied substantially with hospital type, but these differences were not statistical significant. The availability of stabilisation resources was not significantly different between hospitals types. For the availability of techniques used to enhance the elimination of toxic substances, there were variations between the hospitals types. However, these differences were not statistical significant, except for haemodialysis (p = 0.003) which was more available in governmental hospitals. For the availability of antidotes, none of the hospitals had sufficient stock of all antidotes listed. In relation to hospital type, there was variability in the availability of antidotes, but this did not reach statistical significance, except for deferoxamine (p < 0.001), which was available in all governmental hospitals but none of the private hospitals. The availability of treatment resources and antidotes in Palestinian hospitals was not adequate except for stabilisation resources. The availability of such resources acts as a marker for the level of readiness of hospital EDs in Palestine for the management of acute toxic exposure and poisoning. The implementation of a minimum list of antidotes and treatment resources would be useful to increase the level of resources. Coordination between Palestinian poison control and drug information centre and hospitals is also important.
2014-01-01
Background Poisoning exposures continue to be a significant cause of morbidity and mortality worldwide. The lack of facilities, treatment resources, and antidotes in hospitals may affect the treatments provided and outcomes. This study aimed to determine the availability of gastrointestinal (GI) decontamination, stabilisation, elimination enhancement resources, and antidotes for the management of acute toxic exposures and poisonings in emergency departments (EDs) among various types of governmental and private hospitals in Palestine. Methods A cross-sectional study using semi-structured questionnaire was performed. Data were collected based on hospital resources; GI decontamination, stabilisation, elimination enhancement resources and antidotes from Palestinian hospitals. Results Eighteen hospitals (94.7%) have responded. Among them, paracetamol poisoning was the most frequently reported cases by EDs (mean frequency score = 7.6 ± 2.1), followed by bee stings (mean = 6.9 ± 2.7) and organophosphate poisoning (mean = 6.7 ± 2.7). The availabilities of most resources related to GI decontamination items varied substantially with hospital type, but these differences were not statistical significant. The availability of stabilisation resources was not significantly different between hospitals types. For the availability of techniques used to enhance the elimination of toxic substances, there were variations between the hospitals types. However, these differences were not statistical significant, except for haemodialysis (p = 0.003) which was more available in governmental hospitals. For the availability of antidotes, none of the hospitals had sufficient stock of all antidotes listed. In relation to hospital type, there was variability in the availability of antidotes, but this did not reach statistical significance, except for deferoxamine (p < 0.001), which was available in all governmental hospitals but none of the private hospitals. Conclusions The availability of treatment resources and antidotes in Palestinian hospitals was not adequate except for stabilisation resources. The availability of such resources acts as a marker for the level of readiness of hospital EDs in Palestine for the management of acute toxic exposure and poisoning. The implementation of a minimum list of antidotes and treatment resources would be useful to increase the level of resources. Coordination between Palestinian poison control and drug information centre and hospitals is also important. PMID:24555427
Sarilita, Erli; Rynn, Christopher; Mossey, Peter A; Black, Sue; Oscandar, Fahmi
2018-05-01
This study investigated nose profile morphology and its relationship to the skull in Scottish subadult and Indonesian adult populations, with the aim of improving the accuracy of forensic craniofacial reconstruction. Samples of 86 lateral head cephalograms from Dundee Dental School (mean age, 11.8 years) and 335 lateral head cephalograms from the Universitas Padjadjaran Dental Hospital, Bandung, Indonesia (mean age 24.2 years), were measured. The method of nose profile estimation based on skull morphology previously proposed by Rynn and colleagues in 2010 (FSMP 6:20-34) was tested in this study. Following this method, three nasal aperture-related craniometrics and six nose profile dimensions were measured from the cephalograms. To assess the accuracy of the method, six nose profile dimensions were estimated from the three craniometric parameters using the published method and then compared to the actual nose profile dimensions.In the Scottish subadult population, no sexual dimorphism was evident in the measured dimensions. In contrast, sexual dimorphism of the Indonesian adult population was evident in all craniometric and nose profile dimensions; notably, males exhibited statistically significant larger values than females. The published method by Rynn and colleagues (FSMP 6:20-34, 2010) performed better in the Scottish subadult population (mean difference of maximum, 2.35 mm) compared to the Indonesian adult population (mean difference of maximum, 5.42 mm in males and 4.89 mm in females).In addition, regression formulae were derived to estimate nose profile dimensions based on the craniometric measurements for the Indonesian adult population. The published method is not sufficiently accurate for use on the Indonesian population, so the derived method should be used. The accuracy of the published method by Rynn and colleagues (FSMP 6:20-34, 2010) was sufficiently reliable to be applied in Scottish subadult population.
Pane, Masdalina; Imari, Sholah; Alwi, Qomariah; Nyoman Kandun, I; Cook, Alex R.; Samaan, Gina
2013-01-01
Background Indonesia provides the largest single source of pilgrims for the Hajj (10%). In the last two decades, mortality rates for Indonesian pilgrims ranged between 200–380 deaths per 100,000 pilgrims over the 10-week Hajj period. Reasons for high mortality are not well understood. In 2008, verbal autopsy was introduced to complement routine death certificates to explore cause of death diagnoses. This study presents the patterns and causes of death for Indonesian pilgrims, and compares routine death certificates to verbal autopsy findings. Methods Public health surveillance was conducted by Indonesian public health authorities accompanying pilgrims to Saudi Arabia, with daily reporting of hospitalizations and deaths. Surveillance data from 2008 were analyzed for timing, geographic location and site of death. Percentages for each cause of death category from death certificates were compared to that from verbal autopsy. Results In 2008, 206,831 Indonesian undertook the Hajj. There were 446 deaths, equivalent to 1,968 deaths per 100,000 pilgrim years. Most pilgrims died in Mecca (68%) and Medinah (24%). There was no statistically discernible difference in the total mortality risk for the two pilgrimage routes (Mecca or Medinah first), but the number of deaths peaked earlier for those traveling to Mecca first (p=0.002). Most deaths were due to cardiovascular (66%) and respiratory (28%) diseases. A greater proportion of deaths were attributed to cardiovascular disease by death certificate compared to the verbal autopsy method (p<0.001). Significantly more deaths had ill-defined cause based on verbal autopsy method (p<0.001). Conclusions Despite pre-departure health screening and other medical services, Indonesian pilgrim mortality rates were very high. Correct classification of cause of death is critical for the development of risk mitigation strategies. Since verbal autopsy classified causes of death differently to death certificates, further studies are needed to assess the method’s utility in this setting. PMID:23991182
Workplace violence against nurses in Indonesian emergency departments.
Noorana Zahra, Anggri; Feng, Jui-Ying
2018-02-01
The objective of this study was to examine the experiences of violent incidents by nurses in Indonesian emergency departments. The World Health Organization's structured questionnaire on workplace violence in the health sector was modified and translated into Bahasa. The study participants were 169 nurses working in emergency departments in six hospitals in Jakarta and Bekasi, Indonesia. The gathered data were analyzed using descriptive and multivariate logistic regression. Ten percent of emergency nurses reported experiencing physical violence, perpetrated mostly by patients, whereas more than half of emergency nurses (54.6%) reported experiencing non-physical violence, with patients' relative as the main perpetrators. A majority of nurses (55.6%) did not have encouragement to report workplace violence, and very few nurses (10.1%) had received any information or training about workplace violence. The findings of this study highlighted the seriousness of violence in Indonesian emergency departments. Support from management, encouragement to report violence, and access to workplace violence training were expected to mitigate and manage violence against nurses in emergency departments. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.
Rahmawati, Yeni; Setyawati, Yunita; Widodo, Irianiwati; Ghozali, Ahmad; Purnomosari, Dewajani
2018-01-01
Objective: Breast carcinoma (BC) is a heterogeneous disease that exhibits variation in biological behaviour, prognosis and response to therapy. Molecular classification is generally into Luminal A, Luminal B, HER2+ and triple negative/basal-like, depending on receptor characteristics. Clinical factors that determined the BC prognosis are age and tumor size. Since information on molecular subtypes of Indonesian BCs is limited, the present study was conducted, with attention to subtypes in relation to age and tumor size. Methods: A retrospective cross-sectional study of 247 paraffin-embedded samples of invasive BC from Dr. Sardjito General Hospital Yogyakarta in the year 2012- 2015 was performed. Immunohistochemical staining using anti- ER, PR, HER2, Ki-67 and CK 5/6 antibodies was applied to classify molecular subtypes. Associations with age and tumor size were analyzed using the Chi Square Test. Results: The Luminal A was the most common subtype of Indonesian BC (41.3%), followed by triple negative (25.5%), HER2 (19.4%) and luminal B (13.8%). Among the triple negative lesions, the basal-like subtype was more frequent than the non basal-like (58.8 % vs 41.2%). Luminal B accounted for the highest percentage of younger age cases (< 40 years old) while HER2+ was most common in older age (> 50 years old) patients. Triple negative/basal-like were commonly large in size. Age (p = 0.080) and tumor size (p = 0.462) were not significantly associated with molecular subtypes of BC. Conclusion: The most common molecular subtype of Indonesian BC is luminal A, followed by triple-negative, HER2+ and luminal B. The majority of triple-negative lesions are basal-like. There are no association between age and tumor size with molecular subtypes of Indonesian BCs. PMID:29373908
Rahmawati, Yeni; Setyawati, Yunita; Widodo, Irianiwati; Ghozali, Ahmad; Purnomosari, Dewajani
2018-01-27
Objective: Breast carcinoma (BC) is a heterogeneous disease that exhibits variation in biological behaviour, prognosis and response to therapy. Molecular classification is generally into Luminal A, Luminal B, HER2+ and triple negative/basal-like, depending on receptor characteristics. Clinical factors that determined the BC prognosis are age and tumor size. Since information on molecular subtypes of Indonesian BCs is limited, the present study was conducted, with attention to subtypes in relation to age and tumor size. Methods: A retrospective cross-sectional study of 247 paraffin-embedded samples of invasive BC from Dr. Sardjito General Hospital Yogyakarta in the year 2012- 2015 was performed. Immunohistochemical staining using anti- ER, PR, HER2, Ki-67 and CK 5/6 antibodies was applied to classify molecular subtypes. Associations with age and tumor size were analyzed using the Chi Square Test. Results: The Luminal A was the most common subtype of Indonesian BC (41.3%), followed by triple negative (25.5%), HER2 (19.4%) and luminal B (13.8%). Among the triple negative lesions, the basal-like subtype was more frequent than the non basal-like (58.8 % vs 41.2%). Luminal B accounted for the highest percentage of younger age cases (< 40 years old) while HER2+ was most common in older age (> 50 years old) patients. Triple negative/basal-like were commonly large in size. Age (p = 0.080) and tumor size (p = 0.462) were not significantly associated with molecular subtypes of BC. Conclusion: The most common molecular subtype of Indonesian BC is luminal A, followed by triple-negative, HER2+ and luminal B. The majority of triple-negative lesions are basal-like. There are no association between age and tumor size with molecular subtypes of Indonesian BCs. Creative Commons Attribution License
Rodriguez, J L; Peterson, D J; Muehlstedt, S G; Zera, R T; West, M A; Bubrick, M P
2001-10-01
Managed care and governmental policies have restructured hospital reimbursement. We examined reimbursement trends in trauma care to assess the impact of this market driven change on an urban academic health center. Patients injured between January 1997 and December 1999 were analyzed for Injury Severity Score (ISS), length of hospital stay, hospital cost, payer, and reimbursement. Between 1997 and 1999, the volume of patients with an ISS less than 9 increased and length of stay decreased. In addition, overall cost, payment, and profit margin increased. Commercially insured patients accounted for this margin increase, because the margins of managed care and government insured patients experienced double-digit decreases. Patients with ISS of 9 or greater also experienced a volume increase and a reduction in length of stay; however, costs within this group increased greater than payments, thereby reducing profit margin. Whereas commercially insured patients maintained their margin, managed care and government insured patients did not (double- and triple-digit decreases). Managed care and current governmental policies have a negative impact on urban academic health center reimbursement. Commercial insurers subsidize not only the uninsured but also the government insured and managed care patients as well. National awareness of this issue and policy action are paramount to urban academic health centers and may also benefit commercial insurers.
National news. Indonesia. Promoting ARH awareness.
1998-06-01
Limited availability of IEC materials is hindering efforts to promote adolescent reproductive health in Indonesia. This, in turn, reflects a lack of awareness on the part of policy makers and community leaders about the importance of interventions directed at young people. Two ongoing United Nations Population Fund projects seek to promote awareness of adolescent reproductive health needs in Jakarta, Yogyakarta, West Java, Bali, Lampung, and Riau. A coalition of governmental and nongovernmental agencies has been established to implement the project. By project end in 1999, government agencies and nongovernmental organizations are expected to have incorporated youth-oriented activities into their overall programming and formulated relevant policy guidelines. Another project (Strengthening Strategies to Improve Adolescent Reproductive Health through Materials Development), implemented by the Indonesian Planned Parenthood Association, is focusing on the development and distribution of reproductive health materials for specific target audiences.
Jahanbakhsh, Maryam; Karimi, Saeed; Hassanzadeh, Akbar; Beigi, Maliheh
2017-01-01
Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014. This article aimed to determine the hospital managers' attitude and commitment toward the implementation of EMRS. The present article is an applied analytic study. Research society consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan University of Medical Sciences, private, and social security hospitals. This study was done in 2014. Data collection tools included a questionnaire for which reliability and validity were determined. Data were analyzed by means of SPSS 20. Average score for the managers' attitude toward EMRS in the city of Isfahan was 77.5 out of 100 and their average score for commitment was 74.7. Manager's attitude in social security hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount of commitment by the managers in social security hospitals was higher than the same in private and governmental hospitals (86.6%). At present, managers' attitude and commitment in Isfahan hospitals toward EMRS are very high and social security hospitals show more readiness in this respect.
Fan, Ruiping
2007-06-01
This paper argues that three salient corrupt practices that mark contemporary Chinese health care, namely the over-prescription of indicated drugs, the prescription of more expensive forms of medication and more expensive diagnostic work-ups than needed, and illegal cash payments to physicians-i.e., red packages-result not from the introduction of the market to China, but from two clusters of circumstances. First, there has been a loss of the Confucian appreciation of the proper role of financial reward for good health care. Second, misguided governmental policies have distorted the behavior of physicians and hospitals. The distorting policies include (1) setting very low salaries for physicians, (2) providing bonuses to physicians and profits to hospitals from the excessive prescription of drugs and the use of more expensive drugs and unnecessary expensive diagnostic procedures, and (3) prohibiting payments by patients to physicians for higher quality care. The latter problem is complicated by policies that do not allow the use of governmental insurance and funds from medical savings accounts in private hospitals as well as other policies that fail to create a level playing field for both private and government hospitals. The corrupt practices currently characterizing Chinese health care will require not only abolishing the distorting governmental policies but also drawing on Confucian moral resources to establish a rightly directed appreciation of the proper place of financial reward in the practice of medicine.
SEM Model Medical Solid Waste Hospital Management In Medan City
NASA Astrophysics Data System (ADS)
Simarmata, Verawaty; Pandia, Setiaty; Mawengkang, Herman
2018-01-01
In daily activities, hospitals, as one of the important health care unit, generate both medical solid waste and non-medical solid waste. The occurrence of medical solid waste could be from the results of treatment activities, such as, in the treatment room for a hospital inpatient, general clinic, a dental clinic, a mother and child clinic, laboratories and pharmacies. Most of the medical solid waste contains infectious and hazardous materials. Therefore it should be managed properly, otherwise it could be a source of new infectious for the community around the hospital as well as for health workers themselves. Efforts surveillance of various environmental factors need to be applied in accordance with the principles of sanitation focuses on environmental cleanliness. One of the efforts that need to be done in improving the quality of the environment is to undertake waste management activities, because with proper waste management is the most important in order to achieve an optimal degree of human health. Health development in Indonesian aims to achieve a future in which the Indonesian people live in a healthy environment, its people behave clean and healthy, able to reach quality health services, fair and equitable, so as to have optimal health status, health development paradigm anchored to the healthy. The healthy condition of the individual and society can be influenced by the environment. Poor environmental quality is a cause of various health problems. Efforts surveillance of various environmental factors need to be applied in accordance with the principles of sanitation focuses on environmental cleanliness. This paper proposes a model for managing the medical solid waste in hospitals in Medan city, in order to create healthy environment around hospitals.
Jahanbakhsh, Maryam; Karimi, Saeed; Hassanzadeh, Akbar; Beigi, Maliheh
2017-01-01
INTRODUCTION: Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014. AIM: This article aimed to determine the hospital managers’ attitude and commitment toward the implementation of EMRS. MATERIALS AND METHODS: The present article is an applied analytic study. Research society consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan University of Medical Sciences, private, and social security hospitals. This study was done in 2014. Data collection tools included a questionnaire for which reliability and validity were determined. Data were analyzed by means of SPSS 20. RESULTS: Average score for the managers’ attitude toward EMRS in the city of Isfahan was 77.5 out of 100 and their average score for commitment was 74.7. Manager's attitude in social security hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount of commitment by the managers in social security hospitals was higher than the same in private and governmental hospitals (86.6%). CONCLUSION: At present, managers’ attitude and commitment in Isfahan hospitals toward EMRS are very high and social security hospitals show more readiness in this respect. PMID:28584837
The Relationship of Trust and Intent to Stay Among Registered Nurses at Jordanian Hospitals.
Atiyeh, Huda Mohammad; AbuAlRub, Raeda Fawzi
2017-10-01
This study examined the relationship between the level of trust with immediate supervisor and the level of intent to stay at work among registered nurses (RNs) in Jordan and explored if there is a significant difference between RNs working in governmental- and university-affiliated teaching hospitals. Financial retention strategies are not feasible in low- and middle-income countries. This study investigated if the level of trust that RNs hold toward their immediate supervisors could affect their intent to stay at work, so as to be used as a nonfinancial strategy. A descriptive correlational design was used to examine this relationship among a convenience sample of 260 hospital nurses in Jordan. Descriptive and inferential statistics were used to analyze the data. When the level of trust increased, the level of intent to stay at work also increased. RNs working in governmental-affiliated teaching hospitals reported higher levels of trust and intent to stay at work than those working in university-affiliated teaching hospitals. The findings emphasized the positive effect of trust with immediate supervisor on the level of RNs' intent to stay. Building trust between RNs and their immediate supervisors could be an important retention strategy. © 2016 Wiley Periodicals, Inc.
Kim, Sun Jung; Yoo, Ji Won; Lee, Sang Gyu; Kim, Tae Hyun; Han, Kyu-Tae; Park, Eun-Cheol
2014-11-13
This study compares the characteristics and performance of spine specialty hospitals versus other types of hospitals for inpatients with spinal diseases in South Korea. We also assessed the effect of the government's specialty hospital designation on hospital operating efficiency. We used data of 823 hospitals including 17 spine specialty hospitals in Korea. All spine disease-related inpatient claims nationwide (N=645 449) during 2010-2012. No interventions were made. Using a multilevel generalised estimating equation and multilevel modelling, this study compared inpatient charges, length of stay (LOS), readmission within 30 days of discharge and in-hospital death within 30 days of admission in spine specialty versus other types of hospitals. Spine specialty hospitals had higher inpatient charges per day (27.4%) and a shorter LOS (23.5%), but per case charges were similar after adjusting for patient-level and hospital-level confounders. After government designation, spine specialty hospitals had 8.8% lower per case charges, which was derived by reduced per day charge (7.6%) and shorter LOS (1.0%). Rates of readmission also were lower in spine specialty hospitals (OR=0.796). Patient-level and hospital-level factors both played important roles in determining outcome measures. Spine specialty hospitals had higher per day inpatient charges but a much shorter LOS than other types of hospitals due to their specialty volume and experience. In addition, their readmission rate was lower. Spine specialty hospitals also endeavoured to be more efficient after governmental 'specialty' designation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
45 CFR 1183.10 - Forms for applying for grants.
Code of Federal Regulations, 2010 CFR
2010-10-01
... ARTS AND THE HUMANITIES INSTITUTE OF MUSEUM AND LIBRARY SERVICES UNIFORM ADMINISTRATIVE REQUIREMENTS... by governmental organizations (except hospitals and institutions of higher education operated by a...
45 CFR 1174.10 - Forms for applying for grants.
Code of Federal Regulations, 2010 CFR
2010-10-01
... ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES UNIFORM ADMINISTRATIVE REQUIREMENTS FOR... governmental organizations (except hospitals and institutions of higher education operated by a government) in...
Iskandarsyah, Aulia; de Klerk, Cora; Suardi, Dradjat R; Sadarjoen, Sawitri S; Passchier, Jan
2014-10-01
The aim of the present study was to test the association between psychosocial factors and delay in uptake of treatment and treatment non-adherence in Indonesian women with breast cancer. Seventy consecutive patients with breast cancer who were treated at the Hasan Sadikin Hospital in Indonesia were recruited. They completed a demographic form, the non-adherence questionnaire, the Breast Cancer Knowledge Test, the Brief Illness Perception Questionnaire, the Multidimensional Health Locus of Control Scales, the Satisfaction with Cancer Information Profile and the Distress Thermometer. Seventeen (24%) out of 70 patients reported that they had delayed initiating treatment at the hospital, and nine (13%) out of 70 patients had missed two or more consecutive treatment sessions. In the bivariate analyses, we found no significant differences on any of the psychological variables between patients who delayed initiating treatment and those patients who did not, whereas patients who had missed two or more consecutive sessions had lower satisfaction with the type and timing of information provided and more negative illness perceptions than patients who had not missed their sessions. In multivariate regression analyses, consulting a traditional healer before diagnosis was associated with treatment delay (β = 1.27, p = 0.04). More negative illness perceptions (β = 0.10, p = 0.02) and whether a traditional healer had been consulted after diagnosis (β = 1.67, p = 0.03) were associated with missing treatment sessions. Indonesian health professionals need to be aware of patients' negative illness perceptions and their unrealistic belief in traditional healers. Copyright © 2014 John Wiley & Sons, Ltd.
45 CFR 1157.10 - Forms for applying for grants.
Code of Federal Regulations, 2010 CFR
2010-10-01
... ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS UNIFORM ADMINISTRATIVE REQUIREMENTS FOR GRANTS... governmental organizations (except hospitals and institutions of higher education operated by a government) in...
Better Medicare Cost Report data are needed to help hospitals benchmark costs and performance.
Magnus, S A; Smith, D G
2000-01-01
To evaluate costs and achieve cost control in the face of new technology and demands for efficiency from both managed care and governmental payers, hospitals need to benchmark their costs against those of other comparable hospitals. Since they typically use Medicare Cost Report (MCR) data for this purpose, a variety of cost accounting problems with the MCR may hamper hospitals' understanding of their relative costs and performance. Managers and researchers alike need to investigate the validity, accuracy, and timeliness of the MCR's cost accounting data.
The medical education funding gap. One hospital's perspective.
Ling, Louis J; Meier, Gerhardt
2003-02-01
Graduate medical education (GME) is a complex and expensive enterprise in which costs are borne by the teaching institution. With teaching hospitals under increasing financial stress due to an expansion of managed care and shrinking governmental support of medical education, there is a growing gap between GME costs and funding. This article describes GME costs and revenues at Hennepin County Medical Center, a teaching hospital in Minneapolis, where in the calendar year 2000, GME costs exceeded GME funds by $21 million.
Trends in Baby-Friendly® Care in the United States: Historical Influences on Contemporary Care.
Salera-Vieira, Jean; Zembo, Cynthia T
2016-01-01
The protection that breast-feeding affords both mother and infant against acute and chronic illness is well documented. The grassroots, public health, and governmental supports for breast-feeding have influenced changes in maternal and newborn care. History indicates that the additional influence has come in the form of governmental workshops and initiatives, professional organizations, as well as The Joint Commission. This includes the influence that the Baby-Friendly® Hospital Initiative and the Ten Steps to Successful Breastfeeding have had on infant care throughout the years. The requirements that hospitals must follow to implement all, or some, of the Ten Steps lead to change in care that not only increases breast-feeding rates but also leads to health improvements. This article reviews how an upward trend in the adoption of Baby-Friendly practices to support breast-feeding impacts infant care.
Dopamine transporter gene polymorphism in children with ADHD: A pilot study in Indonesian samples.
Wiguna, Tjhin; Ismail, Raden Irawati; Winarsih, Noorhana Setyawati; Kaligis, Fransiska; Hapsari, Anggia; Budiyanti, Lina; Sekartini, Rini; Rahayu, Susan; Guerrero, Anthony P S
2017-10-01
Several studies showed that DAT1 polymorphism closed related with ADHD although the results were not consistently found. Studies in China, South Korea, Japan revealed that 10-repeat allele gave a risk for ADHD. Based on that understanding, this study tried to identify whether the similar polymorphism of DAT1 was also apparent in Indonesian children with ADHD. This was a case - control study. Case was 50 Indonesian origin children with ADHD and without any other mental disorders and metal retardation. Control is Indonesian origin children without ADHD, other mental disorders and mental retardation. ADHD diagnosis was taken after doing the psychiatric interview and observation based on the DSM-IV TR diagnostic criteria for ADHD at the Child and Adolescent Psychiatry Out-patient Clinic, Dr. Cipto Mangunkusumo National Referral Hospital - Faculty of Medicine Universitas Indonesia. DNA isolation, DNA purity and concentration were measured. PCR was done by using a primer based on Homo sapiens solute carrier family 6 (neurotransmitter transporter), member 3 (SLC6A3), RefSeq Gene on chromosome 5 with accession number NG_015885.1. To identify the serial of repeated allele, we used the sequencing technique. There were 47 children with ADHD and 48 children without ADHD that involved in the final analysis. The mean of age amongst ADHD group was 9.18 (2.42) and 8.10 (2.46) years old in non-ADHD group. The 10-repeated allele of DAT1 was the highest proportion in both. This finding was apparently similar with other studies on DAT1 polymorphism across Asian. Copyright © 2017 Elsevier B.V. All rights reserved.
Fakih, Mohamad G; George, Christine; Edson, Barbara S; Goeschel, Christine A; Saint, Sanjay
2013-10-01
Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013. Michigan's successful collaborative to reduce unnecessary use of urinary catheters and CAUTI was based on a partnership between diverse hospitals, the state hospital association (SHA), and academic medical centers. Taking the lessons learned from Michigan, we are now spreading this work throughout the 50 states. This national spread leverages the expertise of different groups and organizations for the unified goal of reducing catheter-related harm. The key components of the project are (1) centralized coordination of the effort and dissemination of information to SHAs and hospitals, (2) data collection based on established definitions and approaches, (3) focused guidance on the technical practices that will prevent CAUTI, (4) emphasis on understanding the socioadaptive aspects (both the general, unit-wide issues and CAUTI-specific challenges), and (5) partnering with specialty organizations and governmental agencies who have expertise in the relevant subject area. The work may serve in the future as a model for other large improvement efforts to address other hospital-acquired conditions, such as venous thromboembolism and falls.
Code of Federal Regulations, 2011 CFR
2011-10-01
... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS DISTRIBUTION OF REFERENCE..., governmental institutions (e.g., State hospitals and universities), the World Health Organization, and ministries of health of foreign governments may be exempted from paying user charges, when using biological...
Personal hygiene and safety of governmental hospital staff in Shiraz, Islamic Republic of Iran.
Askarian, M; Khalooee, A; Emroodi, N N
2006-11-01
Complying with infection control standards is essential to prevent nosocomial infections. We aimed to determine health workers' hygiene practices and compliance with recommended instructions for personal hygiene among staff in all 30 hospitals affiliated to Shiraz University of Medical Sciences. The results showed that physicians and nurses were less compliant with personal hygiene practices than cleaners. Availability of protective measures was better in teaching hospitals than nonteaching hospitals as were vaccination rates among staff (hepatitis B and tetanus/diphtheria) with physicians scoring highest. Measures are needed to improve health workers' compliance.
ERIC Educational Resources Information Center
Susilo
2015-01-01
Indonesian Qualification Framework (IQF) is a description of qualification levels for all Indonesian learning outcomes or certificate statements in Indonesian schooling from year 9 to higher education. The IQF holds a legal endorsement in the form of Presidential Decree no. 8/2012. This IQF will specify equivalencies between Indonesian and foreign…
Assali, Mohyeddin; Shakaa, Ali; Abu-Hejleh, Sabaa; Abu-Omar, Reham; Karajeh, Nareman; Ajory, Nawal; Zyoud, Saed; Sweileh, Waleed
2018-04-05
Nanomedicine is the medical application of nanomaterials that may have an infinite size with the range less than 100 nm. This science has provided solutions to many of the current limitations in the diagnosis and treatment of diseases. Therefore, the pharmacist's knowledge and awareness of nano-pharmaceutical drugs will increase their availability in the market, and will improve the patient's compliance to their drug therapy. This study aimed to determine the availability of nano-pharmaceutical drugs in Palestinian hospitals and evaluate the extent of pharmacist's knowledge about them. A cross-sectional study design questionnaire was used to determine the availability of nano-pharmaceutical drugs based on the database of the ministry of health in the Palestinian hospitals (governmental, private and non- governmental organizations). Moreover, the knowledge of these nano-pharmaceutical drugs among pharmacists working in Palestinian hospitals was assessed based on developed questionnaire from the literature of the pharmaceutical formulations and nano-formulations. The variables were analyzed using Statistical Package for Social Sciences (SPSS 22). Fifty six pharmacists from 27 hospitals in the West bank completed the survey. The results regarding the availability of nano-pharmaceutical drugs indicated only eight available in hospitals with a frequency range 0-39.3%. Moreover, pharmacist's knowledge in the pharmaceutical formulations was better than that in nano-formulations. The availability of nano-pharmaceutical drugs in Palestinian hospitals was not adequate due to the lack of various nano-pharmaceutical drugs. The knowledge among pharmacists regarding nano-pharmaceutical drugs should be improved by providing courses in nanomedicine during the undergraduate pharmacy programs.
Health Information in Indonesian (Bahasa Indonesia)
... You Are Here: Home → Multiple Languages → Indonesian (Bahasa Indonesia) URL of this page: https://medlineplus.gov/languages/indonesian.html Health Information in Indonesian (Bahasa Indonesia) To use the sharing features on this page, ...
ERIC Educational Resources Information Center
Iwani, Amy
2014-01-01
This is a study to examine Indonesian Christian Teachers' Perceptions of the effectiveness of professional development programs offered by the Association of Christian Schools International Indonesia (ACSI-I) and by the Indonesian National Department of Education. The study was focused on how Indonesian Christian teachers perceived the…
Arjuna, Tony; Soenen, Stijn; Hasnawati, Rasita Amelia; Lange, Kylie; Chapman, Ian; Luscombe-Marsh, Natalie D.
2017-01-01
Many communities around the world, particularly developing countries including Indonesia, are experiencing population ageing. There is little knowledge regarding the impact of malnutrition, or its prevalence within rural compared to urban areas, on the nutritional, functional and mental status of community-living older residents in these countries. Hence, a cross-sectional study was conducted to determine socio-demographic and anthropometric characteristics, nutritional, mental and functional status, and energy and nutrient intake of community-dwelling Indonesians from both rural and urban areas of Yogyakarta. Older individuals were included in the study if they had been living in Yogyakarta for the last year and were aged ≥65 years (n = 527; mean ± SD age of 74 ± 7 years). Rural compared with urban participants had a lower level of education and income, more hospital admissions, less dietary protein intake, lower cognitive function, poorer nutritional status and grip strength, but faster gait speed while being more dependent on assistance to perform daily activities (all p < 0.05). Cognitive function was more strongly associated than nutritional status with physical function. Rural older Indonesians living in Yogyakarta were more likely than urban older people to be malnourished and cognitively impaired, and to have associated reductions in functional capacity and independence. Strategies to improve cognitive function and nutritional status are therefore important for the wellbeing of Indonesian citizens. PMID:29137185
Samaan, Gina; Santoso, Hari; Kushadiwijaya, Haripurnomo; Juwita, Ratna; Mohadir, Andi; Aditama, Tjandra
2010-01-01
Abstract Problem According to the International Health Regulations (IHR), countries need to strengthen core capacity for disease surveillance and response systems. Many countries are establishing or enhancing their field epidemiology training programmes (FETPs) to meet human resource needs but face challenges in sustainability and training quality. Indonesia is facing these challenges, which include limited resources for field training and limited coordination in a newly decentralized health system. Approach A national FETP workplan was developed based on an evaluation of the existing programme and projected human resource needs. A Ministry of Health Secretariat linking universities, national and international partners was established to oversee revision and implementation of the FETP. Local setting The FETP is integrated into the curriculum of Indonesian universities and field training is conducted in district and provincial health offices under the coordination of the universities and the FETP Secretariat. Relevant changes The FETP was included in the Ministry of Health workforce development strategy through governmental decree. Curricula have been enhanced and field placements strengthened to provide trainees with better learning experiences. To improve sustainability of the FETP, links were established with the Indonesian Epidemiologists’ Association, local governments and donors to cultivate future FETP champions and maintain funding. Courses, competitions and discussion forums were established for field supervisors and alumni. These changes have increased the geographic distribution of students, intersectoral and international participation and the quality of student performance. Lessons learnt The main lesson learnt is that linkages with universities, ministries and international agencies such as the World Health Organization are critical for building a sustainable high-quality programme. The most critical factors were development of trusting relationships and clear definitions of the responsibilities of each stakeholder. PMID:20428389
Brintnell, E Sharon; Sommer, Ryan W; Kuncoro, Bambang; Setiawan, G Pandu; Bailey, Patricia
2013-08-01
In this study, we explored the presentation of clinical depression in Java, Indonesia. Interviews were conducted with 20 Javanese patients (male and female) with major depressive disorder from both lower and higher socioeconomic levels. The recruited participants came from provincial and private mental health hospitals in the cities of Solo, Yogykarta (Jogja), Jakarta, and Malang on the island of Java, Indonesia. Concept mapping methodology using multidimensional scaling and hierarchical cluster analysis was used to identify underlying themes in the expression of depressive phenomena in this Indonesian population. The results identified themes that grouped into six clusters: interpersonal relationships, hopelessness, physical/somatic, poverty of thought, discourage, and defeat. Findings give support to the view that culture influences the expression of Indonesian depressive phenomenology, which nevertheless has some common roots with Western clinical pictures of the disorder. Cultural influences may mask symptoms of the disorder to clinicians. Diagnostic and assessment tools must be carefully selected to ensure they address culturally specific expressions of depression.
22 CFR 226.1 - Purpose and applicability.
Code of Federal Regulations, 2010 CFR
2010-04-01
... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS General § 226.1 Purpose and applicability. Except as otherwise authorized by statute... by USAID to U.S. institutions of higher education, hospitals, and other non-profit organizations, and...
22 CFR 226.26 - Non-Federal audits.
Code of Federal Regulations, 2010 CFR
2010-04-01
... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Financial and Program Management § 226.26 Non-Federal audits... organizations (including hospitals) shall be subject to the audit requirements contained in the Single Audit Act...
Exclusive breast feeding (EBF) in Jordan: prevalence, duration, practices, and barriers.
Abuidhail, Jamila; Al-Modallal, Hanan; Yousif, Rania; Almresi, Neamat
2014-03-01
of this study is to investigate the prevalence, duration, practices and barriers of Exclusive breast feeding (EBF) among Jordanian mothers in three major governorates. longitudinal, prospective design was used in this study. convenience sample of 572 pairs of postpartum mothers-infants were recruited from postpartum wards at three governmental hospitals and three private hospitals in major Jordanian governorate. data were collected in two phases. In the first phase, trained research assistants conducted face to face structured interviews with participating mothers at the hospital. In the second phase, the research assistants conducted follow up phone interviews at the end of first, fourth and sixth months after birth. The findings of this study showed that the prevalence of EBF as recommended by WHO was 1%. The average duration of EBF was one month. The main barriers of EBF were: infants feel hungry after breast feeding, short period between pregnancies, and breast problems. postpartum mothers initiated EBF practice within the first hour after giving birth; however, this practice declined gradually as the infant grew up within the first six months after birth. antenatal education sessions in the Jordanian governmental hospitals about EBF are required to meet the WHO recommendations. Furthermore, midwives and nurses have to focus on effective breast feeding process to overcome the barriers of EBF during antenatal education and postnatal care. Copyright © 2013 Elsevier Ltd. All rights reserved.
7 CFR 3015.150 - Scope and applicability.
Code of Federal Regulations, 2013 CFR
2013-01-01
... governmental organizations (except hospitals, non-profit organizations, and institutions of higher education... of higher education operated by a government), but prescribes the use of a standard facesheet for..., Extension and Teaching Policy Act of 1977, as amended.) [46 FR 55639, Nov. 10, 1981, as amended at 51 FR...
7 CFR 3015.150 - Scope and applicability.
Code of Federal Regulations, 2011 CFR
2011-01-01
... governmental organizations (except hospitals, non-profit organizations, and institutions of higher education... of higher education operated by a government), but prescribes the use of a standard facesheet for..., Extension and Teaching Policy Act of 1977, as amended.) [46 FR 55639, Nov. 10, 1981, as amended at 51 FR...
7 CFR 3015.150 - Scope and applicability.
Code of Federal Regulations, 2014 CFR
2014-01-01
... governmental organizations (except hospitals, non-profit organizations, and institutions of higher education... of higher education operated by a government), but prescribes the use of a standard facesheet for..., Extension and Teaching Policy Act of 1977, as amended.) [46 FR 55639, Nov. 10, 1981, as amended at 51 FR...
7 CFR 3015.150 - Scope and applicability.
Code of Federal Regulations, 2012 CFR
2012-01-01
... governmental organizations (except hospitals, non-profit organizations, and institutions of higher education... of higher education operated by a government), but prescribes the use of a standard facesheet for..., Extension and Teaching Policy Act of 1977, as amended.) [46 FR 55639, Nov. 10, 1981, as amended at 51 FR...
24 CFR 242.78 - Zoning, deed, and building restrictions.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Zoning, deed, and building... AUTHORITIES MORTGAGE INSURANCE FOR HOSPITALS Miscellaneous Requirements § 242.78 Zoning, deed, and building... to the project site, and shall comply with all applicable building and other governmental codes...
ERIC Educational Resources Information Center
Martin, Nelly
2017-01-01
This study explores the relationship between language selection and identity construction in contemporary Indonesia through an examination of the function of English, a language that still receives stigma from many Indonesians and the government, particularly in Indonesian popular texts published after 1998. Utilizing hybrid critical approaches…
Indonesian EFL Students' Perspective on Writing Process: A Pilot Study
ERIC Educational Resources Information Center
Hermilinda Abas, Imelda; Aziz, Noor Hashima Abd
2016-01-01
The study was aimed at understanding the EFL Indonesian students' perspective on the writing process. The pilot study involved two male Indonesian postgraduate students in Universiti Utara Malaysia. The Indonesian students were selected based on the following criteria: (1) had enough knowledge in English writing, indicated by the completion of…
Handayani, P W; Hidayanto, A N; Ayuningtyas, Dumilah; Budi, Indra
2016-11-01
The Hospital Information System (HIS) could help hospitals as a public entity to provide optimal health services. One of the main challenges of HIS implementation is an institutional change. Using institutional theory as the analytical lens, this study aims to explain the institutionalization of HIS as an instance of e-health initiatives in Indonesia. Furthermore, this paper aims for hospital management and researchers to improve the understanding of the social forces that influence hospital personnel's HIS acceptance within an organizational context. We use case studies from four public, government-owned hospitals and four privately owned (public and specialty) hospitals to explain the HIS institutionalization process by exploring the three concepts of institutional theory: institutional isomorphism, institutional logic, and institutional entrepreneurship. This study reveals that differences exist between public, government-owned and private hospitals with regard to the institutionalization process: public, government-owned hospitals' management is more motivated to implement HIS to comply with the regulations, while private hospitals' management views HIS as an urgent requirement that must be achieved. The study findings also reveal that various institutional isomorphism mechanisms and forms of institutional logic emerge during the process. Finally, three factors-self-efficacy, social influence, and management support-have a significant influence on the individual acceptance of HIS. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Why nonprofits? Hospitals and the future of American health care.
Gray, B H
1992-01-01
The future of the nonprofit hospital depends on its relationship to the for-profit and governmental sectors of our economy. A decade ago, the primary challenge came from the growing investor-owned hospital companies. Nonprofit hospitals' responses--both competitive and imitative--led to new challenges from government regarding tax-exempt status. The reasons underlying this challenge include the growing commercialism of health care, the nation's failure to deal directly with the problem of the uninsured, and the lack of a coherent theory of tax exemption. Although hospitals are likely to retain exemptions from federal taxation, challenges to local tax exemptions are likely to continue. Strategies that hospitals pursue for competitive purposes may undercut their legitimacy as tax-exempt institutions, but several groups are working to address the issue.
Acute psychiatric disorders in foreign domestic workers in Hong Kong: a pilot study.
Lau, Phyllis W L; Cheng, Judy G Y; Chow, Dickson L Y; Ungvari, G S; Leung, C M
2009-11-01
To explore the psychopathology of foreign domestic workers (FDWs) who had an acute psychiatric disorder in Hong Kong. This was a retrospective chart review. Demographic and clinical data were extracted from case records of FDWs who were admitted for the first time as inpatients for psychiatric treatment to three regional hospitals of the same catchment area in Hong Kong between 2000 and 2004. Relevant socio-demographic data on local FDWs and the general population of Hong Kong were obtained from local government departments. Twenty-seven Filipino and 14 Indonesian FDWs presenting with their first and so far only psychiatric admission were identified. There were significantly more FDWs who were single or never married in the sample. Filipino FDWs tended to fall ill after 4 years of service in Hong Kong while the corresponding figure for Indonesian FDWs was 2 years. Indonesian FDWs were older and had less access to social and medical services than their Filipino counterparts. Home sickness and marital problems were more commonly identified as stressors rather than work-related difficulties. Acute and Transient Psychotic Disorder (ICD-10) was diagnosed in over 60% of the subjects, making FDWs two times more vulnerable than local women of similar age for this illness. FDWs constitute a vulnerable group in terms of psychiatric morbidity. Concerted political, social and psychological efforts would be require to alleviate the distress faced by this particularly disadvantaged subset of female expatriates.
Avoidance and Overuse of Indonesian Language among Balinese Children
ERIC Educational Resources Information Center
Pageyasa, Wayan
2017-01-01
The use of Indonesian language by children who speak the Balinese language, especially for children who live in rural areas is quite difficult. This is because their Balinese language is much different from Indonesian language. If they speak Indonesian language, they have to fall back to the language first. That is, language transfer process will…
Set of Frequent Word Item sets as Feature Representation for Text with Indonesian Slang
NASA Astrophysics Data System (ADS)
Sa'adillah Maylawati, Dian; Putri Saptawati, G. A.
2017-01-01
Indonesian slang are commonly used in social media. Due to their unstructured syntax, it is difficult to extract their features based on Indonesian grammar for text mining. To do so, we propose Set of Frequent Word Item sets (SFWI) as text representation which is considered match for Indonesian slang. Besides, SFWI is able to keep the meaning of Indonesian slang with regard to the order of appearance sentence. We use FP-Growth algorithm with adding separation sentence function into the algorithm to extract the feature of SFWI. The experiments is done with text data from social media such as Facebook, Twitter, and personal website. The result of experiments shows that Indonesian slang were more correctly interpreted based on SFWI.
Free medical care and consumer protection.
Agrawal, Aniket Deepak; Banerjee, Arunabha
2011-01-01
This paper will examine the question of whether patients, who receive free medical care, whether from private charitable or governmental hospitals, can claim rights as 'consumers' under the Consumer Protection Act, 1986. The issue will be discussed from a constitutional perspective as well as that of the law of torts.
Academic Achievement of Children in China: The 2002 Fulbright Experience
ERIC Educational Resources Information Center
Phelps, LeAdelle
2005-01-01
The 2002 Fulbright team, led by Zheng Zhou of St. John's University, consisted of 12 professionals in the fields of education, counseling psychology, and school psychology. Spending one month visiting elementary schools, universities, governmental bodies, hospitals, and private schools throughout China, the Fulbright team had an opportunity to…
Nurse Aide Education in Illinois.
ERIC Educational Resources Information Center
Shea, Mary Lou
Nurse aide education is an issue that governmental and health care agencies are addressing. Nurse aides are employed in numerous and varied health care agencies, such as hospitals, nursing homes, physician's offices, and private homes. Although there are no educational requirements for nurse aides in Illinois, there are a number of formal training…
DOE Office of Scientific and Technical Information (OSTI.GOV)
NONE
2008-11-15
The article examines the opportunities and challenges facing the Indonesian coal mining industry and how the coal producers, government and wider Indonesian society are working to overcome them. 2 figs., 1 tab.
ERIC Educational Resources Information Center
Arsyad, Safnil; Arono
2016-01-01
Rhetorical style transfer from first language to a foreign language can be serious problems in academic writing, such as Research Articles (RAs). This study is aimed at analyzing the rhetorical style of Indonesian RA introductions in multiple disciplines written by Indonesian authors and published in Indonesian research journals especially on the…
Widayati, Aris; Virginia, Dita Maria; Setiawan, Christianus Heru; Fenty, Fenty; Donowati, Maria Wisnu; Christasani, Putu Dyana; Hartayu, Titien Siwi; Suhadi, Rita; Saini, Bandana; Armour, Carol
2018-01-30
Over recent years the pharmacy profession in Indonesia has adopted a stance of pharmaceutical care to expand their scope of practice. Asthma management presents a key opportunity for pharmacists to test expanded roles in health service provision. There is however no exploratory work on the willingness, experience or future practice needs of Indonesian pharmacists in the realm of specialised asthma service provision. The objectives of this study were to explore Indonesian pharmacists' experiences, perspectives, and needs regarding the provision of pharmaceutical care for asthma patients in Indonesia. The study utilised conventional qualitative content analyses with two stages, i.e.: deductive analyses and inductive concept development. Data were collected using Focus Group Discussion (FGD) Method. FGDs were conducted using a topic guide and by facilitators trained in FGD conduct. FGDs were audio-recorded and transcribed verbatim prior to analysis. A maximum variation sampling methods targeted pharmacist across various settings of practice within Yogyakarta Indonesia. Nine focus groups with 103 pharmacist participants were conducted, with an average of 11 participants in each group. Inductively derived concepts that emerged included: willingness to adopt asthma service provision roles, pragmatism in recognising essential barriers/facilitators in adopting such roles, reflections regarding practice gaps and barriers to interprofessional collaboration mainly in relation to doctors. Inductive data analysis indicated clear differences in responses between hospital and non-hospital pharmacists. Key barriers to service provision included lack of training, lack of supportive professional frameworks, time and lack of reimbursement channels for services. Participants urged for a visionary leadership to facilitate pharmacists' role expansion into health services provision in Indonesia. Indonesian pharmacists were willing to adopt change and reported universally recognised barriers and facilitators to changing roles, especially in the provision of asthma care. Given this universality of pharmacists expressions, it may be suggested that the experience of researchers and academics who have expended time and effort in developing and implementing asthma care models in other countries should be, to some extent, transplanted to regions where pharmacy organisations are now considering adopting roles additional to medicines supply. Copyright © 2018 Elsevier Inc. All rights reserved.
Lahar—River of volcanic mud and debris
Major, Jon J.; Pierson, Thomas C.; Vallance, James W.
2018-05-09
Lahar, an Indonesian word for volcanic mudflow, is a mixture of water, mud, and volcanic rock flowing swiftly along a channel draining a volcano. Lahars can form during or after eruptions, or even during periods of inactivity. They are among the greatest threats volcanoes pose to people and property. Lahars can occur with little to no warning, and may travel great distances at high speeds, destroying or burying everything in their paths.Lahars form in many ways. They commonly occur when eruptions melt snow and ice on snow-clad volcanoes; when rains fall on steep slopes covered with fresh volcanic ash; when crater lakes, volcano glaciers or lakes dammed by volcanic debris suddenly release water; and when volcanic landslides evolve into flowing debris. Lahars are especially likely to occur at erupting or recently active volcanoes.Because lahars are so hazardous, U.S. Geological Survey scientists pay them close attention. They study lahar deposits and limits of inundation, model flow behavior, develop lahar-hazard maps, and work with community leaders and governmental authorities to help them understand and minimize the risks of devastating lahars.
An Efficient Soft Set-Based Approach for Conflict Analysis
Sutoyo, Edi; Mungad, Mungad; Hamid, Suraya; Herawan, Tutut
2016-01-01
Conflict analysis has been used as an important tool in economic, business, governmental and political dispute, games, management negotiations, military operations and etc. There are many mathematical formal models have been proposed to handle conflict situations and one of the most popular is rough set theory. With the ability to handle vagueness from the conflict data set, rough set theory has been successfully used. However, computational time is still an issue when determining the certainty, coverage, and strength of conflict situations. In this paper, we present an alternative approach to handle conflict situations, based on some ideas using soft set theory. The novelty of the proposed approach is that, unlike in rough set theory that uses decision rules, it is based on the concept of co-occurrence of parameters in soft set theory. We illustrate the proposed approach by means of a tutorial example of voting analysis in conflict situations. Furthermore, we elaborate the proposed approach on real world dataset of political conflict in Indonesian Parliament. We show that, the proposed approach achieves lower computational time as compared to rough set theory of up to 3.9%. PMID:26928627
An Efficient Soft Set-Based Approach for Conflict Analysis.
Sutoyo, Edi; Mungad, Mungad; Hamid, Suraya; Herawan, Tutut
2016-01-01
Conflict analysis has been used as an important tool in economic, business, governmental and political dispute, games, management negotiations, military operations and etc. There are many mathematical formal models have been proposed to handle conflict situations and one of the most popular is rough set theory. With the ability to handle vagueness from the conflict data set, rough set theory has been successfully used. However, computational time is still an issue when determining the certainty, coverage, and strength of conflict situations. In this paper, we present an alternative approach to handle conflict situations, based on some ideas using soft set theory. The novelty of the proposed approach is that, unlike in rough set theory that uses decision rules, it is based on the concept of co-occurrence of parameters in soft set theory. We illustrate the proposed approach by means of a tutorial example of voting analysis in conflict situations. Furthermore, we elaborate the proposed approach on real world dataset of political conflict in Indonesian Parliament. We show that, the proposed approach achieves lower computational time as compared to rough set theory of up to 3.9%.
Hospital Board Infrastructure and Functions: The Role of Governance in Financial Performance
Culica, Dan; Prezio, Elizabeth
2009-01-01
Increased stake of boards in the leadership of the hospitals makes them play a significant role in the financial health of their institutions. Understanding of the correct approach to successfully fulfill this purpose is critical for preparing their organizations for positioning adequately in the health care market. Governmental agencies and public companies, including insurers, will be interested in the extent to which hospital boards have adopted the provisions of accounting reform laws like those introduced by the Sarbanes-Oxley Act. It will remain for the boards to balance their oversight role for financial performance with the pressures of financial accountability. PMID:19440418
Abbas, R A; Hammam, R A M; El-Gohary, S S; Sabik, L M E; Hunter, M S
2013-01-01
Informal employment is common in developing countries, including Egypt. This type of employment may have significant consequences on mental health. To determine the prevalence and risk factors of common mental disorders and substance abuse among temporary hired hospital cleaners. A cross-sectional study was conducted on 242 adult temporary cleaners and 209 permanent cleaners working in 4 governmental hospitals in Zagazig City, Sharqia Governorate, Egypt. All participants were invited to complete a structured questionnaire through a semi-structured interview which included the self-reporting questionnaire 20 items (SRQ-20) and the work stress scale. Assessment of drug use included urine-based screening tests for common substances abused. The prevalence of job stress, common mental disorders and substance abuse, particularly tramadol and cannabis (Bango), was significantly higher in the studied temporary cleaners compared to permanent cleaners. Risk factors associated with increased susceptibility of the temporary cleaners to common mental disorders were family history of substance abuse, high crowding index, history of physical illness, low educational level, and smoking; while being unmarried, male sex, family history of mental disorder, age ≥40 years, smoking, and length of service ≥8 years, were associated with substance abuse among the same group. Temporary hired hospital cleaners suffered from impaired mental health more than permanent cleaners. Therefore, expanding the coverage of current laws and occupational safety and health standards to cover workers in the informal sector especially in developing countries is recommended.
Farmer, J Christopher; Carlton, Paul K
2006-03-01
Recent natural disasters have highlighted shortfall areas in current hospital disaster preparedness. These include the following: 1) insufficient coordination between hospitals and civil/governmental response agencies; 2) insufficient on-site critical care capability; 3) a lack of "portability" of acute care processes (i.e., patient transport and/or bringing care to the patient); 4) education shortfalls; and 5) the inability of hospitals to align disaster medical requirements with other competing priorities. Definition of the roles and responsibilities of a hospital during a disaster requires additional planning precision beyond the prehospital response phase. Planners must also better define plans for circumstances when or if a hospital is rendered unusable. Disaster medical training of hospital personnel has been inadequate. This article details the specifics of these issues and outlines various potential approaches to begin addressing and formulating remedies to these shortfalls.
Healthcare Personnel's Use of E-Information Sources in Riyadh Governmental Hospitals
ERIC Educational Resources Information Center
Khudair, Ahmad A.; Cooke, Louise
2008-01-01
ICT has enabled a wide dissemination of information and a sharp increase in the magnitude of electronic information sources. The use of e-information sources by healthcare personnel within Saudi Arabia has received little research attention. This paper discusses the use of e-information sources by healthcare personnel in the kingdom. A…
ERIC Educational Resources Information Center
Thulth, Ahida Saleem; Sayej, Sumaya
2015-01-01
Background: Organizational factors are considered to be the cornerstone in achieving psychological and professional security at work, which in turn are positively reflected in job performance both quantitatively and qualitatively. Aim of the Study: The study aimed to assess of selected organizational factors (workload, available recourses and…
Examining Health Information Technology Implementation Success Factors in Critical Access Hospitals
ERIC Educational Resources Information Center
Monkman, Blake D.
2016-01-01
As the role of information technology increases throughout the world, healthcare providers in the United States face industry and governmental pressures to implement health information technology (HIT) as a tool to improve healthcare costs, quality, and safety. The problem addressed in this study was the relatively low HIT implementation success…
Prawirohardjono, W; Dwiprahasto, I; Astuti, I; Hadiwandowo, S; Kristin, E; Muhammad, M; Kelly, M F
2000-04-01
Monosodium L-glutamate (MSG) has been suggested to cause postprandial symptoms after the ingestion of Chinese or oriental meals. Therefore, we examined whether such symptoms could be elicited in Indonesians ingesting levels of MSG typically found in Indonesian cuisine. Healthy volunteers (n = 52) were treated with capsules of placebo or MSG (1.5 and 3.0 g/person) as part of a standardized Indonesian breakfast. The study used a rigorous, randomized, double-blind, crossover design. The occurrence of symptoms after MSG ingestion did not differ from that after consumption of the placebo.
What are the Perspectives of Indonesian Students to Japanese Ritual during Solar Eclipse?
NASA Astrophysics Data System (ADS)
Haristiani, N.; Rusli, A.; Wiryani, A. S.; Nandiyanto, A. B. D.; Purnamasari, A.; Sucahya, T. N.; Permatasari, N.
2018-02-01
In this globalization era, many people still believe the myths about solar eclipse. The myths about solar eclipse are different between one country or are to another. In this context, the aim of this study was to investigate the perspective of Indonesian students in viewing how the Japanese people face their believing myths in solar eclipse. This research also investigated the student belief on several mythical stories in Indonesia, their understanding of the Islamic view, and their knowledge based on science concept relating to the solar eclipse phenomenon. To understand the Indonesian students’ perspective about the solar eclipse myths in Japanese, we took a survey to Indonesian students which are studying Japanese culture and language. Based on the results, the Indonesian student think that there is no significant difference between Indonesian and Japanese people in facing the solar eclipse.
D'Souza, P
2016-03-01
Tighter national budgets and escalating drug prices continue to present challenges for pharmaceutical market access strategies and societal cost of care. As pharmaceutical companies and medical governmental advisory organizations enter tougher negotiations, hospital trusts and other dispensary firms face barriers to receiving the best medical treatment, and as a result patient access is limited. The 2016 HealthNetwork Communications' Pharma Pricing & Market Access Europe meeting brought together pharmaceutical, medical governmental advisory and stakeholders and market access/pricing consultants, to encourage discussions and negotiations into how to improve the drug pricing system and consequential market access strategies while achieving the respective reimbursement and affordability objectives. Copyright 2016 Prous Science, S.A.U. or its licensors. All rights reserved.
The use of language to express thermal sensation suggests heat acclimatization by Indonesian people
NASA Astrophysics Data System (ADS)
Tochihara, Yutaka; Lee, Joo-Young; Wakabayashi, Hitoshi; Wijayanto, Titis; Bakri, Ilham; Parsons, Ken
2012-11-01
The purpose of this study was to explore whether there is evidence of heat acclimatization in the words used to express thermal sensation. A total of 458 urban Japanese and 601 Indonesians participated in a questionnaire. In addition, in a preliminary survey, 39 native English speakers in the UK participated. Our results showed that (1) for Indonesians, the closest thermal descriptor of a feeling of thermal comfort was `cool' (75%) followed by `slightly cool' (7%), `slightly cold' (5%) and `cold' (5%), while Japanese responses were distributed uniformly among descriptors `cool', `slightly cool', `neither', `slightly warm', and `warm'; (2) the closest thermal descriptors of a feeling of discomfort for Indonesians were less affected by individual thermal susceptibility (vulnerability) than those for Japanese; (3) in the cases where `cool' and `slightly cold' were imagined in the mind, the descriptors were cognized as a thermal comfortable feeling by 97% and 57% of Indonesians, respectively; (4) the most frequently voted choice endorsing hot weather was `higher than 32°C' for Indonesians and `higher than 29°C' for Japanese respondents; for cold weather, `lower than 15°C' for Japanese and `lower than 20°C' for Indonesians. In summary, the descriptor `cool' in Indonesians connotes a thermally comfortable feeling, but the inter-zone between hot and cold weather that was judged in the mind showed a upward shift when compared to that of Japanese. It is suggested that linguistic heat acclimatization exists on a cognitive level for Indonesians and is preserved in the words of thermal descriptors.
Gwyther, L; Krause, R; Cupido, C; Stanford, J; Grey, H; Credé, T; De Vos, A; Arendse, J; Raubenheimer, P
2018-02-01
With the recent approval of a South African (SA) National Policy Framework and Strategy for Palliative Care by the National Health Council, it is pertinent to reflect on initiatives to develop palliative care services in public hospitals. This article reviews the development of hospital-based palliative care services in the Western Cape, SA. Palliative care services in SA started in the non-governmental sector in the 1980s. The first SA hospital-based palliative care team was established in Charlotte Maxeke Johannesburg Academic Hospital in 2001. The awareness of the benefit of palliative care in the hospital setting led to the development of isolated pockets of excellence providing palliative care in the public health sector in SA. This article describes models for palliative care at tertiary, provincial and district hospital level, which could inform development of hospital-based palliative care as the national policy for palliative care is implemented in SA.
Safe: a status update on information security and the hospital community.
Fundner, Rita
2003-01-01
IT Security and Privacy are becoming increasingly visible "hot topics" across the full spectrum of industry and service sectors. Legislation and global "best practices" are working hard to defend organizations and individuals against escalating, rapidly evolving cyber-threats. Predictably, the threat landscape is having an impact on all levels to varying degrees: governmental, organizational and individual. This article introduces the basic context for information security and offers insight into how a number of hospitals are addressing the situation, what barriers they currently face and what opportunities they see unfolding.
Hassan, Sahar J; Wick, Laura; DeJong, Jocelyn
2015-12-01
Little is known about the burden and patterns of maternal morbidity during childbirth, particularly in the Middle East Region. Investigating the patterns of maternal morbidity can be useful in guiding improvement in the quality of maternal services, and informing policy debates on women's health. To examine the incidence, types and patterns of management of severe and non-severe maternal morbidities of Palestinian women during pregnancy, labour, delivery and up to seven days postpartum in one Palestinian hospital. A prospective hospital-based study was conducted for a 3-month period in 2011-2012, reviewing hospital records for all pregnant women (1.583) admitted to the governmental hospital in Ramallah, Palestine. Of all pregnant women included in this analysis (1.558), 419 (26.9%) women experienced one or more maternal morbidities and 15 (0.96%) women survived a life-threatening complication (near miss). Of all women who suffered morbidities, 69 (16.5%) had vaginal deliveries, 61 (14.6%) had cesarean sections, 179 (42.7%) had abortions/miscarriage, and 110 (26.3%) experienced complications during pregnancy or the post-partum. Hemorrhage during pregnancy, birth or postpartum was the most common morbidity. Of those who gave birth, women who gave birth by cesarean sections were three times more likely to suffer from morbidities than those who had vaginal delivery. The burden of maternal morbidity for Palestinian women between the ages of 16 and 48 is high. In Palestine, maternal morbidity can be prevented by promoting a rational use of cesarean section, avoiding unnecessary medicalization, reducing unwanted pregnancies and updating practices of providers related to abortion/miscarriage care. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Conceptual Representation Changes in Indonesian-English Bilinguals.
Hartanto, Andree; Suárez, Lidia
2016-10-01
This study investigated conceptual representations changes in bilinguals. Participants were Indonesian-English bilinguals (dominant in Indonesian, with different levels of English proficiency) and a control group composed of English-dominant bilinguals. All completed a gender decision task, in which participants decided whether English words referred to a male or female person or animal. In order to explore conceptual representations, we divided the words into gender-specific and gender-ambiguous words. Gender-specific words were words in which conceptual representations contained gender as a defining feature, in both English and Indonesian (e.g., uncle). In contrast, gender-ambiguous words were words in which gender was a defining feature in English but not a necessary feature in Indonesian (e.g., nephew and niece are both subsumed under the same word, keponakan, in Indonesian). The experiment was conducted exclusively in English. Indonesian-English bilinguals responded faster to gender-specific words than gender-ambiguous words, but the difference was smaller for the most proficient bilinguals. As expected, English-dominant speakers' response latencies were similar across these two types of words. The results suggest that English concepts are dynamic and that proficiency leads to native-like conceptual representations.
Multiple maternal origins of Indonesian crowing chickens revealed by mitochondrial DNA analysis.
Ulfah, Maria; Perwitasari, Dyah; Jakaria, Jakaria; Muladno, Muhammad; Farajallah, Achmad
2017-03-01
The utilization of Indonesian crowing chickens is increasing; as such, assessing their genetic structures is important to support the conservation of their genetic resources. This study analyzes the matrilineal evolution of Indonesian crowing chickens based on the mtDNA displacement loop D-loop region to clarify their phylogenetic relationships, possible maternal origin, and possible routes of chicken dispersal. The neighbor-joining tree reveals that the majority of Indonesian crowing chickens belong to haplogroups B, D, and E, but haplogroup D harbored most of them. The Bayesian analysis also reveals that Indonesian crowing chickens derive from Bekisar chicken, a hybrid of the green junglefowl, suggesting the possible contribution of green junglefowl to chicken domestication. There appear at least three maternal lineages of Indonesian chicken origins indicated by the median network profile of mtDNA D-loop haplotypes, namely (1) Chinese; (2) Chinese, Indian, and other Southeast Asian chickens; and (3) Indian, Chinese, Southeast Asian, Japanese, and European chickens. Chicken domestication might be centered in China, India, Indonesia, and other Southeast Asian countries, supporting multiple maternal origins of Indonesian crowing chickens. A systematic breeding program of indigenous chickens will be very important to retain the genetic diversity for future use and conservation.
"Sekolah Pembangunan": an Indonesian Experiment
ERIC Educational Resources Information Center
Kohler, Gerda
1973-01-01
As an introduction to the problems of the Indonesian education system this study first examines the present system, then considers the Sekolah Pembangunan' reform, and finally reviews the new model in relation to a possibly necessary conversion of the whole Indonesian education system. (Author/RK)
ERIC Educational Resources Information Center
Gerlach, Ernest
As of 1978 in San Antonio, Texas, equal employment opportunity remained an unfulfilled promise. The Texas Advisory Committee to the U.S. Commission on Civil Rights studied private sector employment in four industries (banking, hospitals, universities, broadcasting), public employment at four governmental levels (municipal, county, state, federal),…
Teaching Methodology and Indonesian Legal Education
ERIC Educational Resources Information Center
Katz, June; Katz, Ronald S.
1975-01-01
A 2-week teaching methodology workshop at Airlangga Law Faculty in February 1974 resulted in a far-reaching appraisal of Indonesian legal education. Workshop conclusions are summarized and discussed: goals and objectives of Indonesian legal education, curriculum, teaching methods, instructional materials, research papers and writing assignments,…
Teachers' Perceptions of Educational Technology Integration in an Indonesian Polytechnic
ERIC Educational Resources Information Center
Marwan, Ardi; Sweeney, Trudy
2010-01-01
Educational technology is becoming more pervasive in Indonesian vocational higher institutions, yet there is limited research available about Indonesian teachers' perceptions of this innovation. This paper sets out to contribute to this gap in the research literature and reports on a study that investigated the factors which supported and…
A Phenomenological Study of an Indonesian Cohort Group's Transformative Learning
ERIC Educational Resources Information Center
Budiraharjo, Markus
2013-01-01
This study was set to investigate how a cohort of ten Indonesian teachers experienced transformations in their teaching professionalism upon receiving an assignment of instructional leadership training to other school leaders. These ten teachers, who came from three different Indonesian Jesuit high schools and one archdiocese-based educational…
Siahaan, Laura A; Syam, Ari F; Simadibrata, Marcellus; Setiati, Siti
2017-01-01
to obtain a valid and reliable GERD-QOL questionnaire for Indonesian application. at the initial stage, the GERD-QOL questionnaire was first translated into Indonesian language and the translated questionnaire was subsequently translated back into the original language (back-to-back translation). The results were evaluated by the researcher team and therefore, an Indonesian version of GERD-QOL questionnaire was developed. Ninety-one patients who had been clinically diagnosed with GERD based on the Montreal criteria were interviewed using the Indonesian version of GERD-QOL questionnaire and the SF 36 questionnaire. The validity was evaluated using a method of construct validity and external validity, and reliability can be tested by the method of internal consistency and test retest. the Indonesian version of GERD-QOL questionnaire had a good internal consistency reliability with a Cronbach Alpha of 0.687-0.842 and a good test retest reliability with an intra-class correlation coefficient of 0.756-0.936; p<0.05). The questionnaire had also been demonstrated to have a good validity with a proven high correlation to each question of SF-36 (p<0.05). the Indonesian version of GERD-QOL questionnaire has been proven valid and reliable to evaluate the quality of life of GERD patients.
The private management of public hospitals.
Rundall, T G; Lambert, W K
1984-01-01
Since the public sector traditionally has provided the public goods viewed as unprofitable by the private sector, the growing trend to manage public hospitals under outside private contract raises some fundamental issues of concern. It is hypothesized here that the system maintenance and output goals of privately managed public hospitals become increasingly similar to those of investor-owned hospitals. The thesis is empirically tested using documented effects of private contract management on the operative goals of short-term, general hospitals owned by local governmental bodies. Traditionally managed public hospitals matched with the study hospitals on important characteristics serve as the control group. Costs do appear to be reduced under private contract management, but the service structure becomes somewhat altered. It is the task of public health policymakers to reconcile the cost-control and efficiency mechanisms brought about by private management with the community's right of access to comprehensive medical care. Carefully structured regionalization plans--a possible means of providing both--will require the stimulation of more government involvement during an era of cutbacks. PMID:6490379
Endarti, Dwi; Riewpaiboon, Arthorn; Thavorncharoensap, Montarat; Praditsitthikorn, Naiyana; Hutubessy, Raymond; Kristina, Susi Ari
2018-05-01
To gain insight into the most suitable foreign value set among Malaysian, Singaporean, Thai, and UK value sets for calculating the EuroQol five-dimensional questionnaire index score (utility) among patients with cervical cancer in Indonesia. Data from 87 patients with cervical cancer recruited from a referral hospital in Yogyakarta province, Indonesia, from an earlier study of health-related quality of life were used in this study. The differences among the utility scores derived from the four value sets were determined using the Friedman test. Performance of the psychometric properties of the four value sets versus visual analogue scale (VAS) was assessed. Intraclass correlation coefficients and Bland-Altman plots were used to test the agreement among the utility scores. Spearman ρ correlation coefficients were used to assess convergent validity between utility scores and patients' sociodemographic and clinical characteristics. With respect to known-group validity, the Kruskal-Wallis test was used to examine the differences in utility according to the stages of cancer. There was significant difference among utility scores derived from the four value sets, among which the Malaysian value set yielded higher utility than the other three value sets. Utility obtained from the Malaysian value set had more agreements with VAS than the other value sets versus VAS (intraclass correlation coefficients and Bland-Altman plot tests results). As for the validity, the four value sets showed equivalent psychometric properties as those that resulted from convergent and known-group validity tests. In the absence of an Indonesian value set, the Malaysian value set was more preferable to be used compared with the other value sets. Further studies on the development of an Indonesian value set need to be conducted. Copyright © 2018. Published by Elsevier Inc.
[A project to reduce the incidence of intubation care errors among foreign health aides].
Chen, Mei-Ju; Lu, Yu-Hua; Chen, Chiu-Chun; Li, Ai-Cheng
2014-08-01
Foreign health aides are the main providers of care for the elderly and the physically disabled in Taiwan. Correct care skills improve patient safety. In 2010, the incidence of mistakes among foreign health aides in our hospital unit was 58% for nasogastric tube care and 57% for tracheostomy tube care. A survey of foreign health aides and nurses in the unit identified the main causes of these mistakes as: communication difficulties, inaccurate instructions given to patients, and a lack of standard operating procedures given to the foreign health aides. This project was designed to reduce the rates of improper nasogastric tube care and improper tracheostomy tube care to 20%, respectively. This project implemented several appropriate measures. We produced patient instruction hand-outs in Bahasa Indonesia, established a dedicated file holder for Bahasa Indonesian tube care reference information, produced Bahasa Indonesian tube-care-related posters, produced a short film about tube care in Bahasa Indonesian, and established a standardized operating procedure for tube care in our unit. Between December 15th and 31st, 2011, we audited the performance of a total of 32 foreign health aides for proper execution of nasogastric tube care (21 aides) and of proper execution of tracheostomy tube care (11 aides). Patients with concurrent nasogastric and tracheostomy tubes were inspected separately for each care group. The incidence of improper care decreased from 58% to 18% nasogastric intubation and 57% to 18% for tracheostomy intubation. This project decreased significantly the incidence of improper tube care by the foreign health aides in our unit. Furthermore, the foreign health aides improved their tube nursing care skills. Therefore, this project improved the quality of patient care.
The effects of local culture on hospital administration in West Sumatra, Indonesia.
Semiarty, Rima; Fanany, Rebecca
2017-02-06
Purpose Problems in health-care leadership are serious in West Sumatra, Indonesia, especially in hospitals, which are controlled locally. The purpose of this paper is to present the experience of three hospitals in balancing the conflicting demands of the national health-care system and the traditional model of leadership in the local community. Design/methodology/approach Three case studies of the hospital leadership dynamic in West Sumatra were developed from in-depth interviews with directors, senior administrators and a representative selection of employees in various professional categories. Findings An analysis of findings shows that traditional views about leadership remain strong in the community and color the expectations of hospital staff. Hospital directors, however, are bound by the modern management practices of the national system. This conflict has intensified since regional autonomy which emphasizes the local culture much more than in the past. Research limitations/implications The research was carried out in one Indonesian province and was limited to three hospitals of different types. Practical implications The findings elucidate a potential underlying cause of problems in hospital management in Indonesia and may inform culturally appropriate ways of addressing them. Originality/value The social and cultural contexts of management have not been rigorously studied in Indonesia. The relationship between local and national culture reported here likely has a similar effect in other parts of the country.
ERIC Educational Resources Information Center
Ayed, Ahmad; Thulth, Ahida Saleem; Sayej, Sumaya
2015-01-01
Background: Organizational factors are considered to be the cornerstone in achieving psychological and professional security at work, which in turn are positively reflected in job performance both quantitatively and qualitatively. Aim of the Study: The study aimed to assess night shift and education/training developmental factors on performance of…
The role of health policy in the burden of breast cancer in Brazil.
Figueiredo, Francisco Winter Dos Santos; Almeida, Tábata Cristina do Carmo; Cardial, Débora Terra; Maciel, Érika da Silva; Fonseca, Fernando Luiz Affonso; Adami, Fernando
2017-11-28
Breast cancer affects millions of women worldwide, particularly in Brazil, where public healthcare system is an important model in health organization and the cost of chronic disease has affected the economy in the first decade of the twenty-first century. The aim was to evaluate the role of health policy in the burden of breast cancer in Brazil between 2004 and 2014. Secondary analysis was performed in 2017 with Brazilian Health Ministry official data, extracted from the Department of Informatics of the National Health System. Age-standardized mortality and the age-standardized incidence of hospital admission by breast cancer were calculated per 100,000 people. Public healthcare costs were converted to US dollars. Regression analysis was performed to estimate the trend of breast cancer rates and healthcare costs, and principal component analysis was performed to estimate a cost factor. Stata® 11.0 was utilized. Between 2004 to 2014, the age-standardized rates of breast cancer mortality and the incidence of hospital admission and public healthcare costs increased. There was a positive correlation between breast cancer and healthcare public costs, mainly influenced by governmental strategies. Governmental strategies are effective against the burden of breast cancer in Brazil.
ERIC Educational Resources Information Center
Surastina; Dedi, Fransisca S. O.
2018-01-01
Motivation determines students' success in academic writing. The current study adopted 28 items of the academic writing motivation questionnaire by Payne (2012) translated into Indonesian language to explore students' motivation in academic writing. This study involved 120 prospective Indonesian language teachers at STKIP PGRI Bandar Lampung that…
Ambivalences: Voices of Indonesian Academic Discourse Gatekeepers
ERIC Educational Resources Information Center
Basthomi, Yazid
2012-01-01
This article presents voices of academic discourse gatekeepers in the Indonesian context. It reports on results of an attempt to re-read (re-analyze and re-interpret) the transcripts of interviews with Indonesian journal editors/reviewers in the area of English Language Teaching (ELT). The interviews were made with five editors/reviewers of two…
ERIC Educational Resources Information Center
Wahyuni, Tutik; Suwandi, Sarwiji; Slamet, St. Y.; Andayani
2015-01-01
This study aims to: (1) assess the charge textbooks Syntax: "Sentence" bahasa Indonesia is based on a needs analysis; (2) analyzing the breakdown of understanding Syntax: "Sentence" Indonesian with contextual approach; (3) test the effectiveness of understanding Syntax: "Sentence" Indonesian with kontekstua approach.…
ERIC Educational Resources Information Center
Yumarnamto, Mateus
2016-01-01
This study explores the factors that contribute to Indonesian English language teachers' (ELTs) professional growth and identity formation. The main question investigated in this study is: What are the factors and challenges that contribute to Indonesian ELTs' professional growth and identity formation as reflected in their life histories,…
The Way Deans Run Their Faculties in Indonesian Universities
ERIC Educational Resources Information Center
Ngo, Jenny; de Boer, Harry; Enders, Jurgen
2014-01-01
Using the theory of reasoned action in combination with the Competing Values Framework of organizational leadership, our study examines how deans at Indonesian universities lead and manage their faculties. Based on a large-scale survey with responses from more than 200 Indonesian deans, the study empirically identifies a number of deanship styles:…
Indonesian migrants in Johor: an itinerant labour force.
Guinness, P
1990-04-01
"The links between Indonesia and Johor, Malaysia, across the narrow straits have been strong for centuries. Many Johoreans trace their origins to various islands in the Indonesian archipelago. In recent years the presence of large numbers of Indonesian migrant workers in Malaysia has become the focus of media and political debate; it is seen not only as undermining working conditions but as aggravating fragile ethnic relations within Malaysia. The aim of this article is to examine the presence and employment of Indonesians in the southern area of Johor, and the responses of government and the public to this phenomenon." excerpt
Impact of haze from forest fire to respiratory health: Indonesian experience.
Aditama, T Y
2000-06-01
This paper will describe the impact on the human lung of haze from forest fires in Indonesia based on data collected from different provinces. Data were collected from personal reports from pulmonologists working in the area as well as from province/district health offices and hospitals. These data show that there was a significant impact of haze to the human lung. There was a significant increase in respiratory conditions, lung function complaints and other related impacts. Further studies, especially cohort studies, should be undertaken so that the long-term' impact of pollution from forest fires can be known.
Consonantal and Syllabic Repairs of Arabic and Dutch Loanwords in Indonesian: A Phonological Account
ERIC Educational Resources Information Center
Batais, Saleh Saeed
2013-01-01
The dissertation study aims to contribute mainly to the field of loanword phonology in general and particularly to Indonesian and its phonology that are rarely studied to date. The study investigates what consonantal and syllabic repair strategies are employed by Indonesian in adapting Arabic and Dutch loanwords, whether these adaptation…
ERIC Educational Resources Information Center
Nurhayati, Dwi Astuti Wahyu; Djatmika; Santosa, Riyadi; Wiratno, Tri
2017-01-01
This research examines the two factors which effect on the raising of Indonesian morphology-syntactical interference. It aimed at delineating the potential effect of these two factors on the arising of Indonesian morphology-syntactical interference of undergraduate students majoring in English department of State Islamic Institute of Tulungagung…
ERIC Educational Resources Information Center
Ng, Dicky
2011-01-01
This study examines Indonesian primary teachers' mathematical knowledge for teaching geometry and what factors contribute to this knowledge. A translated and adapted version of the Learning Mathematics for Teaching measures and the Indonesian Educational Survey were used to gather information on teachers' knowledge for teaching geometry and their…
ERIC Educational Resources Information Center
Agustian, Hendra Y.
2016-01-01
The Indonesian model of inclusive society "masyarakat madani" is arguably based on a one-view perspective of Islamic intellectuals. Although it was intended to embrace the whole of society in general, its implications might not reach and permeate the entire society. The unique features of Indonesian society have, to a certain degree,…
The American Influence in Indonesian Teacher Training, 1956-1964
ERIC Educational Resources Information Center
Suwignyo, Agus
2017-01-01
This paper examines United States-Indonesian cooperation in the training of Indonesian teachers during the early decades of the Cold War. Indonesia badly needed teachers but the government's efforts to train new teachers were hampered by the tremendous lack of teachers who could train new teachers. The aid provided by the United States enabled the…
ERIC Educational Resources Information Center
Rahayu, Sri; Kita, Masakazu
2010-01-01
This study investigated Indonesian and Japanese students' understandings of macroscopic and submicroscopic levels of representing matter and its changes and the difficulties they have with these concepts. A multiple-choice questionnaire was constructed and delivered to 447 Indonesian and 446 Japanese public senior high school students. The data…
Cognitive Learning Strategy of BIPA Students in Learning the Indonesian Language
ERIC Educational Resources Information Center
Suyitno, Imam; Susanto, Gatut; Kamal, Musthofa; Fawzi, Ary
2017-01-01
The study outlined in this article aims to describe and explain the cognitive learning strategies used by foreign students in learning the Indonesian language. The research was designed as a qualitative study. The research participants are foreign students who were learning the Indonesian language in the BIPA program. The data sources of the…
GPS water level measurements for Indonesia's Tsunami Early Warning System
NASA Astrophysics Data System (ADS)
Schöne, T.; Pandoe, W.; Mudita, I.; Roemer, S.; Illigner, J.; Zech, C.; Galas, R.
2011-03-01
On Boxing Day 2004, a severe tsunami was generated by a strong earthquake in Northern Sumatra causing a large number of casualties. At this time, neither an offshore buoy network was in place to measure tsunami waves, nor a system to disseminate tsunami warnings to local governmental entities. Since then, buoys have been developed by Indonesia and Germany, complemented by NOAA's Deep-ocean Assessment and Reporting of Tsunamis (DART) buoys, and have been moored offshore Sumatra and Java. The suite of sensors for offshore tsunami detection in Indonesia has been advanced by adding GPS technology for water level measurements. The usage of GPS buoys in tsunami warning systems is a relatively new approach. The concept of the German Indonesian Tsunami Early Warning System (GITEWS) (Rudloff et al., 2009) combines GPS technology and ocean bottom pressure (OBP) measurements. Especially for near-field installations where the seismic noise may deteriorate the OBP data, GPS-derived sea level heights provide additional information. The GPS buoy technology is precise enough to detect medium to large tsunamis of amplitudes larger than 10 cm. The analysis presented here suggests that for about 68% of the time, tsunamis larger than 5 cm may be detectable.
Ponce, Marisa
2013-08-01
The article analyzes actions for the prevention of cervical and breast cancer in public, private, and employment-based health services and in non-governmental organizations in the city of Buenos Aires. The article seeks to reflect on the reach and limitations of the approaches implemented in the three subsectors of the health care system and the community to prevent women from suffering or eventually dying as a consequence of these diseases, in the fragmented context of a health system with great heterogeneity in access and deep social inequalities in the use of preventive actions. The study utilizes a broad definition of prevention which integrates education, awareness-building and early detection of pre-carcinogenic and carcinogenic lesions, among other medical and non-medical components. The results were obtained using semi-structured interviews with subjects from public hospitals, employment-based health care services, private medical companies and non-governmental organizations with work in cancer prevention. These results show that contrary to a comprehensive approach, each institution limits its actions to only one aspect of prevention, implementing predominately isolated or disconnected actions inadequate to generate an autonomous and well-informed demand for treatment and health care among women.
An analysis of the characteristics of Indonesian industrial sectors: 2005-2010
NASA Astrophysics Data System (ADS)
Zuhdi, Ubaidillah
2017-10-01
The purpose of the current study is to analyze the characteristics of Indonesian industrial sectors from 2005 through 2010. The study employs the analysis instruments from the Input-Output (IO) analysis, namely the indices of the power of dispersion, and the sensitivity of dispersion. For 2005 and 2010, the study focuses on nine and seventeen industries, respectively. The results show that industry 3, manufacturing, placed the quadrant I on the analysis period. The fact shows that, from 2005 through 2010, the industry had a strong influence on the Indonesian economic activities, and received high impacts from the external aspects. In other words, the industry has great potency for the Indonesian economy. From the results one can also see that sector 4, electricity and gas, included in the quadrant I in 2010. This fact explains that the sector has also great potency for the economic activities of Indonesia. Thus, the Indonesian government should prioritize the industries development.
Singh, Simone R; Young, Gary J
2017-12-01
To investigate whether tax-exempt hospitals' investments in community health are associated with patterns of governmental public health spending focusing specifically on the relationship between hospitals' community benefit expenditures and the spending patterns of local health departments (LHDs). We combined data on tax-exempt hospitals' community benefit spending with data on spending by the corresponding LHD that served the county in which a hospital was located. Data were available for 2 years, 2009 and 2013. Generalized linear regressions were estimated with indicators of hospital community benefit spending as the dependent variable and LHD spending as the key independent variable. Hospital community benefit spending was unrelated to how much local public health agencies spent, per capita, on public health in their communities. Patterns of local public health spending do not appear to impact the investments of tax-exempt hospitals in community health activities. Opportunities may, however, exist for a more active engagement between the public and private sector to ensure that the expenditures of all stakeholders involved in community health improvement efforts complement one another. © Health Research and Educational Trust.
Air quality and respiratory health in Delhi.
Nidhi; Jayaraman, Girija
2007-12-01
Delhi is an instructive location for studying the impact of air pollution since it is a rapidly expanding centre of government, trade commerce and industry. We have made an attempt to (1) determine the association between environmental pollution and respiratory morbidity in Delhi for the period 1998-2004, (2) assess the impact on hospital admission of the implementation of recent governmental regulations and (3) calculate the relative risk of hospitalization due to respiratory ailments caused by air pollutants. Seven hospitals from different parts of Delhi were selected. The pollution profiles of these areas were assessed and subsequently Poisson regression model was performed for the patient population. There was a remarkable decrease in monthly average concentration of sulphur dioxide (from 17.9 to 11.1 microg m(-3)) and increase in monthly average concentration of nitrogen dioxide (from 34.2 to 49.1 microg m(-3)) after the newly introduced regulations. Particulates were observed to have marginal fall in their concentration but still remained above the permissible limits. Gaseous pollutants, in spite of being at a level lower than the permissible level, showed more consistent significant association with respiratory admissions. The relative risks of hospitalization due to respiratory diseases were in the range of 1.07-2.82 in residential cum commercial areas. Comparative study of pre and post new stringent governmental regulation showed significant positive association of NO(2) with respiratory disorders in southern (RR: 1.10; CI: 1.09-1.12) and northern regions (RR: 1.33; CI: 1.27-1.39), both mixed use areas. In spite of the improvement in the air quality, the associated health effects were found to be substantial.
Eljedi, Ashraf; Dalo, Shareef
2014-08-01
Nosocomial infections are a significant burden for both patients and the healthcare system. For this reason, infection prevention and control (IPC) practices are extremely important. The Palestinian Ministry of Health adopted the national IPC Protocol in 2004. This study aimed to assess the compliance of healthcare providers (HCPs) with the Protocol in three governmental paediatric hospitals in Gaza governorates. This descriptive cross-sectional study was conducted from February to November 2010. Data were collected from a sample of doctors, nurses and physiotherapists (N = 334) using a self-administered questionnaire and observation checklists to record HCP practices and assess the hospital environment. The response rate was 92%. The most important reasons for non-compliance with the IPC Protocol were the absence of an education programme (61.5%), lack of knowledge (52.4%) and the scarcity of required supplies (46.9%). Only 2.3% of respondents had a copy of the IPC Protocol, while 65.8% did not know of its existence. Only 16.9% had participated in training sessions regarding general IPC practices. The observation checklist regarding HCP practices revealed low levels of compliance in hand washing (45.9%), wearing gloves (40.7%) and using antiseptics/disinfectants (49.16%). The health facilities checklist indicated that there was a lack of certain essential equipment and materials, such as covered waste containers and heavy-duty gloves. Due to the lack of HPC knowledge, the authors recommend that the IPC Protocol be made available in all hospitals. In addition, a qualified team should implement intensive IPC education and training programmes and facilities should provide the required equipment and materials.
The role of non-operating income in community benefit provision by not-for-profit hospitals.
Song, Paula H; McCullough, Jeffrey S; Reiter, Kristin L
2013-01-01
Not-for-profit hospitals are under increased public scrutiny for providing what some view as insufficient levels of community benefit compared to their tax-exempt benefits. One potential driver of community benefit is financial surplus, which arises from both patient care (operating) activities and non-patient care (non-operating) activities. This study addresses the effect of hospitals' non-operating income on not-for-profit hospitals' provision of community benefit. The study sample includes 217 unique not-for-profit, non-governmental, general, acute care hospitals in California between 1997 and 2010 that filed annual reports with the California Office of Statewide Health Planning and Development (OSHPD). We model the effect of hospitals' operating and non-operating incomes on hospitals' community benefit, controlling for observable hospital characteristics such as scale and system membership, local competition, time trends, and hospital fixed effects. Our results indicate that non-operating income has no effect on levels of community benefit provided by not-for-profit hospitals. This finding suggests that not-for-profit hospitals budget for uncompensated care at levels that are prioritized over other potential investments if non-operating income falls, but remain fixed if non-operating income rises.
ERIC Educational Resources Information Center
Ekawati, Rooselyna; Lin, Fou-Lai; Yang, Kai-Lin
2015-01-01
In this study, we developed an instrument for assessing teachers' mathematics content knowledge (MCK) on ratio and proportion and examined the profile of Indonesian primary teacher's MCK on this topic. The MCK items were administered to 271 Indonesian in-service primary teachers with a variety of educational backgrounds and teaching experiences.…
ERIC Educational Resources Information Center
Worsley, Peter
The report on the status of the Indonesian and Malay languages in Australia documents the history of those languages in Australian education, within selected communities, in international trade, and among high school students. The first chapter gives a brief history of the Indonesian and Malay languages and comments on their place in the life of…
ERIC Educational Resources Information Center
Michie, Michael
2017-01-01
The introduction of a new curriculum in Indonesian schools seeks to bring about changes in Indonesian society as well as students' knowledge base. The curriculum is based on two layers of competencies: Core Competencies, and Basic Competencies. Core Competencies are applicable at all year levels and for all subjects. They include religious and…
ERIC Educational Resources Information Center
da Silva, Anna Marietta
2014-01-01
Looking at the frequently used English words on billboard ads in Jakarta main streets, one may have a presumptive thought that English will dominate Indonesian language. The assumption, though, has led to the analysis of the role of both languages on billboard ads and the possibility of English control over Indonesian. The study presented…
Indonesian Maritime Security Cooperation In the Malacca Straits
2015-06-01
archipelagic doctrine was an “unrealistic” decision, one driven by “excessive political emotions.”51 He also argued that the Indonesian Navy was incapable...the archipelagic state doctrine was codified as Indonesian law on 18 February 48 Djalal...Therefore, the Wawasan Nusantara concept has leveraged the archipelagic state doctrine into a geopolitical concept. As a result, Indonesia asserted that
ERIC Educational Resources Information Center
Arsyad, Safnil; Wardhana, Dian Eka Chandra
2014-01-01
The introductory part of a research article (RA) is very important because in this section writers must argue about the importance of their research topic and project so that they can attract their readers' attention to read the whole article. This study analyzes RA introductions written by Indonesian writers in social sciences and humanities…
ERIC Educational Resources Information Center
Mukminin, Amirul; Yanto, Fridi; Yanto, Hadi
2013-01-01
This paper was to report some of findings from a larger phenomenological study on the lived experience of Indonesian graduate students in a US higher education. Particularly, this paper was to discuss the Indonesian Muslim graduate students' religious life experiences attending an American graduate school. The primary data sources were a…
POS-Tagging for informal language (study in Indonesian tweets)
NASA Astrophysics Data System (ADS)
Suryawati, Endang; Munandar, Devi; Riswantini, Dianadewi; Fatchuttamam Abka, Achmad; Arisal, Andria
2018-03-01
This paper evaluates Part-of-Speech Tagging for the formal Indonesian language can be used for the tagging process of Indonesian tweets. In this study, we add five additional tags which reflect to social media attributes to the existing original tagset. Automatic POS tagging process is done by stratified training process with 1000, 1600, and 1800 of annotated tweets. It shows that the process can achieve up to 66.36% accuracy. The experiment with original tagset gives slightly better accuracy (67.39%) than the experiment with five additional tags, but will lose important informations which given by the five additional tagset.POS-Tagging for Informal Language (Study in Indonesian Tweets).
Validating the Assessment for Measuring Indonesian Secondary School Students Performance in Ecology
NASA Astrophysics Data System (ADS)
Rachmatullah, A.; Roshayanti, F.; Ha, M.
2017-09-01
The aims of this current study are validating the American Association for the Advancement of Science (AAAS) Ecology assessment and examining the performance of Indonesian secondary school students on the assessment. A total of 611 Indonesian secondary school students (218 middle school students and 393 high school students) participated in the study. Forty-five items of AAAS assessment in the topic of Interdependence in Ecosystems were divided into two versions which every version has 21 similar items. Linking item method was used as the method to combine those two versions of assessment and further Rasch analyses were utilized to validate the instrument. Independent sample t-test was also run to compare the performance of Indonesian students and American students based on the mean of item difficulty. We found that from the total of 45 items, three items were identified as misfitting items. Later on, we also found that both Indonesian middle and high school students were significantly lower performance with very large and medium effect size compared to American students. We will discuss our findings in the regard of validation issue and the connection to Indonesian student’s science literacy.
ERIC Educational Resources Information Center
Kelly, Peter James; Campbell, Perri Bree Ellis; Harrison, Lyn
2015-01-01
In this paper we re-visit the work of celebrity chef Jamie Oliver and the social enterprise Fifteen Foundation and their development of a programme designed to train unemployed young people in the hospitality industry. We argue, drawing on the Foucauldian literature on governmentality and technologies of the self, that social enterprise-based…
Soegiharto, Benny M; Cunningham, Susan J; Moles, David R
2008-08-01
The purpose of this study was to describe the stages of skeletal maturity of Deutero-Malay Indonesian children according to the hand-wrist and cervical vertebrae methods and to compare them with white children. The study included 2167 patients with hand-wrist radiographs and lateral cephalometric radiographs. Of these, there were 648 Indonesian boys, 303 white boys (age range of boys, 10-17 years), 774 Indonesian girls, and 442 white girls (age range of girls, 8-15 years). The skeletal maturation index (SMI) was used to evaluate the stages of skeletal maturity from hand-wrist radiographs, and the cervical vertebrae maturation (CVM) index was used to evaluate the stages of skeletal maturity from lateral cephalometric radiographs. One observer made all observations, and a repeatability study was undertaken. Box-and-whisker plots were used to show the age distribution on attainment of each maturation stage based on the SMI and CVM. On average, both the SMI and the CVM showed that white children attained each maturation stage about 0.5 to 1 year earlier than their Indonesian peers, although the differences were less obvious in girls than in boys. Multiple regression analysis was used to predict the SMI from the chronologic age. Both the Indonesian and the white boys groups showed a good relationship between predicted SMI and chronologic age (R(2) = 0.728 and 0.739, respectively), as did the Indonesian and white girls groups (R(2) = 0.755 and 0.748, respectively). Further multiple regression analyses used to investigate the differences in the ages of attainment of skeletal development between Indonesian and white subjects indicated that, across the age ranges investigated, on average for a particular age, the white boys were 1 SMI stage ahead of the Indonesian boys, and the white girls were about 0.5 SMI stage ahead of their Indonesian peers. Because the CVM has only 5 categories, it was not considered appropriate to use this form of multiple regression analysis. The findings confirmed marked variations in the chronologic ages for each skeletal maturity stage and also showed differences between the timing of skeletal maturity with both the SMI and the CVM between the sexes and the ethnic groups. These differences should be considered during orthodontic diagnosis and treatment planning.
ERIC Educational Resources Information Center
Kaune, Christa; Cohors-Fresenborg, Elmar; Nowinska, Edyta; Marpaung, Yansen; Handayani, Novi
2012-01-01
This article reports on the findings of a German-Indonesian feasibility study, which has been conducted to examine whether a more extensive pilot study could be successful. The objective of the pilot study is to enhance the mathematical skills of Indonesian students in the 7th class by increasing the number of students who can really understand…
ERIC Educational Resources Information Center
Mukminin, Amirul
2012-01-01
The purpose of this inquiry was to describe and understand the lived experiences of the acculturative process of the Indonesian graduate students at an American public university. The primary focus here was on better understanding how some events or changes become sources of difficulties, problems, or culture shock in Indonesian graduate students'…
ERIC Educational Resources Information Center
Arung, Fernandes
2015-01-01
Mostly learners and even teachers of English as a Foreign Language (EFL) are still not able to speak grammatically and fluently just because they lack of the Indonesian language proficiency and comprehension. This research was done to investigate how the Indonesian (Bahasa Indonesia) can assist the teachers and learners of EFL in improving their…
Understanding HIV-related stigma among Indonesian nurses
Waluyo, Agung; Culbert, Gabriel J.; Levy, Judith; Norr, Kathleen
2014-01-01
Evidence indicates widespread stigmatization of persons living with HIV (PLWH) in Indonesia. Such attitudes among health care workers could impede the country’s policies for effective diagnosis and medical treatment of PLWH. Nonetheless, research to guide interventions to reduce stigma in health care settings is lacking. Also, the contributions of workplace, religion, and HIV knowledge to nurses’ HIV-related stigma are poorly understood. Our cross-sectional study aimed to describe factors associated with nurses’ stigmatizing attitudes toward PLWH. Four hundred nurses recruited from 4 hospitals in Jakarta, Indonesia, were surveyed using the Nurse AIDS Attitude Scale (NAAS) to measure stigma. Stigmatizing attitudes were significantly predicted by education, HIV training, perceived workplace stigma, religiosity, Islamic religious identification, and affiliation with the Islamic hospital. HIV knowledge was not a significant predictor of stigmatizing attitudes. Organization changes fostering workplace diversity are likely to substantially reduce stigmatizing attitudes in nurses. PMID:24759060
Understanding HIV-related stigma among Indonesian nurses.
Waluyo, Agung; Culbert, Gabriel J; Levy, Judith; Norr, Kathleen F
2015-01-01
Evidence indicates widespread stigmatization of persons living with HIV (PLWH) in Indonesia. Such attitudes among health care workers could impede the country's policies for effective diagnosis and medical treatment of PLWH. Nonetheless, research to guide interventions to reduce stigma in health care settings is lacking. Also, the contributions of workplace, religion, and HIV knowledge to nurses' HIV-related stigma are poorly understood. Our cross-sectional study aimed to describe factors associated with nurses' stigmatizing attitudes toward PLWH. Four hundred nurses recruited from four hospitals in Jakarta, Indonesia, were surveyed using the Nurse AIDS Attitude Scale to measure stigma. Stigmatizing attitudes were significantly predicted by education, HIV training, perceived workplace stigma, religiosity, Islamic religious identification, and affiliation with the Islamic hospital. HIV knowledge was not a significant predictor of stigmatizing attitudes. Organization changes fostering workplace diversity are likely to substantially reduce stigmatizing attitudes in nurses. Copyright © 2015 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.
Assessment of pharmaceutical waste management at selected hospitals and homes in Ghana.
Sasu, Samuel; Kümmerer, Klaus; Kranert, Martin
2012-06-01
The practice of use and disposal of waste from pharmaceuticals compromises the safety of the environment as well as representing a serious health risk, as they may accumulate and stay active for a long time in the aquatic environment. This article therefore presents the outcome of a study on pharmaceutical waste management practices at homes and hospitals in Ghana. The study was conducted at five healthcare institutions randomly selected in Ghana, namely two teaching hospitals (hospital A, hospital B), one regional hospital (hospital C), one district hospital (hospital D) and one quasi-governmental hospital (hospital E). Apart from hospital E which currently has a pharmaceutical waste separation programmr as well as drug return programme called DUMP (Disposal of Unused Medicines Program), all other hospitals visited do not have any separate collection and disposal programme for pharmaceutical waste. A survey was also carried out among the general public, involving the questioning of randomly selected participants in order to investigate the household disposal of unused and expired pharmaceuticals. The results from the survey showed that more than half of the respondents confirmed having unused, left-over or expired medicines at home and over 75% disposed of pharmaceutical waste through the normal waste bins which end up in the landfills or dump sites.
Rebecca E. Ibach; Yusuf Sudo Hadi; Dodi Nandika; Sulaeman Yusuf; Yuliati Indrayani
2000-01-01
Wood [Indonesian pine (IP), Indonesian Jabon (IJ) and USA southern yellow pine (USP)] was either in situ polymerized with tributyltin acrylate (TBTA) or acetylated and then exposed to termite and fungal degradation both in laboratory tests and field exposure. The TBTA woods had an average weight percent gain (WPG) of 11% for IP, 12% for IJ, and 10% for USP. The...
The DISAM Journal of International Security Assistance Management. Volume 30, Number 2, June 2008
2008-06-01
made by the Indonesian government in Aceh regarding democratic governance and counter-terrorism cooperation, the SAC remains concerned with...requested $15,700,000 when the Secretary of State reports that the Indonesian government has provided plans for effectively addressing these...Secretary of State reports to the congressional appropriations committees: • Of the steps taken by the Indonesian government in the prosecution and
Susanto, Hendri; Nesse, Willem; Dijkstra, Pieter U; Hoedemaker, Evelien; van Reenen, Yvonne Huijser; Agustina, Dewi; Vissink, Arjan; Abbas, Frank
2012-08-01
Periodontitis may exert an infectious and inflammatory burden, evidenced by increased C-reactive protein (CRP). This burden may impair blood glucose control (HbA1c). The aim of our study was to analyze whether periodontitis severity as measured with the periodontal inflamed surface area (PISA) and CRP predict HbA1c levels in a group of healthy Indonesians and a group of Indonesians treated for type 2 diabetes mellitus (DM2). A full-mouth periodontal examination, including probing pocket depth, gingival recession, clinical attachment loss, plaque index and bleeding on probing, was performed in 132 healthy Indonesians and 101 Indonesians treated for DM2. Using these data, PISA was calculated. In addition, HbA1c and CRP were analyzed. A validated questionnaire was used to assess smoking, body mass index (BMI), education and medical conditions. In regression analyses, it was assessed whether periodontitis severity and CRP predict HbA1c, controlling for confounding and effect modification (i.e., age, sex, BMI, pack years, and education). In healthy Indonesians, PISA and CRP predicted HbA1c as did age, sex, and smoking. In Indonesians treated for DM2, PISA did not predict HbA1c. Periodontitis may impair blood glucose regulation in healthy Indonesians in conjunction with elevated CRP levels. The potential effect of periodontitis on glucose control in DM2 patients may be masked by DM2 treatment. periodontitis may impair blood glucose control through exerting an inflammatory and infectious burden evidenced by increased levels of CRP.
2013-01-01
Background Patient involvement in health care decision making is part of a wider trend towards a more bottom-up approach to service planning and provision, and patient experience is increasingly conceptualized as a core dimension of health care quality. The aim of this multi-level study is two-fold: 1) to describe and analyze how governmental organizations expect acute hospitals to incorporate patient involvement and patient experiences into their quality improvement (QI) efforts and 2) to analyze how patient involvement and patient experiences are used by hospitals to try to improve the quality of care they provide. Methods This multi-level case study combines analysis of national policy documents and regulations at the macro level with semi-structured interviews and non-participant observation of key meetings and shadowing of staff at the meso and micro levels in two purposively sampled Norwegian hospitals. Fieldwork at the meso and micro levels was undertaken over a 12-month period (2011–2012). Results Governmental documents and regulations at the macro level demonstrated wide-ranging expectations for the integration of patient involvement and patient experiences in QI work in hospitals. The expectations span from systematic collection of patients’ and family members’ experiences for the purpose of improving service quality through establishing patient-oriented arenas for ongoing collaboration with staff to the support of individual involvement in decision making. However, the extent of involvement of patients and application of patient experiences in QI work was limited at both hospitals. Even though patient involvement was gaining prominence at the meso level − and to a lesser extent at the micro level − relevant tools for measuring and using patient experiences in QI work were lacking, and available measures of patient experience were not being used meaningfully or systematically. Conclusions The relative lack of expertise in Norwegian hospitals of adapting and implementing tools and methods for improving patient involvement and patient experiences at the meso and micro levels mark a need for health care policymakers and hospital leaders to learn from experiences of other industries and countries that have successfully integrated user experiences into QI work. Hospital managers need to design and implement wider strategies to help their staff members recognize and value the contribution that patient involvement and patient experiences can make to the improvement of healthcare quality. PMID:23742265
NASA Astrophysics Data System (ADS)
Lestari, S.; Mistivani, I.; Rumende, C. M.; Kusumaningsih, W.
2017-08-01
Mild cognitive impairment (MCI) is defined as cognitive impairment that may never develop into dementia. Cognitive impairment is one long-term complication of a stroke. The Mini Mental State Examination (MMSE), which is commonly used as a screening tool for cognitive impairment, has a low sensitivity to detect cognitive impairment, especially MCI. Alternatively, the Montreal Cognitive Assessment Indonesian version (MoCA-Ina) has been reported to have a higher sensitivity than the MMSE. The aim of this study was to compare the proportion of MCI identified between the MMSE and MoCA-Ina in stroke patients. This was a cross-sectional study of stroke outpatients who attended the Polyclinic Neuromuscular Division, Rehabilitation Department, and Polyclinic Stroke, Neurology Department Cipto Mangunkusumo General Hospital, Jakarta. The proportion of MCI identified using the MMSE was 31.03% compared to 72.41% when using the MoCA-Ina. This difference was statistically significant (Fisher’s exact test, p = 0.033). The proportion of MCI in stroke patients was higher when using the MoCA-Ina compared to the MMSE. The MoCA-Ina should be used as an alternative in the early detection of MCI in stroke patients, especially those undergoing rehabilitation.
Plagiarism Detection for Indonesian Language using Winnowing with Parallel Processing
NASA Astrophysics Data System (ADS)
Arifin, Y.; Isa, S. M.; Wulandhari, L. A.; Abdurachman, E.
2018-03-01
The plagiarism has many forms, not only copy paste but include changing passive become active voice, or paraphrasing without appropriate acknowledgment. It happens on all language include Indonesian Language. There are many previous research that related with plagiarism detection in Indonesian Language with different method. But there are still some part that still has opportunity to improve. This research proposed the solution that can improve the plagiarism detection technique that can detect not only copy paste form but more advance than that. The proposed solution is using Winnowing with some addition process in pre-processing stage. With stemming processing in Indonesian Language and generate fingerprint in parallel processing that can saving time processing and produce the plagiarism result on the suspected document.
2010-01-01
Circulation in the Indonesian Seas: 1/12 degree Global HYCOM and the INSTANT Observations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...SUPPLEMENTARY NOTES 14. ABSTRACT A l/l 2 global version of the HYbrid Coordinate Ocean Model (HYCOM) using 3-hourly atmospheric forcing is analyzed and...TERMS Indonesian Throughflow, global HYCOM, INSTANT, Inter-ocean exchange, ocean modeling 16. SECURITY CLASSIFICATION OF: a. REPORT Unclassified b
NASA Astrophysics Data System (ADS)
Rahmatullah, S. N.; Sulaiman, A.; Askalani; Azizi, N. M. K.
2018-04-01
Development production of Indonesia local cattle didn’t balance increasing of consumption livestock in Indonesian so that’s makes imports are still high both local beef production. Indonesian local cattle is one of cattle the largest contributed the national meat production of ruminant particular group of cattle so that the livestock has the potential to be developed as a profitable business if doing of farmer. One of advantages is potential areas in South Kalimantan mainly swamp lands was very large. It’s one effort in national promoting food sovereignty programme and the provinces especially about introduction of Indonesian local cattle in the swamp area are also important. Availability of region in South Kalimantan spacious and great forage production, then prospects for cattle productivity there is huge so that’s can even increase income for farmers. The programme more serious support from the governance of South Kalimantan province to develop Indonesian local cattle in swamp area and in that’s a real policy for encouraging farmers to maintain Indonesian local cattle to make sustainable food in Indonesia.
The Design of Lexical Database for Indonesian Language
NASA Astrophysics Data System (ADS)
Gunawan, D.; Amalia, A.
2017-03-01
Kamus Besar Bahasa Indonesia (KBBI), an official dictionary for Indonesian language, provides lists of words with their meaning. The online version can be accessed via Internet network. Another online dictionary is Kateglo. KBBI online and Kateglo only provides an interface for human. A machine cannot retrieve data from the dictionary easily without using advanced techniques. Whereas, lexical of words is required in research or application development which related to natural language processing, text mining, information retrieval or sentiment analysis. To address this requirement, we need to build a lexical database which provides well-defined structured information about words. A well-known lexical database is WordNet, which provides the relation among words in English. This paper proposes the design of a lexical database for Indonesian language based on the combination of KBBI 4th edition, Kateglo and WordNet structure. Knowledge representation by utilizing semantic networks depict the relation among words and provide the new structure of lexical database for Indonesian language. The result of this design can be used as the foundation to build the lexical database for Indonesian language.
NASA Astrophysics Data System (ADS)
Ginanjar, Irlandia; Indratno, Sapto W.
2015-12-01
Ministry of Housing Republic of Indonesia explained that the Constitution mandates that every citizen has the right to reside. Jakarta, Surabaya, Bandung, Semarang, and Yogyakarta are five of Java's major cities with high population and investment opportunities, so the housing needs in that five cities is very high. Market sentiment analysis recorded the average of property purchasing power for Indonesian society around Rp 250 million, which the author assumes that the highest price for Indonesian middle class. Based on the fact, does the Indonesian middle class have the ability to purchase a house in the five major cities of Java? What facilities do they get? Both questions can be answered using the results of correspondence analysis.
Automatic Semantic Orientation of Adjectives for Indonesian Language Using PMI-IR and Clustering
NASA Astrophysics Data System (ADS)
Riyanti, Dewi; Arif Bijaksana, M.; Adiwijaya
2018-03-01
We present our work in the area of sentiment analysis for Indonesian language. We focus on bulding automatic semantic orientation using available resources in Indonesian. In this research we used Indonesian corpus that contains 9 million words from kompas.txt and tempo.txt that manually tagged and annotated with of part-of-speech tagset. And then we construct a dataset by taking all the adjectives from the corpus, removing the adjective with no orientation. The set contained 923 adjective words. This systems will include several steps such as text pre-processing and clustering. The text pre-processing aims to increase the accuracy. And finally clustering method will classify each word to related sentiment which is positive or negative. With improvements to the text preprocessing, can be achieved 72% of accuracy.
The Application of Security Concepts to the Personnel Database for the Indonesian Navy.
1983-09-01
Postgraduate School, lionterey, California, June 1982. Since 1977, the Indonesian Navy Data Center (DISPULAHTAL) has collected and processed pa-sonnel data to...zel dlta Processing in the Indonesian Navy. 4 -a "o ’% ’." 5. ’S 1 1’S~. . . II. THE _IIIT_ IPR2ES1D PERSONSEL DATABASE SYSTEM The present Database...LEVEL *USER PROCESSING :CONCURRENT MULTI USER/LEVEL Ulf, U 3 , U 3 . . . users S. .. ...... secret C. .. ...... classified U .. .. ..... unclassified
Al-Khatib, Issam A; Abu Fkhidah, Ismail; Khatib, Jumana I; Kontogianni, Stamatia
2016-03-01
Forecasting of hospital solid waste generation is a critical challenge for future planning. The composition and generation rate of hospital solid waste in hospital units was the field where the proposed methodology of the present article was applied in order to validate the results and secure the outcomes of the management plan in national hospitals. A set of three multiple-variable regression models has been derived for estimating the daily total hospital waste, general hospital waste, and total hazardous waste as a function of number of inpatients, number of total patients, and number of beds. The application of several key indicators and validation procedures indicates the high significance and reliability of the developed models in predicting the hospital solid waste of any hospital. Methodology data were drawn from existent scientific literature. Also, useful raw data were retrieved from international organisations and the investigated hospitals' personnel. The primal generation outcomes are compared with other local hospitals and also with hospitals from other countries. The main outcome, which is the developed model results, are presented and analysed thoroughly. The goal is this model to act as leverage in the discussions among governmental authorities on the implementation of a national plan for safe hospital waste management in Palestine. © The Author(s) 2016.
Success, failures and costs of implementing standards in the USA--lessons for infection control.
McGowan, J E
1995-06-01
In the US, extensive standards for performance and 'guidelines for practice' have been instituted by a number of governmental and non-governmental agencies. New governmental plans for health care depend heavily on practice guidelines, and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has been especially enthusiastic about continuous quality improvement. Monitoring the appropriateness of care and altering physician practice appeals to insurance carriers and health care management organizations. Some initial data exist to show that the quality of health care has been enhanced by these regulations. The total cost for health care administration in 1990 in the USA was 24.8% of each hospital's spending for health care. Much of this was associated with spending for new initiatives in practice guidelines, physician profiling, quality assurance, and the like. Few data exist to show that the quality of health care or hospital infection control has been enhanced by these expenditures. Regulations and guidelines also have proliferated in infection control. Guides from the JCAHO have been expanded, and recent mandates from the Occupational Health and Safety Administration (OSHA) for protecting employees from blood-borne and respiratory pathogens promise to be especially costly for health care organizations to implement. Little data exist to show that the quality of infection control has been enhanced by these regulations. Standards are difficult to develop, because the science to back them up often is lacking, interpretation of validating data is imprecise, and inherent biological variation makes exceptions common. Seven lessons are important for those developing standards today. These include focusing on objective measures of the impact of the standard, clearly indicating the degree of scientific validity, making the development process inclusive, allowing for local variation, making sure that funding is provided for mandated standards, considering non-scientific implications of standards, and remaining involved in the process after the guideline is developed. Infection control workers should make sure that standards developed take the lessons above into account before they are promulgated.
Does preventive health care have a chance in the changing health sector in Tanzania?
Msuya, J M; Nyaruhucha, C N M; Kaswahili, J
2003-03-01
To investigate the status and practice of preventive health care (relative to curative) in the health delivery system at the time when the health sector reforms are taking place. A cross-sectional, descriptive study. The study was conducted in Morogoro District between January and May 1999. Eighty six medical personnel and two hospital administrators from thirty four health facilities. The health facilities included twenty five dispensaries, five health centres and four hospitals. Care was also taken to include health facilities owned by various institutions and organisations, including governmental and non-governmental. Generally, preventive health received little attention compared to the curative health measures whereby more than 80% of the medical personnel in some of the facilities were assigned to curative services. Health personnel reported to spend an average of up to six hours per day providing curative services such as chemotherapy, surgical treatment, psychotherapy and radiography. On the contrary, they spent about four hours or less on providing child immunisation and education on nutrition, health and family planning. As expected, the type of ownership of a health facility influenced the extent to which preventive measures were included. For example, while all the government owned facilities did provide child immunisation, nutrition education and family planning services, some non-governmental facilities were lacking such services. It is obvious that while the provision of curative health care can be left to the hands of the private suppliers, that of preventive health care needs strong government involvement. It is suggested that deliberate efforts be taken to shift resources from curative to preventive measures. One way in which such a strategy can be attained is for the government to set, as a condition for private operators, a minimum level of preventive measures to be provided by every operator before a permit is issued. However, caution should be taken to ensure that such deliberations do not discourage investors in the health sector.
Rodrigues, Mariana; Davis, Ben; Besson, Marie-Hélène; Audureau, Etienne; Saba, Joseph
2017-01-01
Background The growing burden of dengue in many countries worldwide and the difficulty of preventing outbreaks have increased the urgency to identify alternative public health management strategies and effective approaches to control and prevent dengue outbreaks. The objectives of this study were to understand the impact of dengue outbreak on different stakeholders in Brazil, to explore their perceptions of approaches used by governmental authorities to control and prevent dengue outbreaks and to define the challenges and implications of preventing future outbreaks. Methods In 2015, a qualitative study was conducted in two urban states in Brazil: São Paulo, which was experiencing an outbreak in 2015, and Rio de Janeiro, which experienced outbreaks in 2011 and 2012. Face-to-face interviews using a semi-structured questionnaire were conducted with nine different categories of stakeholders: health workers (physicians, nurses), hospital administrators, municipal government representatives, community members and leaders, school administrators, business leaders and vector control managers. Interviews were focused on the following areas: impact of the dengue outbreak, perceptions of control measures implemented by governmental authorities during outbreaks and challenges in preventing future dengue outbreaks. Results A total of 40 stakeholders were included in the study. Health workers and community members reported longer waiting times at hospitals due to the increased number of patients receiving care for dengue-related symptoms. Health workers and hospital administrators reported that there were no major interruptions in access to care. Overall financial impact of dengue outbreaks on households was greatest for low-income families. Despite prevention and control campaigns implemented between outbreak periods, various stakeholders reported that dengue prevention and control efforts performed by municipal authorities remained insufficient, suggesting that efforts should be reinforced and better coordinated by governmental authorities, particularly during outbreak periods. Conclusion The study shows that a dengue outbreak has a multisectorial impact in the medical, societal, economic and political sectors. The study provides useful insights and knowledge in different stakeholder populations that could guide local authorities and government officials in planning, designing and initiating public health programs. Research focused on a better understanding of how communities and political authorities respond to dengue outbreaks is a necessary component for designing and implementing plans to decrease the incidence and impact of dengue outbreaks in Brazil. PMID:28278157
Camouflage design and head measurement characteristic of Indonesian armoured vehicle helmet
NASA Astrophysics Data System (ADS)
Sya'bana, Yukhi Mustaqim Kusuma; Sanjaya, K. H.
2017-01-01
In this paper discussed camouflage design helmet for armored vehicles with comparing head measurement of Indonesian anthropometric. Design process conduct with considering of design aspects involves function, materials, operational, technology, user, and appearance (camouflage). As an application of Indonesian National Army that qualifies factors needs: safety, comfort, practical and service. MIL-H-44099A Military Specification: Helmet, Ground Troops And Parachutists is minimum limitation standard of military helmet production. Head measurement for product design process guide is presented. Model simulation and helmet measurement using the design for ego and design for more types ergonomics concept. Appearance shape concept is engaging camouflage towards background and environment to deceive enemy viewpoint. Helmet prototype has tested ergonomically to an Indonesian National Army soldier and stated that the helmet size is a comfort and fitted on the head when in use.
Schmidt, Olga; Hausmann, Axel; Cancian de Araujo, Bruno; Sutrisno, Hari; Peggie, Djunijanti; Schmidt, Stefan
2017-01-01
Here we present a general collecting and preparation protocol for DNA barcoding of Lepidoptera as part of large-scale rapid biodiversity assessment projects, and a comparison with alternative preserving and vouchering methods. About 98% of the sequenced specimens processed using the present collecting and preparation protocol yielded sequences with more than 500 base pairs. The study is based on the first outcomes of the Indonesian Biodiversity Discovery and Information System (IndoBioSys). IndoBioSys is a German-Indonesian research project that is conducted by the Museum für Naturkunde in Berlin and the Zoologische Staatssammlung München, in close cooperation with the Research Center for Biology - Indonesian Institute of Sciences (RCB-LIPI, Bogor).
Nutrient density score of typical Indonesian foods and dietary formulation using linear programming.
Jati, Ignasius Radix A P; Vadivel, Vellingiri; Nöhr, Donatus; Biesalski, Hans Konrad
2012-12-01
The present research aimed to analyse the nutrient density (ND), nutrient adequacy score (NAS) and energy density (ED) of Indonesian foods and to formulate a balanced diet using linear programming. Data on typical Indonesian diets were obtained from the Indonesian Socio-Economic Survey 2008. ND was investigated for 122 Indonesian foods. NAS was calculated for single nutrients such as Fe, Zn and vitamin A. Correlation analysis was performed between ND and ED, as well as between monthly expenditure class and food consumption pattern in Indonesia. Linear programming calculations were performed using the software POM-QM for Windows version 3. Republic of Indonesia, 2008. Public households (n 68 800). Vegetables had the highest ND of the food groups, followed by animal-based foods, fruits and staple foods. Based on NAS, the top ten food items for each food group were identified. Most of the staple foods had high ED and contributed towards daily energy fulfillment, followed by animal-based foods, vegetables and fruits. Commodities with high ND tended to have low ED. Linear programming could be used to formulate a balanced diet. In contrast to staple foods, purchases of fruit, vegetables and animal-based foods increased with the rise of monthly expenditure. People should select food items based on ND and NAS to alleviate micronutrient deficiencies in Indonesia. Dietary formulation calculated using linear programming to achieve RDA levels for micronutrients could be recommended for different age groups of the Indonesian population.
NASA Astrophysics Data System (ADS)
Fieux, M.; Andrié, C.; Charriaud, E.; Ilahude, A. G.; Metzl, N.; Molcard, R.; Swallow, J. C.
1996-05-01
The Java Australia Dynamic Experiment high-resolution February-March 1992 conductivity-temperature-depth and chlorofluoromethane section obtained between Australia and Bali and on the sills between Flores, Sumba, Sawu, Roti, and the Australian continental shelf allows detailed examination of the water masses distribution and their inferred circulation. A sharp hydrological front between the Indonesian waters and the southern Indian Ocean waters is found between 13°S and 14°S in both seasons (February-March 1992 and August 1989). It separates the high-salinity surface waters to the south from the lower-salinity surface waters derived from the Indonesian Seas to the north. It reaches the surface in February 1992, whereas it was capped by a particularly low salinity surface layer in August 1989. Near Bali, the NW monsoon of February-March produces large intrusions of low-salinity water from the Java Sea, through Lombok Strait in the upper 100 m. At depth, the North Indian Intermediate Water, flowing along the Indonesian coast, brings salty, low-oxygen and low-chlorofluorocarbon water. It enters the Sawu Sea through Sumba Strait toward the east, while it undergoes strong mixing with the Indonesian Seas water. The primary pathway of the Indonesian waters is found north of the front and south of the North Indian Intermediate Water, between 13°S and 9°30'S, and the associated salinity minimum can be followed all across the Indian Ocean.
Participation in the 1996 Arlindo Cruise to the Indonesian Seas
NASA Technical Reports Server (NTRS)
Marra, John
1997-01-01
The objective of Arlindo-Productivity is to understand the factors responsible for regional differences in the response of phytoplankton and zooplankton to the SE and NW Monsoons in Indonesia. The hypothesis is that an interplay between circulation and shoaling of the nutricline, as a response to the monsoons, regulates productivity in the Indonesian Seas. My o@jective for the cruise in 1996 was to continue our collaboration with Indonesian scientists by conducting a set of hydrographic, primary production and spectral irradiance observations in the Indonesian Seas. This grant paid for shipping, travel and incidental costs associated with participation in the cruise in December, 1996. Ship costs were borne by the Indonesian Institute of Sciences as part of the collaborative effort. A plan for Arlindo in 1996 was agreed upon in March, 1996, by Indonesian scientists together with Arnold Gordon. The plan called for a 20-day physical oceanography and mooring cruise in November, 1996, followed by a 5-day bio-optical cruise. The bio-optical cruise departed from, and returned to, Ambon, and sampled in the Banda Sea. We completed a series of chlorophyll analyses, both a sampling of surface variability and depth profiles in the Banda Sea. We also completed three MER profiles for depth profiles of spectral irradiance. These data have a useful by-product in that they can be used for vicarious calibration of the OCTS sensor aboard the ADEOS satellite. As such, the data has been transmitted to NASDA in Japan for their use.
Behavioral analysis of use personal service e-balance Indonesian social security
NASA Astrophysics Data System (ADS)
Wang, Gunawan; Fitriani, Novi; Nurul Fajar, Ahmad
2017-09-01
Indonesian Social Security is the one of the government agencies that is trusted to organize social security. With help of Information technology that growing these day, Indonesian Social Security is also developing E-Balance application, where previously all activities for checking balance is done by giving their slip details through the nearest branch to be distributed to each company. So far there is no research that reviewing e-Balance. Hence, the authors is interested to do research related factors that influence the behavior of the use of E-Balance Indonesian Social Security in the Jakarta area and model that can describe those factors Authors distributing questioners to 193 respondents and perform data processing. The result of this study is to know the factors that influence the behavior of use Personal Service E-Balance Indonesian Social Security and model that can describe those factors. The result shows that UTAUT 2 model is not match with this research and need to be enhanced. After enhancement, there are 3 factors that being significant. Such as Behavioral Intention, Effort Expectancy and Social Influence while the others are not supported and need to be customize.
Indonesian Geomagnetic Maps for Epoch 2015.0 to cover of Indonesian Regions
NASA Astrophysics Data System (ADS)
Syirojudin, M.; Murjaya, J.; Zubaidah, S.; Hasanudin; Ahadi, S.; Efendi, N.; Suroyo, T.
2018-03-01
In compliance with the resolutions of IAGA (International Association of Geomagnetism and Aeronomy), Since 1960’s, every five years BMKG or Meteorology, Climatology and Geophysics Agency of Indonesia made geomagnetic field maps based on actual measurements in 53 repeat stations. It’s the map for more accurate result of Geomagnetic maps Epoch 2015.0, the number of repeat stations has been increased to 68 locations. Analysis data was conducted by spatial analyses using collocated co-kriging and kriging with external drift to map the observation data in five components, such as Declination (D), Inclination (I), Vertical (Z), Horizontal (H), and Total Geomagnetic Field (F). The data reduction used one permanent observatory i.e., Kupang Geophysical Observatory, as a reference standard. The results of this Geomagnetic Maps, that the contour lines of Indonesian geomagnetic declination in range -1 to 4.5 degree, Inclination component are -5 to -37 degree, Vertical component are -4000 to -28000 nT, Horizontal component are 36000 to 42000 nT, and Total Geomagnetic Field are 39000 to 46000 nT. In conclusion, Indonesian Geomagnetic Maps for Epoch 2015.0 can be used to compute geomagnetic data around Indonesian regions until next 5 years.
ERIC Educational Resources Information Center
Heinrich, Janet
Current evidence suggests emerging shortages of nurses available or willing to fill some vacant positions in hospitals, nursing homes, and home care. The nationwide unemployment rate for registered nurses (RNs), which has been low for many years, has declined to 1.0 percent, the lowest level in more than a decade. Nurses report job dissatisfaction…
Worldwide Emerging Environmental Issues Affecting the U.S. Military. September 2008 Report
2008-09-01
Anticipation and Response System…………………………………………..1 Item 3. First EU-Central Asia Security Forum Included Environmental Security………….2 Item 4. Indonesian ...back seat at EU-Central Asia talks http://euobserver.com/9/26778/?rk=1 Item 4. Indonesian Navy to Tighten Security in Sea Border Areas The... Indonesian Navy announced that it will tighten security in its eastern and western sea border areas to support law enforcement efforts at sea for
Antiviral and cytotoxic activities of some Indonesian plants.
Lohézic-Le Dévéhat, F; Bakhtiar, A; Bézivin, C; Amoros, M; Boustie, J
2002-08-01
Ten methanolic extracts from eight Indonesian medicinal plants were phytochemically screened and evaluated for antiviral (HSV-1 and Poliovirus) and cytotoxic activities on murine and human cancer lines (3LL, L1210, K562, U251, DU145, MCF-7). Besides Melastoma malabathricum (Melastomataceae), the Indonesian Loranthaceae species among which Elytranthe tubaeflora, E. maingayi, E. globosa and Scurrula ferruginea exhibited attractive antiviral and cytotoxic activities. Piper aduncum (Piperaceae) was found active on Poliovirus. S. ferruginea was selected for further studies because of its activity on the U251 glioblastoma cells.
... Haitian Creole (Kreyol ayisyen) Hmong (Hmoob) Indonesian (Bahasa Indonesia) Japanese (日本語) Khmer (ភាសាខ្មែរ) Korean ( ... Centers for Disease Control and Prevention Indonesian (Bahasa Indonesia) Expand Section Vaccine Information Statement (VIS) -- Live Zoster ( ...
Chickenpox - Multiple Languages
... Haitian Creole (Kreyol ayisyen) Hmong (Hmoob) Indonesian (Bahasa Indonesia) Japanese (日本語) Khmer (ភាសាខ្មែរ) Korean ( ... Centers for Disease Control and Prevention Indonesian (Bahasa Indonesia) Expand Section Vaccine Information Statement (VIS) -- MMRV (Measles, ...
Driving to contract management in health care institutes of developing countries.
Vatankhah, S; Barati, O; Maleki, M R; Tofighi, Sh; Rafii, S
2012-04-01
Public hospitals can privatize management activities by contracting with a private organization or person to perform the work. Management contract is a method which uses private sector for major government projects like hospitals. This study evaluates contract management in health care institutes of developing countries. Information has been collected by reviewing the management contract condition of selected countries. Different forms of public private partnership for private participation in hospitals were surveyed. The effects of management contract is expanding market opportunities to include public sector clients, capturing a market to be protected from competitors and providing a reliable and timely source of revenue. Contracting with non-governmental entities will provide better results than government provision of the same services. Contracting initiatives must be regulated and monitored at the highest level of government by experienced and astute policy makers, economists and operational personnel.
Classification of Indonesian quote on Twitter using Naïve Bayes
NASA Astrophysics Data System (ADS)
Rachmadany, A.; Pranoto, Y. M.; Gunawan; Multazam, M. T.; Nandiyanto, A. B. D.; Abdullah, A. G.; Widiaty, I.
2018-01-01
Quote is sentences made in the hope that someone can become strong personalities, individuals who always improve themselves to move forward and achieve success. Social media is a place for people to express his heart to the world that sometimes the expression of the heart is quotes. Here, the purpose of this study was to classify Indonesian quote on Twitter using Naïve Bayes. This experiment uses text classification from Twitter data written by Twitter users which are quote then classification again grouped into 6 categories (Love, Life, Motivation, Education, Religion, Others). The language used is Indonesian. The method used is Naive Bayes. The results of this experiment are a web application collection of Indonesian quote that have been classified. This classification gives the user ease in finding quote based on class or keyword. For example, when a user wants to find a 'motivation' quote, this classification would be very useful.
Utilization of natural indicators for borax identification in the Indonesian tofu
NASA Astrophysics Data System (ADS)
Purbaningtias, Tri Esti; Lestari, Intan Dwi; Wiyantoko, Bayu; Kurniawati, Puji; Sriadryani, Devi
2017-03-01
Borax has been found in food products i.e. on the Indonesian Tofu that is often consumed by people. Generally, the identification of borax in food products hard to do by the public. Indicators of natural materials will allow the public to identify the presence of borax in food easier. Qualitative test for borax on Indonesian Tofu showed purple cabbage and sappanwood are the effective natural indicators. The result of determining borax on Indonesian Tofu indicated natural indicator from purple cabbage had the smallest correction factor (with conventional indicators PP) about 4.8%. The results of the validation method for purple cabbage indicator in acid-base titration showed that the purple cabbage indicator is homogenous but unstable. The natural indicators of purple cabbage could not be used again after three days of extraction time based on the results of control chart.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Moore, M.D.
1995-12-31
The Earth`s largest atmospheric convective center is the Indonesian Low. It generates the Australasian monsoon, drives the zonal tropospheric Walker Circulation, and is implicated in the genesis of the El Nino-Southern Oscillation (ENSO). The long-term variability of the Indonesian Low is poorly characterized, yet such information is crucial for evaluating whether changes in the strength and frequency of ENSO events are a possible manifestation of global warming. Stable oxygen isotope ratios ({delta}{sup 18}O) in shallow-water reef coral skeletons track topical convective activity over hundreds of years because the input of isotopically-depleted rainwater dilutes seawater {delta}{sup 18}O. Corals also impose amore » temperature-dependent fractionation on {delta}{sup 18}O, but where annual rainfall is high and sea surface temperature (SST) variability is low the freshwater flux effect dominates.« less
NASA Astrophysics Data System (ADS)
Rodgers, Keith B.; Latif, Mojib; Legutke, Stephanie
2000-09-01
The sensitivity of the thermal structure of the equatorial Pacific and Indian Ocean pycnoclines to a model's representation of the Indonesian Straits connecting the two basins is investigated. Two integrations are performed using the global HOPE ocean model. The initial conditions and surface forcing for both cases are identical; the only difference between the runs is that one has an opening for the Indonesian Straits which spans the equator on the Pacific side, and the other has an opening which lies fully north of the equator. The resulting sensitivity throughout much of the upper ocean is greater than 0.5°C for both the equatorial Indian and Pacific. A realistic simulation of net Indonesian Throughflow (ITF) transport (measured in Sverdrups) is not sufficient for an adequate simulation of equatorial watermasses. The ITF must also contain a realistic admixture of northern and southern Pacific source water.
Hausmann, Axel; Cancian de Araujo, Bruno; Sutrisno, Hari; Peggie, Djunijanti; Schmidt, Stefan
2017-01-01
Abstract Here we present a general collecting and preparation protocol for DNA barcoding of Lepidoptera as part of large-scale rapid biodiversity assessment projects, and a comparison with alternative preserving and vouchering methods. About 98% of the sequenced specimens processed using the present collecting and preparation protocol yielded sequences with more than 500 base pairs. The study is based on the first outcomes of the Indonesian Biodiversity Discovery and Information System (IndoBioSys). IndoBioSys is a German-Indonesian research project that is conducted by the Museum für Naturkunde in Berlin and the Zoologische Staatssammlung München, in close cooperation with the Research Center for Biology – Indonesian Institute of Sciences (RCB-LIPI, Bogor). PMID:29134041
NASA Astrophysics Data System (ADS)
Arkeman, Y.; Rizkyanti, R. A.; Hambali, E.
2017-05-01
Development of Indonesian palm-oil-based bioenergy faces an international challenge regarding to sustainability issue, indicated by the establishment of standards on sustainable bioenergy. Currently, Indonesia has sustainability standards limited to palm-oil cultivation, while other standards are lacking appropriateness for Indonesian palm-oil-based bioenergy sustainability regarding to real condition in Indonesia. Thus, Indonesia requires sustainability indicators for Indonesian palm-oil-based bioenergy to gain recognition and easiness in marketing it. Determination of sustainability indicators was accomplished through three stages, which were preliminary analysis, indicator assessment (using fuzzy inference system), and system validation. Global Bioenergy partnership (GBEP) was used as the standard for the assessment because of its general for use, internationally accepted, and it contained balanced proportion between environment, economic, and social aspects. Result showed that the number of sustainability indicators using FIS method are 21 indicators. The system developed has an accuracy of 85%.
Implementation in Indonesia of the WHO Pocket Book of Hospital Care for Children.
Li, Michelle Y; Puspita, Ratih; Duke, Trevor; Agung, Fransisca H; Hegar, Badriul; Pritasari, Kirana; Weber, Martin W
2014-05-01
Effective implementation of evidence-based practice guidelines has the potential to improve quality of hospital care for children. To achieve this in Indonesia, a locally adapted version of the WHO Pocket Book of Hospital Care for Children was published in 2009. To document implementation of the Pocket Book in Indonesia and to compare uptake in health facilities in which there has been a quality-improvement approach involving audit and feedback with uptake in settings in which there has been only passive dissemination. Indonesian district health offices, district hospitals, health centres with beds, and medical schools were surveyed by telephone, and an online and telephone survey of paediatricians was conducted. Health facilities in four provinces were visited, and key stakeholders were interviewed. Health facilities were assessed on availability of the guidelines, use by staff, and their incorporation into hospital procedures and activities. There was evidence of use of the Pocket Book across Indonesia, despite limited funding for implementation. Its distribution had reached all provinces; 61% (33/54) of health facilities surveyed had a copy of the guidelines. Hospitals involved in a related quality audit were more likely to report use of the guidelines than hospitals exposed to passive dissemination, although this difference was not significant. Of 150 paediatricians sampled, 109 (73%) reported referring to the guidelines in their clinical practice. The guidelines have been incorporated into the postgraduate paediatric curriculum in four of 13 universities sampled. There was encouraging evidence of uptake of the Pocket Book in Indonesia following local adaptation, nationwide mailing distribution and small-scale local implementation activities.
A deskilling and challenging journey: the lived experience of Indonesian nurse returnees.
Kurniati, A; Chen, C-M; Efendi, F; Ogawa, R
2017-12-01
To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees. The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life. A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia's provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software. Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin. Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation. The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees' expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services. © 2017 International Council of Nurses.
Seasonal water mass distribution in the Indonesian throughflow entering the Indian Ocean
NASA Astrophysics Data System (ADS)
Coatanoan, C.; Metzl, N.; Fieux, M.; Coste, B.
1999-09-01
A multiparametric approach is used to analyze the seasonal properties of water masses in the eastern Indian Ocean. The data were measured during two cruises of the Java Australia Dynamic Experiment (JADE) program carried out during two opposite seasons: August 1989 (SE monsoon) and February-March 1992 (NW monsoon). These cruises took place at the end of a La Niña event and during an El Niño episode, respectively. Seven sources have been identified in the studied region for the 200-800 m layer: the Subtropical Indian Water, the Indian Central Water, the modified Antarctic Intermediate Water, the Indonesian Subsurface Water, the Indonesian Intermediate Water, the Arabian Sea-Persian Gulf Water (AS-PGW), and the Arabian Sea-Red Sea Water (AS-RSW). The selected tracers are potential temperature, salinity and oxygen with mass conservation and positive mixing coefficients as constraints. The analysis indicates the proportion of each water source along the Australia-Bali section and into the Indonesian channels. Although no large changes are observed for Indonesian waters, significant seasonal variations are found for the southern and northern Indian Ocean water. During the NW monsoon, the contribution of the AS-RSW increases at the entrance of the Indonesian archipelago whereas the contribution of the south Indian waters decreases in the northwest Australia basin. In a complementary study, nutrients are introduced into the multiparametric analysis in order to more clearly separate the signature of the north Indian waters (AS-PGW, AS-RSW) and to provide supplementary information on the biological history of the water masses, which is compared to large-scale primary production estimates.
Tetanus, Diphtheria, and Pertussis Vaccines - Multiple Languages
... Kreyol ayisyen) Hmong (Hmoob) Ilocano (ilokano) Indonesian (Bahasa Indonesia) Japanese (日本語) Karen (S’gaw Karen) Khmer (ភាសា ... Centers for Disease Control and Prevention Indonesian (Bahasa Indonesia) Expand Section Vaccine Information Statement (VIS) -- Tdap (Tetanus, ...
Gynecological cancer in Indonesia.
Aziz, M Farid
2009-03-01
To overview the status of gynecologic cancer in Indonesia. Information regarding Indonesia obtained from World Bank Report and Statistical Yearbook of Indonesia 2007, epidemiological data obtained from Histopathological Data of Cancer in Indonesia 2002, Department of Health-Registry Body of Indonesian Specialist of Pathology Association-Indonesian Cancer Society; Various Hospitals in big Cities in Indonesia. Indonesia is an Archipelago with a total area of 1,922,570.00 km(2), the population is 222,192,000 (2006), the fourth world rank. Female is 49.86% with life expectancy 69 years. Gross National Product per Capita is 690.00 USD. Histopathological report in 2002 revealed that cervical cancer, ovarian cancer and uterine cancer were the most frequent cancer among female, which were the first (2,532 cases), the third (829 cases) and the eighth (316 cases) rank respectively. The peak age for cervical, uterine and ovarian cancer was 45-54 years. HPV 16, 18 were found in 82% of invasive cervical. Data from various academic hospitals in 2007 showed that cervical cancer is the most common malignancy followed by ovary, uterus, vulva and vagina. Five-year survival rate of stage I, II, III, IV cervical cancer were 50%, 40%, 20%, and 0% respectively. Overall five-year survival rate of carcinoma of the ovary was 54.8%. If sub-classified by stage, five-year survival rate are 94.3%, 75.0%, 31%, and 11.7% for stage I, II, III, and IV respectively. Five-year disease-free survival rate of endometrial cancer was 71.9%. Indonesia is the biggest Archipelago with a dense population but the income per capita still low (poor country). The most common gynecologic cancer is cervical cancer, followed by ovarian and uterine cancer. These cancers are included in top ten cancers in Indonesia. HPV 16, 18 were the most cause of cervical cancer. The five-year survival rates are comparable with world report.
Indonesian Islands as seen from Gemini 11 spacecraft
1966-09-14
S66-54692 (14 Sept. 1966) --- Indonesian Islands (partial cloud cover): Sumatra, Java, Bali, Borneo, and Sumbawa, as photographed from the Gemini-11 spacecraft during its 26th revolution of Earth, at an altitude of 570 nautical miles. Photo credit: NASA
Studying the history of Indonesian astronomy: future prospects and possibilities
NASA Astrophysics Data System (ADS)
Orchiston, Wayne
2017-08-01
In this paper I identify a number of research topoics relating to Indonesian astronomical history that I feel are of international importance. Through these studies, Indonesia can make a valuable contribution to international history of astronomy. I also will discuss the role of SEAAN's new Working Group on Astronomical History and Heritage, and the values of the Journal of Astronomical History and Heritage and proceedings of the ICOA conferences as outlets for papers about Indonesian astronomical history. Finally, I mention chapters about Indonesia that will appear in a forthcoming book on the early development of astrophysics in Asia.
The impact of expatriates directors on the Indonesian company’s performance
NASA Astrophysics Data System (ADS)
Ronyastra, I. M.
2017-11-01
This research examined the impact of employing expatriates as board of directors (BOD) to the financial performance of Indonesian companies. Using samples from Kompas 100 index in Indonesian Stock Exchange, the research performed analyses on three performance indicators i.e. Return on Asset (ROA), Return on Equity (ROE), and Tobin’s Q. Binary variable of whether a company employing expatriate and the proportion of expatriate in the BOD were used as the proxy for the independent variable. The research did not find enough evidence to support the hypothesis that employing expatriate in the BOD would make the financial performance different.
Deployment of Indonesian migrants in the Middle East: present situation and prospects.
Cremer, G
1988-12-01
"This paper examines the Indonesian overseas employment program. It is limited to overseas deployment through the official channels, i.e. organised by licensed labour suppliers and approved by government authorities. The main destination of this official labour migration is the Middle East. Indonesian officials have indicated that the government aims to increase overseas employment and to shift deployment from houseworkers to better skilled workers. It is argued in the paper that, in view of a shrinking labour market for migrants, even limited realisation of these hopes would depend upon some distinct changes in the overseas employment program." excerpt
[Indonesians in Saudi Arabia for worship and work].
Husson, L
1997-01-01
"This article is intended to make a first assessment of the consequences of Indonesian immigration in Saudi Arabia, in particular during the first half of the 20th century, and to describe the evolution over time of certain striking aspects of the close relation between the pilgrimage to Mecca and Indonesian migrants looking for work.... This paper considers the methods of hiring labour, the networks involved in recruiting it, the organization of travel, as well as the increasing indebtedness of the migrants through intermediaries who, more and more professionally, arrange these attempts to live abroad...." (EXCERPT)
Indonesian propolis: chemical composition, biological activity and botanical origin.
Trusheva, Boryana; Popova, Milena; Koendhori, Eko Budi; Tsvetkova, Iva; Naydenski, Christo; Bankova, Vassya
2011-03-01
From a biologically active extract of Indonesian propolis from East Java, 11 compounds were isolated and identified: four alk(en)ylresorcinols (obtained as an inseparable mixture) (1-4) were isolated for the first time from propolis, along with four prenylflavanones (6-9) and three cycloartane-type triterpenes (5, 10 and 11). The structures of the components were elucidated based on their spectral properties. All prenylflavanones demonstrated significant radical scavenging activity against diphenylpicrylhydrazyl radicals, and compound 6 showed significant antibacterial activity against Staphylococcus aureus. For the first time Macaranga tanarius L. and Mangifera indica L. are shown as plant sources of Indonesian propolis.
National culture moderates the influence of mental effort on subjective and cardiovascular measures.
Widyanti, Ari; de Waard, Dick; Johnson, Addie; Mulder, Ben
2013-01-01
Subjective measures of mental effort have been shown to be relatively insensitive in Indonesian participants. An open question is whether this insensitivity reflects how mental effort is experienced or how it is reported. We compared the performance, subjective workload ratings, heart rate and heart-rate variability (HRV) of 31 Dutch and 30 Indonesian participants under single- and dual-task conditions. Indonesians performed faster but less accurately and used a narrower range of subjective workload ratings than did the Dutch. Dutch participants showed a decrease in HRV both in the mid-frequency (MF) and high-frequency bands and an increase in heart rate during task performance compared with the resting period. Indonesians showed this pattern in the MF band only. The decrease of HRV in the MF band in both groups suggests that the relative insensitivity of subjective mental effort scales among Indonesians has to do with how workload is reported rather than with how it is experienced. The sensitivity of the subjective measures of mental workload has been shown to depend on culture. Here, we show that heart-rate variability reacts similarly to workload in Eastern as in Western participants. This suggests that culture influences more how invested mental effort is reported than how it is experienced psychophysiologically.
ERIC Educational Resources Information Center
Gandana, Isti; Parr, Graham
2013-01-01
Influenced by contemporary research into the interconnectedness of language and culture, many Indonesian teacher education courses have introduced "new" subjects such as "Intercultural Communication" and "Cross-Cultural Understanding", hoping to unsettle their students' traditional assumptions that language is merely…
Insurees' preferences in hospital choice-A population-based study.
Schuldt, Johannes; Doktor, Anna; Lichters, Marcel; Vogt, Bodo; Robra, Bernt-Peter
2017-10-01
In Germany, the patient himself makes the choice for or against a health service provider. Hospital comparison websites offer him possibilities to inform himself before choosing. However, it remains unclear, how health care consumers use those websites, and there is little information about how preferences in hospital choice differ interpersonally. We conducted a Discrete-Choice-Experiment (DCE) on hospital choice with 1500 randomly selected participants (age 40-70) in three different German cities selecting four attributes for hospital vignettes. The analysis of the study draws on multilevel mixed effects logit regression analyses with the dependent variables: "chance to select a hospital" and "choice confidence". Subsequently, we performed a Latent-Class-Analysis to uncover consumer segments with distinct preferences. 590 of the questionnaires were evaluable. All four attributes of the hospital vignettes have a significant impact on hospital choice. The attribute "complication rate" exerts the highest impact on consumers' decisions and reported choice confidence. Latent-Class-Analysis results in one dominant consumer segment that considered the complication rate the most important decision criterion. Using DCE, we were able to show that the complication rate is an important trusted criterion in hospital choice to a large group of consumers. Our study supports current governmental efforts in Germany to concentrate the provision of specialized health care services. We suggest further national and cross-national research on the topic. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.
Sadeghi, Ahmad; Barati, Omid; Bastani, Peivand; Jafari, Davood Danesh; Etemadian, Masoud
2016-11-01
To review the experiences of selected countries in the use of public-private partnership in the provision of hospital services. This comparative study was conducted in 2015 in Iran. To collect data, valid databases as well as articles, theses, reports and related books in the field of private-sector partnership in hospital services were employed. Using purposive sampling, countries such as the United Kingdom, Spain, Canada, Turkey, Australia and Lesotho, which had successful experiences in the field of application of the public-private partnership in hospital services, were included. Likewise, the only experience in Iran in this field was also reviewed. Studies done between 1980 and 2015 were examined. The results obtained from each country were compared. Implementing public-private partnership had great and valuable outcomes and achievements for governmental hospitals. Moreover, clinical and nonclinical service delivery, hospital utilisation and management along with building, repairing and supportive operations through public-private partnership contracts can be differently divided among the partners. Furthermore, duration of the projects ranged from 12 to 40 years in different countries, depending on the type of the model used. A successful experience in the use of the public-private partnership in the provision of hospital services was observed.
The development of indonesian online game addiction questionnaire.
Jap, Tjibeng; Tiatri, Sri; Jaya, Edo Sebastian; Suteja, Mekar Sari
2013-01-01
Online game is an increasingly popular source of entertainment for all ages, with relatively prevalent negative consequences. Addiction is a problem that has received much attention. This research aims to develop a measure of online game addiction for Indonesian children and adolescents. The Indonesian Online Game Addiction Questionnaire draws from earlier theories and research on the internet and game addiction. Its construction is further enriched by including findings from qualitative interviews and field observation to ensure appropriate expression of the items. The measure consists of 7 items with a 5-point Likert Scale. It is validated by testing 1,477 Indonesian junior and senior high school students from several schools in Manado, Medan, Pontianak, and Yogyakarta. The validation evidence is shown by item-total correlation and criterion validity. The Indonesian Online Game Addiction Questionnaire has good item-total correlation (ranging from 0.29 to 0.55) and acceptable reliability (α = 0.73). It is also moderately correlated with the participant's longest time record to play online games (r = 0.39; p<0.01), average days per week in playing online games (ρ = 0.43; p<0.01), average hours per days in playing online games (ρ = 0.41; p<0.01), and monthly expenditure for online games (ρ = 0.30; p<0.01). Furthermore, we created a clinical cut-off estimate by combining criteria and population norm. The clinical cut-off estimate showed that the score of 14 to 21 may indicate mild online game addiction, and the score of 22 and above may indicate online game addiction. Overall, the result shows that Indonesian Online Game Addiction Questionnaire has sufficient psychometric property for research use, as well as limited clinical application.
The Development of Indonesian Online Game Addiction Questionnaire
Jap, Tjibeng; Tiatri, Sri; Jaya, Edo Sebastian; Suteja, Mekar Sari
2013-01-01
Online game is an increasingly popular source of entertainment for all ages, with relatively prevalent negative consequences. Addiction is a problem that has received much attention. This research aims to develop a measure of online game addiction for Indonesian children and adolescents. The Indonesian Online Game Addiction Questionnaire draws from earlier theories and research on the internet and game addiction. Its construction is further enriched by including findings from qualitative interviews and field observation to ensure appropriate expression of the items. The measure consists of 7 items with a 5-point Likert Scale. It is validated by testing 1,477 Indonesian junior and senior high school students from several schools in Manado, Medan, Pontianak, and Yogyakarta. The validation evidence is shown by item-total correlation and criterion validity. The Indonesian Online Game Addiction Questionnaire has good item-total correlation (ranging from 0.29 to 0.55) and acceptable reliability (α = 0.73). It is also moderately correlated with the participant's longest time record to play online games (r = 0.39; p<0.01), average days per week in playing online games (ρ = 0.43; p<0.01), average hours per days in playing online games (ρ = 0.41; p<0.01), and monthly expenditure for online games (ρ = 0.30; p<0.01). Furthermore, we created a clinical cut-off estimate by combining criteria and population norm. The clinical cut-off estimate showed that the score of 14 to 21 may indicate mild online game addiction, and the score of 22 and above may indicate online game addiction. Overall, the result shows that Indonesian Online Game Addiction Questionnaire has sufficient psychometric property for research use, as well as limited clinical application. PMID:23560113
Child-Rearing Practices: Symposium I C.
ERIC Educational Resources Information Center
Phisalaphong, Wanpen; And Others
Studies of child-rearing practices among Thai, Indonesian, and Indian families are reported in two abstracts and one full paper. The Indonesian study (by Siti Rahayu Haditono) explored achievement motivation, parents' educational level, and child-rearing practices among members of four Javanese occupational groups: farmers, traders, civil…
Effendy, Christantie; Vissers, Kris; Tejawinata, Sunaryadi; Vernooij-Dassen, Myrra; Engels, Yvonne
2015-06-01
Patients with cancer often face physical, psychological, social, spiritual, and emotional symptoms. Our aim was to study symptoms and issues of hospitalized patients with cancer in Indonesia, a country with strong family ties, and how family members, nurses, and physicians deal with them. In 2011, 150 hospitalized cancer patients in 3 general hospitals in Indonesia were invited to fill in a questionnaire, which was based on the validated Problems and Needs of Palliative Care (short version) questionnaire. Descriptive statistics were performed. Of 119 patients (79%) who completed the questionnaire, 85% stated that their symptoms and issues were addressed. According to these patients, financial (56%), autonomy (36%), and psychosocial (34%) issues were most often addressed by the family alone. Physical symptoms (52%) and spiritual issues (33%) were addressed mainly by a combination of family, nurses, and physicians. Hospitalized patients with cancer in Indonesia felt that most of their symptoms and issues had been addressed, and the family was highly involved. The strong family ties in Indonesian culture may have contributed to this family role. More research is needed to clarify how this influences patient outcome, quality of care, and quality of life of both the patients and their families, along with the degree of partnership between families and professionals. This information might help answer the question what advantages and disadvantages the family role in caring for a hospitalized patient with cancer generates for the patient, the family, and professional caregivers. © 2014 World Institute of Pain.
Measuring happiness in large population
NASA Astrophysics Data System (ADS)
Wenas, Annabelle; Sjahputri, Smita; Takwin, Bagus; Primaldhi, Alfindra; Muhamad, Roby
2016-01-01
The ability to know emotional states for large number of people is important, for example, to ensure the effectiveness of public policies. In this study, we propose a measure of happiness that can be used in large scale population that is based on the analysis of Indonesian language lexicons. Here, we incorporate human assessment of Indonesian words, then quantify happiness on large-scale of texts gathered from twitter conversations. We used two psychological constructs to measure happiness: valence and arousal. We found that Indonesian words have tendency towards positive emotions. We also identified several happiness patterns during days of the week, hours of the day, and selected conversation topics.
Government Regulations and the Use of Drugs
Hafkenschiel, Joseph H.
1967-01-01
I have tried to trace the new drug development pattern from 1766, when Withering obtained his medical degree, to the present. The role of governmental authority as defined by the 1962 Kefauver-Harris amendments to the 1906 law and the subsequently issued regulations has been summarized. Four phases of testing in man have been detailed. Something of the scientific or research capability of the pharmaceutical industry has been presented. It is concluded that in the period of over two hundred years of medical education in the United States, the university hospital has become more and more the focus of medical research, teaching and practice in the community. The safety and effectiveness in the use of drugs in the future will depend upon the liaison and rapport of the industry physicians, government officials and the university hospital teacher-clinical investigators (phase 1 and 2) in designing the most critical studies of the safety and effectiveness of new drugs. Whether the medical profession as we know it will participate more in the future than has been possible since 1962 in mass clinical trial (phase 3) before new drug approval by governmental authority remains to be seen. The final approbation or disapproval of a drug after NDA approval (phase 4) will continue to be in the hands of the participating physician as long as he can establish scientifically that the drug is the best possible agent for him to use in healing the sick and comforting the dying. PMID:4862066
Teacher-Student Interpersonal Behavior in Secondary Mathematics Classes in Indonesia
ERIC Educational Resources Information Center
Maulana, Ridwan; Opdenakker, Marie-Christine; den Brok, Perry; Bosker, Roel J.
2012-01-01
This study is aimed at describing profiles of interpersonal behavior of Indonesian mathematics teachers and examining associations between students' perceptions of their mathematics teachers' interpersonal behavior and their motivation in learning mathematics. Data were collected with the Indonesian version of the Questionnaire on Teacher…
ERIC Educational Resources Information Center
Sutrisno, Agustian; Pillay, Hitendra
2015-01-01
As transnational programs are often advocated as a knowledge transfer opportunity between the partner universities, this case study investigated the knowledge transfer (KT) processes between Indonesian and Australian universities through an undergraduate transnational program partnership (TPP). An inter-organisational KT theoretical framework from…
Purposes of Transnational Higher Education Programs: Lessons from Two Indonesian Universities
ERIC Educational Resources Information Center
Sutrisno, Agustian; Pillay, Hitendra
2013-01-01
While intended to facilitate knowledge transfer from international universities and develop Indonesian universities' capacity, transnational higher education programs (TEPs) in Indonesia have been criticised for operating merely as an international trade in education -- implying discrepancy between the rhetoric and reality surrounding the key…
The Growing Prospects for Maritime Security Cooperation in Southeast Asia
2005-01-01
reports of Admiral Fargo’s testimony.34 Six months later senior Malaysian and Indonesian officials, such as Malaysian deputy prime minister Najib Tun... Razak and Indonesian navy chief Bernard Kent Sondahk, were still criticizing perceived American intentions to violate their sovereignty.35 If sover
Murray, Linda; Anggrahini, Simplicia Maria; Woda, Rahel Rara; Ayton, Jennifer E; Beggs, Sean
2016-08-01
The eastern Indonesian province of Nusa Tenggara Timur (NTT) has an infant mortality rate of 45 per 1000, higher than the national average (28/1000). Exclusive breastfeeding, important for improving newborn and infant survival, is encouraged among hospitalized infants in Kupang, the provincial capital of NTT. However, barriers to hospitalized infants receiving breast milk may exist. This study explored the barriers and enablers to exclusive breastfeeding among sick and low birth weight hospitalized infants in Kupang, NTT. The attitudes and cultural beliefs of health workers and mothers regarding the use of donor breast milk (DBM) were also explored. A mixed-methods study using a convergent parallel design was conducted. A convenience sample of 74 mothers of hospitalized infants and 8 hospital staff participated in semi-structured interviews. Facility observational data were also collected. Analysis was conducted using Davis's barrier analysis method. Of the 73 questionnaires analyzed, we found that 39.7% of mothers retrospectively reported exclusively breastfeeding and 37% of mothers expressed breast milk. Expressing was associated with maternal reported exclusive breastfeeding χ(2) (1, N = 73) = 6.82, P = .009. Staff supported breastfeeding for sick infants, yet mothers could only access infants during set nursery visiting hours. No mothers used DBM, and most mothers and staff found the concept distasteful. Increasing mothers' opportunities for contact with infants is the first step to increasing exclusive breastfeeding rates among hospitalized infants in Kupang. This will facilitate mothers to express their breast milk, improve the acceptability of DBM, and enhance the feasibility of establishing a DBM bank. © The Author(s) 2016.
Visual effects of the first ladies’ Kebaya clothing on the image of Indonesian women’s appearances
NASA Astrophysics Data System (ADS)
Suciati
2016-04-01
The image of Indonesian women on international level is partly influenced by the appearance of the First Lady. The role and position of the First Lady is the representation of Indonesian women, because basically the First Lady, as the wife who accompanies the President (head of state), has a strong background of cultural grip, high intellectuality and good personality in her daily lifestyle, including in wearing clothes, and as an ambassador of culture and design. Fashion style of the First Lady always draws praise and criticism from the public. The purpose of this study is to reveal the visualization effects of Indonesian First Ladies’ kebaya clothing style in various state occasions on the image of Indonesian women’s appearances. This study is a qualitative research of visual data that emphasizes the discussion of Kebaya Clothing using semiological study (connotation and denotation meaning) that bring out self-image. The results showed that the style the First Ladies’ Kebaya clothing in every presidency period of their husbands had characteristics both in the style of clothing or hairstyle, indicating self-image. The conclusion of this study reveals that the First Ladies’ Kebaya Clothing (National Clothing) is interpreted as having implied messages because clothing can be observed visually. Implication was done on the construction of learning patterns of clothing, national fashion design and Nusantara ethnic clothing design.
Epilepsy services in Saudi Arabia
Alfayez, Saud M.; Aljafen, Bandar N.
2016-01-01
Objective: To assess the epilepsy services and identify the challenges in hospitals without epilepsy monitoring units (EMUs). In addition, comparisons between governmental and private sectors, as well as between regions, are to be performed. Methods: A cross-sectional study conducted using an online questionnaire distributed to the secondary and tertiary hospitals without EMUs throughout the Kingdom of Saudi Arabia (KSA). The study was conducted from September 2013 to September 2015 and regular updates from all respondents were constantly made. Items in the questionnaire included the region of the institution, the number of pediatric and adult neurologists and neurosurgeons along with their subspecialties, the number of beds in the Neurology Department, whether they provide educational services and have epilepsy clinics and if they refer patients to an EMU or intend to establish one in the future. Results: Forty-three institutions throughout the Kingdom responded, representing a response rate of 54%. The majority of hospitals (58.1%) had no adult epileptologists. A complete lack of pediatric epileptologists was observed in 72.1% of hospitals. Around 39.5% were utilizing beds from internal medicine. Hospitals with an epilepsy clinic represented 34.9% across all regions and sectors. Hospitals with no intention of establishing an EMU represented 53.5%. Hospitals that did not refer their epileptic patients to an EMU represented 30.2%. Conclusions: Epilepsy services in KSA hospitals without EMUs are underdeveloped. PMID:27744461
Allocation of health resources according to the type and size of Iranian governmental hospitals.
Hassani, Sa; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati
2013-01-01
Due to consuming about 50%-80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state's hospitals from the size and type of application points of view. The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Because 60-80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital.
Mental health nurses' perspective of workplace violence in Jordanian mental health hospitals.
Al-Azzam, Manar; Al-Sagarat, Ahmad Yahya; Tawalbeh, Loai; Poedel, Robin J
2017-10-27
The purpose was to assess the mental health nurses' perspectives of workplace violence in mental health departments in Jordan. A cross-sectional correlation study was utilized to address the study's purposes. Data were collected using self-reported questionnaires from nurses working in governmental mental health departments in Jordan. The findings indicated that 80% of the respondents were victims of at least one violent act in the last 2 years. Verbal abuse was the most indicated type of violence. Patients were considered the main source of violence. Policies and legislations addressing workplace violence should be implemented, and nurses should be trained on using such policies. Hospital managers should create a safe work environment by enforcing effective security measures and maintaining adequate staffing. © 2017 Wiley Periodicals, Inc.
Climate Classification is an Important Factor in Assessing Hospital Performance Metrics
NASA Astrophysics Data System (ADS)
Boland, M. R.; Parhi, P.; Gentine, P.; Tatonetti, N. P.
2017-12-01
Context/Purpose: Climate is a known modulator of disease, but its impact on hospital performance metrics remains unstudied. Methods: We assess the relationship between Köppen-Geiger climate classification and hospital performance metrics, specifically 30-day mortality, as reported in Hospital Compare, and collected for the period July 2013 through June 2014 (7/1/2013 - 06/30/2014). A hospital-level multivariate linear regression analysis was performed while controlling for known socioeconomic factors to explore the relationship between all-cause mortality and climate. Hospital performance scores were obtained from 4,524 hospitals belonging to 15 distinct Köppen-Geiger climates and 2,373 unique counties. Results: Model results revealed that hospital performance metrics for mortality showed significant climate dependence (p<0.001) after adjusting for socioeconomic factors. Interpretation: Currently, hospitals are reimbursed by Governmental agencies using 30-day mortality rates along with 30-day readmission rates. These metrics allow Government agencies to rank hospitals according to their `performance' along these metrics. Various socioeconomic factors are taken into consideration when determining individual hospitals performance. However, no climate-based adjustment is made within the existing framework. Our results indicate that climate-based variability in 30-day mortality rates does exist even after socioeconomic confounder adjustment. Use of standardized high-level climate classification systems (such as Koppen-Geiger) would be useful to incorporate in future metrics. Conclusion: Climate is a significant factor in evaluating hospital 30-day mortality rates. These results demonstrate that climate classification is an important factor when comparing hospital performance across the United States.
Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
Kroese, Mariëlle Elisabeth Aafje Lydia; Spreeuwenberg, Marieke Dingena; Elissen, Arianne Mathilda Josephus; Meerlo, Ronald Johan; Hanraets, Monique Margaretha Henriëtte; Ruwaard, Dirk
2016-01-01
Objective: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. Methods: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex consultations at general practitioner practices. Qualitative data were collected through interviews with general practitioners and medical specialists, focus groups and notes from meetings in the Netherlands between April 2013 and January 2014. Data were analysed using a conventional content analysis which resulted in categorised barriers, facilitators and policy adjustments, after which preconditions were formulated. Results: The most important preconditions were make arrangements on governmental level, arrange a collective integrated IT-system, determine the appropriate profile for medical specialists, design a referral protocol for eligible patients, arrange deliberation possibilities for general practitioners and medical specialists and formulate a diagnostic protocol. Conclusions: The barriers, facilitators and formulated preconditions provided relevant input to change the design of substituting hospital care with primary care. PMID:27616956
Hedging and Boosting in English and Indonesian Research Articles
ERIC Educational Resources Information Center
Sanjaya, I Nyoman Suka
2013-01-01
The present cross-cultural and cross-disciplinary study was aimed at exploring the similarities and differences between English and Indonesian research articles from the disciplines of applied linguistics and chemistry in terms of frequency of usage of hedges (e.g. "perhaps," "may") and boosters (e.g. "clearly,"…
Cryptanalysis on classical cipher based on Indonesian language
NASA Astrophysics Data System (ADS)
Marwati, R.; Yulianti, K.
2018-05-01
Cryptanalysis is a process of breaking a cipher in an illegal decryption. This paper discusses about encryption some classic cryptography, breaking substitution cipher and stream cipher, and increasing its security. Encryption and ciphering based on Indonesian Language text. Microsoft Word and Microsoft Excel were chosen as ciphering and breaking tools.
Indonesias New Maritime Ambitions: Implications for U.S.Indonesian Engagement
2015-06-26
and national security strategy. The pillars of his doctrine are: Recognize Indonesia’s maritime culture. Develop maritime industry, focusing on... archipelagic nation’s focus has always been internal and ashore. In 2005, the Indonesian government adopted the Minimum Essential Force (MEF) concept—a 20
Friendships of Indonesian and United States Youth
ERIC Educational Resources Information Center
French, Doran C.; Pidada, Sri; Victor, Andrea
2005-01-01
Issues in the study of friendship across cultures were explored by reviewing a set of studies focusing on the friendships of Indonesian and United States youth. Four topics are considered: similarity of friendships across cultures, dimensions of friendships that vary across cultures, the utility of the individualism/collectivism dimension for…
Personality Differences and Sex Similarities in American and Indonesian College Students.
ERIC Educational Resources Information Center
Hadiyono, Johana E. P.; Kahn, Marvin W.
To determine if personality characteristics reflect influences of culture, while sex differences remain similar across cultures, 100 Indonesian and 100 American college students completed the Cattell Clinical Analysis Questionnaire, in the appropriate language. An analysis of the results showed that females in both cultures were higher than males…
An Indonesian Model of Successful School Leadership
ERIC Educational Resources Information Center
Raihani
2008-01-01
Purpose--This paper seeks to explore principals leadership in successful Indonesian secondary schools from the perspectives of multiple sources of data. Design/methodology/approach--Inspired by the ISSPP, three schools which met the set criteria of successful schools were selected to be the cases for this study. Within each, individual or group…
The Indonesian Digital Library Network Is Born To Struggle with the Digital Divide.
ERIC Educational Resources Information Center
Fahmi, Ismail
2002-01-01
Describes the Indonesian Digital Library Network that is designed to develop Indonesia as a knowledge-based society. Highlights include the digital divide; problems in a developing country, including Internet accessibility, bandwidth capacity, and network delays; gathering information about national assets; information infrastructure; data…
English Code Switching in Indonesian Language
ERIC Educational Resources Information Center
Setiawan, Dedy
2016-01-01
There is a growing phenomenon, worldwide, of inserting English words, phrases or expressions, into the local language: this is part of the acceptance of English as current world language. Indonesia is experiencing the use of this mixture of language when using either their own Indonesian or local language; English words, phrases and expressions…
Islamic and Indonesianic Characters Perspective of Higher Education of Muhammadiyah
ERIC Educational Resources Information Center
Tobroni; Purwojuwono, Ribut
2016-01-01
The study aims to describe the educational model of Islamic and Indonesianic character in Muhammadiyah, perspective of phenomenological studies at School of Higher Education Teaching (STKIP) of Muhammadiyah Sorong of Papua Province Indonesia. The study is done by using qualitative approach with phenomenological paradigm. The main data was obtained…
The Indonesian EFL Learners' Motivation in Reading
ERIC Educational Resources Information Center
Salikin, Hairus; Bin-Tahir, Saidna Zulfiqar; Kusumaningputri, Reni; Yuliandari, Dian Puji
2017-01-01
The motivation will drive the EFL learners to be successful in reading. This study examined the Indonesian EFL learners' motivation in reading activity based on Deci and Ryans' theory of motivation including intrinsic and extrinsic. This study employed mixed-method design. The data obtained by distributing questionnaire and arranging the group…
Contracting between public agencies and private psychiatric inpatient facilities.
Fisher, W H; Dorwart, R A; Schlesinger, M; Davidson, H
1991-08-01
Purchasing human services through contracts with private providers has become an increasingly common practice over the past 20 years. Using data from a national survey of psychiatric inpatient facilities, this paper examines the extent to which psychiatric units in privately controlled general hospitals and private psychiatric specialty hospitals (N = 611) participate in contractual arrangements to provide services to governmental bodies. It also examines how the likelihood of such a practice is affected by hospital characteristics (general or specialty, for profit or nonprofit) and features of hospitals' environments, including the competitiveness of the market for psychiatric inpatient care and the population's need for services in the hospital's county. The findings indicate that nonprofit psychiatric specialty hospitals were more likely than other types of hospitals to enter into such contracts, and that forces such as local competition and need for services were not predictors of such involvement. Contracting was shown to have a significant impact on the level of referrals a hospital accepted, but these levels were also affected by competition and need. Among hospitals with public contracts, referral acceptance from public agencies was unaffected by these factors, but they did have a significant effect on referral acceptance by hospitals without public contracts. These data suggest that public agencies contracting for services with private hospitals may represent a means by which "public sector" patients may gain access to private providers. Further, this mechanism may impose sufficient structure and regulation on the acceptance of such patients that many concerns of hospital administrators regarding patients who are costly and difficult to treat and discharge can be allayed.
Results of a hospital waste survey in private hospitals in Fars province, Iran
DOE Office of Scientific and Technical Information (OSTI.GOV)
Askarian, Mehrdad; Vakili, Mahmood; Kabir, Gholamhosein
2004-07-01
Hospital waste is considered dangerous because it may possess pathogenic agents and can cause undesirable effects on human health and the environment. In Iran, neither rules have been compiled nor does exact information exist regarding hospital waste management. The survey presented in this article was carried out in all 15 private hospitals of Fars province (Iran) from the total numbers of 50 governmental and private hospitals located in this province, in order to determine the amount of different kinds of waste produced and the present situation of waste management. The results indicated that the waste generation rate is 4.45 kg/bed/day,more » which includes 1830 kg (71.44%) of domestic waste, 712 kg (27.8%) of infectious waste, and 19.6 kg (0.76%) of sharps. Segregation of the different types of waste is not carried out perfectly. Two (13.3%) of the hospitals use containers without lids for on-site transport of wastes. Nine (60%) of the hospitals are equipped with an incinerator and six of them (40%) have operational problems with the incinerators. In all hospitals municipal workers transport waste outside the hospital premises daily or at the most on alternative days. In the hospitals under study, there aren't any training courses about hospital waste management and the hazards associated with them. The training courses that are provided are either ineffective or unsuitable. Performing extensive studies all over the country, compiling and enacting rules, establishing standards and providing effective personnel training are the main challenges for the concerned authorities and specialists in this field.« less
Caregiving burden in foreign domestic workers caring for frail older adults in Singapore.
Ha, Ngoc Huong Lien; Chong, Mei Sian; Choo, Robin Wai Munn; Tam, Wai Jia; Yap, Philip Lin Kiat
2018-03-21
Although foreign domestic workers (FDWs) play a significant role in caring for frail seniors in Singapore and are vulnerable to caregiving burden, there has been little research conducted hitherto. We explored caregiver burden and its determinants in this study. FDWs (N = 221, M age = 32.3, SD = 6.23) recruited from a hospital geriatric unit completed the Zarit Burden Interview (ZBI) administered in English, Bahasa Melayu, or Burmese. Univariate and multivariate regression were employed to investigate factors influencing caregiving burden in FDWs. Majority were Indonesians (60.0%), married (57.5%) with children (62.4%), with secondary-level education (59.7%), and providing care for >1 year (79.9%). Importantly, 25.1% reported physical health problems and 23.1% encountered language difficulties with employers. Univariate analysis revealed three significant factors associated with caregiving burden: nationality (p < 0.001), lack of privacy (p = 0.029), and caring for persons with dementia (PWD) (p = 0.001). On multivariate regression, FDWs who cared for PWD were 5.47 times (p = 0.013) more likely to experience burden, while FDWs who encountered language difficulties were 5.46 times (p = 0.030) more likely to experience burden. Filipinos FDWs were 9.73 times more likely to express burden (p < 0.001) compared to their Indonesian and Burmese counterparts. The study highlights caregiver burden in FDWs and potential ways to alleviate it by empowering FDWs with dementia-specific caregiving skills, providing language training opportunities, and supporting particular FDW ethnic groups with more emotional and practical help.
Zhou, Chenyu; Mou, Huitong; Xu, Wen; Li, Zhe; Liu, Xin; Shi, Lei; Peng, Boshi; Zhao, Yan; Gao, Lei
2017-01-01
Objectives To explore the potential components of hospital workplace violence (HWPV) from the perspectives of hospital administrators and patients, and put forward corresponding strategies for its prevention and control. Setting Using convenience sampling methods, 116 hospitals in 14 provinces of China were surveyed using a self-designed questionnaire. Methods A cross-sectional study was used. Participants Hospital administrators and patients from 116 hospitals in 14 provinces of China. Results First, hospital administrators point of workplace factors included six factors, with the following weighting coefficients: hospital administrator factors (29.40%), patient-related factors (20.08%), hospital environmental factors (19.45%), policy and institutional factors (11.92%), social psychological factors (10.26%), objective events factors (8.89%). Second, patients from the hospital workplace predisposing factors included three common factors. The weight coefficients of these were hospital-related factors (60.27%), social and governmental factors (23.64%) and patient-related factors (16.09%). Conclusions A wide range of factors according to hospital administrators, patients and in the hospital environment play important roles in HWPV. From the perspectives of hospital administrators, communication skills and attitude to the service are important factors for inducing HWPV. From the perspective of patients, the characteristics of staff personalities and medical cognition are more important inducing factors. As far as social factors are concerned, economic compensation of medical malpractice is an important inducing factor for HWPV. In terms of environmental factors, management of Chinese medical hospitals, medical procedures and the layout of departments are all potential factors for the occurrence of violence. Corresponding defects were exposed in the health legal system and the supervision system for influencing public opinion. PMID:28756386
The need for strategic tax planning among nonprofit hospitals.
Smith, Pamela C
2005-01-01
Strategic tax planning issues are important to the nonprofit health care sector, despite its philanthropic mission. The consolidation of the industry has led management to fight for resources and develop alternative strategies for raising money. When management evaluates alternative collaborative structures to increase efficiency, the impact on governance structures must also be considered. The increased governmental scrutiny of joint ventures within the health care sector warrants management's attention as well. The financial incentives must be considered, along with the various tax policy implications of cross-sector collaborations.
Country perspective on medical tourism: the Malaysian experience.
Abd Manaf, Noor Hazilah; Hussin, Husnayati; Jahn Kassim, Puteri Nemie; Alavi, Rokiah; Dahari, Zainurin
2015-01-01
The study seeks to explore the perception of international patients on Malaysia as a medical tourism destination country, as well as overall patient satisfaction, perceived value and future intention for repeat treatment and services. Self-administered questionnaire was the main method of data collection. The survey covered major private hospitals in medical tourists' states in the country, namely, Penang, Melaka, Selangor and Kuala Lumpur. Convenience sampling was used due to the condition of patients as respondents. Indonesian patients formed the largest majority of international patients in the country. Five dimensions of medical tourism in Malaysia was identified, namely, hospital and staff, country factor, combining tourism and health services, cost saving and insurance and unavailability of treatment. Of these, hospital and staff was found to be the most important factor for the patients. Perception of value, overall satisfaction and intention for future treatment was also found to be high. This indicates that Malaysia is on the right footing in this burgeoning industry. Findings from the study will enable policy-makers to better position Malaysia as a medical tourist destination country. Medical tourism is a recent phenomenon and very little empirical research has been carried out at the patient level. This study is one of the first few studies which seek to explore medical tourism from the perspective of the patients themselves.
ERIC Educational Resources Information Center
Moedjito
2016-01-01
This study aimed to explore teachers' and students' perception of pronunciation teaching in Indonesian EFL classrooms, particularly on (1) the difficulty of English pronunciation, (2) the reasons for the difficulty, (3) the inclusion of pronunciation in EFL classrooms, (4) the goal of pronunciation teaching, (5) priorities in pronunciation…
ERIC Educational Resources Information Center
Suprapto, Nadi; Ku, Chih-Hsiung
2016-01-01
The purpose of this study was to investigate Indonesian university students' preferences to science communication skills. Data collected from 251 students who were majoring in science education program. The Learning Preferences to Science Communication (LPSC) questionnaire was developed with Indonesian language and validated through an exploratory…
Opportunity-to-Learn Context-Based Tasks Provided by Mathematics Textbooks
ERIC Educational Resources Information Center
Wijaya, Ariyadi; van den Heuvel-Panhuizen, Marja; Doorman, Michiel
2015-01-01
Based on the findings of an error analysis revealing that Indonesian ninth- and tenth-graders had difficulties in solving context-based tasks, we investigated the opportunity-to-learn offered by Indonesian textbooks for solving context-based mathematics tasks and the relation of this opportunity-to-learn to students' difficulties in solving these…
Promoting a Respect for Difference through Language Teaching
ERIC Educational Resources Information Center
Welsh, Alistair
2014-01-01
An emphasis on developing students' moral and ethical character is evident in the 2013 National Indonesian Curriculum. In this article, I look at how respect for difference is reflected in the 2013 Indonesian National Curriculum, specifically referring to the second key competency area for senior high school English language. I also draw reference…
The Pedagogic Beliefs of Indonesian Teachers in Inclusive Schools
ERIC Educational Resources Information Center
Sheehy, Kieron; Budiyanto
2015-01-01
This research explores, for the first time, the pedagogical orientations of Indonesian teachers in the context of inclusive education. A mixed-method approach was used for an analysis of questionnaire data from 140 teachers and qualitative interviews from 20 teachers in four inclusive schools. The findings suggest that, in general, the implicit…
Washback of English National Examination in the Indonesian Context
ERIC Educational Resources Information Center
Furaidah; Saukah, Ali; Widiati, Utami
2015-01-01
This study examines how teachers teach English to prepare students for high-stakes English national examination in the Indonesian context. Data were collected from two high-achieving and three low-achieving schools with eleven teachers as the subjects of in-depth interviews and non-participatory classroom observations. The findings reveal that…
Teaching Specific Purpose Translation: Utilization of Bilingual Contract Document as Parallel Corpus
ERIC Educational Resources Information Center
Siregar, Roswani
2017-01-01
This study introduced the specific purpose translation teaching to Indonesian undergraduate students at Universitas Al-Azhar Medan, Indonesia. The courses were attended by the Business and Economics students who are new to translation. As parallel corpus, bilingual contract documents in Indonesian and English were chosen to help the students to…
Cyberbully, Cybervictim, and Forgiveness among Indonesian High School Students
ERIC Educational Resources Information Center
Safaria, Triantoro; Tentama, Fatwa; Suyono, Hadi
2016-01-01
Cyberbullying has been commonplace practice among Indonesian teenagers engaging in on-line space. However, this phenomenon has not been extensively researched in the context of Indonesia. This present study aims to examine the extent to which level of forgiveness contribute to varying degrees of cyberbullying. It is a quantitative in which the…
Topic Mastery and Flow of Thought of Indonesian Students Learning Psycholingustics
ERIC Educational Resources Information Center
Indah, Rohmani Nur
2016-01-01
This study focuses on evaluating students' topic mastery and flow of thought in their Psycholinguistics project paper. Assessing these two aspects means a lot since it will be helpful as a planning tool to approach future better instruction. It was conducted with Indonesian students taking Psycholinguistics course at Humanities Faculty of UIN…
Using a "Makerspace" Approach to Engage Indonesian Primary Students with STEM
ERIC Educational Resources Information Center
Blackley, Susan; Rahmawati, Yuli; Fitriani, Ella; Sheffield, Rachel; Koul, Rekha
2018-01-01
This paper examines the learning experiences of 291 Year 5 and 6 Indonesian primary school students, across four schools in North Jakarta, who participated in an integrated STEM project that used a 3-phase "Makerspace" approach: exposure, engagement and experimentation, and evaluation and extension. The Wiggle Bots project involved these…
Students' Viewpoint of Computer Game for Training in Indonesian Universities and High Schools
ERIC Educational Resources Information Center
Wahyudin, Didin; Hasegawa, Shinobu; Kamaludin, Apep
2017-01-01
This paper describes the survey--conducted in Indonesian universities (UNIV) and high schools (HS)--whose concern is to examine preferences and influences of computer game for training. Comparing the students' viewpoint between both educational levels could determine which educational level would satisfy the need of MAGNITUDE--mobile serious game…
Xu, Y J; Yip, S C; Kosela, S; Fitri, E; Hana, M; Goh, S H; Sim, K Y
2000-11-30
[reaction: see text] The structures of novel gaudichaudiic acids F-I (1-4), isolated from the bark of Indonesian Garcinia gaudichaudii, have been elucidated by detailed spectral analysis. Gaudichaudiic acid I (4) is probably derived from 1 as a result of allylic oxidation at C-24 and C-21, followed by aromatization.
Instructional Leadership in Indonesian School Reform: Overcoming the Problems to Move Forward
ERIC Educational Resources Information Center
Sofo, Francesco; Fitzgerald, Robert; Jawas, Umiati
2012-01-01
The paper reviews the research on instructional leadership and, through identifying problems emerging in Indonesian school reform, suggests some sustainable solutions. There are some discrepancies in the processes of Indonesia's school reform, and the objectives of the national education reform do not seem to have been reflected in the actual…
Cultural Studies of Education: Filming Fluid Subjectivities in Indonesian Universities
ERIC Educational Resources Information Center
Logli, Chiara
2016-01-01
This article focuses on the Indonesian film "Cin(T)a," which features the interfaith and multiethnic love between two college students. I apply intergroup contact theory, critical pedagogy and grounded cosmopolitanism to the reading of the movie in order to demonstrate two key points. First, higher education is a contact zone, where…
ERIC Educational Resources Information Center
Nguyen, David J.; Larson, Jay B.
2017-01-01
This qualitative study explored the influence of student affairs on academic adjustment and adaptation for 10 Indonesian graduate students at a single campus. Semi-structured interviews explored student affairs' role in adaptation and transition to collegiate life in the United States. Analyses illuminated ways in which participants experienced…
Religious Involvement and the Social Competence and Adjustment of Indonesian Muslim Adolescents
ERIC Educational Resources Information Center
French, Doran C.; Eisenberg, Nancy; Vaughan, Julie; Purwono, Urip; Suryanti, Telie A.
2008-01-01
This study assessed the relation between religious involvement and multiple indices of competence in 183 eighth- and ninth-grade Indonesian Muslim adolescents (M = 13.3 years). The authors assessed spirituality and religiosity using both parent and adolescent reports, and social competence and adjustment using multiple measures and data sources.…
ERIC Educational Resources Information Center
Rahayu, Sri; Treagust, David F.; Chandrasegaran, A. L.; Kita, Masakazu; Ibnu, Suhadi
2011-01-01
Background and purpose: This study investigated Indonesian and Japanese senior high-school students' understanding of electrochemistry concepts. Sample: The questionnaire was administered to 244 Indonesian and 189 Japanese public senior high-school students. Design and methods: An 18-item multiple-choice questionnaire relating to five conceptual…
Performance Indicators in Indonesian Universities: The Perception of Academics
ERIC Educational Resources Information Center
Gaus, Nurdiana; Hall, David
2016-01-01
This study aimed to explore the perceptions of Indonesian academics towards the implementation of Performance Indicators (PIs) on teaching and research. The study was a case study using semi-structured interviews, conducted with 30 academics in three state universities in Indonesia. The results of the study revealed academics believed that outcome…
ERIC Educational Resources Information Center
Munifatullah, Feni; Musthafa, Bachrudin; Sundayana, Wachyu
2016-01-01
The study examines three new EFL teachers professional knowledge development through discussion in a "Teacher Study Group" ("TSG") in Indonesian (Asian) context. These three participants have less than five year-teaching experience and teach junior high schools in Bandarlampung in the time of the study. The data were collected…
Indonesian EFL Students' Anxiety in Speech Production: Possible Causes and Remedy
ERIC Educational Resources Information Center
Anandari, Christina Lhaksmita
2015-01-01
This research examined what causes speech-production-related foreign-language anxiety among Indonesian students majoring in English Language Education. Furthermore, it also looks into whether and how self-reflective activities are able to help these students reduce their anxiety. The data were gathered from a qualitative research conducted on a…
Indonesian Youth Looking towards the Future
ERIC Educational Resources Information Center
Nilan, Pam; Parker, Lynette; Bennett, Linda; Robinson, Kathryn
2011-01-01
Selected survey data on future aspirations and expectations from 3565 young Indonesians are presented in this study. Muslim-majority Indonesia is an Asian economic success story. The economy has seen solid growth, leading to an expansion of the private sector. The upward credentialling of the labour market and the rapid growth of the middle class…
Association of MTHFR polymorphism and periodontitis’ severity in Indonesian males
NASA Astrophysics Data System (ADS)
Auerkari, E. I.; Purwandhita, R.; Kim, K. R.; Djamal, N.; Masulili, S. L. C.; Suryandari, D. A.; Talbot, C.
2018-05-01
Periodontitis is an oral disease with a complex etiology and pathogenesis, but with a suspected contribution by genetic factors. This study aimed to assess the association of polymorphism in MTHFR (methylene tetrahydrofolate reductase, C677T) gene and the severity of periodontitis in Indonesian males. Severity of periodontitis was classified as mild, moderate or severe for 100 consenting, 25 to 60 years old male Indonesians. Using PCR amplification for DNA extracted from blood serum samples, the variation at the SNP polymorphism of the MTHFR (C677T) gene was evaluated by using RFLP, cutting by the restriction enzyme HinfI and subjecting the fragments to electrophoresis on agarose gel. Chi-square testing was mainly used for statistical assessment of the results. The CC genotype (wild type) of the tested polymorphism was the most common variant (78%) and TT (mutant) genotype relatively rare (2%), so that C-allele appeared in 88% of the cases and T-allele in 12% of the cases. The results suggest that there is no significant association between MTHFR C677T polymorphism and the severity of periodontitis in the tested Indonesian males.
Nusdwinuringtyas, Nury; Widjajalaksmi; Yunus, Faisal; Alwi, Idrus
2014-04-01
to develop a reference equation for prediction of the total distance walk using Indonesian anthropometrics of sedentary healthy subjects. Subsequently, the prediction obtained was compared to those calculated by the Caucasian-based Enright prediction equation. the cross-sectional study was conducted among 123 healthy Indonesian adults with sedentary life style (58 male and 65 female subjects in an age range between 18 and 50 years). Heart rate was recorded using Polar with expectation in the sub-maximal zone (120-170 beats per minute). The subjects performed two six-minute walk tests, the first one on a 15-meter track according to the protocol developed by the investigator. The second walk was carried out on Biodex®gait trainer as gold standard. an average total distance of 547±54.24 m was found, not significantly different from the gold standard of 544.72±54.11 m (p>0.05). Multiple regression analysis was performed to develop the new equation. the reference equation for prediction of the total distance using Indonesian anthropometrics is more applicable in Indonesia.
Coral radiocarbon constraints on the source of the Indonesian throughflow
DOE Office of Scientific and Technical Information (OSTI.GOV)
Moore, M.D.; Schrag, D.P.; Kashgarian, M.
1997-06-01
Radiocarbon variability in {ital Porites} spp. corals from Guam and the Makassar Strait (Indonesian Seaway) was used to identify the source waters contributing to the Indonesian throughflow. Time series with bimonthly resolution were constructed using accelerator mass spectrometry. The seasonal variability ranges from 15 to 60{per_thousand}, with large interannual variability. {Delta}{sup 14}C values from Indonesia and Guam have a nearly identical range. Annual mean {Delta}{sup 14}C values from Indonesia are 50 to 60{per_thousand} higher than in corals from Canton in the South Equatorial Current [{ital Druffel}, 1987]. These observations support a year-round North Pacific source for the Indonesian throughflow andmore » imply negligible contribution by South Equatorial Current water. The large seasonality in {Delta}{sup 14}C values from both sites emphasizes the dynamic behavior of radiocarbon in the surface ocean and suggests that {Delta}{sup 14}C time series of similar resolution can help constrain seasonal and interannual changes in ocean circulation in the Pacific over the last several decades.{copyright} 1997 American Geophysical Union« less
Culbert, Gabriel J.; Bazazi, Alexander R.; Waluyo, Agung; Murni, Astia; Muchransyah, Azalia P.; Iriyanti, Mariska; Finnahari; Polonsky, Maxim; Levy, Judith; Altice, Frederick L.
2015-01-01
Negative attitudes toward HIV medications may restrict utilization of antiretroviral therapy (ART) in Indonesian prisons where many people living with HIV (PLH) are diagnosed and first offered ART. This mixed-method study examines the influence of medication attitudes on ART utilization among HIV-infected Indonesian prisoners. Randomly-selected HIV-infected male prisoners (n = 102) completed face-to-face in-depth interviews and structured surveys assessing ART attitudes. Results show that although half of participants utilized ART, a quarter of those meeting ART eligibility guidelines did not. Participants not utilizing ART endorsed greater concerns about ART efficacy, safety, and adverse effects, and more certainty that ART should be deferred in PLH who feel healthy. In multivariate analyses, ART utilization was independently associated with more positive ART attitudes (AOR = 1.09, 95 % CI 1.03–1.16, p = 0.002) and higher internalized HIV stigma (AOR = 1.03, 95 % CI 1.00–1.07, p = 0.016). Social marketing of ART is needed to counteract negative ART attitudes that limit ART utilization among Indonesian prisoners. PMID:26400080
IJEPA: Gray Area for Health Policy and International Nurse Migration.
Efendi, Ferry; Mackey, Timothy Ken; Huang, Mei-Chih; Chen, Ching-Min
2017-05-01
Indonesia is recognized as a nurse exporting country, with policies that encourage nursing professionals to emigrate abroad. This includes the country's adoption of international principles attempting to protect Indonesian nurses that emigrate as well as the country's own participation in a bilateral trade and investment agreement, known as the Indonesia-Japan Economic Partnership Agreement that facilitates Indonesian nurse migration to Japan. Despite the potential trade and employment benefits from sending nurses abroad under the Indonesia-Japan Economic Partnership Agreement, Indonesia itself is suffering from a crisis in nursing capacity and ensuring adequate healthcare access for its own populations. This represents a distinct challenge for Indonesia in appropriately balancing domestic health workforce needs, employment, and training opportunities for Indonesian nurses, and the need to acknowledge the rights of nurses to freely migrate abroad. Hence, this article reviews the complex operational and ethical issues associated with Indonesian health worker migration under the Indonesia-Japan Economic Partnership Agreement. It also introduces a policy proposal to improve performance of the Indonesia-Japan Economic Partnership Agreement and better align it with international principles focused on equitable health worker migration.
Comparative Case Studies on Indonesian Higher Education Rankings
NASA Astrophysics Data System (ADS)
Kurniasih, Nuning; Hasyim, C.; Wulandari, A.; Setiawan, M. I.; Ahmar, A. S.
2018-01-01
The quality of the higher education is the result of a continuous process. There are many indicators that can be used to assess the quality of a higher education. The existence of different indicators makes the different result of university rankings. This research aims to find variables that can connect ranking indicators that are used by Indonesian Ministry of Research, Technology, and Higher Education with indicators that are used by international rankings by taking two kind of ranking systems i.e. Webometrics and 4icu. This research uses qualitative research method with comparative case studies approach. The result of the research shows that to bridge the indicators that are used by Indonesian Ministry or Research, Technology, and Higher Education with web-based ranking system like Webometrics and 4icu so that the Indonesian higher education institutions need to open access towards either scientific or non-scientific that are publicly used into web-based environment. One of the strategies that can be used to improve the openness and access towards scientific work of a university is by involving in open science and collaboration.
NASA Astrophysics Data System (ADS)
Jonny; Nasution, Januar
2013-06-01
Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.
Velickovic, M; Velickovic, Z; Panigoro, R; Dunckley, H
2009-01-01
Killer cell immunoglobulin-like receptors (KIRs) regulate the activity of natural killer and T cells through interactions with specific human leucocyte antigen class I molecules on target cells. Population studies performed over the last several years have established that KIR gene frequencies (GFs) and genotype content vary considerably among different ethnic groups, indicating the extent of KIR diversity, some of which have also shown the effect of the presence or absence of specific KIR genes in human disease. We have determined the frequencies of 16 KIR genes and pseudogenes and genotypes in 193 Indonesian individuals from Java, East Timor, Irian Jaya (western half of the island of New Guinea) and Kalimantan provinces of Indonesian Borneo. All 16 KIR genes were observed in all four populations. Variation in GFs between populations was observed, except for KIR2DL4, KIR3DL2, KIR3DL3, KIR2DP1 and KIR3DP1 genes, which were present in every individual tested. When comparing KIR GFs between populations, both principal component analysis and a phylogenetic tree showed close clustering of the Kalimantan and Javanese populations, while Irianese populations were clearly separated from the other three populations. Our results indicate a high level of KIR polymorphism in Indonesian populations that probably reflects the large geographical spread of the Indonesian archipelago and the complex evolutionary history and population migration in this region.
NASA Astrophysics Data System (ADS)
Rachmatullah, A.; Octavianda, R. P.; Ha, M.; Rustaman, N. Y.; Diana, S.
2017-02-01
Along with numerous instruments developed and used in science education researches, some of those instruments have been translated to local language in the country where the instruments were used. Most of researchers that used those translated instruments did not report the quality of those translated instruments. One of the instruments is the Scientific Literacy Assessment (SLA) including the Science Motivation and Beliefs (SLA-MB) as part of the SLA. In this study, the SLA-MB has been translated into Indonesian Language (Bahasa). The purpose of this study is to investigate the SLA-MB instrument that has been translated to Indonesian language from the view of dimensionality, reliability, item quality and differential item functioning (DIF) based on IRT-Rasch analysis. We used Conquest and Winstep as the program for IRT-Rasch analysis. We employed quantitative research method with school-survey on this study. Research subjects are 223 Indonesian Middle school students (age 13-16), with 64 boys and 159 girls. IRT-Rasch analysis of the SLA-MB Indonesian version indicated that a three-dimensional model fit significantly better than one-dimension model, and the reliability of each dimensions are about 0.60 to 0.82. As well as those findings, fit values of all items are acceptable, moreover we found no DIF for all of the SLA-MB items. Overall, our study suggests that Indonesian version of SLA-MB is acceptable to be implemented as research instrument conducted in Indonesia.
Longest, Beaufort B
2012-01-01
Hospitals in the United States are heavily impacted by public policies that affect them. For example, Medicare and Medicaid programs account for more than half the revenue in most of the nation's almost 5,000 community hospitals, including the almost 1,100 public hospitals controlled by state and local governments (American Hospital Association, 2012). The public hospitals are especially closely aligned with and controlled by governmental entities compared with hospitals with other kinds of sponsorship. This article addresses the management challenges at the intersection of the strategic management of public hospitals and their public policy environments. Public hospitals are complicated entities designed not only to provide health services but also in many cases to play key roles in health-related research and education and to play important general economic development roles in their communities. The multi-faceted strategic decision making in these organizations is as heavily affected by their public policy environments as by their business, demographic, technological or other external environments. Effectively managing the intersection of their public policy environments and their strategic management is indeed vital for contemporary public hospitals. This article is intended to clarify certain aspects of this intersection through a description and model of the strategic activity in public hospitals and the connection between this activity and their external environments. Specific attention is focused on the concept of public policy environments and their features. Attention is also given to how managers can assess public policy environments and incorporate the results into strategic activities.
A comparison between the 2010 and 2016 El-Ninō induced coral bleaching in the Indonesian waters
NASA Astrophysics Data System (ADS)
Wouthuyzen, Sam; Abrar, M.; Lorwens, J.
2018-02-01
Severe coral bleaching events are always associated with El-Ninō phenomenon which caused a rise in ocean temperature between 1-2°C and that they potentially kill the corals worldwide. There were at least four severe coral bleaching events occurred in the Indonesian waters. This study aims to compare the coral bleaching events of the 2010 and 2016 and their impact on corals in Indonesian waters. Long-term (2002-2017) remotely sensed night time sea surface temperature (SST) data acquired from Aqua MODIS Satellite were used in the analysis. Here, we calculated the mean monthly maximum (MMM)of SST as SST in normal condition in which coral can adapt to temperature; the differences between high SST in each pixel during coral bleaching events of the 2010/2016 and MMM SST, called hot spot (HS); and how long has HS occupied a certain water body, called degree of heating weeks (DHW, °C-week) and then mapped it. Results show that the MMM SST for the Indonesian waters is 29.1°C. Both bleaching events of 2010 and 2016 started and finished in the same periods of Mar-Jun and they nearly have the same pattern, but bleaching magnitude of the 2016 was stronger than 2010 with the mean SST about 0.4°C higher in May-June. The percentage of impacted areas of strong thermal stress on corals of Alert-1 plus Alert-2 status was higher in 2016 (39.4%) compared to 2010 (31.3%). Coral bleaching events in the 2010 and 2016 spread in almost all Indonesian waters and relatively occurred in the same places but with small variation in the bleaching sites that was caused by the strength/weakness of El-Ninō and upwelling phenomenon as well as the role of Indonesian through flow (ITF).
NASA Astrophysics Data System (ADS)
Suhandy, D.; Yulia, M.
2018-03-01
Indonesia is one of the important producers of several specialty coffees, which have a particularly high economic value, including Civet coffee (‘kopi luwak’ in Indonesian language) and Peaberry coffee (‘kopi lanang’ in Indonesian language). The production of Civet and Peaberry coffee is very limited. In order to provide authentication of Civet and Peaberry coffee and protect consumers from adulteration, a robust and easy method for evaluating ground Civet and Peaberry coffee and detection of its adulteration is needed. In this study, we investigate the use of fluorescence spectroscopy combined with SIMCA (soft independent modelling of class analogies) method to discriminate three Indonesian specialty coffee: ground Peaberry, Civet and Pagar Alam coffee. Total 90 samples were used (30 samples for Civet, Peaberry and Pagar Alam coffee, respectively). All coffee samples were ground using a home-coffee-grinder. Since particle size in coffee powder has a significant influence on the spectra obtained, we sieved all coffee samples through a nest of U. S. standard sieves (mesh number of 40) on a Meinzer II sieve shaker for 10 minutes to obtain a particle size of 420 µm. The experiments were performed at room temperature (around 27-29°C). All samples were extracted with distilled water and then filtered. For each samples, 3 mL of extracted sample then was pipetted into 10 mm cuvettes for spectral data acquisition. The EEM (excitation-emission matrix) spectral data of coffee samples were acquired using JASCO FP-8300 Fluorescence Spectrometer. The principal component analysis (PCA) result shows that it is possible to discriminate types of coffee based on information from EEM (excitation-emission matrix) spectral data. Using SIMCA method, the discrimination model of Indonesian specialty coffee was successfully developed and resulted in high performance of discrimination with 100% of sensitivity and specificity for Peaberry, Civet and Pagar Alam coffee. This research has opened the possibility to develop a promising method to detect and evaluate authentication of Indonesian specialty coffees using fluorescence spectroscopy.
Development of taste sensor system for differentiation of Indonesian herbal medicines
NASA Astrophysics Data System (ADS)
Kaltsum, U.; Triyana, K.; Siswanta, D.
2014-09-01
In Indonesia, herbal medicines are usually produced by small and medium enterprises which are relatively low in quality control. The purpose of this paper is to report that we have developed a taste sensor system with global selectivity, i.e., electronic tongue (e-tongue) for differentiation of Indonesian herbal medicines. The e-tongue was composed of five kinds of ion selective electrodes as working electrodes, data acquisition system, and pattern recognition system. Each ion selective electrode (ISE) was built by attaching lipid/polymer membrane. For this purpose, the five kinds of membranes were built by mixing lipid, plasticizer (nitrophenyl octyl ether/NPOE), polyvinyl chloride (PVC), and tetrahydrofuran (THF). In this study, we employed five kinds of lipid, namely oleic acid (OA), dioctyl phosphate (DOP), decyl alcohol (DA), dodecylamine (DDC), and trioctyl methyl ammonium chloride (TOMA). In this case, the membranes transform information of taste substances into electric signal. The five kinds of Indonesian herbal medicine were purchased from local supermarket in Yogyakarta, i.e., kunyit asam (made from turmeric and tamarind), beras kencur (made from rice and kencur), jahe wangi (made from ginger and fragrance), sirih wangi (made from betel leaf), and temulawak (made from Javanese ginger). Prior to detecting the taste from the Indonesian herbal medicine samples, each ion selective electrode was tested with five basic taste samples, i.e., for saltiness, sweetness, umami, bitterness, and sourness. All ISEs showed global selectivity to all samples. Furthermore, the array of ISEs showed specific response pattern to each Indonesian herbal medicine. For pattern recognition system, we employed principle component analysis (PCA). As a result, the e-tongue was able to differentiate five kinds of Indonesian herbal medicines, proven by the total variance of first and second principle components is about 93%. For the future, the e-tongue may be developed for quality control application in herbal medicine industries.
NASA Astrophysics Data System (ADS)
Tranchant, B.; Reffray, G.; Greiner, E.; Nugroho, D.; Koch-Larrouy, A.; Gaspar, P.
2015-08-01
INDO12, a 1/12° regional version of the NEMO physical ocean model covering the whole Indonesian EEZ has been developed and is now running every week in the framework of the INDESO project (Infrastructure Development of Space Oceanography) implemented by the Indonesian Ministry of Marine Affairs and Fisheries. The initial hydrographic conditions as well as open boundary conditions are derived from the operational global ocean forecasting system at 1/4° operated by Mercator Ocean. Atmospheric forcing fields (3 hourly ECMWF analyses) are used to force the regional model. INDO12 is also forced by tidal currents and elevations, and by the inverse barometer effect. The turbulent mixing induced by internal tides is taken into account through a specific parameterization. In this study we evaluate the model skill through comparisons with various datasets including outputs of the parent model, climatologies, in situ temperature and salinity measurements, and satellite data. The simulated and altimeter-derived Eddy Kinetic Energy fields display similar patterns and confirm that tides are a dominant forcing in the area. The volume transport of the Indonesian ThroughFlow is in good agreement with the INSTANT current meter estimates while the transport through Luzon Strait is, on average, westward but probably too weak. Significant water mass transformation occurs along the main routes of the Indonesian Throughflow (ITF) and compares well with observations. Vertical mixing is able to erode the South and North Pacific subtropical waters salinity maximum as seen in TS diagrams. Compared to satellite data, surface salinity and temperature fields display marked biases in the South China Sea. Altogether, INDO12 proves to be able to provide a very realistic simulation of the ocean circulation and water mass transformation through the Indonesian Archipelago. A few weaknesses are also detected. Work is on-going to reduce or eliminate these problems in the second INDO12 version.
The Impact of Indonesian Forest Fires on Singaporean Pollution and Health.
Sheldon, Tamara L; Sankaran, Chandini
2017-05-01
Between 1990 and 2015, Indonesia lost nearly 25 percent of its forests, largely due to intentional burning to clear land for cultivation of palm oil and timber plantations.1 The neighboring "victim countries" experienced severe deteriorations in air quality as a result of these fires. For example, Singapore experienced record air pollution levels in June of 2013 and again in September of 2015 as a result of the Indonesian forest fires.2 This air pollution is associated with increased incidences of upper respiratory tract infections, acute conjunctivitis, lung disease, asthma, bronchitis, emphysema, and pneumonia, among other ailments.2 Quantifying the impact of air pollution on health outcomes is challenging because pollution levels are often nonrandom for a variety of reasons, including policy endogeneity and sorting (Dominici, Greenstone, and Sunstein 2014). In this paper we offer the first causal analysis of the transboundary health effects of the Indonesian forest burning. The Indonesian fires induce exogenous variation in Singaporean air quality. We take advantage of this by using satellite fire data to instrument for changes in Singaporean air quality. Since Singapore is only 277.6 square miles in area (two-thirds the size of New York City), air pollution resulting from the fires is homogeneously spread so that sorting is less likely to be an issue. Using a two-stage least squares approach, we find that from 2010 through mid-2016, the Indonesian fires caused a statistically significant increase in pollution levels in Singapore. Our study also provides evidence that polyclinic attendances for acute respiratory tract infections and acute conjunctivitis in Singapore increased as a result of the deterioration in air quality. The reduced form estimates show that a one standard deviation increase in our measure of fires causes a 0.7 standard deviation increase in polyclinic attendances for each of these illnesses. These findings provide causal evidence of the transboundary pollution and health impacts of the Indonesian forest burning on neighboring Singapore.
Development of taste sensor system for differentiation of Indonesian herbal medicines
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kaltsum, U., E-mail: um-mik@yahoo.co.id; Triyana, K., E-mail: triyana@ugm.ac.id; Siswanta, D., E-mail: triyana@ugm.ac.id
In Indonesia, herbal medicines are usually produced by small and medium enterprises which are relatively low in quality control. The purpose of this paper is to report that we have developed a taste sensor system with global selectivity, i.e., electronic tongue (e-tongue) for differentiation of Indonesian herbal medicines. The e-tongue was composed of five kinds of ion selective electrodes as working electrodes, data acquisition system, and pattern recognition system. Each ion selective electrode (ISE) was built by attaching lipid/polymer membrane. For this purpose, the five kinds of membranes were built by mixing lipid, plasticizer (nitrophenyl octyl ether/NPOE), polyvinyl chloride (PVC),more » and tetrahydrofuran (THF). In this study, we employed five kinds of lipid, namely oleic acid (OA), dioctyl phosphate (DOP), decyl alcohol (DA), dodecylamine (DDC), and trioctyl methyl ammonium chloride (TOMA). In this case, the membranes transform information of taste substances into electric signal. The five kinds of Indonesian herbal medicine were purchased from local supermarket in Yogyakarta, i.e., kunyit asam (made from turmeric and tamarind), beras kencur (made from rice and kencur), jahe wangi (made from ginger and fragrance), sirih wangi (made from betel leaf), and temulawak (made from Javanese ginger). Prior to detecting the taste from the Indonesian herbal medicine samples, each ion selective electrode was tested with five basic taste samples, i.e., for saltiness, sweetness, umami, bitterness, and sourness. All ISEs showed global selectivity to all samples. Furthermore, the array of ISEs showed specific response pattern to each Indonesian herbal medicine. For pattern recognition system, we employed principle component analysis (PCA). As a result, the e-tongue was able to differentiate five kinds of Indonesian herbal medicines, proven by the total variance of first and second principle components is about 93%. For the future, the e-tongue may be developed for quality control application in herbal medicine industries.« less
Risk factors of young ischemic stroke in Qatar.
Khan, Fahmi Yousef
2007-11-01
There is limited information about risk factors of young ischemic stroke in Qatar. The aim of this study was to describe the risk factors and subtypes of young ischemic stroke among Qatari and non-Qatari residents. Hospital based prospective observational study involving all young adults (15-45 years of age) admitted to Hamad General Hospital with first-ever ischemic stroke from September 2004 to September 2005. A stroke was defined according to WHO criteria. Stroke was confirmed in 40 (32 males and 8 females). Their ages ranged from 17 to 44 years (mean 37.1+/-13.27). Thirty (75%) of the patients were non-Qatari. The most common risk factors were hypertension 16 (40%), diabetes mellitus 13 (32.5%), hypercholesterolemia 11 (27.5%), smoking 11 (27.5%), and alcohol intake 9 (22.5%). Regarding stroke subtypes, lacunar stroke syndrome (LACS) was diagnosed in 17 (42.5%), total anterior circulation stroke syndrome (TACS) in 16 (40%), partial anterior circulation stroke syndrome (PACS) in 5 (12.5%) and posterior circulation stroke syndrome (POCS) in 2 (5%). Partial anterior circulation stroke syndrome (PACS) was observed with a higher frequency in Qatari patients compared with non-Qataris (p=0.009), whereas total anterior circulation stroke syndrome (TACS) was observed more in non-Qatari than in Qatari patients (p=0.03). Average hospital stay was 18 days. In-hospital mortality was 2.5%. The risk factors of ischemic stroke in young adults are numerous. The most common were hypertension, diabetes mellitus, hypercholesterolemia, smoking and alcohol intake. Only one Indonesian male patient with POCS died in the hospital.
The Acquisition of Verb Argument Structure in Basilectal Jakarta Indonesian
ERIC Educational Resources Information Center
Hidajat, Lanny
2010-01-01
This dissertation studies the acquisition of verb argument structure in the basilectal subvariety of Jakarta Indonesian (henceforth, bJI). There are two characteristics of bJI that potentially affect the acquisition of verb argument structure. First, bJI sentences can surface not only in the full frame but also in truncated frames. Second, the…
ERIC Educational Resources Information Center
Wahyuni, Tutik; Suwandi, Sarwiji; Slamet, St. Y.; Andayani
2018-01-01
The objective of this present research is to develop an Indonesian Syntax textbook. At the exploratory stage, a descriptive-qualitative approach was adopted. The data were collected using a documentary study, observations, and questionnaires and analyzed through a contextual model. The model was experimentally tested. At this stage, some main…
ERIC Educational Resources Information Center
Salam, S.
2017-01-01
The purpose of this research was to describe the need of development of "Reading Comprehension" teaching materials to students and lecturers of Indonesian Language and Literature Education Department, Gorontalo. This research is included in the research and development to develop educational products in the form of teaching materials.…
ERIC Educational Resources Information Center
Liu, Junsheng; Li, Dan; Purwono, Urip; Chen, Xinyin; French, Doran C.
2015-01-01
This study explored the extent to which loneliness of Indonesian and Chinese adolescents was predicted by their intimacy and conflict with friends and parents. The total sample included 1,833 thirteen- and fifteen-year-old adolescents recruited from urban schools. Boys reported more loneliness than girls, and Chinese boys reported more loneliness…
ERIC Educational Resources Information Center
Sodiq, Syamsul
2015-01-01
This research is aimed at developing an Indonesian course-books integrated with the materials for life skill education (LSE). It can support effective learning through literacy models and results qualified book on Indonesian language learning. By applying Fenrich's method on development model (1997) include five phases of analysis, planning,…
What Do You Want to Be When You Grow Up? Self-Construction in Indonesian Street Children's Writing
ERIC Educational Resources Information Center
Dewayani, Sophie
2013-01-01
The "Education for All policy" is one of the Indonesian government's solutions to return children who work in the street to formal schooling. Unfortunately, access to higher education, which can enable vertical mobility for these children, is constrained by many factors, including financial opportunities. This study examines the…
ERIC Educational Resources Information Center
Kairuddin; Darmawijoyo
2011-01-01
This paper highlights the Indonesian's road transportation contexts, namely, angkot, that used in learning and teaching of addition and subtraction in first grade and second grade MIN-2 Palembang. PMRI approach that adopt from RME [Realistic Mathematics Education] was used in this design research. From teaching experiment was founded that the…
ERIC Educational Resources Information Center
Solikhah, Imroatus
2017-01-01
This experimental research examines: (1) significant differences of corrections on grammar, sentence variety and developing details on the quality of the essay by Indonesian learners; and (2) different effect of corrections on grammar, sentence variety, and developing details on the quality of the essay. Treatments for each were served as follows:…
Emergent Modelling: From Traditional Indonesian Games to a Standard Unit of Measurement
ERIC Educational Resources Information Center
Wijaya, Ariyadi; Doorman, L. Michiel; Keijze, Ronald
2011-01-01
In this paper, we describe the way in which traditional Indonesian games can support the learning of linear measurement. Previous research has revealed that young children tend to perform measurement as an instrumental procedure. This tendency may be due to the way in which linear measurement has been taught as an isolated concept, which is…
Towards Identifying Dyslexia in Standard Indonesian: The Development of a Reading Assessment Battery
ERIC Educational Resources Information Center
Jap, Bernard A. J.; Borleffs, Elisabeth; Maassen, Ben A. M.
2017-01-01
With its transparent orthography, Standard Indonesian is spoken by over 160 million inhabitants and is the primary language of instruction in education and the government in Indonesia. An assessment battery of reading and reading-related skills was developed as a starting point for the diagnosis of dyslexia in beginner learners. Founded on the…
The Development of a Student Survey on Attitudes towards Mathematics Teaching-Learning Processes
ERIC Educational Resources Information Center
Mutohir, Toho Cholik; Lowrie, Tom; Patahuddin, Sitti Maesuri
2018-01-01
This study aimed to develop a survey instrument to measure student attitudes towards mathematics teaching-learning processes that is appropriate for the Indonesian context. This study consisted of two phases: Phase 1 (n = 320) was a pilot study to assess the suitability of the instrument items for Indonesian students. Phase 2 (n = 1001) was…
ERIC Educational Resources Information Center
Ardi, Priyatno
2017-01-01
The advent of mobile learning platforms and Web 2.0 technologies is believed to provide an autonomous learning space that minimizes the power structure between the teacher and students in Indonesian EFL classes, accommodating the students to display their capacity to navigate their own learning. "Schoology" m-learning platform, a social…
ERIC Educational Resources Information Center
Umami, Ida
2018-01-01
The purpose of this research was to examine the current situation and problems faced by Indonesian schools in curriculum, pedagogy, and assessment practices despite government's several legal initiatives. A questionnaire comprising both open and closed-ended questions was sent to the teachers and public education officers of the Indonesian…
ERIC Educational Resources Information Center
Mukminin, Amirul; McMahon, Brenda J.
2013-01-01
The purpose of this study was to explore the lived experience of academic engagement of twelve Indonesian doctoral students attending an American graduate school during their first term and over time through demographic background surveys and semi-structured in-depth interviews. The research design was qualitative in the phenomenological approach…
ERIC Educational Resources Information Center
Bustang, B.; Zulkardi, Z.; Darmawijoyo, H.; Dolk, Maarten; van Eerde, Dolly
2013-01-01
This paper reports a study on designing and testing an instructional sequence for the teaching and learning of the concept of angle in Indonesian primary schools. The study's context is employing the current reform movement adopting "Pendidikan Matematika Realistik Indonesia" (an Indonesian version of Realistic Mathematics Education).…
JPRS Report, East Asia, Southeast Asia
1993-02-16
Boualai Sisomvang [PASASON 23 Nov] 16 National Construction Committee Member, Bounlap Gnoui-vanitsavong; [PASASON 23 Nov] 17 Social Welfare...JPRS-SEA-93-002 16 February 1993 2 Southeast Asia Provincial Committee Member, Khamphai Sou-outhai [PASASON 24 Nov] 20 National Construction ...Indonesian steel industry is increasingly stable. The Indonesian steel industry not only supports the domestic machinery and construction
An Investigation of Science Teaching Practices in Indonesian Rural Secondary Schools
ERIC Educational Resources Information Center
Wahyudi; Treagust, David F.
2004-01-01
This study reports on teaching practices in science classrooms of Indonesian lower secondary schools in rural areas. Using six schools from three districts in the province of Kalimantan Selatan as the sample, this study found that most teaching practices in science classrooms in rural schools were teacher-centred with students copying notes.…
Language as "Soft Power" in Bilateral Relations: The Case of Indonesian Language in Australia
ERIC Educational Resources Information Center
Hill, David T.
2016-01-01
Since Joseph Nye introduced the concept of "Soft power" in his 1991 book, "Bound to Lead: The Changing Nature of American Power", analysts have discussed states' efforts to exercise their influence by attracting and co-opting rather than coercing or using force. This paper will examine enrolments trends in Indonesian language…
ERIC Educational Resources Information Center
Idris, Khairiani; Yang, Kai-Lin
2017-01-01
This article reports the results of a mixed-methods approach to develop and validate an instrument to measure Indonesian pre-service teachers' conceptions of statistics. First, a phenomenographic study involving a sample of 44 participants uncovered six categories of conceptions of statistics. Second, an instrument of conceptions of statistics was…
ERIC Educational Resources Information Center
Johar, Rahmah; Yusniarti, Sri; Saminan
2018-01-01
The lack of Indonesian students achievement in the international assessment is due to several factors. Students are not familiar with the problems requiring reasoning, in particular the proportional reasoning. This research aims to identify the distribution and the Level of Cognitive Demands (LCD) of the proportional reasoning problems found in…
Liem, Arief Darmanegara; Nie, Youyan
2008-10-01
This study examined how values related to achievement goals and individual-oriented and social-oriented achievement motivations among secondary school students in China (N = 355) and Indonesia (N = 356). Statistical comparisons showed the Chinese students endorsed more strongly than the Indonesian students on self-direction and hedonism values, individual-oriented achievement motivation, and mastery-approach goals. Conversely, the Indonesian students endorsed more strongly than their Chinese counterparts on security, conformity, tradition, universalism and achievement values, social-oriented achievement motivation, and performance-approach and mastery-avoidance goals. Values explained a significant amount of the variance in almost all of the dimensions of motivation. Etic and emic relationships between values and achievement motivations were found.
The changing nature of rural health care.
Ricketts, T C
2000-01-01
The rural health care system has changed dramatically over the past decade because of a general transformation of health care financing, the introduction of new technologies, and the clustering of health services into systems and networks. Despite these changes, resources for rural health systems remain relatively insufficient. Many rural communities continue to experience shortages of physicians, and the proportion of rural hospitals under financial stress is much greater than that of urban hospitals. The health care conditions of selected rural areas compare unfavorably with the rest of the nation. The market and governmental policies have attempted to address some of these disparities by encouraging network development and telemedicine and by changing the rules for Medicare payments to providers. The public health infrastructure in rural America is not well understood but is potentially the most fragile aspect of the rural health care continuum.
Why doctors don't use computers: some empirical findings.
Anderson, J G; Jay, S J; Schweer, H M; Anderson, M M
1986-01-01
The attitudes of 148 medical students, 141 residents, and 644 practising physicians towards computer applications in medicine were studied. The results indicate that physicians recognize the potential of computers to improve patient care, but are concerned about the possibility of increased governmental and hospital control, threats to privacy, and legal and ethical problems. In general, all three groups are uncertain as to the potential effects of computers on their traditional professional role and on the organization of practice. Practising physicians, however, express more concern about these potential effects of computers than do medical students and residents. While attitudes appear to be somewhat independent of prior computer experience, they significantly affect the extent to which physicians use a computer-based hospital information system. This may be a major reason for the slow introduction of clinical computer systems. PMID:3701749
Allocation of Health Resources According To the Type and Size of Iranian Governmental Hospitals
Hassani, SA; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati
2013-01-01
Background: Due to consuming about 50%–80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. Method: This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state’s hospitals from the size and type of application points of view. Results: The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Conclusion: Because 60–80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital. PMID:23865036
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil.
Fortaleza, C Magno Castelo Branco; Padoveze, M C; Kiffer, C R Veiga; Barth, A L; Carneiro, Irna C do Rosário Souza; Giamberardino, H I Garcia; Rodrigues, J L Nobre; Santos Filho, L; de Mello, M J Gonçalves; Pereira, M Severino; Gontijo Filho, P Pinto; Rocha, M; Servolo de Medeiros, E A; Pignatari, A C Campos
2017-06-01
Healthcare-associated infections (HCAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development. To describe the prevalence of HCAIs in hospitals in a sample of hospitals in Brazil. A prevalence survey conducted in 2011-13 enrolled 152 hospitals from the five macro-regions in Brazil. Hospitals were classified as large (≥200 beds), medium (50-199 beds) or small sized (<50 beds). Settings were randomly selected from a governmental database, except for 11 reference university hospitals. All patients with >48 h of admission to the study hospitals at the time of the survey were included. Trained epidemiologist nurses visited each hospital and collected data on HCAIs, subjects' demographics, and invasive procedures. Univariate and multivariate techniques were used for data analysis. The overall HCAI prevalence was 10.8%. Most frequent infection sites were pneumonia (3.6%) and bloodstream infections (2.8%). Surgical site infections were found in 1.5% of the whole sample, but in 9.8% of subjects who underwent surgical procedures. The overall prevalence was greater for reference (12.6%) and large hospitals (13.5%), whereas medium- and small-sized hospitals presented rates of 7.7% and 5.5%, respectively. Only minor differences were noticed among hospitals from different macro-regions. Patients in intensive care units, using invasive devices or at extremes of age were at greater risk for HCAIs. Prevalence rates were high in all geographic regions and hospital sizes. HCAIs must be a priority in the public health agenda of developing countries. Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Liem, Andrian; Rahmawati, Kuncoro Dewi
2017-07-01
Complementary, alternative and traditional medicine (CATM) is a new field, as well as a promising area of study and practice in psychology. It is important to research the cultural context and meaning of CATM, including its definitions and examples, among different communities of psychology because CATM's use is dependent on how it is understood by the members. The aim of this pilot study is to provide an interpretation of the Indonesian psychology community's understanding of CATM through a qualitative approach. Online interviews with open-ended questions and purposive sampling were used. Participants were dominantly psychologists or lecturers in clinical psychology area. Ten males and 12 females with an average age of 28.0 ± 2.5 years voluntarily participated in this study. Interviews were audio-recorded, transcribed verbatim, and reviewed and analysed by the two authors to ensure accuracy of interpretation. It was found that there was no single meaning of CATM among the Indonesian community of psychology. Participants were not familiar enough with the terms and tended to use them with overlap. It can be suggested that "complementary medicine" and "alternative medicine" or "complementary-alternative medicine" combined provides more suitable terminology for use among Indonesian psychology community when communicating with other health care professionals. The understanding of the terms and examples of CATM were diverse and were often used interchangeably in the projects/interviews. It was also found that Indonesian psychologists required more education regarding CATM. In addition, future studies with more participants from various aspects of the psychology community should be conducted to capture a more representative sample.
Individual Variation in L2 Study-Abroad Outcomes: A Case Study from Indonesian Pragmatics
ERIC Educational Resources Information Center
Hassall, Timothy
2015-01-01
This is a study of two Australian learners of Indonesian during a short stay abroad. It examines their contrasting success in acquiring L2 address terms, in tandem with their contrasting experiences of the L2 culture setting. It thereby helps explain the persistent finding of great individual variation in L2 gains--and in particular pragmatic…
Exploring the Writing Process of Indonesian EFL Students: The Effectiveness of Think-Aloud Protocol
ERIC Educational Resources Information Center
Abas, Imelda Hermilinda; Aziz, Noor Hashima Abd
2016-01-01
The objectives of this study were to explore the writing process of the Indonesian English as a Foreign Language (EFL) students and to find out the effectiveness of using think-aloud protocol to understand the writing process. The data were obtained from six proficient EFL students who were doing Postgraduate English Language Studies Program in…
ERIC Educational Resources Information Center
Eisenberg, Nancy; Sallquist, Julie; French, Doran C.; Purwono, Urip; Suryanti, Telie Ari; Pidada, Sri
2009-01-01
In this study, the authors examined the relations of Indonesian adolescents' socioemotional functioning to their majority-minority status and the presence of cross-religion friendships and whether sex moderated these relations. At Time 1, 1,254 7th graders and their peers in Bandung, Indonesia, reported on their friendships, prosocial behavior,…
A Genre-Based Analysis on the Introductions of Research Articles Written by Indonesian Academics
ERIC Educational Resources Information Center
Arsyad, Safnil
2013-01-01
The main purpose of this study was to search for the occurrence of communicative and subcommunicative units and to identify the linguistic features commonly used by the authors to realize the communicative and subcommunicative units. Three groups of English RAs by Indonesian speakers were chosen for this study: 10 RAs from engineering science, ten…
Indonesian Schools: Shaping the Future of Islam and Democracy in a Democratic Muslim Country
ERIC Educational Resources Information Center
Woodward, Kathleen E.
2015-01-01
This paper examines the role of schools in slowly Islamizing Indonesian society and politics. Why is this Islamization happening and what does it portend for the future of democracy in Indonesia? The research is mostly qualitative and done through field experience, interviews, and data collection. It is concluded that radical madrasahs are not the…
ERIC Educational Resources Information Center
Rusfandi
2015-01-01
This study investigates the potential use of the argument-counterargument structure in English L2 essays written by Indonesian EFL learners. It examines whether L2 proficiency affects the use of opposing views in their essays, and measures whether there is a correlation between the use of the rhetorical structure and the participants' overall…
ERIC Educational Resources Information Center
Wijaya, Ariyadi
2017-01-01
This paper reports an exploration into Indonesian fourth graders' difficulties in fractions and their relation to the opportunity to learn fractions students got at schools. The concept of "opportunity to learn" is often considered as a framework to investigate possible reasons for students' difficulties. The data for this study was…
Dynamical balance in the Indonesian Seas circulation
NASA Astrophysics Data System (ADS)
Burnett, William H.; Kamenkovich, Vladimir M.; Jaffe, David A.; Gordon, Arnold L.; Mellor, George L.
2000-09-01
A high resolution, four-open port, non-linear, barotropic ocean model (2D POM) is used to analyze the Indonesian Seas circulation. Both local and overall momentum balances are studied. It is shown that geostrophy holds over most of the area and that the Pacific-Indian Ocean pressure difference is essentially balanced by the resultant of pressure forces acting on the bottom.
ERIC Educational Resources Information Center
Arsyad, Safnil; Adila, Destiantari
2017-01-01
When writing journal articles in English, authors are expected to comply with the conventionally appropriate rhetorical style. This may be problematic for non-native speakers of English, such as Indonesian authors who write in English. The purpose of this study is to investigate the rhetorical style of reviewing prior knowledge in English research…
Indonesian EFL Teachers' Familiarity with and Opinion on the Internet-Based Teaching of Writing
ERIC Educational Resources Information Center
Cahyono, Bambang Yudi; Mutiaraningrum, Ira
2016-01-01
The use of the Information and Communication Technology (ICT) especially the Internet has been a common practice in education. However, research studies show that the Internet has not been frequently used in the teaching of English as a foreign language (EFL) writing, especially in the Indonesian context. This study aimed to find out whether or…
The Implementation of Hypertext-Based Learning Media for a Local Cultural Based Learning
ERIC Educational Resources Information Center
Kesiman, Made Windu Antara; Agustini, Ketut
2012-01-01
By studying and analyzing thoroughly the aspects of Indonesian culture, we may find many concepts of local wisdom that have been practiced in daily life of Indonesian people that can be beneficial for Information Technology study. Subak is a Balinese organization of irrigation systems, and is one example of local wisdom known widely in the world.…
ERIC Educational Resources Information Center
Arikan, Serkan; van de Vijver, Fons J. R.; Yagmur, Kutlay
2018-01-01
We examined Differential Item Functioning (DIF) and the size of cross-cultural performance differences in the Programme for International Student Assessment (PISA) 2012 mathematics data before and after application of propensity score matching. The mathematics performance of Indonesian, Turkish, Australian, and Dutch students on released items was…
ERIC Educational Resources Information Center
Mantik, Octavia; Choi, Hee Jun
2017-01-01
The purpose of this study was to examine whether or not "Scaffolded Think-Group-Share" learning can have a positive effect on student satisfaction and learning achievement in English classes of an Indonesian elementary school. To achieve this purpose, this study compared the findings from the two dependent variables (i.e., student…
Measuring Turbulence Mixing in Indonesian Seas Using Microstructure EM-APEX Floats
We developed scientific plans for collaborative observational programs with Indonesian,Taiwanese, and Japanese researchers. We worked with Taiwanese...and Japanese researchers to plan and execute turbulence experiments using autonomous platforms in the SCS and Kuroshio Current. Our primary platform...and the Applied Physics Laboratory, University of Washington. We are working closely with Japanese collaborators to develop a turbulence observation
Bali: So Many Faces--Short Stories and Other Literary Excerpts in Indonesian.
ERIC Educational Resources Information Center
Cork, Vern, Comp.
This collection of 25 short stories (in Indonesian) by Balinese writers aims to give Bali's writers a wider public. Some of the stories in the collection are distinctly and uniquely Balinese, while others are more universal in their approach and are self-contained. But according to the collection's foreword, in all of the stories, experiences of…
ERIC Educational Resources Information Center
Pauzan
2016-01-01
This research deals with finding the similarities and differences, and describing the types of the English and Indonesian prefixes and suffixes for the narrative text of Legends. In this research, writer used descriptive qualitative research and contrastive methodology to find out the valid data. After investigating the data, writer found some…
ERIC Educational Resources Information Center
Sallquist, Julie; Eisenberg, Nancy; French, Doran C.; Purwono, Urip; Suryanti, Telie A.
2010-01-01
The spirituality and religiosity of Indonesian Muslim adolescents were examined longitudinally as were the relations of spirituality and religiosity with (mal)adjustment. At Time 1 (T1), 959 seventh-grade Muslim adolescents were screened for selection of a sample; at Time 2 (T2), 183 eighth-grade adolescents participated; and at Time 3 (T3), 300…
ERIC Educational Resources Information Center
Lim, Cher Ping; Pannen, Paulina
2012-01-01
This paper documents how four Indonesian teacher education institutions (TEIs) engaged in strategic planning to build their capacity in developing pre-service teachers' ICT in education competencies. These TEIs adopted a holistic approach towards strategic planning by drawing upon the six dimensions of the "Capacity Building Toolkit" for…
ERIC Educational Resources Information Center
Prusinski, Ellen L.
2014-01-01
Despite the well-publicized risks, each year millions of Indonesian women travel across the world in search of work that offers wages high enough to support families back home. Although migrant women play an indispensable role in the Indonesian economy, effective mechanisms to protect their rights and guard their safety have yet to be developed.…
NASA Astrophysics Data System (ADS)
Hasanah, N.; Hayashi, Y.; Hirashima, T.
2017-02-01
Arithmetic word problems remain one of the most difficult area of teaching mathematics. Learning by problem posing has been suggested as an effective way to improve students’ understanding. However, the practice in usual classroom is difficult due to extra time needed for assessment and giving feedback to students’ posed problems. To address this issue, we have developed a tablet PC software named Monsakun for learning by posing arithmetic word problems based on Triplet Structure Model. It uses the mechanism of sentence-integration, an efficient implementation of problem-posing that enables agent-assessment of posed problems. The learning environment has been used in actual Japanese elementary school classrooms and the effectiveness has been confirmed in previous researches. In this study, ten Indonesian elementary school students living in Japan participated in a learning session of problem posing using Monsakun in Indonesian language. We analyzed their learning activities and show that students were able to interact with the structure of simple word problem using this learning environment. The results of data analysis and questionnaire suggested that the use of Monsakun provides a way of creating an interactive and fun environment for learning by problem posing for Indonesian elementary school students.
Hepatitis C virus genotypes in Singapore and Indonesia.
Ng, W C; Guan, R; Tan, M F; Seet, B L; Lim, C A; Ngiam, C M; Sjaifoellah Noer, H M; Lesmana, L
1995-01-01
5' untranslated and partial core (C) region sequence of hepatitis C virus (HCV) in 21 Singaporean and 15 Indonesian isolates were amplified by reverse-transcription polymerase chain reaction and sequenced with the use of conserved primer sequences deduced from HCV genomes identified in other geographical regions. The HCV genotypes are predominantly that of Simmonds type 1 and less of type 2 and 3 with the latter genotype currently not detected in Indonesia. The 5' untranslated sequences are related to HCV-1. DK-7 (Denmark), US-11 (United States of America), HCV-J4, SA-10 (South Africa), T-3 (Taiwan), HCV-J6, HCV-J8, Eb-1 and Eb-8. When compared with the prototype HCV-1, insertions are found within the 5' untranslated region of Singaporean isolates and not in the Indonesians. There are Singaporean and Indonesian isolates that have sequences within the 5' untranslated region that differ slightly from each other. Microheterogeneity is observed in the core region of two Singaporeans and one Indonesian isolate. Finally, not all HCV isolates can be amplified with the conserved core sequence primers when compared with the ease with which these isolates can be amplified with 5' untranslated region conserved primers.
Detection of porcine circovirus type 2 in pigs imported from Indonesia.
Manokaran, Gayathri; Lin, Yueh-Nuo; Soh, Moi-Lien; Lim, Elizabeth Ai-Sim; Lim, Chee-Wee; Tan, Boon-Huan
2008-11-25
We have detected the presence of porcine circovirus (PCV) type 2 in Indonesian pigs imported to Singapore for food consumption. A total of three viral isolates were identified, and to genetically characterise them further, their full genomes were sequenced. Each genome showed a typical organization of PCV type 2, with the three isolates sharing similar genome lengths of 1767 nucleotide (nt) at high nt identities of 99.8-100%, further indicating that the viral isolates were quite homogeneous. Sequence analysis further revealed that the ORF2 genes contain the nt sequence CCCCGC (from nt position 262 to 267) that was previously reported to be associated with PCV type 2, group 1C. The phylogenetic tree was constructed for the ORF2 genes, and the PCV type 2 isolates distributed into two distinctive groups. The Indonesian PCV type 2 clustered tightly with one China isolate, accession number AY035820, as a sub-cluster in group 1C. The sequence and phylogenetic analyses both confirmed that the three Indonesian PCV type 2 isolates belong to group 1C, and that the genetic changes for the three Indonesian isolates were very stable, possibly due to the low-scale evolution.
"Wait a while, my love" -- an Indonesian popular song with a family planning message.
Pekerti, R; Musa, R
1989-10-01
"Wait a While, My Love," recorded by pop singer Irianti Emingpraja, was the first Indonesian rock sock to contain a family planning message. The album including the song has sold over 100,000 copies. The song has also been packaged as a 60-second video that can be used as an opening theme for radio and television programs. The song, aimed at encouraging Indonesian youth to postpone marriage, has the following lyrics: "Flying free like a seagull/I'll cover many places 'round the world/Give me time for study and reflection, to grow as a mature wise woman/Oh, wait a while, my love/Don't buy me a ring, reflection of your inner love/I'll climb my way up to the top of the world/And reaching our rainbow of hope." The song was produced with support from the United Nations Fund for Population Activities and the Indonesian National Family Planning Coordinating Board. Key factors to be examined in producing a popular song with a family planning message include the specific message desired, the target audience, type of music, the singer, the producer, marketing, a multimedia campaign strategy, and distribution outlets.
Indonesian legal framework to support innovation sustainability
NASA Astrophysics Data System (ADS)
Pratama, Bambang
2018-03-01
The successful economy in a country can be measured by the number of commercializing intellectual property rights (IPR). To pursue IPR growth, triple helix component becomes a backbone to weave academia, business and government to collaborate with each other. Generally, collaborations move from their common interest, but within triple helix the collaboration can be run structurally and sustain. Depart from the arguments; the question arises: How is the condition of Indonesia Innovation System? Through legal approach, this paper will explain current legal condition and legal structure of the Indonesian innovation system. The reason to review the law is to relate with the government’s target to create 1000 digital start-ups alike as in Silicon Valley level size. Therefore, legal framework review becomes useful to explain the condition of the law as a supporting system. In this sense, the legal prescription can be generated to confirm Indonesian laws, whether supported the national innovation system or conversely. Within law perspective, Indonesian government categorizes the innovative industry as a creative industry. However, there is still no resolute concept to follow. Therefore, some of law adjustment is needed to support the government’s plan to pursue commercialized innovation.
Simulation Modeling of Resilience Assessment in Indonesian Fertiliser Industry Supply Networks
NASA Astrophysics Data System (ADS)
Utami, I. D.; Holt, R. J.; McKay, A.
2018-01-01
Supply network resilience is a significant aspect in the performance of the Indonesian fertiliser industry. Decision makers use risk assessment and port management reports to evaluate the availability of infrastructure. An opportunity was identified to incorporate both types of data into an approach for the measurement of resilience. A framework, based on a synthesis of literature and interviews with industry practitioners, covering both social and technical factors is introduced. A simulation model was then built to allow managers to explore implications for resilience and predict levels of risk in different scenarios. Result of interview with respondens from Indonesian fertiliser industry indicated that the simulation model could be valuable in the assessment. This paper provides details of the simulation model for decision makers to explore levels of risk in supply networks. For practitioners, the model could be used by government to assess the current condition of supply networks in Indonesian industries. On the other hand, for academia, the approach provides a new application of agent-based models in research on supply network resilience and presents a real example of how agent-based modeling could be used as to support the assessment approach.
NASA Astrophysics Data System (ADS)
Saleh Ahmar, Ansari; Kurniasih, Nuning; Irawan, Dasapta Erwin; Utami Sutiksno, Dian; Napitupulu, Darmawan; Ikhsan Setiawan, Muhammad; Simarmata, Janner; Hidayat, Rahmat; Busro; Abdullah, Dahlan; Rahim, Robbi; Abraham, Juneman
2018-01-01
The Ministry of Research, Technology and Higher Education of Indonesia has introduced several national and international indexers of scientific works. This policy becomes a guideline for lecturers and researchers in choosing the reputable publications. This study aimed to describe the understanding level of Indonesian lecturers related to indexing databases, i.e. SINTA, DOAJ, Scopus, Web of Science, and Google Scholar. This research used descriptive design and survey method. The populations in this study were Indonesian lecturers and researchers. The primary data were obtained from a questionnaire filled by 316 lecturers and researchers from 33 Provinces in Indonesia recruited with convenience sampling technique on October-November 2017. The data analysis was performed using frequency distribution tables, cross tabulation and descriptive analysis. The results of this study showed that the understanding of Indonesian lecturers and researchers regarding publications in indexing databases SINTA, DOAJ, Scopus, Web of Science and Google Scholar is that, on average, 66,5% have known about SINTA, DOAJ, Scopus, Web of Science and Google Scholar. However, based on empirical frequency 76% of them have never published with journals or proceedings indexed in Scopus.
Cultural expressions of depression and the development of the Indonesian Depression Checklist.
Widiana, Herlina Siwi; Simpson, Katrina; Manderson, Lenore
2018-06-01
Depression may manifest differently across cultural settings, suggesting the value of an assessment tool that is sensitive enough to capture these variations. The study reported in this article aimed to develop a depression screening tool for Indonesians derived from ethnographic interviews with 20 people who had been diagnosed as having depression by clinical psychologists at primary health centers. The tool, which we have termed the Indonesian Depression Checklist (IDC), consists of 40 items. The tool was administered to 125 people assessed to have depression by 40 clinical psychologists in primary health centers. The data were analyzed with Confirmatory Factor Analysis (CFA) (IBM SPSS AMOS Software). CFA identified a five-factor hierarchical model ( χ 2 = 168.157, p = .091; CFI = .963; TLI = .957; RMSEA = .036). A 19-item inventory of the IDC, with five factors - Physical Symptoms, Affect, Cognition, Social Engagement and Religiosity - was identified. There was a strong correlation between the total score of the IDC and total score of the Center for Epidemiological Studies-Depression scale (revised version CES-D), a standard tool for assessing symptoms of depression. The IDC accommodates culturally distinctive aspects of depression among Indonesians that are not included in the CES-D.
An Analysis of Ethical Issues in Governmental Communication.
ERIC Educational Resources Information Center
Turner, John R.
A research review examined the ethical responsibilities of a communicator in contemporary American society, particularly in governmental communication. Various scholars have suggested standards of ethical governmental communication and have questioned the ethics of governmental officials in several cases. Ethical analysis of President Ronald…
Abdelhafiz, Ibrahim Mbarak; Alloubani, Aladeen Mah'D; Almatari, Mohammad
2016-04-01
Previous studies demonstrated that leadership styles are the basis of daily interactions between leaders and employees and facilitate and enhance work processes. This study aimed to explore how the leadership styles of nurse leaders affect job satisfaction among working nurses. Quantitative, descriptive and comparative methods were used. Three main Ministry of Health hospitals in different areas of Jordan and three private hospitals in Amman were selected. Among the leadership styles measured by the Multi-factor Leadership Questionnaire 5X, transformational leadership had been used by head nurse managers in both settings more than transactional leadership and passive-avoidant leadership. The level of job satisfaction among nursing staff was higher in public hospitals than in private hospitals in this study. A positive relationship was found between the overall score for transformational leadership and job satisfaction (r = 0.374**). The overall transactional leadership score correlated positively with job satisfaction (r = 0.391**). Conversely, the overall correlation between passive-avoidant leadership and job satisfaction was negative (r = -0.240). The increased development of transformational leadership behaviours increases nurses' job satisfaction and thus contributes to an increased retention of nurses. The ability of hospitals to address the leadership styles of head nurses and their impacts on job satisfaction will be strengthened. © 2015 John Wiley & Sons Ltd.
Indonesian immigrant settlements in peninsular Malaysia.
Azizah Kassim
2000-04-01
For over 2 decades, until the economic crisis in mid-1997, Malaysia's rapid economic growth attracted an influx of foreign labor, mostly from Indonesia, Bangladesh, and the Philippines. In 1997 the number of registered workers was estimated at 1.2 million and undocumented ones at approximately 800,000. The influx created various problems, of which housing is one of the most serious, especially in the Kelang Valley. This paper examines the ways and means by which Indonesian workers, the largest group among foreigners, overcame their accommodation problem. Two types of settlements are identified, that is, illegal ones in the squatter areas and legal ones, which are largely in Malay Reservation Areas. The settlements, which signify Indonesians' success in finding a foothold in Malaysia, today have become a base for more in-migration.
Comparison between BIDE, PrefixSpan, and TRuleGrowth for Mining of Indonesian Text
NASA Astrophysics Data System (ADS)
Sa'adillah Maylawati, Dian; Irfan, Mohamad; Budiawan Zulfikar, Wildan
2017-01-01
Mining proscess for Indonesian language still be an interesting research. Multiple of words representation was claimed can keep the meaning of text better than bag of words. In this paper, we compare several sequential pattern algortihm, among others BIDE (BIDirectional Extention), PrefixSpan, and TRuleGrowth. All of those algorithm produce frequent word sequence to keep the meaning of text. However, the experiment result, with 14.006 of Indonesian tweet from Twitter, shows that BIDE can produce more efficient frequent word sequence than PrefixSpan and TRuleGrowth without missing the meaning of text. Then, the average of time process of PrefixSpan is faster than BIDE and TRuleGrowth. In the other hand, PrefixSpan and TRuleGrowth is more efficient in using memory than BIDE.
75 FR 23247 - International Whaling Commission; 62nd Annual Meeting; Nominations
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-03
... representing the positions of non-governmental organizations. Generally, only one non-governmental position is... representing the positions of non-governmental organizations. Generally, only one non-governmental position is... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XV73 International...
Cataract, cost: curious questions.
Moran, D J
1999-02-01
An investigation of the pricing of implantable prosthetic devices in Australia reveals some alarming practices. A governmental mechanism exists to prop up the pricing of 7500 listed devices to levels that are unacceptably high by world standards. Private hospitals and doctors are able, legally, to profit by marking up the cost of these devices from the market price to this artificially inflated price. Even the open market prices of implantable prosthetic items, such as intra-ocular lenses, are high by international standards. In a time of budgetary constraint for health spending and rapidly increasing use of these devices, these issues urgently need to be addressed in Australia.
Ribeiro, José Mendes; Moreira, Marcelo Rasga; Ouverney, Assis Mafort; Silva, Cosme Marcelo Furtado Passos da
2017-04-01
This paper analyzes Brazilian health regions according to their service delivery capacity from the debate on the crisis of cooperative federalism in the SUS that resulted from decentralizing process established in the 1988 Constitution. Service delivery capacity tracer indicators were selected by regions and statistical analyses evidenced greater regional capacity in hospital care and large asymmetries with regard to the availability of physicians, high complexity equipment and private insurance coverage. In conclusion,we argue that further solutions are required to strengthen governmental capacity to reduce regional inequalities throughincreased central coordination.
Urushihara, Hisashi; Murakami, Yuka; Matsui, Kenji; Tashiro, Shimon
2018-01-01
Under the Japanese drug regulatory system, post-marketing studies (PMS) must be in compliance with Good Post-marketing Study Practice (GPSP). The GPSP Ordinance lacks standards for the ethical conduct of PMSs; although only post-marketing clinical trials are subject to Good Clinical Practice. We conducted a web-based questionnaire survey on the ethical conduct of PMSs in collaboration with the Japanese Society of Hospital Pharmacists and pharmacists belonging to the Society. 1819 hospitals around Japan answered the questionnaire, of which 503 hospitals had conducted company-sponsored PMSs in 2015. 40.2% of the hospitals had obtained informed consent from participating patients in at least one PMS conducted in 2015, the majority of which was in written form. The first and second most frequent reasons for seeking informed consent in PMSs were to meet protocol requirements, followed by the requirement to meet institutional standard operational procedures and the request of the ethical review board of the hospital. Ethical review of PMSs was conducted in 251 hospitals. Despite a lack of standards for informed consent and ethical review in PMSs, a considerable number of study sites employed informed consent and ethical review for PMSs. While company policies and protocols are likely to be major determinants of the ethical conduct of PMSs, the governmental regulatory agency should also play a significant role in implementing a standardized ethical code for the conduct of PMSs.
Patterns of Global Terrorism 2001
2002-05-01
security response from the steps against terrorist operations within its bor- Indonesian military. ders. Police interviewed Abu Bakar Baasyir, leader of...other foreign interests in Singapore and the arrest Indonesian authorities questioned Abu Bakar of suspects with ties to other countries under...on 27 May from a resort on Palawan Island in the southern Philippines by the Abu Sayyaf Group, was subsequently murdered by his captors. . On 29 May
Status of Indonesian women in physics
NASA Astrophysics Data System (ADS)
Raharti, Monika; Kartini, Evvy
2015-12-01
This paper reports on the current situation of women in physics in Indonesia. Statistics show that there is an imbalance in the number of male and female physicists in Indonesia. An overview by one of the very few female professors in physics in Indonesia also shows how women struggle in their careers. A Women in Physics organization will be established under the Indonesian Physical Society in October 2014.
ERIC Educational Resources Information Center
Colletta, Nat J.
In the fall of 1974, I was invited to serve as a consultant to the Indonesian effort to develop a National Strategy for Non-Formal Education. The brunt of my effort concerned action research for developing and testing an empirical "Community Learning System" designed to link local learning needs with the management-resource-learning…
ERIC Educational Resources Information Center
Mistar, Junaidi; Umamah, Atik
2014-01-01
This paper was a subset report of a research project on skill-based English learning strategies by Indonesian EFL learners. It focusses on the attempts to reveal: (1) the differences in the use of strategies of learning speaking skill by male and female learners, and (2) the contribution of strategies of learning speaking skill on the learners'…
46 CFR 67.41 - Governmental entity.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 46 Shipping 2 2010-10-01 2010-10-01 false Governmental entity. 67.41 Section 67.41 Shipping COAST... DOCUMENTATION OF VESSELS Citizenship Requirements for Vessel Documentation § 67.41 Governmental entity. A governmental entity is a citizen for the purpose of obtaining a vessel document if it is an entity of the...
46 CFR 67.41 - Governmental entity.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 46 Shipping 2 2011-10-01 2011-10-01 false Governmental entity. 67.41 Section 67.41 Shipping COAST... DOCUMENTATION OF VESSELS Citizenship Requirements for Vessel Documentation § 67.41 Governmental entity. A governmental entity is a citizen for the purpose of obtaining a vessel document if it is an entity of the...
Guidelines for the Analysis of Responsibility in Governmental Communication.
ERIC Educational Resources Information Center
Gouran, Dennis S.
This paper discusses specific issues involving governmental conduct in communication with the public, outlines a set of conditions that frequently stimulate social interest in governmental responsibility, and develops a corresponding set of guidelines for use in the evaluation of instances of questionable governmental conduct in communication.…
NASA Astrophysics Data System (ADS)
Sakya, A. E.; Ramdhani, A.; Florida, N.; Nurhayati, N.
2016-12-01
Indonesian Maritime Continent (MC) territory has a unique characteristics of weather-climate variation, due to its geographical position. MC accommodates complex atmosphere-ocean interaction phenomena with huge impacts not only on inter-seasonal, but also on global weather and short-term climate variation like Monsoons, Madden-Julian Oscillation (MJO), El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole Mode (IOD). These phenomena give major contribution to the dynamics of rainfall patterns and climate variability in Indonesian MC. The above complexities are more predictable because observations in the Central and Eastern Pacific (TAO/TRITON) and Indian Ocean (RAMA) are available. Moreover, global remote-sensing observations through satellites have also been developed and its data is easily accessed. At present, maritime weather observation in Indonesia relies on global cooperation, observations carried out using remote sensing equipment, and in-situ observations made by the National Ministries/Institution. However, availability of marine observation data in the MC is very limited, especially inside Indonesian waters. It thus serves a challenge to BMKG to become more active in participating national and international partnership programs to encourage continuous in-situ marine observations. BMKG and National Oceanic and Atmospheric Administration America (NOAA) has a joint cooperation to maintain RAMA array as part of the Global Ocean Observing System (GOOS) and to deliver in-situ oceanic and atmospheric data trhough so-called Indonesian Program Initiative on Maritime Observations and Analysis (Indonesia PRIMA). Within next 5 years, BMKG will focus to foster in-situ marine observation on surface as well as underwater through various observation methods. The development of which is framed within the relevant international programs such as - among others - Year of Maritime Continent (YMC) 2017, JCOMM 5 session 2017, and Tropical Pacific Observation System 2020. These activities are also aligned with Indonesian government program envisions global maritime axis through reinforcement of weather and climate services in sea and pushes connectivity between islands, water transportation safety, natural resources marine exploration activities and other maritime activities.
Purba, Fredrick Dermawan; Hunfeld, Joke A M; Iskandarsyah, Aulia; Fitriana, Titi Sahidah; Sadarjoen, Sawitri S; Passchier, Jan; Busschbach, Jan J V
2018-01-01
The objective of this study is to obtain population norms and to assess test-retest reliability of EQ-5D-5L and WHOQOL-BREF for the Indonesian population. A representative sample of 1056 people aged 17-75 years was recruited from the Indonesian general population. We used a multistage stratified quota sampling method with respect to residence, gender, age, education level, religion and ethnicity. Respondents completed EQ-5D-5L and WHOQOL-BREF with help from an interviewer. Norms data for both instruments were reported. For the test-retest evaluations, a sub-sample of 206 respondents completed both instruments twice. The total sample and test-retest sub-sample were representative of the Indonesian general population. The EQ-5D-5L shows almost perfect agreement between the two tests (Gwet's AC: 0.85-0.99 and percentage agreement: 90-99%) regarding the five dimensions. However, the agreement of EQ-VAS and index scores can be considered as poor (ICC: 0.45 and 0.37 respectively). For the WHOQOL-BREF, ICCs of the four domains were between 0.70 and 0.79, which indicates moderate to good agreement. For EQ-5D-5L, it was shown that female and older respondents had lower EQ-index scores, whilst rural, younger and higher-educated respondents had higher EQ-VAS scores. For WHOQOL-BREF: male, younger, higher-educated, high-income respondents had the highest scores in most of the domains, overall quality of life, and health satisfaction. This study provides representative estimates of self-reported health status and quality of life for the general Indonesian population as assessed by the EQ-5D-5L and WHOQOL-BREF instruments. The descriptive system of the EQ-5D-5L and the WHOQOL-BREF have high test-retest reliability while the EQ-VAS and the index score of EQ-5D-5L show poor agreement between the two tests. Our results can be useful to researchers and clinicians who can compare their findings with respect to these concepts with those of the Indonesian general population.
Building cancer nursing skills in a resource-constrained government hospital.
Strother, R M; Fitch, Margaret; Kamau, Peter; Beattie, Kathy; Boudreau, Angela; Busakhalla, N; Loehrer, P J
2012-09-01
Cancer is a rising cause of morbidity and mortality in resource-constrained settings. Few places in the developing world have cancer care experts and infrastructure for caring for cancer patients; therefore, it is imperative to develop this infrastructure and expertise. A critical component of cancer care, rarely addressed in the published literature, is cancer nursing. This report describes an effort to develop cancer nursing subspecialty knowledge and skills in support of a growing resource-constrained comprehensive cancer care program in Western Kenya. This report highlights the context of cancer care delivery in a resource-constrained setting, and describes one targeted intervention to further develop the skill set and knowledge of cancer care providers, as part of collaboration between developed world academic institutions and a medical school and governmental hospital in Western Kenya. Based on observations of current practice, practice setting, and resource limitations, a pragmatic curriculum for cancer care nursing was developed and implemented.
Tewabe, Tilahun; Kindie, Selamsew
2018-05-11
The objective of this study was to know the level of insulin adherence and to identify factors affecting insulin adherence among diabetes mellitus patients in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia. Prevalence of insulin adherence was 59.2%. Patients who are married [AOR = 0.3 (0.14-0.7)], have regular health care visit [AOR = 3.3 (1.5-7.5)] and accessing insulin with low cost [AOR = 2.9 (1.3-6.3)] were more likely to adhere insulin therapy than their counterparts. Recommendations to increase insulin adherence were: government and non-governmental organizations, volunteers and concerned bodies should support syringe and needles for diabetes patients, health care providers and responsible bodies should give intensive health education about the effect of stopping insulin medication.
Environmental laws in health care.
Ruff, G G
1992-11-01
Federal and state regulations regarding the management and disposal of medical waste are currently quite extensive and will only become more comprehensive in the future. The public's heightened awareness and concerns over infectious diseases and discoveries of medical waste on beaches in New Jersey, Alabama, and other states, as well as medical waste being found in open trash bins and at public landfills, has brought to the public's attention the need for governmental intervention into this growing area of concern. Because regulations originating from the local, state, and federal levels have the potential to significantly affect hospitals, it is important that a specific person or department within the organization have a clearly designated responsibility to stay informed and follow up on these regulations. The designated person or department must work closely with the hospital's attorney to make sure that he or she stays current on environmental laws and keeps the institution adequately advised of its legal responsibilities.
A Film Program in a Teaching Hospital *
Meiboom, Esther
1973-01-01
The Martland Hospital Medical Library has for more than a year been conducting a 16mm film program for interns, residents, attending physicians, and nurses as an adjunct to continuing education. It was possible to run this project on a minimal budget because many films are available at little or no cost from governmental agencies, pharmaceutical companies, medical associations, and universities. The program is run on a departmental basis. Films for a department are selected by the chief resident in that department from a list which the librarian has prepared of available films in the specialty involved. The library orders and publicizes the films and transacts all business in connection with them. Films pertinent to clinical practice are preferred. The administration of this program is described in this paper, and a number of film catalogs are evaluated. Criteria for film selection are discussed. PMID:4800293
NASA Astrophysics Data System (ADS)
Saddhono, Kundharu
2018-03-01
Teaching Indonesian to Speakers of Other Languages (TISOL) program is increasingly in demand by people in various parts of the world. Foreign students learn a lot of Indonesian language in major cities in Indonesia. The purpose of this study is to explain the cultural and social changes of foreign students in Indonesia, especially in Java, which is following TISOL program. This study focused on the influence of Javanese culture on foreign students studying Indonesian in Java. Research method used is descriptive qualitative with ethnography approach. This research was conducted in TISOL program organized by in Central Java, East Java, and Yogyakarta. Sources of data used are documents and informants. The sampling technique used is purposive sampling. Purposive sampling is considered more capable to obtain complete data in the face of various realities. Data collection techniques are done by reviewing documents or records using content analysis techniques. Other techniques used are interview techniques with some students and lecturers to get data about the factors that affect the cultural and social changes of foreign students in Indonesia. Also, interviews were also conducted with teachers to request a different process in TISOL. The most common way used to improve validity in qualitative research is the triangulation technique. In this study used triangulation theory, triangulation method, and review of informants. The results show that using Javanese culture is very influential in the cultural and social changes of foreign students in Indonesia. Students become more enthusiastic and active in responding to learning in TISOL that is influenced by Javanese culture. The change comes from internal and external students. This change helps foreign students to understand Indonesian language and culture more comprehensively.
Indoglish as adaptation of english to Indonesian: change of society in big cities of Indonesia
NASA Astrophysics Data System (ADS)
Saddhono, K.; Sulaksono, D.
2018-03-01
Indoglish is a term that is often used for the use of Indonesian culture language nuances. Indoglish studies focus on the community, especially on the big cities in Indonesia. The use of language in society is chosen because the emerging form is the natural language, which in the context of linguistic research should actually be used in preference to describe large cities in Indonesia in actual language situations. The data of this study are various kinds of discourse obtained in the society, especially in five big cities in Indonesia where there is a form of linguistic language mixture of Indonesian and English. The main research data source is the community in big cities in Indonesia. The basic assumption for determining locational data sources is the consideration that people in large cities have diverse social, economic, and cultural backgrounds that are expected to reflect the condition of society. The major cities used as research sites are: (1) Jakarta, (2) Surakarta, (3) Surabaya, (4) Denpasar, and (5) Bandung. The data set used refers to the usual method of linguistic research. Data analysis is done by applying the usual method of distribution to linguistics. The method of analysis is performed after data is collected and classified and interpreted correctly. The results showed that in general the mastery of Indonesian language by the community was not good enough. Motivation to learn Indonesian in general is also not high enough in the community in big cities in Indonesia. With this background, then Indoglish emerged as a form of public utterance that occurs in the social. Indoglish also emerged as a form of community identity that has a prestigious sense if it smells of foreign cultural elements, including in it is the use of language.
Neufingerl, Nicole; Djuwita, Ratna; Otten-Hofman, Anke; Nurdiani, Reisi; Garczarek, Ursula; Sulaeman, Ahmad; Zock, Peter L; Eilander, Ans
2016-02-28
Essential fatty acids (EFA) such as α-linolenic acid (ALA) and linoleic acid (LA) are needed for healthy growth and development of children. Worldwide, reliable intake data of EFA are often lacking. The objective of this study was to investigate dietary intake of EFA in Indonesian children. Dietary intake data of 4-12-year-old children (n 45,821) from a nationally representative Indonesian survey were used to estimate median intake and distribution of population fatty acid intake. Missing data on individual fatty acids in the Indonesian food composition table were complemented through chemical analyses of national representative food samples and imputation of data from the US nutrient database. Nutrient adequacy ratios were calculated as a percentage of FAO/WHO intake recommendations. The medians of total fat intake of the children was 26·7 (10th-90th percentile 11·2-40·0) percentage of total daily energy (%E). Intakes of fatty acids were 4·05 (10th-90th percentile 1·83-7·22) %E for total PUFA, 3·36 (10th-90th percentile 1·14-6·29) %E for LA and 0·20 (10th-90th percentile 0·07-0·66) %E for ALA. Median intake of PUFA was 67 % and that of ALA 40 % of the minimum amounts recommended by FAO/WHO. These data indicate that a majority of Indonesian children has intakes of PUFA and specifically ALA that are lower than recommended intake levels. Total fat and LA intakes may be suboptimal for a smaller yet considerable proportion of children. Public health initiatives should provide practical guidelines to promote consumption of PUFA-rich foods.
Abrams, Jesse F; Hohn, Sönke; Rixen, Tim; Baum, Antje; Merico, Agostino
2016-01-01
Tropical peatlands are among the most space-efficient stores of carbon on Earth containing approximately 89 Gt C. Of this, 57 Gt (65%) are stored in Indonesian peatlands. Large-scale exploitation of land, including deforestation and drainage for the establishment of oil palm plantations, is changing the carbon balance of Indonesian peatlands, turning them from a natural sink to a source via outgassing of CO2 to the atmosphere and leakage of dissolved organic carbon (DOC) into the coastal ocean. The impacts of this perturbation to the coastal environment and at the global scale are largely unknown. Here, we evaluate the downstream effects of released Indonesian peat carbon on coastal ecosystems and on the global carbon cycle. We use a biogeochemical box model in combination with novel and literature observations to investigate the impact of different carbon emission scenarios on the combined ocean-atmosphere system. The release of all carbon stored in the Indonesian peat pool, considered as a worst-case scenario, will increase atmospheric pCO2 by 8 ppm to 15 ppm within the next 200 years. The expected impact on the Java Sea ecosystems is most significant on the short term (over a few hundred years) and is characterized by an increase of 3.3% in phytoplankton, 32% in seagrass biomass, and 5% decrease in coral biomass. On the long term, however, the coastal ecosystems will recover to reach near pre-excursion conditions. Our results suggest that the ultimate fate of the peat carbon is in the deep ocean with 69% of it landing in the deep DIC pool after 1000 years, but the effects on the global ocean carbonate chemistry will be marginal. © 2015 John Wiley & Sons Ltd.
NASA Astrophysics Data System (ADS)
DeConto, R. M.; MacConnell, A.; Leckie, R.
2001-05-01
During the middle to late Miocene, the northward drift of Australia and New Guinea progressively restricted Indonesian throughflow (ITF). Today, ITF plays an important role in modulating inter-basin fresh water flux, heat transport, and the volume of the Western Pacific Warm Pool (WPWP). Today's WPWP is a center for deep convection that contributes considerable diabatic heating to the tropical atmosphere, affecting both the Walker and Hadley circulation. The WPWP fuels the East Asian Monsoon with moisture and latent heat and is an important component of ENSO. As the Indonesian Seaway became restricted, India was impinging on Asia. Asian continentality was increased and Himalayan/Tibetan uplift begun affecting zonal atmospheric flow and land-surface albedo. In order to better understand the climate system's response to changing Miocene paleogeography (horizontal and vertical tectonics), we have begun a series of climate model experiments using atmosphere, ocean, and coupled atmosphere-ocean general circulation models (GCMs). The GCM experiments are designed to isolate the possible response to effective Indonesian gateway closure within the framework of evolving Miocene Paleogeography between 11 and 7 Ma. In the first phase of our modeling study, an AGCM was used to test the sensitivity of tropical Indo-Pacific and Asian climate (including monsoonal intensity) to the presence of a WPWP in a pre and post Himalayan/Tibetan Plateau world. The results of the GCM simulations will be discussed in the context of the hypotheses that 1) a proto-WPWP became established as the Indonesian Seaway became increasingly restricted during the late middle to late Miocene; and 2) the growth of the WPWP had a first order affect on tropical Pacific climate and the East Asian monsoon.
Mapping Risks of Indonesian Tuna Supply Chain
NASA Astrophysics Data System (ADS)
Karningsih, P. D.; Anggrahini, D.; Kurniati, N.; Suef, M.; Fachrur, A. R.; Syahroni, N.
2018-04-01
Due to its high economic value and is produced by many countries, Tuna is considered as one of the world’s popular fish. Demand for Tuna species are very high and it usually sells in three form: fresh, frozen or canned. Competition in Tuna trading is challengin with the potential risk of price and supply fluctuations. With recent focus of Indonesia government that see the future of Indonesia civilization depend on the oceans and as the three biggest Tuna producing country, Ministry of Marine Affairs and Fisheries should ensure sustainability and competitiveness of Indonesian tuna. Therefore, there is a great need to develop a proper and effective strategy to manage potential risks in Indonesian Tuna supply chain. This paper is aimed at identifying and mapping potential Tuna supply chain risks and its interrelationships that would assist government in determining proper strategies to manage Indonesian Tuna. A framework for identifying Tuna supply chain risks is proposed. Generic risk structure of Supply Chain Risk Identification System is adopted and modified to match with particular object, which is Indonesian Tuna. The proposed model consists of hierarchical and causal structure that encompass potential risks of Tuna supply chain operations from fishing, trading, processing and distribution. The causal structure consist of risk events and its risk agents which is the cause of risk events. To ensure the root cause of risk events are identified properly, five why’s analysis is utilized to obtain risk agents. This proposed model also captures risk interrelationship between internal and external environment of Tuna supply chain. Preliminary result of this study identifies 15 risk events and 13 risk factors on fishing and trading operations and maps their interrelationships.
Biomedicine and 'Risky' Retirement Destinations: Older Western Residents in Ubud, Bali.
Green, Paul
2016-01-01
International retirement migration is often conflated with the generic emergence of a new stage in the life course, the third age. I describe how well-travelled, globally orientated retirees are drawn to and experience biomedical provision in 'risky' retirement destinations. Drawing on ethnographic research in Ubud, Bali, Indonesia, I consider how older Western residents shape, share, and manage their health concerns in light of an Indonesian biomedical system that is transforming in the context of modern medical provision and an emerging retirement industry. Building on Rose and Novas's notion of biological citizenship, I illustrate the ways in which Western retirees engage with multiple biomedical realities built around localized, symbolic distinctions between 'hospital' and 'doctor,' immigration frameworks, the transregional context of medical tourism, and broader concerns relating to change and overdevelopment in Ubud and Bali.
22 CFR 140.9 - Other non-governmental entities and individuals.
Code of Federal Regulations, 2014 CFR
2014-04-01
.... Section 140.9 applies to private voluntary agencies, educational institutions, for-profit firms, other non-governmental entities and private individuals. A non-governmental entity that is not organized under the laws... suspect that a proposed U.S. non-governmental entity or a key individual of such entity may be or may have...
22 CFR 140.9 - Other non-governmental entities and individuals.
Code of Federal Regulations, 2012 CFR
2012-04-01
.... Section 140.9 applies to private voluntary agencies, educational institutions, for-profit firms, other non-governmental entities and private individuals. A non-governmental entity that is not organized under the laws... suspect that a proposed U.S. non-governmental entity or a key individual of such entity may be or may have...
22 CFR 140.9 - Other non-governmental entities and individuals.
Code of Federal Regulations, 2013 CFR
2013-04-01
.... Section 140.9 applies to private voluntary agencies, educational institutions, for-profit firms, other non-governmental entities and private individuals. A non-governmental entity that is not organized under the laws... suspect that a proposed U.S. non-governmental entity or a key individual of such entity may be or may have...
Non-Governmental Religious Schools in Germany--Increasing Demand by Decreasing Religiosity?
ERIC Educational Resources Information Center
Scheunpflug, Annette
2015-01-01
This paper addresses the situation of non-governmental religious schools in Germany. The available empirical data demonstrate an increasing demand for these schools in recent decades. In this paper, possible causes of this development are discussed. First, the given constitutional framework for religion in governmental and non-governmental schools…
Fox-Lewis, Shivani; Genasci Smith, Wyatt; Lor, Vary; McKellar, Gregor; Phal, Chea; Fox-Lewis, Andrew; Turner, Paul; Neou, Leakhena; Turner, Claudia
2018-05-28
Worldwide, reduction in under-five mortality has not sufficiently included neonates, who represent 45% of deaths in children of age under five years. The least progress has been observed in resource-limited settings. This mixed methods study conducted at a Cambodian non-governmental paediatric hospital described the key priorities of the ongoing neonatal service. Routinely collected data from the hospital and microbiology databases included the number of admissions, discharges and deaths and the number of cases of bacteraemias (2011-2016). Semi-structured interviews with the management staff explored the essential features of the service. There were 2127 neonatal admissions and 247 deaths. The incidence of facility-based neonatal mortality decreased by 81%. Bacteraemic healthcare-associated infections decreased by 68%. A dedicated area for neonatal care was perceived as crucial, allowing better infection control and delivery of staff training. In this hospital, the neonatal service prioritized basic measures, particularly, having a dedicated neonatal area. Facility-based mortality and bacteraemic healthcare-associated infections decreased.
NASA Astrophysics Data System (ADS)
Astuti, W.; Andika, R.; Nurjaman, F.
2018-01-01
The effect of basicity and reductant amount on the nickel and iron recovery of the nickel pig iron (NPI) production from Indonesian limonite ore was investigated in the experimental study using submerged electric arc furnace (SAF). Indonesian limonite ore used in this study originated from Sulawesi Island with the composition of Ni (1.26%) and Fe (43%). Metallurgical coke was applied as the reductant. This study showed that the the highest nickel and iron recovery as well as metal yield can be resulted from the basicity of 0.8 and reductant amount of 0.23 kg coke/kg limonite ore. Nickel content in the NPI produced was around 3 - 4%. It was concluded that this experiment can produce medium grade NPI.
Assessing ERP SAP implementation in the small and medium enterprises (SMEs) in Indonesia
NASA Astrophysics Data System (ADS)
Yohannes; Gunawan, W.; Ikhsan, R. B.; Aries
2018-03-01
The consistent growth of Indonesian SMEs has received attention of global IT vendors. One of major ERP player in Indonesian market such as SAP, has introduced ERP solutions for SMEs through SAP Business One. Due to its fast growth, unfortunately, there are still very few articles can be found to understand the ERP implementation in Indonesian SMEs. The article addressed the common factors that affect the successful of the ERP implementation at SMEs. They are: identifying vendor quality, opening balance data migration, and A-SAP methodology. The article applied case study method to examine the fast growth companies owned by same owners, such as: GRK, MMM, and KM25; with the objectives to identify the practical pattern of ERP implementation in SMEs that will be useful for SAP project manager and consultants.
Indonesian name matching using machine learning supervised approach
NASA Astrophysics Data System (ADS)
Alifikri, Mohamad; Arif Bijaksana, Moch.
2018-03-01
Most existing name matching methods are developed for English language and so they cover the characteristics of this language. Up to this moment, there is no specific one has been designed and implemented for Indonesian names. The purpose of this thesis is to develop Indonesian name matching dataset as a contribution to academic research and to propose suitable feature set by utilizing combination of context of name strings and its permute-winkler score. Machine learning classification algorithms is taken as the method for performing name matching. Based on the experiments, by using tuned Random Forest algorithm and proposed features, there is an improvement of matching performance by approximately 1.7% and it is able to reduce until 70% misclassification result of the state of the arts methods. This improving performance makes the matching system more effective and reduces the risk of misclassified matches.
Mapping Discrimination Experienced by Indonesian Trans* FtM Persons.
Gordon, Danny; Pratama, Mario Prajna
2017-01-01
This work sought to document how Indonesian trans* FtM persons experienced discrimination across the interlinked domains of social networks, religious and educational institutions, employment and the workplace, and health care institutions. Objectives were (1) to map the discrimination experienced by trans* FtM individuals in Indonesia, and (2) to establish the specific priorities of the Indonesian trans* FtM community. In-depth interviews, focus groups, and participant observation was used involving 14 respondents. Findings revealed that respondents experienced othering through rejection, misidentification, harassment, "correction," and bureaucratic discrimination across the five preestablished domains. Health care and a lack of information emerged as areas of particular concern for respondents. This work calls for health care that is sensitive to the needs of trans* FtM people coupled with high-quality information to alleviate the cycles through which discrimination is sustained.
Giovannetti, Elisa; Ugrasena, Dewa G; Supriyadi, Eddy; Vroling, Laura; Azzarello, Antonino; de Lange, Desiree; Peters, Godefridus J; Veerman, Anjo J P; Cloos, Jacqueline
2008-01-01
Genetic variations in the polymorphic tandem repeat sequence of the enhancer region of the thymidylate synthase promoter (TSER), as well as in methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism, influence methotrexate sensitivity. We studied these polymorphisms in children with acute lymphoblastic leukaemia (ALL) and in subjects without malignancy in Indonesia and Holland. The frequencies of TT and CT genotypes were two-fold higher in Dutch children. The TSER 3R/3R repeat was three-fold more frequent in the Indonesian children, while the 2R/2R repeat was only 1% compared to 21% in the Dutch children. No differences of these polymorphisms were found between ALL cells and normal blood cells, indicating an ethnic rather than leukemic origin. These results may have implications for treatment of Indonesian children with ALL.
Indonesian pre-service teachers learning motivations and goal achievements: A qualitative study
NASA Astrophysics Data System (ADS)
Aziz, Tian Abdul; Purnomo, Yoppy Wahyu; Pramudiani, Puri
2017-08-01
The purpose of the present study was to investigate Indonesian pre-service teachers' motivation and achievement goal who studied abroad. The participants of the study were two Indonesian students who enrolled at Secondary Science and Mathematics Education Department on one public university in Ankara, Turkey. Semi structured interview and classroom observation were conducted to understand participants' motivation, achievement goal and the ways to develop it. Findings of the study indicated that by considering Self-Determination Theory participants demonstrated various types of motivation, to wit: amotivation, intrinsic and extrinsic motivation to study. In addition, in compliance with the 3 x 2 achievement goal model, they held multiple types of achievement goals. Different types of motivations and achievement goals led them to exhibit different means in developing their motivations and achievement goals. Implications of the study are discussed.
Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.
Waring, Justin
2007-03-01
This paper explores how current 'patient safety' reforms offer to change the regulation of medicine. Drawing on existing literature, it is argued that this policy agenda represents a new frontier in medical/managerial relations, introducing a disciplinary expertise within the health service that provides managers with the knowledge and legitimacy to survey and scrutinise medical performance, made real through procedures for incident reporting and root-cause analysis. The extent of regulatory change is investigated, drawing on an ethnographic case study of one hospital. It is shown that, as with other organisational and managerial reforms, doctors are resisting managerial prerogatives through seeking to subvert and 'capture' components of reform. I describe this as 'adaptive regulation' to account for how doctors seek to maintain their regulatory monopoly and limit managerial encroachment. It is speculated, however, that this process could signal the future 'modernisation' of medical professionalism where emerging managerial discourses, within the wider context of public sector reform, are increasingly internalised with medical practice and culture. This leads to new and rearticulated forms of self-surveillance, self-management or 'governmentality', ultimately negating the need for external groups to explicitly manage or regulate professional practice.
White, Michelle; Close, Kristin
2016-01-01
The global shortage of surgeons, anaesthetists and obstetricians is significant, especially in low and middle income countries (LMICs). A significant amount of LMIC surgical volume is provided by surgical missions and non-governmental organisations (NGOs) who are often well resourced, making them ideal environments for training. However, there are few publications addressing how to train in this setting, or the long-term impact of such training. Mercy Ships operates the largest non-governmental hospital ship in the world, the Africa Mercy, serving LMICs at the invitation of their President by providing free surgery and training for the surgical workforce. Mercy Ships developed and offered a comprehensive training programme across surgical specialties and disciplines in the Republic of Congo, 2013–2014. In this analysis paper, we present our experiences in developing and implementing the training portion of the programme. We also present the findings of an evaluation of the programme, which show a sustained positive impact and lasting change on personal and organisational practice 12–18 months post-training. We also make recommendations to NGOs and surgical mission organisations seeking to augment the impact of surgical missions with effective surgical training programmes. PMID:28588961
Dynamic population flow based risk analysis of infectious disease propagation in a metropolis.
Zhang, Nan; Huang, Hong; Duarte, Marlyn; Zhang, Junfeng Jim
2016-09-01
Knowledge on the characteristics of infectious disease propagation in metropolises plays a critical role in guiding public health intervention strategies to reduce death tolls, disease incidence, and possible economic losses. Based on the SIR model, we established a comprehensive spatiotemporal risk assessment model to compute infectious disease propagation within an urban setting using Beijing, China as a case study. The model was developed for a dynamic population distribution using actual data on location, density of residences and offices, and means of public transportation (e.g., subways, buses and taxis). We evaluated four influencing factors including biological, behavioral, environmental parameters and infectious sources. The model output resulted in a set of maps showing how the four influencing factors affected the trend and characteristics of airborne infectious disease propagation in Beijing. We compared the scenarios for the long-term dynamic propagation of infectious disease without governmental interventions versus scenarios with government intervention and hospital coordinated emergency responses. Lastly, the sensitivity of the average number of people at different location in spreading infections is analyzed. Based on our results, we provide valuable recommendations to governmental agencies and the public in order to minimize the disease propagation. Copyright © 2016 Elsevier Ltd. All rights reserved.
Collins, Patricia A; Abelson, Julia; Pyman, Heather; Lavis, John N
2006-07-01
News media effects on their audiences are complex. Four commonly cited effects are: informing audiences; agenda-setting; framing; and persuading. The release in autumn 2002 of two reports on options for reforming Canada's healthcare system attracted widespread media attention. We explored the potential for each of the four media effects by examining Canadian newspaper representation of this healthcare policy debate. Clippings were gathered from regional and national newspapers. Two data collection methodologies were employed: the first involved two staggered "constructed weeks" designed to capture thematic news framing styles; the second collected "intensive" or episodic coverage immediately following the report releases. Health reform articles with a financing and/or delivery focus were included. Using a codebook, articles were coded to track article characteristics, tone, healthcare sector and reform themes, and key actors. A greater quantity of episodic (n=341 clippings) versus thematic coverage (n=77) was documented. Coverage type did not vary significantly by newspaper, reporting source (e.g., staff reporter versus staff editorialist) or article type (e.g., news versus letter). Thematic articles were significantly shorter in length compared to episodic clippings. Episodic coverage tended to have a positive tone, while thematic coverage ranged in tone. Most coverage was general in scope. Sector-specific coverage favoured physician and hospital care--the two providers accorded privileged financing arrangements under Canada's universal, provincially administered health-insurance plans. Coverage of healthcare financing arrangements favoured broad discussions of publicly financed healthcare, federal-provincial governmental relations, and the Canada Health Act that governs provincial plans. Governmental actors and the political institutions that they represent were the dominant actors. Professional associations were also visible, but played a less dominant role. Given its non-specific scope, it is unclear how informative this coverage was. The large quantity and short duration of the episodic coverage, and the preponderance of governmental actors, suggests these newspapers acted as conduits for the policy agenda. Differences in framing styles were observed by coverage type, newspaper, reporting source, article length and type of article. Finally, the dominance of governmental actors provided these actors with numerous opportunities to persuade the public.
Zhou, Chenyu; Mou, Huitong; Xu, Wen; Li, Zhe; Liu, Xin; Shi, Lei; Peng, Boshi; Zhao, Yan; Gao, Lei; Fan, Lihua
2017-07-28
To explore the potential components of hospital workplace violence (HWPV) from the perspectives of hospital administrators and patients, and put forward corresponding strategies for its prevention and control. Using convenience sampling methods, 116 hospitals in 14 provinces of China were surveyed using a self-designed questionnaire. A cross-sectional study was used. Hospital administrators and patients from 116 hospitals in 14 provinces of China. First, hospital administrators point of workplace factors included six factors, with the following weighting coefficients: hospital administrator factors (29.40%), patient-related factors (20.08%), hospital environmental factors (19.45%), policy and institutional factors (11.92%), social psychological factors (10.26%), objective events factors (8.89%). Second, patients from the hospital workplace predisposing factors included three common factors. The weight coefficients of these were hospital-related factors (60.27%), social and governmental factors (23.64%) and patient-related factors (16.09%). A wide range of factors according to hospital administrators, patients and in the hospital environment play important roles in HWPV. From the perspectives of hospital administrators, communication skills and attitude to the service are important factors for inducing HWPV. From the perspective of patients, the characteristics of staff personalities and medical cognition are more important inducing factors. As far as social factors are concerned, economic compensation of medical malpractice is an important inducing factor for HWPV. In terms of environmental factors, management of Chinese medical hospitals, medical procedures and the layout of departments are all potential factors for the occurrence of violence. Corresponding defects were exposed in the health legal system and the supervision system for influencing public opinion. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
2011-03-01
DATE (DD-MM- YYYY) 02-16-2011 2. REPORT TYPE Journal Article 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE Circulation in the... circulation . This archipelago provides two secondary routes for both the Indonesian throughflow and the western boundary current of the Pacific...Philippine Archipelago circulation , Philippine straits, Mindoro Strait transport, Indonesian throughflow 16. SECURITY CLASSIFICATION OF: a
ERIC Educational Resources Information Center
French, Doran C.; Purwono, Urip; Rodkin, Philip
2014-01-01
The objectives of this longitudinal study were to predict the tobacco and alcohol use of Indonesian Muslim adolescents from their religiosity and the substance use of friends and network affiliates. At Year 1, there were 996 participants from eighth grade (n = 507, age = 13.4 years) and 10th grade (n = 489, age = 15.4); 875 were followed into the…
Southeast Asia Report No. 1324.
1983-08-12
POWERFUL BUREAUCRACY Jakarta SINAR HARAPAN in Indonesian 1 Jun 83 pp 1, 12 [Article: " Maswadi Rauf Appeals for Consideration of the Fate of...Indonesian democratic system and no single party can prevent the growth of its power. Dr Maswadi Rauf made this statement during a seminar on "Politics...Karya (GOLKAR [functional group]) from becoming the sole political party in Indonesia. "If that happens, it is a disaster." Therefore, Maswadi appealed
ERIC Educational Resources Information Center
Muhlisin; Salikin, Hairus
2015-01-01
The study aimed, firstly, to assess a group of Indonesian adult EFL students' mastery of tenses and aspects as part of their mastery of English grammar and, secondly, to identify if their experience of going through the instructional processes, their perceptions of and habits in studying English grammar shaped their mastery of tenses and aspects.…
ERIC Educational Resources Information Center
Riyanti, Dwi
2017-01-01
The purpose of this study is to examine how English as a foreign language pre-service teachers develop their identities through the process of learning to teach in a university microteaching class and a student teaching practicum within a multilingual Indonesian context. A sociocultural theoretical lens incorporating activity theory as well as a…
ERIC Educational Resources Information Center
Malihah, Elly
2015-01-01
The goal of this article is to examine the way character education and multicultural values' education can contribute to a perfect and transformed Indonesia by 2045. At this time (i.e. 2045), the Republic of Indonesia will be 100 years old. The presence of an ideal Indonesian will contribute to high national growth and development. This will…
Hardness characteristic of dental porcelain synthesized from Indonesian natural sand
NASA Astrophysics Data System (ADS)
Gunawan, J.; Taufik, D.; Takarini, V.; Hasratiningsih, Z.; Ramelan, A.
2018-02-01
Porcelain has been one of dental biomaterials which can be used to restore tooth structure. Veneer and jacket crown were the examples of dental porcelain restoration. Since wear resistance is related to the strength on its surface, then Vickers Hardness Test of the synthesized porcelain was applied subsequently. If the porcelain hardness number is too high, it should be considered that an abrasion of the opposing teeth could occur. On previous research, dental porcelain had been successfully synthesized from Indonesian natural sand. In this experiment, 5 samples were prepared from a mixture of 65w/o Pangaribuan feldspar, 25w/o Belitung silica, 5w/o Sukabumi kaolinite, and 5w/o potassium salt. This synthesized porcelain samples were invested on 5 cm diameter resin each. A kilogram of load was placed on top of each sample for 10 seconds on 7 different indented areas using ZwickRoell Indentec ZHVμ Micro Vickers. The average hardness number of synthesized dental porcelain made from Indonesian natural sand was 936.06 VHN which was higher than the average hardness number of porcelain restoration. In conclusion of the hardness test, synthesized dental porcelain made from Indonesian natural sand can potentially be used as a core, which shall support hardness and strength of the crown restoration.
45 CFR 146.180 - Treatment of non-Federal governmental plans.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 45 Public Welfare 1 2011-10-01 2011-10-01 false Treatment of non-Federal governmental plans. 146... § 146.180 Treatment of non-Federal governmental plans. (a) Requirements subject to exemption—(1) Basic rule. A sponsor of a non-Federal governmental plan may elect to exempt its plan, to the extent that the...
45 CFR 146.180 - Treatment of non-Federal governmental plans.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 1 2013-10-01 2013-10-01 false Treatment of non-Federal governmental plans. 146... § 146.180 Treatment of non-Federal governmental plans. (a) Requirements subject to exemption—(1) Basic rule. A sponsor of a non-Federal governmental plan may elect to exempt its plan, to the extent that the...
Situation analysis of occupational and environmental health laboratory accreditation in Thailand.
Sithisarankul, Pornchai; Santiyanont, Rachana; Wongpinairat, Chongdee; Silva, Panadda; Rojanajirapa, Pinnapa; Wangwongwatana, Supat; Srinetr, Vithet; Sriratanaban, Jiruth; Chuntutanon, Swanya
2002-06-01
The objective of this study was to analyze the current situation of laboratory accreditation (LA) in Thailand, especially on occupational and environmental health. The study integrated both quantitative and qualitative approaches. The response rate of the quantitative questionnaires was 54.5% (226/415). The majority of the responders was environmental laboratories located outside hospital and did not have proficiency testing. The majority used ISO 9000, ISO/IEC 17025 or ISO/ EEC Guide 25, and hospital accreditation (HA) as their quality system. However, only 30 laboratories were currently accredited by one of these systems. Qualitative research revealed that international standard for laboratory accreditation for both testing laboratory and calibration laboratory was ISO/IEC Guide 25, which has been currently revised to be ISO/IEC 17025. The National Accreditation Council (NAC) has authorized 2 organizations as Accreditation Bodies (ABs) for LA: Thai Industrial Standards Institute, Ministry of Industry, and Bureau of Laboratory Quality Standards, Department of Medical Sciences, Ministry of Public Health. Regarding LA in HA, HA considered clinical laboratory as only 1 of 31 items for accreditation. Obtaining HA might satisfy the hospital director and his management team, and hence might actually be one of the obstacles for the hospital to further improve their laboratory quality system and apply for ISO/IEC 17025 which was more technically oriented. On the other hand, HA may be viewed as a good start or even a pre-requisite for laboratories in the hospitals to further improve their quality towards ISO/IEC 17025. Interviewing the director of NAC and some key men in some large laboratories revealed several major problems of Thailand's LA. Both Thai Industrial Standards Institute and Bureau of Laboratory Quality Standards did not yet obtain Mutual Recognition Agreement (MRA) with other international ABs. Several governmental bodies had their own standards and accreditation systems, and did not accept other bodies' standards and systems. This put a burden to private laboratories because they had to apply and get accredited from several governmental bodies, but still had to apply and get accredited from international ABs especially for those dealing with exports. There were only few calibration laboratories, not enough for supporting the calibration required for the equipment in testing laboratories' LA. Purchasing proficiency testing specimens from abroad was very expensive, and often got into troubles with the customs duty procedures. The authors recommend some strategies and activities to improve laboratory accreditation in Thailand. Improvement in occupational and environmental health laboratories would essentially be beneficial to laboratory accreditation of other areas such as clinical laboratory.
Relationship Between Shift Work and Personality Traits of Nurses and Their Coping Strategies.
Farzianpour, Fereshteh; Nosrati, Saeadeh Ansari; Foroushani, Abbas Rahimi; Hasanpour, Fateme; Jelodar, Zahra Khakdel; Keykale, Meysam Safi; Bakhtiari, Mohammad; Sadeghi, Niusha Shahidi
2015-09-28
Because of social progress, population growth, industrialization, and the requirements of some jobs, a significant percentage of employees are working in shifts. Shift work is considered a threat to health that could have unfavorable effects on various aspects of human life. This study investigated the relationship between shift work and the personality traits of nurses and their coping strategies in a selection of non-governmental hospitals in Tehran in 2014. This applied cross-sectional descriptive research employed the Standard Shift work Index and Eysenck Personality Questionnaire (EPQ) which, after confirmation of its validity and reliability (Cronbach's alpha 0.73), were distributed among 305 nurses from 6 non-governmental hospitals in Tehran selected through cluster random sampling. Data was analyzed in two statistical levels: descriptive and inferential. Results revealed that 43.6% of the nurses participating in the study were introverted and 56.4% were extroverted. There are significant relationships between age and physical health (P=0.008), sex and physical health (P=0.015), educational level and physical health (P=0.014), sex and cognitive, somatic anxiety (P=0.006), age and social-family status (P=0.001), marital status and social-family status (P=0.001), having a second job and social-family status (P=0.001), educational level and sleep and fatigue (P=0.002), work experience and coping strategies (P=0.044), and sleep and fatigue and personality traits (P=0.032). Complying with the standards of working hours for nurses and avoiding overtime when scheduling, especially for nurses with more work experience, can prevent the severe complications of shift work, enhance health, and ultimately enhance the quality of care. By improving the physical, psychological, and social health of nurses, the quality of patient care can be expected to improve, too.
Diagnostic accuracy of lymphoma established by fine-needle aspiration cytological biopsy
NASA Astrophysics Data System (ADS)
Delyuzar; Amir, Z.; Suryadi, D.
2018-03-01
Based on Globocan data in 2012, it is estimated that about 14,495 Indonesians suffer from lymphoma, both Hodgkin’s lymphoma, and non-Hodgkin’s lymphoma. Some areas of specialization still doubt the accuracy of cytology diagnosis of fine needle aspiration biopsy.This study is a diagnostic test with a cross sectional analytic design to see how the cytology diagnostic accuracy of fine needle aspiration aspirate in lymphoma. It was in Department of Anatomical Pathology Faculty of Medicine USU, Haji Adam Malik Hospital, Dr.Pirngadi hospital, or private clinic in Medan. Peripheral cytology technique biopsy of fine needle aspiration on lymph node subsequently stained with Giemsa, when the cytology of lymphoma is obtained and confirmed by histopathologic examination. Cytology and histopathologic examination will be tested by Diagnostic Test and assessed for its sensitivity and specificity. The diagnostic of lymphoma cytology provides 93.33% sensitivity and 92.31% specificity when confirmed by histopathological examination. Positive predictive value and negative predictive value of 96.55% and 85.71% respectively. In conclusion, the cytology of fine needle aspiration biopsy is accurate enough to be used as a diagnostic tool, so it is advisable to establish a lymphoma diagnosis to perform a needle aspiration biopsy examination.
Doctor-patient communication in Southeast Asia: a different culture?
Claramita, Mora; Nugraheni, Mubarika D F; van Dalen, Jan; van der Vleuten, Cees
2013-03-01
Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in internal medicine outpatient clinics of an Indonesian teaching hospital and two affiliated hospitals. During 26 weeks we engaged in an iterative interview and coding process to identify emergent factors. Patients were generally dissatisfied with doctors' communication style. The doctors indicated that they did not deliberately use a one-way style. Communication style appeared to be associated with characteristics of Southeast Asian culture, the health care setting and medical education. Doctor-patient communication appeared to be affected by cultural characteristics which fell into two broad categories representing key features of Southeast Asian culture, "social distance" and "closeness of relationships", and to characteristics categorized as "specific clinical context". Consideration of these characteristics could be helpful in promoting the use of a partnership communication style.
Patient safety culture among nurses.
Ammouri, A A; Tailakh, A K; Muliira, J K; Geethakrishnan, R; Al Kindi, S N
2015-03-01
Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses' perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital units, and hospital handoffs and transitions had more overall perception of patient safety. Nurses who perceived more teamwork within units and more feedback and communications about errors had more frequency of events reported. Furthermore, nurses who had more years of experience and were working in teaching hospitals had more perception of patient safety culture. Learning and continuous improvement, hospital management support, supervisor/manager expectations, feedback and communications about error, teamwork, hospital handoffs and transitions were found to be major patient safety culture predictors. Investing in practices and systems that focus on improving these aspects is likely to enhance the culture of patient safety in Omani hospitals and others like them. Strategies to nurture patient safety culture in Omani hospitals should focus upon building leadership capacity that support open communication, blame free, team work and continuous organizational learning. © 2014 International Council of Nurses.
Hospitalization and catastrophic medical payment: evidence from hospitals located in Tehran.
Ghiasvand, Hesam; Sha'baninejad, Hossein; Arab, Mohammad; Rashidian, Arash
2014-07-01
Hospitalized patients constitute the main fraction of users in any health system. Financial burden of reimbursement for received services and cares by these users is sometimes unbearable and may lead to catastrophic medical payments. So, designing and implementing effective health prepayments schemes appear to be an effective governmental intervention to reduce catastrophic medical payments and protect households against it. We aimed to calculate the proportion of hospitalized patients exposed to catastrophic medical payments, its determinant factors and its distribution. We conducted a cross sectional study with 400 samples in five hospitals affiliated with Tehran University of Medical Sciences (TUMS). A self-administered questionnaire was distributed among respondents. Data were analyzed by logistic regression and χ(2) statistics. Also, we drew the Lorenz curve and calculated the Gini coefficient in order to present the distribution of catastrophic medical payments burden on different income levels. About 15.05% of patients were exposed to catastrophic medical payments. Also, we found that the educational level of the patient's family head, the sex of the patient's family head, hospitalization day numbers, having made any out of hospital payments linked with the same admission and households annual income levels; were linked with a higher likelihood of exposure to catastrophic medical payments. Also, the Gini coefficient is about 0.8 for catastrophic medical payments distribution. There is a high level of catastrophic medical payments in hospitalized patients. The weakness of economic status of households and the not well designed prepayments schemes on the other hand may lead to this. This paper illustrated a clear picture for catastrophic medical payments at hospital level and suggests applicable notes to Iranian health policymakers and planners.
Hepatitis B and C prevalence among hemodialysis patients in the West Bank hospitals, Palestine.
Al Zabadi, Hamzeh; Rahal, Hani; Fuqaha, Rasha
2016-02-01
Hepatitis B and C virus infection is a lead cause of morbidity and mortality among hemodialysis patients. Yet, little research has focused on the morbidity measures of these serious disorders in low and middle income countries. The study aims to estimate the prevalence of hepatitis B and C among hemodialysis patients in the West Bank hospitals in Palestine. A retrospective medical records review design was performed for all governmental and private hospitals in the West Bank which provide hemodialysis services for the patients. Data was retrieved from the patients' medical files and from the computerized health information system in some hemodialysis centers. SPSS software version 16 was used for data entry and analysis. In overall, 868 hemodialysis patients attending nine hemodialysis hospitals in the West Bank was recruited. The overall prevalence of hepatitis B virus was found to be 3.8% (33 cases) with a range from 0.0% (in Jericho and Qalqelia districts) to 11.8% (in Bethlehem district). Regarding hepatitis C virus, the overall prevalence was estimated around 7.4% (64 cases) with a range from 2.9% (in Nablus district) to 15.9% (in Qalqelia district). Although relatively low prevalence of both hepatitis B and C virus was found in a couple of hemodialysis hospitals, some higher prevalence values urge for the implementation of stricter infection prevention measures and more effective follow up procedures.
[Waldheim--the difficult task of investigation].
Beine, K; Schmitz, F; Schumann, V; Trenckmann, U
1991-03-01
This is a report on a mental hospital--or, rather, a department of a mental hospital--called "Waldheim", (literal meaning: "hostal, or home in the woods") which is a section of the mental hospital at Hochweitzschen in Saxony in the former German Democratic Republic (GDR). Public opinion had been aroused some time ago by an article published in the German weekly "Stern" in which it was stated that psychotic patients were being subjected to leukotomy or stereotactic surgery, and that castration by x-ray treatment was being performed in mentally handicapped women, in that hospital. The article prompted the then Ministery of Health of the GDR to constitute an "expert committee" to investigate into the matter. The magazine's allegations were partly confirmed by the committee. The GDR parliament then constituted a "special parliamentary commission" for another inquiry. Again several allegations were confirmed. It was stated that the events and actions in that hospital had been unsatisfactorily assessed and digested. The authors undertake to make the procedures followed by the medical and nursing staff, accessible to a wider public and to render them more lucid. Important structural characteristics of the patterns that developed there, were the governmentally prescribed segregation of severely diseased persons to "treat" them far away from their residential community, the absence of a critical general public, and the amalgamation of supervisory institutions with those that require to be supervised.(ABSTRACT TRUNCATED AT 250 WORDS)
Pandemic influenza preparedness: an ethical framework to guide decision-making.
Thompson, Alison K; Faith, Karen; Gibson, Jennifer L; Upshur, Ross E G
2006-12-04
Planning for the next pandemic influenza outbreak is underway in hospitals across the world. The global SARS experience has taught us that ethical frameworks to guide decision-making may help to reduce collateral damage and increase trust and solidarity within and between health care organisations. Good pandemic planning requires reflection on values because science alone cannot tell us how to prepare for a public health crisis. In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework. The need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great. Our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The framework will require re-evaluation and refinement and we hope that this paper will generate feedback on how to make it even more robust.
ERIC Educational Resources Information Center
Elsey, Barry; Omarova, Amina; Grill, Ronald
2016-01-01
The research provides a selective report on the learning experiences covering a whole year of study for a double-degree Master's programme by a cohort of early-career Indonesians. They were undertaking the second half of the programme at The University of Adelaide in South Australia, and for all 18 students it was their first taste of learning in…
2006-06-01
research will cover an overview of business process engineering (BPR) and operation management . The focus will be on the basic process of BPR, inventory...management and improvement of the process of business operation management to appropriately provide a basic model for the Indonesian Air Force in...discuss the operation management aspects of inventory management and process improvement, including Economic Order Quantity, Material Requirement
Country Reports on Terrorism 2005
2006-04-01
regional terrorist network Jemaah Islamiya (JI), which has ties to al-Qaida. In March, Indonesian courts sentenced JI Emir Abu Bakar Ba’asyir to 30...signaling a firmer law enforcement approach by judges. In March, Indonesian courts sentenced JI Emir Abu Bakar Ba’asyir to 30 months in prison...Top, a senior JI operative involved in several major attacks, remains at large. At year end, JI emir Abu Bakar Bashir was serving a 30-month
The Perennial Problem: The Chinese Minority in Indonesia.
1986-06-28
peranakan , ethnic Chinese, local Chinese, foreign-born Chinese, Indonesian Chinese, alien Chinese, citizen Chinese, and so forth.) For the purposes of this...study, only four terms are im- -" portant: pribumi, peranakan , totok, and cina. ’Pribumi’ is * an Indonesian term which literally means ’indigenous...pribumi population consists of hundreds of different ethnic and linguistic groups. ’ Peranakan ’ is the term used to refer to the Indonesia-born Chinese
1985-09-24
12 [Text] Himawan Sutanto, Indonesian ambassador to Malaysia, said that the development and growth of the Malaysian economy are greatly helped by...minister’s office in Jakarta. He said that this state of affairs was the result of the agreement made between the Indonesian and Malaysian governments...A week of Vietnamese films was opened at the "Hanoi" Cinema House in Moscow on September 4. The film "Death Coordinates", screened at the opening
"It is my destiny as a woman": on becoming a new mother in Indonesia.
Afiyanti, Yati; Solberg, Shirley M
2015-11-01
The purpose of the study was to provide a greater understanding of the experience of the new Indonesian mother. This study was a hermeneutic phenomenological study. Data were obtained from 13 first time Indonesian mothers through semi-structured interviews. Two main themes were identified: "trying to be a good mother " and "confirming my destiny as a woman." A number of subthemes were identified to understand of how women in rural West Java perceived the meaning of being a new mother. These themes and subthemes described the woman's responsibilities as a new mother and some of the challenges that she accepted as a part of her destiny. This study provides nurses and others with insights into the experiences of Indonesian women with early motherhood, their feelings about taking on the mothering role, and some of their needs during this period. © The Author(s) 2014.
Indonesian Teacher Engagement Index (ITEI): An Emerging Concept of Teacher Engagement in Indonesia
NASA Astrophysics Data System (ADS)
Sasmoko; Doringin, F.; Indrianti, Y.; Goni, A. M.; Ruliana, P.
2018-02-01
This paper presents a new concept of teacher engagement in Indonesia. The various studies in this paper examine various perspectives and even criticize the initial research on teacher engagement, so as to build the concept of different teacher engagement and in accordance with the Indonesian context so that it can be implemented and has direct impact as a guideline on improving the quality of teachers and education personnel in Indonesia. The method used in this paper is the Neuroresearch research method focused on exploratory research. The conclusion of this research is the development of Indonesian Teacher Engagement Index concept (ITEI) as a concept that describes the condition of teachers who experienced various psychological conditions positively, actively participate in building positive education, able to show good performance, have supportive competence, have national character as Characteristic of Indonesia and able to show the nationalism leadership engagement.
NASA Astrophysics Data System (ADS)
Auerkari, EI; Budhy, LW; Kiranahayu, R.; Djamal, NZ; Kusdhany, LS; Rahardjo, TBW; Talbot, Christopher
2018-05-01
Osteoporosis is an increasingly common disease resulting in reduced bone mineral density (BMD) and elevated likelihood of bone fracture, and particularly affected are postmenopausal women with additional risk factors including genetic predisposition. The CYP1A1, is one of the candidate genes that have been suggested to be associated with the pathogenesis of osteoporosis. This work aimed to evaluate the distribution of a selected polymorphism of this gene (T6235C) with respect to the BMD status in postmenopausal Indonesian women. The results show that osteoporosis is associated with age and menopause, as expected, but not with the tested polymorphism of CYP1A1 in the Indonesian sample population. It is suggested that other P450 cytochrome enzymes and their polymorphisms could provide more significant indicators of the future health of postmenopausal women.
State of knowledge on marine palynology in Indonesia
NASA Astrophysics Data System (ADS)
Nugroho, S. H.
2018-02-01
Pollen analyses of marine sediments contribute to reconstructions of the vegetation and climate, as well as to environment changes and human-environment interactions, which is reflected in marine sediments of Indonesian waters. Furthermore, factors controlling pollen deposition are of particular importance, like in the Indonesian region where the whole climate system is driven mostly by the monsoon reversal. In this paper, I review some palynology studies in Indonesia, and I found out that there were not any marine pollen studies during the Last Glacial - Holocene in Indonesia area, especially in the Eastern Indonesia. Review results show that during that time, although temperatures were lower, there were differences on humid-arid climate indications in each region which were characterized by discrepancy vegetation. Detailed analysis of past environmental, climate and land use history in the Indonesian region is essential to obtain better understanding of human-environment relationships and to prevent uncertainties in future development of the region.
Geochemical and analytical implications of extensive sulfur retention in ash from Indonesian peats
Kane, Jean S.; Neuzil, Sandra G.
1993-01-01
Sulfur is an analyte of considerable importance to the complete major element analysis of ash from low-sulfur, low-ash Indonesian peats. Most analytical schemes for major element peat- and coal-ash analyses, including the inductively coupled plasma atomic emission spectrometry method used in this work, do not permit measurement of sulfur in the ash. As a result, oxide totals cannot be used as a check on accuracy of analysis. Alternative quality control checks verify the accuracy of the cation analyses. Cation and sulfur correlations with percent ash yield suggest that silicon and titanium, and to a lesser extent, aluminum, generally originate as minerals, whereas magnesium and sulfur generally originate from organic matter. Cation correlations with oxide totals indicate that, for these Indonesian peats, magnesium dominates sulfur fixation during ashing because it is considerably more abundant in the ash than calcium, the next most important cation in sulfur fixation.
Development of a testlet generator in re-engineering the Indonesian physics national-exams
NASA Astrophysics Data System (ADS)
Mindyarto, Budi Naini; Mardapi, Djemari; Bastari
2017-08-01
The Indonesian Physics national-exams are end-of-course summative assessments that could be utilized to support the assessment for learning in physics educations. This paper discusses the development and evaluation of a testlet generator based on a re-engineering of Indonesian physics national exams. The exam problems were dissected and decomposed into testlets revealing the deeper understanding of the underlying physical concepts by inserting a qualitative question and its scientific reasoning question. A template-based generator was built to facilitate teachers in generating testlet variants that would be more conform to students' scientific attitude development than their original simple multiple-choice formats. The testlet generator was built using open source software technologies and was evaluated focusing on the black-box testing by exploring the generator's execution, inputs and outputs. The results showed the correctly-performed functionalities of the developed testlet generator in validating inputs, generating testlet variants, and accommodating polytomous item characteristics.
NASA Astrophysics Data System (ADS)
Trianto, Andriantama Budi; Hadi, I. M.; Liong, The Houw; Purqon, Acep
2015-09-01
Indonesian economical development is growing well. It has effect for their invesment in Banks and the stock market. In this study, we perform prediction for the three blue chips of Indonesian bank i.e. BCA, BNI, and MANDIRI by using the method of Adaptive Neuro-Fuzzy Inference System (ANFIS) with Takagi-Sugeno rules and Generalized bell (Gbell) as the membership function. Our results show that ANFIS perform good prediction with RMSE for BCA of 27, BNI of 5.29, and MANDIRI of 13.41, respectively. Furthermore, we develop an active strategy to gain more benefit. We compare between passive strategy versus active strategy. Our results shows that for the passive strategy gains 13 million rupiah, while for the active strategy gains 47 million rupiah in one year. The active investment strategy significantly shows gaining multiple benefit than the passive one.
NASA Astrophysics Data System (ADS)
Nandiyanto, A. B. D.; Wiryani, A. S.; Rusli, A.; Purnamasari, A.; Abdullah, A. G.; Ana; Widiaty, I.; Hurriyati, R.
2017-03-01
Curcumin is one of the pigments which is used as a spice in Asian cuisine, traditional cosmetic, and medicine. Therefore, process for getting curcumin has been widely studied. Here, the purpose of this study was to demonstrate the simple method for extracting curcumin from Indonesian local turmeric and investigate the infrared spectra and thermal decomposition properties. In the experimental procedure, the washed turmeric was dissolved into an ethanol solution, and then put into a rotary evaporator to enrich curcumin concentration. The result showed that the present method is effective to isolate curcumin compound from Indonesian local turmeric. Since the process is very simple, this method can be used for home industrial application. Further, understanding the thermal decomposition properties of curcumin give information, specifically relating to the selection of treatment when curcumin must face the thermal-related process.
Rahimi, Benny; Mizrahi, Ronit; Magnezi, Racheli
2011-01-01
Outsourcing is a method that enables an organization to focus on its expertise by transferring its other services to professionals who can fulfill them. In recent years, research has repeatedly shown that health services use a variety of outsourcing companies. To describe the experience acquired using outsourcing in public and private hospitals in Israel, and to present the factors, budgetary parameters, opportunities and problems affecting outsourcing. The questionnaire was sent to 36 hospitals in Israel, constituting 88.2% of all hospitals in Israel--private, public, H.M.O ("Clalit") and governmental. The response to the questionnaire reached 97.2% and revealed the following: 94% of the hospitals use outsourcing services in the following fields: security, cleaning, Laundry service, cafeterias, and I.T.; 42% of the hospitals assign 0-5% of their annual budget for outsourcing contracts. Private hospitals use more outsourcing services than public hospitals. The factors driving outsourcing are: cost restrictions (82.8%), operational flexibility (77%), and focus on the core business (74.2%). The potential advantages of outsourcing are: improvement in services 180.5%), customer satisfaction (72.2%), and cost reduction (69.4%). Difficulties affecting outsourcing are: dependence on external resources (83.3%] and internal organizational resistance (69.4%). The results of the outsourcing are lower costs, reduced number of personnel by 1-10% and high level of satisfaction. It seems that in recent years outsourcing is being used in hospitals and is central to the areas of infrastructure and logistics, as well as legal and medical services. Using outsourcing in hospitals provides opportunities for improved customer satisfaction, better focus for the hospital on its core activities and cost reduction. HospitaLs that succeed in synergetically integrating the external and the internal service providers will flourish. INNOVATION/VALUE: This research exposes, for the first time, the scope of contractual outsourcing in hospitals in Israel, and presents the dilemmas of utilizing this form of provision of services.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 34 Education 3 2011-07-01 2011-07-01 false Standards for Audit of Governmental Organizations... Programs Pt. 668, Subpt. B, App. A Appendix A to Subpart B of Part 668—Standards for Audit of Governmental... standard for governmental auditing is: In matters relating to the audit work, the audit organization and...
Water mass transformation along the Indonesian throughflow in an OGCM
NASA Astrophysics Data System (ADS)
Koch-Larrouy, Ariane; Madec, Gurvan; Blanke, Bruno; Molcard, Robert
2008-11-01
The oceanic pathways connecting the Pacific Ocean to the Indian Ocean are described using a quantitative Lagrangian method applied to Eulerian fields from an ocean general circulation model simulation of the Indonesian seas. The main routes diagnosed are in good agreement with those inferred from observations. The secondary routes and the Pacific recirculation are also quantified. The model reproduces the observed salt penetration of subtropical waters from the South Pacific, the homohaline stratification in the southern Indonesian basins, and the cold fresh tongue which exits into the Indian Ocean. These particular water mass characteristics, close to those observed, are obtained when a tidal mixing parameterization is introduced into the model. Trajectories are obtained which link the water masses at the entrance and at the exit of the Indonesian throughflow (ITF), and the mixing along each trajectory is quantified. Both the ITF and the Pacific recirculation are transformed, suggesting that the Indonesian transformation affects both the Indian and Pacific stratification. A recipe to form Indonesian water masses is proposed. We present three major features of the circulation that revisit the classical picture of the ITF and its associated water mass transformation, while still being in agreement with observations. Firstly, the homohaline layer is not a result of pure isopycnal mixing of the North Pacific Intermediate Water and South Pacific Subtropical Water (SPSW) within the Banda Sea, as previously thought. Instead, the observed homohaline layer is reproduced by the model, but it is caused by both isopycnal mixing with the SPSW and a dominant vertical mixing before the Banda Sea with the NPSW. This new mechanism could be real since the model reproduces the SPSW penetration as observed. Secondly, the model explains why the Banda Sea thermocline water is so fresh compared to the SPSW. Until now, the only explanation was a recirculation of the freshwater from the western route. The model does not reproduce this recirculation but instead shows strong mixing of the SPSW within the Halmahera and Seram Seas, which erodes the salinity maximum so that its signature is not longer perceptible. Finally, this work highlights the key role of the Java Sea freshwater. Even though its annual net mass contribution is small, its fresh salinity contribution is highly significant and represents the main reason why the Pacific salinity maxima are eroded.
Goihman-Yahr, Mauricio
2011-01-01
Medicine and health care in Venezuela have had a roller coaster evolution in parallel with advances and retreats of democracy and of efforts to modernize. The most prominent of the founding fathers of Venezuelan medicine has a sitting statue in the homonymous hospital. After a blossoming of medicine, health care, and research led by dermatology that lasted for nearly four decades, the system went into a tailspin that mirrors what took place in the governmental institutions and in the economy. The statue of Vargas seems to warn Venezuelans that if the decay goes too far, it may become irreversible. Copyright © 2011 Elsevier Inc. All rights reserved.
2013-12-01
U.S. GOVERNMENTAL INFORMATION OPERATIONS AND STRATEGIC COMMUNICATIONS : A DISCREDITED TOOL OR USER FAILURE? IMPLICATIONS FOR FUTURE CONFLICT Steve...TYPE 3. DATES COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE U.S. Governmental Information Operations and Strategic Communications : A ...GOVERNMENTAL INFORMATION OPERATIONS AND STRATEGIC COMMUNICATIONS : A DISCREDITED TOOL OR USER FAILURE? IMPLICATIONS FOR FUTURE CONFLICT Steve Tatham
Zhao, Lue-Ping; Yu, Guo-Pei; Liu, Hui; Ma, Xie-Min; Wang, Jing; Kong, Gui-Lan; Li, Yi; Ma, Wen; Cui, Yong; Xu, Beibei; Yu, Na; Bao, Xiao-Yuan; Guo, Yu; Wang, Fei; Zhang, Jun; Li, Yan; Xie, Xue-Qin; Jiang, Bao-Guo; Ke, Yang
2013-01-01
With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while controlling costs. Recent experiences are valuable lessons for guiding future healthcare reform. Here we carefully study three teaching hospitals, to exemplify their experiences during this period. We performed a systematic analysis on hospitalization costs, health-care quality and delivery efficiencies from 2006 to 2010 in three teaching hospitals in Beijing, China. The analysis measured temporal changes of inpatient cost per stay (CPS), cost per day (CPD), inpatient mortality rate (IMR), and length of stay (LOS), using a generalized additive model. There were 651,559 hospitalizations during the period analyzed. Averaged CPS was stable over time, while averaged CPD steadily increased by 41.7% (P<0.001), from CNY 1,531 in 2006 to CNY 2,169 in 2010. The increasing CPD seemed synchronous with the steady rising of the national annual income per capita. Surgical cost was the main contributor to the temporal change of CPD, while medicine and examination costs tended to be stable over time. From 2006 and 2010, IMR decreased by 36%, while LOS reduced by 25%. Increasing hospitalizations with higher costs, along with an overall stable CPS, reduced IMR, and shorter LOS, appear to be the major characteristics of these three hospitals at present. These three teaching hospitals have gained some success in controlling costs, improving cares, adopting modern medical technologies, and increasing hospital revenues. Effective hospital governance and physicians' professional capacity plus government regulations and supervisions may have played a role. However, purely market-oriented health-care reform could also misguide future healthcare reform.
2011-09-30
within the Straits and Seas of the Indonesian Archipelago Arnold L. Gordon Lamont-Doherty Earth Observatory 61 Route 9W Palisades , NY 10964...Lamont-Doherty Earth Observatory,61 Route 9W, Palisades ,NY,10964-8000 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME...shows a zonally elongated circulation cell encompassing Seram Island. From March to October, it is likely to be counterclockwise; in the November to
Language in education: The case of Indonesia
NASA Astrophysics Data System (ADS)
Nababan, P. W. J.
1991-03-01
Although over 400 languages are spoken in Indonesia, by 1986 60% of the population had some competence in the Indonesian national language, a substantial increase over 1971. Bahasa Indonesia was declared the state language in the 1945 constitution, and reformed spelling was agreed in 1972. It is the sole medium of instruction, except in the first three grades of elementary school in nine regions, where vernaculars may be used transitionally. Thereafter vernaculars are taught as school subjects. Bilingualism, and even multilingualism in Indonesian and one or more vernaculars and/or foreign languages is increasing, and despite the use of Indonesian for official documentary purposes at all levels it does not appear that vernaculars are dying out, although their spheres of use are restricted. Bahasa Indonesia fulfils the four functions: cognitive, instrumental, integrative and cultural, while vernaculars are only integrative and cultural. The curriculum of Indonesian, established centrally, is pragmatic or communicative. It is expressed in a standard syllabus for course books. This approach equally applies to foreign languages, which are introduced at secondary level, although here receptive reading is given more weight than productive skills. A full description of the syllabus organization of the various languages is given. Nonformal language learning also takes place, in the national basic education and literacy programme, which teaches Bahasa Indonesia, and in vocational courses in foreign languages for commerce.
Application of CFD in Indonesian Research: A review
NASA Astrophysics Data System (ADS)
Ambarita, H.; Siregar, M. R.; Kishinami, K.; Daimaruya, M.; Kawai, H.
2018-04-01
Computational Fluid Dynamics (CFD) is a numerical method that solves fluid flow and related governing equations using a computational tool. The studies on CFD, its methodology and its application as a research tool, are increasing. In this study, application of CFD by Indonesian researcher is briefly reviewed. The main objective is to explore the characteristics of CFD applications in Indonesian researchers. Considering the size and reputation, this study uses Scopus publications indexed data base. All of the documents in Scopus related to CFD which is affiliated by at least one of Indonesian researcher are collected to be reviewed. Research topics, CFD method, and simulation results are reviewed in brief. The results show that there are 260 documents found in literature indexed by Scopus. These documents divided into research articles 125 titles, conference paper 135 titles, book 1 title and review 1 title. In the research articles, only limited researchers focused on the development of CFD methodology. Almost all of the articles focus on using CFD in a particular application, as a research tool, such as aircraft application, wind power and heat exchanger. The topics of the 125 research articles can be divided into 12 specific applications and 1 miscellaneous application. The most popular application is Heating Ventilating and Air Conditioning and followed by Reactor, Transportation and Heat Exchanger applications. The most popular commercial CFD code used is ANSYS Fluent and only several researchers use CFX.
Nelwan, Erni J; Van Crevel, Reinout; Alisjahbana, Bachti; Indrati, Agnes K; Dwiyana, Reiva F; Nuralam, Nisaa; Pohan, Herdiman T; Jaya, Ilham; Meheus, Andre; Van Der Ven, Andre
2010-12-01
To determine the prevalence and behavioural correlates of HIV, HBV and HCV infections among Indonesian prisoners and to examine the impact of voluntary counselling and testing for all incoming prisoners on access to antiretroviral treatment (ART). In a non-anonymous survey in an Indonesian prison for drug-related offences, all incoming prisoners and symptomatic resident prisoners were counselled and offered testing for HIV, hepatitis B and C. Screening was performed in 679 incoming prisoners, of whom 639 (94.1%) agreed to be tested, revealing a seroprevalence of 7.2% (95% CI 5.2-9.2) for HIV, 5.8% (95% CI 3.9-7.6) for HBsAg and 18.6% (95% CI 15.5-21.6) for HCV. Of 57 resident prisoners tested, 29.8% were HIV-positive. HIV infection was strongly associated with injecting drug use (IDU; P < 0.001), but not with a history of unsafe sex. Screening of incoming prisoners was responsible for diagnosing and treating HIV in 73.0%, respectively, and 68.0% of HIV-positive individuals. HIV and HCV are highly prevalent among incoming Indonesian prisoners and almost entirely explained by IDU. Our study is the first to show that voluntary HIV counselling and testing during the intake process in prison may greatly improve access to ART in a developing country. © 2010 Blackwell Publishing Ltd.
78 FR 66684 - Atlantic Highly Migratory Species; Advisory Panel
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-06
...) representation of a private, non-governmental, regional, national, or international organization representing... industries, environmental community, academia, and non-governmental organizations are considered for... from commercial and recreational fishing interests, and the environmental/non-governmental organization...
Indonesian pharmacists’ and pharmacy students’ attitudes towards collaboration with physicians
Wardhani, Ari S.
2017-01-01
Background: Recent implementation of national health coverage and the increasing health burden in Indonesia require health professionals, including pharmacists, to work more collaboratively to improve access and quality of health care. Nevertheless, relatively little is known about Indonesian pharmacists’ attitude towards collaboration. Objective: To assess and compare the attitude of Indonesian pharmacy students and pharmacists towards collaboration with physicians. Methods: A survey of 95 pharmacy students (Universitas Surabaya) and 114 pharmacists (public health facilities in East Java) in Indonesia was conducted using the validated questionnaire, Scale of Attitudes Toward Physician-Pharmacist Collaboration (SATP2C), which was translated in Bahasa Indonesia. The questionnaire contained 16 items which were based on a 4-point Likert scale. Descriptive statistics were used to summarise the responses, (i.e., individual scores, factor scores and total scores). Results: Response rates of 97.9% and 65.8% were reported for students and pharmacists, respectively. The mean total score of SATP2C among Indonesian students and pharmacists were 56.53 versus 56.77, respectively; indicating positive attitudes toward collaboration. Further analysis of each item of SATP2C confirmed the positive attitudes in which mean and median scores of ≥3 were reported for most items in both groups. Significant differences between students and pharmacists were found regarding the following items: (i) ‘there are many overlapping areas of responsibility between pharmacists and physicians’ (3.28 versus 2.89, respectively; p<0.001), (ii) ‘pharmacist should clarify a physician’s order’ (3.54 versus 3.71, respectively; p=0.046); and (iii) ‘physicians should consult with pharmacists about adverse reactions or refractory to drug treatment’ (3.60 versus 3.44, respectively; p=0.022). Conclusions: Indonesian pharmacists reported positive attitudes toward collaboration with physicians. Further research is needed to understand other factors contributing in translating those positive attitudes into actual practice, and thus, providing a good foundation for policy makers, researchers and practitioners to support pharmacist-physician collaboration in Indonesia. PMID:29317920
NASA Astrophysics Data System (ADS)
Ding, Yang; Bao, Xianwen; Yu, Huaming; Kuang, Liang
2012-04-01
The tides and tidal energetics in the Indonesian seas are simulated using a three-dimensional finite volume coastal ocean model. The high-resolution coastline-fitted model is configured to better resolve the hydrodynamic processes around the numerous barrier islands. A large model domain is adopted to minimize the uncertainty adjacent to open boundaries. The model results with elevation assimilation based on a simple nudge scheme faithfully reproduced the general features of the barotropic tides in the Indonesian Seas. The mean root-mean-square errors between the observed and simulated tidal constants are 2.3, 1.1, 2.4, and 1.5 cm for M2, S2, K1, and O1, respectively. Analysis of the model solutions indicates that the semidiurnal tides in the Indonesian Seas are primarily dominated by the Indian Ocean, whereas the diurnal tides in this region are mainly influenced by the Pacific Ocean, which is consistent with previous studies. Examinations of tidal energy transport reveal that the tidal energy for both of the simulated tidal constituents are transported from the Indian Ocean into the IS mainly through the Lombok Strait and the Timor Sea, whereas only M2 energy enters the Banda Sea and continues northward. The tidal energy dissipates the most in the passages on both sides of Timor Island, with the maximum M2 and K1 tidal energy transport reaching about 750 and 650 kW m-1, respectively. The total energy losses of the four dominant constituents in the IS are nearly 338 GW, with the M2 constituent dissipating 240.8 GW. It is also shown that the bottom dissipation rate for the M2 tide is about 1-2 order of magnitudes larger than that of the other three tidal components in the Indonesian seas.
Cheung, Yin Bun
2014-01-01
"A Body Shape Index" (ABSI) is a recently proposed index that standardizes waist circumference for body mass index (BMI) and height. This study aims to: (a) examine if the ABSI scaling exponents for standardizing waist circumference for BMI and height are valid in middle-aged and older Indonesian population, and (b) compare the association between incident hypertension and ABSI and other anthropometric measures. The Indonesian Family Life Survey Wave 3 measured anthropometric variables and blood pressure of 8255 adults aged between 40 to 85 years in 2000. The relationship between two anthropometric quantities, e.g. weight (w) and height (h), can be expressed as the power law-equivalent [Formula: see text], where p = 2 is the scaling exponent in the derivation of the BMI and can be estimated by linear regression analysis. This was extended to the regression analysis of the log-transformed waist circumference, weight and height to establish the scaling exponents in the ABSI. The values for men were similar to those developed by the previous American study, which were 2/3 (BMI) and 1/2 (height). Those for women were somewhat smaller, at 3/5 (BMI) and 1/5 (height). The original (American) ABSI leads to mild negative correlation with BMI (-0.14) and height (-0.12) in the female population. Analysis of the development of hypertension between Waves 3 and 4 (average interval 7.5 years) in relation to ABSI measured at Wave 3 showed stronger association if the locally derived (Indonesian) scaling exponents were used. However, both versions of the ABSI were less associated with incident hypertension than waist circumference and BMI. The values for the scaling exponents for ABSI are roughly similar between the American population and the middle-aged and older Indonesian population, although larger discrepancy was found in women. The ABSI is less associated with incident hypertension than waist circumference and BMI.
Indonesian pharmacists' and pharmacy students' attitudes towards collaboration with physicians.
Setiadi, Adji P; Wibowo, Yosi; Irawati, Sylvi; Setiawan, Eko; Presley, Bobby; Gudka, Sajni; Wardhani, Ari S
2017-01-01
Recent implementation of national health coverage and the increasing health burden in Indonesia require health professionals, including pharmacists, to work more collaboratively to improve access and quality of health care. Nevertheless, relatively little is known about Indonesian pharmacists' attitude towards collaboration. To assess and compare the attitude of Indonesian pharmacy students and pharmacists towards collaboration with physicians. A survey of 95 pharmacy students (Universitas Surabaya) and 114 pharmacists (public health facilities in East Java) in Indonesia was conducted using the validated questionnaire, Scale of Attitudes Toward Physician-Pharmacist Collaboration (SATP2C), which was translated in Bahasa Indonesia. The questionnaire contained 16 items which were based on a 4-point Likert scale. Descriptive statistics were used to summarise the responses, (i.e., individual scores, factor scores and total scores). Response rates of 97.9% and 65.8% were reported for students and pharmacists, respectively. The mean total score of SATP2C among Indonesian students and pharmacists were 56.53 versus 56.77, respectively; indicating positive attitudes toward collaboration. Further analysis of each item of SATP2C confirmed the positive attitudes in which mean and median scores of ≥3 were reported for most items in both groups. Significant differences between students and pharmacists were found regarding the following items: (i) 'there are many overlapping areas of responsibility between pharmacists and physicians' (3.28 versus 2.89, respectively; p<0.001), (ii) 'pharmacist should clarify a physician's order' (3.54 versus 3.71, respectively; p=0.046); and (iii) 'physicians should consult with pharmacists about adverse reactions or refractory to drug treatment' (3.60 versus 3.44, respectively; p=0.022). Indonesian pharmacists reported positive attitudes toward collaboration with physicians. Further research is needed to understand other factors contributing in translating those positive attitudes into actual practice, and thus, providing a good foundation for policy makers, researchers and practitioners to support pharmacist-physician collaboration in Indonesia.
Water uptake by fresh Indonesian peat burning particles is limited by water-soluble organic matter
NASA Astrophysics Data System (ADS)
Chen, Jing; Hapsari Budisulistiorini, Sri; Itoh, Masayuki; Lee, Wen-Chien; Miyakawa, Takuma; Komazaki, Yuichi; Qing Yang, Liu Dong; Kuwata, Mikinori
2017-09-01
The relationship between hygroscopic properties and chemical characteristics of Indonesian biomass burning (BB) particles, which are dominantly generated from peatland fires, was investigated using a humidified tandem differential mobility analyzer. In addition to peat, acacia (a popular species at plantation) and fern (a pioneering species after disturbance by fire) were used for experiments. Fresh Indonesian peat burning particles are almost non-hygroscopic (mean hygroscopicity parameter, κ < 0.06) due to predominant contribution of water-insoluble organics. The range of κ spans from 0.02 to 0.04 (dry diameter = 100 nm, hereinafter) for Riau peat burning particles, while that for Central Kalimantan ranges from 0.05 to 0.06. Fern combustion particles are more hygroscopic (κ = 0. 08), whereas the acacia burning particles have a mediate κ value (0.04). These results suggest that κ is significantly dependent on biomass types. This variance in κ is partially determined by fractions of water-soluble organic carbon (WSOC), as demonstrated by a correlation analysis (R = 0.65). κ of water-soluble organic matter is also quantified, incorporating the 1-octanol-water partitioning method. κ values for the water extracts are high, especially for peat burning particles (A0 (a whole part of the water-soluble fraction): κ = 0.18, A1 (highly water-soluble fraction): κ = 0.30). This result stresses the importance of both the WSOC fraction and κ of the water-soluble fraction in determining the hygroscopicity of organic aerosol particles. Values of κ correlate positively (R = 0.89) with the fraction of m/z 44 ion signal quantified using a mass spectrometric technique, demonstrating the importance of highly oxygenated organic compounds to the water uptake by Indonesian BB particles. These results provide an experimentally validated reference for hygroscopicity of organics-dominated particles, thus contributing to more accurate estimation of environmental and climatic impacts driven by Indonesian BB particles on both regional and global scales.
Gillett, Brian; Silverberg, Mark; Roblin, Patricia; Adelaine, John; Valesky, Walter; Arquilla, Bonnie
2011-06-01
Emergency preparedness experts generally are based at academic or governmental institutions. A mechanism for experts to remotely facilitate a distant hospital's disaster readiness is lacking. The objective of this study was to develop and examine the feasibility of an Internet-based software tool to assess disaster preparedness for remote hospitals using a long-distance, virtual, tabletop drill. An Internet-based system that remotely acquires information and analyzes disaster preparedness for hospitals at a distance in a virtual, tabletop drill model was piloted. Nine hospitals in Cape Town, South Africa designated as receiving institutions for the 2010 FIFA World Cup Games and its organizers, utilized the system over a 10-week period. At one-week intervals, the system e-mailed each hospital's leadership a description of a stadium disaster and instructed them to login to the system and answer questions relating to their hospital's state of readiness. A total of 169 questions were posed relating to operational and surge capacities, communication, equipment, major incident planning, public relations, staff safety, hospital supplies, and security in each hospital. The system was used to analyze answers and generate a real-time grid that reflected readiness as a percent for each hospital in each of the above categories. It also created individualized recommendations of how to improve preparedness for each hospital. To assess feasibility of such a system, the end users' compliance and response times were examined. Overall, compliance was excellent with an aggregate response rate of 98%. The mean response interval, defined as the time elapsed between sending a stimuli and receiving a response, was eight days (95% CI = 8-9 days). A web-based data acquisition system using a virtual, tabletop drill to remotely facilitate assessment of disaster preparedness is efficient and feasible. Weekly reinforcement for disaster preparedness resulted in strong compliance.
Cooke, Jonathan; Stephens, Peter; Ashiru-Oredope, Diane; Charani, Esmita; Dryden, Mathew; Fry, Carole; Hand, Kieran; Holmes, Alison; Howard, Philip; Johnson, Alan P; Livermore, David M; Mansell, Paula; McNulty, Cliodna A M; Wellsteed, Sally; Hopkins, Susan; Sharland, Mike
2015-01-01
There is global concern that antimicrobial resistance is a major threat to healthcare. Antimicrobial use is a primary driver of resistance but little information exists about the variation in antimicrobial use in individual hospitals in England over time or comparative use between hospitals. The objective of this study was to collate, analyse and report issue data from pharmacy records of 158 National Health Service (NHS) acute hospitals. This was a cohort study of inpatient antibacterial use in acute hospitals in England analysed over 5 years through a data warehouse from IMS Health, a leading provider of information, services and technology for the healthcare industry. Around 98% of NHS hospitals were included in a country with a population of 50 million residents. There was a dramatic change in the usage of different groups of antibacterials between 2009 and 2013 with a marked reduction in the use of first-generation cephalosporins by 24.7% and second-generation cephalosporins by 41%, but little change in the use of third-generation cephalosporins (+5.7%) and fluoroquinolones (+1.6%). In contrast, use of co-amoxiclav, carbapenems and piperacillin/tazobactam increased by 60.1%, 61.4% and 94.8%, respectively. There was wide variation in the total and relative amounts of antibacterials used between individual hospitals. Longitudinal analysis of antibacterial use demonstrated remarkable changes in NHS hospitals, probably reflecting governmental and professional guidance to mitigate the risk of Clostridium difficile infection. The wide variation in usage between individual hospitals suggests potential for quality improvement and benchmarking. Quality measures of optimal hospital antimicrobial prescribing need urgent development and validation to support antimicrobial stewardship initiatives. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
Cladielloides A and B: New Eunicellin-Type Diterpenoids from an Indonesian Octocoral Cladiella sp
Chen, Yung-Husan; Tai, Chia-Ying; Hwang, Tsong-Long; Weng, Ching-Feng; Li, Jan-Jung; Fang, Lee-Shing; Wang, Wei-Hsien; Wu, Yang-Chang; Sung, Ping-Jyun
2010-01-01
Two new eunicellin-type diterpenoids, cladielloides A (1) and B (2), which were found to possess a 2-hydroxybutyroxy group in their structures, were isolated from an Indonesian octocoral identified as Cladiella sp. The structures of eunicellins 1 and 2 were elucidated by spectroscopic methods. Cladielloide B (2) exhibited moderate cytotoxicity toward CCRF-CEM tumor cells and this compound displayed significant inhibitory effects on superoxide anion generation and elastase release by human neutrophils. PMID:21339957
The Government of Indonesian Daerahs.
1960-09-12
in 1959 modifying Law No 1 of 1S57. A translation of Law No 1 of 1957 appears in JPRS Translation 921-N, Texts of Indonesian Law No 32 (on Fiscal...Government of the Regions of East Indonesia, which was issued by the former State of East Indonesia and which appears as Item No 44 in the 1950 Statute...Chapter I. FOREWORD Part IV, Articles 131 through 133 of the Provisional Constitution of the Republic of Indonesia (which appears as No 56 in the
Asmaningrum, Nurfika; Tsai, Yun-Fang
2018-03-01
To gain an understanding towards the perspectives of hospitalized inpatients in Indonesia regarding maintaining dignity during clinical care. Dignity is a basic human right that is crucial for an individual's well-being. Respect for a person as a valuable human is a concept that is comparable to treating a person with dignity. Maintaining patient's dignity is an ethical goal of nursing care. Nevertheless, the concept is highly dependent on cultural context. This issue has not been well studied in Indonesia. This study used a qualitative descriptive design. Thirty-five participants were recruited by purposive sampling from medical to surgical wards of six public hospitals in Eastern Java, Indonesia. Data were collected in 2016 through individual face-to-face semi-structured interviews. Inductive content analysis was applied to the data. Four major categories which described qualities of nursing care essential for maintaining a patient's dignity in clinical care settings were revealed: (1) responsiveness; (2) respectful nurse-patient relationships; (3) caring characteristics and (4) personalized service. Our findings provide a cultural viewpoint of dignity for care recipients in Indonesia. The findings provide empirical support for linking dignified care and person-centred care principles with regards to cultural sensitivity. Nurses must not only be clinically competent but also culturally competent. The ability to provide culturally competent care is important for nurses as a strategy to maintain patient dignity during hospitalized care. © 2017 John Wiley & Sons Ltd.
Building partnerships to address the HIV epidemic.
Chua, A C; Leo, Y S; Lee, C C
2008-05-01
Batam is one of the islands comprising the Riau Province in Indonesia, and is closest to Singapore. It is a popular destination of many Singaporeans. Surveillance reports among commercial sex workers conducted in Batam showed the prevalence rate of human immunodeficiency virus (HIV) is 16.2 percent. At the end of 2006, the total number of HIV-infected Singaporeans was 3,060, the majority being infected via heterosexual transmission. The aim of the Indonesian government is to rapidly scale up HIV treatment to those needing it. One of the factors critical to the rapid scale-up is healthcare worker training. An intersectoral collaboration addressing the issue of HIV care and treatment with a hospital in Batam was created. The first activity of the collaboration was a two-day HIV training course conducted in February 2007. The aim of the course was to provide a basic understanding of HIV, as well as knowledge on common opportunistic infections that may present to a general hospital or clinical setting. 34 doctors from 23 institutions in Batam and three doctors from two hospitals in the Riau Islands attended the two-day HIV training course. The participants found the training very useful and highly relevant. This first HIV training provided a foundation to build on further HIV education. It is our belief that through the HIV training programme, there will be more awareness of HIV among the various medical institutions in Batam. As the HIV epidemic knows no borders, working with neighbouring countries is one strategy that deserves attention.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Markel, H.L.
1988-01-01
In response to a request from the staff of the Earl K. Long Memorial Hospital, Baton Rouge, Louisiana, an evaluation was made of possible ethylene-oxide exposures in the central supply service area of the hospital. Air samples were collected for both breathing zone and area air-quality determinations. All samples with the exception of one were below the limit of detection for the method used and below NIOSH, OSHA, and American Conference of Governmental Industrial Hygienists standards. Interviews conducted with six employees indicated that four of them had experienced occasional eye irritation, dry and sore throats, and rashes on their legs.more » Three of these workers felt that these symptoms were job related. The author concludes that overexposure to ethylene oxide is not a problem at the location; it is recommended that consideration be given to relocating the sterilizer/aerator to a recessed area or separate room to isolate workers further from potential exposures to ethylene oxide and to heat and noise as well. Gloves and forceps should be used to remove items from the sterilizer, and an effective maintenance program should be developed.« less
Tiberghien, Denis
2016-02-01
Since opening in 1848, Lariboisière's Hospital was strongly associated with the history of Paris and especially with the terrible days of the siege of Paris and the fights of the Commune. On the day after the surrender, Alix Joffroy wrote his first letter to his mother. He described the events as he experienced them, expressing his feelings about the causes of this political and military disaster and his experience there as an intern. Some weeks after the defeat of France by the Prussians, humbled Parisians attacked governmental troops. From March to May 1871 an improvised insurrectionary movement, The Commune of Paris, had taken power in the capital During the Bloody Week from 21 to 28 May 1871; this movement was suppressed by the Versaillaise Army. In his second letter, Joffroy related with great realism the tooth and nail fighting at the barricades and then the savage repression by the Army of the Communards around Lariboisière's Hospital. Two letters preciously preserved by Alix Joffroy's descendants give this man's unique direct account of a tragic period of the 19th century. © The Author(s) 2014.
Road network - land use interaction model: Malang City in Indonesian case
NASA Astrophysics Data System (ADS)
Waloejo, B. S.
2017-06-01
Urban population in Indonesia is significantly increasing from 44% of total population in 2002 to approximately 60% in 2015. Rapid population growth has resulted in rapid urban land use changes. The problems became more complicated since the changes created mixed use development along the main urban corridors that resulted in higher trip generation and attraction while urban land very limited that made road widening and creation of new road less possible. This led to an accumulation of movement, worse road’s level of service and congestion in the main urban corridor. The aims of the research are to analyse trip generation/attraction of the mixed- land uses of the main corridors Malang City; and to formulate road network - land use interaction model in the case of Malang (a nearly 1 million population city in 2015). The selected corridors in Malang City a main road in the west district of Malang City - Indonesia. Correlational method (Pearson Product Moment) and regression method (stepwise, anova for land use’s trip generation/attraction), and analysis of road’s level of service (LOS), using Indonesian Road Capacity Manual, are employed in this research. The research formulated the interaction model as: \\begin{eqnarray}\\begin{array}{lll}{V}{total} & = & \\displaystyle \\sum {V}{internal}+\\displaystyle \\sum {V}{external} {Where}\\ \\displaystyle \\sum {V}{internal} & = & {e}{residential}{Y}{residential}+{e}{schools}{Y}{schools}+{e}{unis}{Y}{unis}+{e}{offices}{Y}{offices}+{e}{hospital}{Y}{hospital}+{e}{chemists}{Y}{chemists}+{e}{commercial}{Y}{commercial}+{e}{market}{Y}{market}+{e}{fuel {station}}{Y}{fuel {station}}+{e}{bus {station}}{Y}{bus {station}} {and}\\ \\displaystyle \\sum {V}{external} & = & \\displaystyle \\sum {V}{local {roads}}+{V}{continous {traffic} {flow}}\\end{array}\\end{eqnarray} The research showed that V_total=23,033 car unit/day (internal) + 32,746 car unit/day (external) = 55,779 car unit/day. The trip higher than the road’s capacity (C) which 40.695 car unit/day. The levels of services of road’s segments dominantly F (congested). The simulation of the model showed that traffic engineering can be used to increase road’s capacity while land use changes (reduction of the variety of mixed land uses), particularly mix land uses at frontage area, can improve level of services (from F to C).
76 FR 34209 - International Whaling Commission; 63rd Annual Meeting; Nominations
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-13
... Commissioner representing the positions of non-governmental organizations. Generally, only one non-governmental... recommendations to the U.S. IWC Commissioner representing the positions of non-governmental organizations... International Whaling Commission; 63rd Annual Meeting; Nominations AGENCY: National Marine Fisheries Service...
77 FR 19646 - International Whaling Commission; 64th Annual Meeting; Nominations
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-02
... Commissioner representing the positions of non-governmental organizations. Generally, only one non-governmental... the U.S. IWC Commissioner representing the positions of non-governmental organizations. Generally... International Whaling Commission; 64th Annual Meeting; Nominations AGENCY: National Marine Fisheries Service...
A small cohort of Island Southeast Asian women founded Madagascar.
Cox, Murray P; Nelson, Michael G; Tumonggor, Meryanne K; Ricaut, François-X; Sudoyo, Herawati
2012-07-22
The settlement of Madagascar is one of the most unusual, and least understood, episodes in human prehistory. Madagascar was one of the last landmasses to be reached by people, and despite the island's location just off the east coast of Africa, evidence from genetics, language and culture all attests that it was settled jointly by Africans, and more surprisingly, Indonesians. Nevertheless, extremely little is known about the settlement process itself. Here, we report broad geographical screening of Malagasy and Indonesian genetic variation, from which we infer a statistically robust coalescent model of the island's initial settlement. Maximum-likelihood estimates favour a scenario in which Madagascar was settled approximately 1200 years ago by a very small group of women (approx. 30), most of Indonesian descent (approx. 93%). This highly restricted founding population raises the possibility that Madagascar was settled not as a large-scale planned colonization event from Indonesia, but rather through a small, perhaps even unintended, transoceanic crossing.
The Montara Oil Spill: A 2009 Well Blowout in the Timor Sea.
Spies, R B; Mukhtasor, M; Burns, K A
2017-07-01
A well on the Montara platform on the Australian continental shelf blew out in August 2009 and spilled oil into the Timor Sea for 74 days. The oil, estimated at as much as 23.5 million L in total volume, spread over a large area of the shelf and eventually into Indonesian waters. This paper documents, through published literature, reports of both Australian and Indonesian governments and observations of coastal residents and fishermen the spread of the oil and attempts to estimate its impact. The lack of observers on the ocean and baseline, pre-spill data on populations of marine organisms, and delays in deploying scientific surveys after the spill severely limited efforts by the Australian government to determine damage in its territorial waters. Biological survey work was not done in Indonesian waters, but coastal residents attested to relatively severe impacts to algal farms. In addition fish landings declined in one port in southwest Timor Island.
Technical skills requirement of Indonesian construction labors to work in Malaysia
NASA Astrophysics Data System (ADS)
Adi, Henny Pratiwi
2017-03-01
Labors skills is an important part of construction projects implementation. Suitability between the skills possessed by labors with the skills needed by user is required to increase employment opportunities. Malaysia is a country that using construction labors from Indonesia. This study aims to get the kind of technical skills required by users of Indonesian constructian labors in Malaysia and also the importance level of technical skills. Data collecting in this research was conducted through interviews and questionnaires on contractors in Malaysia. The next stage was determine the importance level of technical skills in work field of carpenter, bricklayer, plumber and painters. The importance level of technical skills analyzed using the Relative Importance Index (RII). The results showed that mastering the operation of both instruments either manually or electrically is the most importance in the technical skills. Therefore, an understanding of the types of equipment for work field and the manner of operation is need to had by Indonesian construction labors who will work in Malaysia.
Allele frequency data for 15 autosomal STR loci in eight Indonesian subpopulations.
Venables, Samantha J; Daniel, Runa; Sarre, Stephen D; Soedarsono, Nurtami; Sudoyo, Herawati; Suryadi, Helena; van Oorschot, Roland A H; Walsh, Simon J; Widodo, Putut T; McNevin, Dennis
2016-01-01
Evolutionary and cultural history can affect the genetic characteristics of a population and influences the frequency of different variants at a particular genetic marker (allele frequency). These characteristics directly influence the strength of forensic DNA evidence and make the availability of suitable allele frequency information for every discrete country or jurisdiction highly relevant. Population sub-structure within Indonesia has not been well characterised but should be expected given the complex geographical, linguistic and cultural architecture of the Indonesian population. Here we use forensic short tandem repeat (STR) markers to identify a number of distinct genetic subpopulations within Indonesia and calculate appropriate population sub-structure correction factors. This data represents the most comprehensive investigation of population sub-structure within Indonesia to date using these markers. The results demonstrate that significant sub-structure is present within the Indonesian population and must be accounted for using island specific allele frequencies and corresponding sub-structure correction factors in the calculation of forensic DNA match statistics. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Friedman, Jed; Thomas, Duncan
The 1997 Indonesian financial crisis resulted in severe economic dislocation and political upheaval, and the detrimental consequences for economic welfare, physical health, and child education have been established in several studies. The crisis also adversely impacted the psychological well-being of the Indonesian population. Comparing responses of the same individuals interviewed before and after the crisis, we document substantial increases in several different dimensions of psychological distress among male and female adults across the entire age distribution. In addition, the imprint of the crisis can be seen in the differential impacts of the crisis on low education groups, the rural landless, and residents in those provinces that were most affected by the crisis. Elevated levels of psychological distress persist even after indicators of economic well-being such as household consumption had returned to pre-crisis levels, suggesting the deleterious effects of the crisis on the psychological well-being of the Indonesian population may be longer lasting than the impacts on economic well-being.
Friedman, Jed; Thomas, Duncan
2015-01-01
The 1997 Indonesian financial crisis resulted in severe economic dislocation and political upheaval, and the detrimental consequences for economic welfare, physical health, and child education have been established in several studies. The crisis also adversely impacted the psychological well-being of the Indonesian population. Comparing responses of the same individuals interviewed before and after the crisis, we document substantial increases in several different dimensions of psychological distress among male and female adults across the entire age distribution. In addition, the imprint of the crisis can be seen in the differential impacts of the crisis on low education groups, the rural landless, and residents in those provinces that were most affected by the crisis. Elevated levels of psychological distress persist even after indicators of economic well-being such as household consumption had returned to pre-crisis levels, suggesting the deleterious effects of the crisis on the psychological well-being of the Indonesian population may be longer lasting than the impacts on economic well-being. PMID:25892838
A small cohort of Island Southeast Asian women founded Madagascar
Cox, Murray P.; Nelson, Michael G.; Tumonggor, Meryanne K.; Ricaut, François-X.; Sudoyo, Herawati
2012-01-01
The settlement of Madagascar is one of the most unusual, and least understood, episodes in human prehistory. Madagascar was one of the last landmasses to be reached by people, and despite the island's location just off the east coast of Africa, evidence from genetics, language and culture all attests that it was settled jointly by Africans, and more surprisingly, Indonesians. Nevertheless, extremely little is known about the settlement process itself. Here, we report broad geographical screening of Malagasy and Indonesian genetic variation, from which we infer a statistically robust coalescent model of the island's initial settlement. Maximum-likelihood estimates favour a scenario in which Madagascar was settled approximately 1200 years ago by a very small group of women (approx. 30), most of Indonesian descent (approx. 93%). This highly restricted founding population raises the possibility that Madagascar was settled not as a large-scale planned colonization event from Indonesia, but rather through a small, perhaps even unintended, transoceanic crossing. PMID:22438500
Blackwood, Evelyn
2007-01-01
This paper examines changes in the regulation of sexuality in Indonesia in the period since 1980 as seen through state, religious and lesbian and gay activist discourses on sexuality. Three different eras during that period of Indonesian history are compared. Under the New Order regime of Suharto, the Indonesian state sought to control sexuality through a deployment of gender. During the 1990s, state Islamic discourses of sexuality shifted in response to international pressures to support same-sex marriage and sexual rights. During the third period following the end of the Suharto regime in 1998, a conservative Islamic minority pushed for more restrictive laws in the State Penal Code, initiating intense public debate on the role of the state in questions of sexuality and morality. Over this time period, the dominant discourse on sexuality moved from strategically linking normative gender with heterosexuality and marriage to direct attempts to legislate heterosexual marriage by criminalizing a wide range of sexual practices.
Feature extraction for document text using Latent Dirichlet Allocation
NASA Astrophysics Data System (ADS)
Prihatini, P. M.; Suryawan, I. K.; Mandia, IN
2018-01-01
Feature extraction is one of stages in the information retrieval system that used to extract the unique feature values of a text document. The process of feature extraction can be done by several methods, one of which is Latent Dirichlet Allocation. However, researches related to text feature extraction using Latent Dirichlet Allocation method are rarely found for Indonesian text. Therefore, through this research, a text feature extraction will be implemented for Indonesian text. The research method consists of data acquisition, text pre-processing, initialization, topic sampling and evaluation. The evaluation is done by comparing Precision, Recall and F-Measure value between Latent Dirichlet Allocation and Term Frequency Inverse Document Frequency KMeans which commonly used for feature extraction. The evaluation results show that Precision, Recall and F-Measure value of Latent Dirichlet Allocation method is higher than Term Frequency Inverse Document Frequency KMeans method. This shows that Latent Dirichlet Allocation method is able to extract features and cluster Indonesian text better than Term Frequency Inverse Document Frequency KMeans method.
Assessing the ERP-SAP implementation strategy from cultural perspectives
NASA Astrophysics Data System (ADS)
Wang, Gunawan; Syaiful, Bakhri; Sfenrianto; Nurul, Fajar Ahmad
2017-09-01
Implementing ERP-SAP projects in Indonesian large enterprises frequently create headaches for the consultants, since there are always be a large gap between the outcomes of the SAP with the expected results. Indonesian enterprises have experience with a huge amount of investments and ended up with minor benefits. Despite its unprecedented benefits, the SAP strategy is still considered as a mandatory enterprise system for every enterprise to compete in the marketplaces. The article examines the SAP implementation from cultural perspectives to present new horizon that commonly ignored by major Indonesian enterprises. The article applies the multiple case studies with three large Indonesia enterprises, such as KS, the largest steel producer; GEM, a subsidiary of conglomerate enterprise operates in the mining industry, and HS, a subsidiary of the largest retailer in Asia with more than 700 stores in Indonesia. The outcome of the article is expected to provide a comprehensive analysis from cultural perspectives regarding to common problems faced by SAP consultants.
NASA Astrophysics Data System (ADS)
Endah, S. N.; Nugraheni, D. M. K.; Adhy, S.; Sutikno
2017-04-01
According to Law No. 32 of 2002 and the Indonesian Broadcasting Commission Regulation No. 02/P/KPI/12/2009 & No. 03/P/KPI/12/2009, stated that broadcast programs should not scold with harsh words, not harass, insult or demean minorities and marginalized groups. However, there are no suitable tools to censor those words automatically. Therefore, researches to develop a system of intelligent software to censor the words automatically are needed. To conduct censor, the system must be able to recognize the words in question. This research proposes the classification of speech divide into two classes using Support Vector Machine (SVM), first class is set of rude words and the second class is set of properly words. The speech pitch values as an input in SVM, it used for the development of the system for the Indonesian rude swear word. The results of the experiment show that SVM is good for this system.
Selected Topics from LVCSR Research for Asian Languages at Tokyo Tech
NASA Astrophysics Data System (ADS)
Furui, Sadaoki
This paper presents our recent work in regard to building Large Vocabulary Continuous Speech Recognition (LVCSR) systems for the Thai, Indonesian, and Chinese languages. For Thai, since there is no word boundary in the written form, we have proposed a new method for automatically creating word-like units from a text corpus, and applied topic and speaking style adaptation to the language model to recognize spoken-style utterances. For Indonesian, we have applied proper noun-specific adaptation to acoustic modeling, and rule-based English-to-Indonesian phoneme mapping to solve the problem of large variation in proper noun and English word pronunciation in a spoken-query information retrieval system. In spoken Chinese, long organization names are frequently abbreviated, and abbreviated utterances cannot be recognized if the abbreviations are not included in the dictionary. We have proposed a new method for automatically generating Chinese abbreviations, and by expanding the vocabulary using the generated abbreviations, we have significantly improved the performance of spoken query-based search.
Maskoen, Ani Melani; Rahayu, Nurul S; Reniarti, Lelani; Susanah, Susi; Laksono, Bremmy; Fauziah, Prima Nanda; Zada, Almira; Hidayat, Dadang S
2017-12-30
Thalassemia is the most common hereditary haemolytic anemia in Southeast Asia, in which Indonesia is among countries that are at a high risk for thalassemia. It has been reported that mutation in the beta-globin gene is responsible in severe Thalassemia. However, the spectrum of beta-globin gene mutations in Indonesian population varies in different regions . Thus, this study aimed to identify the most prevalent mutation of Thalassemia patients from the Hasan Sadikin Hospital, Bandung, using this as a reference hospital for Thalassemia in West Java. The three most prevalent mutations of beta globin (IVS1nt5, Cd26 (HbE), and IVS1nt1), were conducted in the beginning of this study. Mutations of 291 samples were detected by PCR-RFLP in the Molecular Genetic Laboratory, Faculty of Medicine Universitas Padjadjaran, Bandung. The prevalence of the beta globin gene mutation types were 47.4% IVS1nt5 homozygote, 9.9% compound heterozygote IVS1nt5/HbE, 5.4% compound heterozygote IVS1nt5/IVS1nt1, 1.4% compound heterozygote HbE/IVS1nt1, 1% HbE homozygote, 14.4% Compound heterzygote IVS1nt5/… (no paired mutation), 2.06% compound heterozygote HbE/… (no paired mutation), 1.3% compound heterozygote IVS1nt1/… (no paired mutation), and 7 samples were unidentified. The thalassemia mutation IVS1nt5 homozygote is the most common mutation found in Thalassemia patients at Hasan Sadikin Hospital, Bandung. The samples with unidentified results might carry mutations other than the three that are observed in the present study.
Fatal lightning strikes in Malaysia.
Murty, O P; Kian, Chong Kah; Ari Husin, Mohammed Husrul; Nanta Kumar, Ranjeev Kumar; Mohammed Yusuf, Wan Yuhana W
2009-09-01
Lightning strike is a natural phenomenon with potentially devastating effects and represents one of the important causes of deaths from environmental phenomena. Almost every organ system may be affected as lightning current passes through the human body taking the shortest pathways between the contact points. A 10 years retrospective study (1996-2005) was conducted at University Hospital Kuala Lumpur (20 cases) also including cases during last 3 years from Hospital Tengku Ampuan Rahimah, Klang (7 cases) from the autopsy reports at Forensic Pathology Units of these 2 hospitals. Both these hospitals are attached to University of Malaya. There were 27 fatal cases of lightning strike with male preponderance(92.59%) and male to female ratio of 12.5:1. Majority of victims of lightning strike were from the age group between 30 and 39 years old. Most of the victims were foreign workers. Indonesians workers contributed to 59.26% of overall cases. Majority of them were construction workers who attributed i.e.11 of 27 cases (40.74%). Most of the victims were brought in dead (37.04%). In majority of the cases the lightning incidence occurred in the evenings, with the frequency of 15 of 27 cases (62.5%). The month of December represented with the highest number of cases (5 cases of 23 cases); 2004 had the highest incidence of lightning strike which was 5 (19.23%). Lightning strike incidence occurred when victims had taken shelter (25.9%) under trees or shades. Lightning strike in open areas occurred in 10 of 27 cases (37.0%). Head and neck were the most commonly affected sites with the incidence of 77.78% and 74% respectively in all the victims. Only 29.63% of the cases presented with ear bleeding.
Agyemang, Charles; van de Vorst, Irene E; Koek, Huiberdina L; Bots, Michiel L; Seixas, Azizi; Norredam, Marie; Ikram, Umar; Stronks, Karien; Vaartjes, Ilonca
2017-01-01
Data on dementia prognosis among ethnic minority groups are limited in Europe. We assessed differences in short-term (1-year) and long-term (3-year) mortality and readmission risk after a first hospitalization or first ever referral to a day clinic for dementia between ethnic minority groups and the ethnic Dutch population in the NetherlandsMethods: Nationwide prospective cohorts of first hospitalized dementia patients (N = 55,827) from January 1, 2000 to December 31, 2010 were constructed. Differences in short-term and long-term mortality and readmission risk following hospitalization or referral to the day clinic between ethnic minority groups (Surinamese, Turkish, Antilleans, Indonesians) and the ethnic Dutch population were investigated using Cox proportional hazard regression models with adjustment for age, sex, and comorbidities. Age-sex-adjusted short-term and long-term risks of death following a first hospitalization with dementia were comparable between the ethnic minority groups and the ethnic Dutch. Age- and sex-adjusted risk of admission was higher only in Turkish compared with ethnic Dutch (HR 1.57, 95% CI,1.08-2.29). The difference between Turkish and the Dutch attenuated and was no longer statistically significant after further adjustment for comorbidities. There were no ethnic differences in short-term and long-term risk of death, and risk of readmission among day clinic patients. Compared with Dutch patients with a comparable comorbidity rate, ethnic minority patients with dementia did not have a worse prognosis. Given the poor prognosis of dementia, timely and targeted advance care planning is essential, particularly in ethnic minority groups who are mired by cultural barriers and where uptake of advance care planning is known to be low.
Naumova, Elena N; Liss, Alexander; Jagai, Jyotsna S; Behlau, Irmgard; Griffiths, Jeffrey K
2016-12-01
The Flint Water Crisis-due to changes of water source and treatment procedures-has revealed many unsolved social, environmental, and public health problems for US drinking water, including opportunistic premise plumbing pathogens (OPPP). The true health impact of OPPP, especially in vulnerable populations such as the elderly, is largely unknown. We explored 10 8 claims in the largest US national uniformly collected data repository to determine rates and costs of OPPP-related hospitalizations. In 1991-2006, 617,291 cases of three selected OPPP infections resulted in the elderly alone of $0.6 billion USD per year of payments. Antibiotic resistance significantly increased OPPP illness costs that are likely to be underreported. More precise estimates for OPPP burdens could be obtained if better clinical, microbiological, administrative, and environmental monitoring data were cross-linked. An urgent dialog across governmental and disciplinary divides, and studies on preventing OPPP through drinking water exposure, are warranted.
Pandemic influenza preparedness: an ethical framework to guide decision-making
Thompson, Alison K; Faith, Karen; Gibson, Jennifer L; Upshur, Ross EG
2006-01-01
Background Planning for the next pandemic influenza outbreak is underway in hospitals across the world. The global SARS experience has taught us that ethical frameworks to guide decision-making may help to reduce collateral damage and increase trust and solidarity within and between health care organisations. Good pandemic planning requires reflection on values because science alone cannot tell us how to prepare for a public health crisis. Discussion In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework. Summary The need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great. Our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The framework will require re-evaluation and refinement and we hope that this paper will generate feedback on how to make it even more robust. PMID:17144926
NASA Astrophysics Data System (ADS)
Jafari, Hamed; Salmasi, Nasser
2015-09-01
The nurse scheduling problem (NSP) has received a great amount of attention in recent years. In the NSP, the goal is to assign shifts to the nurses in order to satisfy the hospital's demand during the planning horizon by considering different objective functions. In this research, we focus on maximizing the nurses' preferences for working shifts and weekends off by considering several important factors such as hospital's policies, labor laws, governmental regulations, and the status of nurses at the end of the previous planning horizon in one of the largest hospitals in Iran i.e., Milad Hospital. Due to the shortage of available nurses, at first, the minimum total number of required nurses is determined. Then, a mathematical programming model is proposed to solve the problem optimally. Since the proposed research problem is NP-hard, a meta-heuristic algorithm based on simulated annealing (SA) is applied to heuristically solve the problem in a reasonable time. An initial feasible solution generator and several novel neighborhood structures are applied to enhance performance of the SA algorithm. Inspired from our observations in Milad hospital, random test problems are generated to evaluate the performance of the SA algorithm. The results of computational experiments indicate that the applied SA algorithm provides solutions with average percentage gap of 5.49 % compared to the upper bounds obtained from the mathematical model. Moreover, the applied SA algorithm provides significantly better solutions in a reasonable time than the schedules provided by the head nurses.
Governmentality--Neoliberalism--Education: The Risk Perspective
ERIC Educational Resources Information Center
Kašcák, Ondrej; Pupala, Branislav
2011-01-01
This paper understands the basic elements of neoliberalism in education and governmentality to be the technologies for the neoliberal government of education. It outlines Foucault's methodology for analysing governmentality and shows how neoliberalism is a discursive formation which homogenises apparently unrelated language games and…
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77 FR 13996 - Determination of Governmental Plan Status; Correction
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-08
... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 [REG-157714-06] RIN 1545-BG43 Determination of Governmental Plan Status; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION...) relating to the determination of governmental plans. FOR FURTHER INFORMATION CONTACT: Concerning the...
76 FR 76633 - Indian Tribal Governmental Plans; Correction
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2011-12-08
... Indian Tribal Governmental Plans; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION... are considering proposing relating to the determination of whether a plan of an Indian Tribal government is a governmental plan within the meaning of section 414(d) and contains an appendix that includes...
Wibowo, Yosi; Sunderland, Bruce; Hughes, Jeffery
2016-05-01
To explore perspectives of physicians and pharmacists on diabetes service delivery within community pharmacies in Indonesia. In depth interviews were conducted with 10 physicians and 10 community pharmacists in Surabaya, Indonesia, using a semi-structured interview guide. Nvivo version 9 was used to facilitate thematic content analysis to identify barriers/facilitators for community pharmacists to provide diabetes services. The identified themes indicating barriers/facilitators for diabetes service delivery within Indonesian community pharmacies included: (1) pharmacist factors - i.e. positive views (facilitator) and perceived lack of competence (barrier); (2) pharmacist-physician relationships - i.e. physicians' lack of support and accessibility (barriers); (3) pharmacist-patient relationships - i.e. perceived patients' lack of support and accessibility (barriers); (4) pharmacy environment - i.e. business orientation (barrier), lack of staff and poor pharmacist availability (barriers), and availability of supporting resources, such as counselling areas/rooms, procedures/protocols and IT systems for labelling and patient records (facilitators); and (5) external environment - i.e. a health system to support pharmacist roles, remuneration, marketing and professional assistance (facilitators). Issues related to the pharmacist-physician-patient relationships, pharmacy environment and external environment need to be addressed before Indonesian community pharmacists can provide additional pharmacy services for type 2 diabetes patients. Collaboration between the Government, Ikatan Apoteker Indonesia (Indonesian Pharmacists Association) and Ikatan Dokter Indonesia (Indonesian Medical Association) is required to improve the pharmacy professional environment and facilities. © 2015 Royal Pharmaceutical Society.
Lestiani, Lanny; Ambarwati, Fransisca Diah
2018-01-01
Indonesians have a high intake of saturated fats, a key contributing dietary factor to elevated blood cholesterol concentrations. We investigated the cholesterol lowering efficacy of a smoothie drink with 2 grams of plant stanols as esters to lower serum total and LDL-cholesterol concentrations in hypercholesterolemic Indonesian adults. The double-blind randomized placebo controlled parallel design study involved 99 subjects. Fifty subjects received control drink and dietary advice, and 49 subjects received intervention drink (Nutrive Benecol®) and dietary advice. Baseline, midline (week 2), and endline (week 4) assessments were undertaken for clinical, anthropometric, and biochemical variables. Compared to control, the smoothie drink with plant stanols reduced serum LDL-cholesterol concentration by 7.6% (p < 0.05) and 9.0% (p < 0.05) in two and four weeks, respectively. Serum total cholesterol was reduced by 5.7% (p < 0.05 compared to control) in two weeks, and no further reduction was detected after four weeks (5.6%). Compared to baseline habitual diet, LDL-cholesterol was reduced by 9.3% (p < 0.05) and 9.8% (p < 0.05) in the plant stanol ester group in two and four weeks, respectively. We conclude that consumption of smoothie drink with added plant stanol esters effectively reduces serum total and LDL-cholesterol of hypercholesterolemic Indonesian subjects already in two weeks. Trial is registered as NCT02316808. PMID:29535869
Harahap, Heryudarini; Sandjaja, Sandjaja; Soekatri, Moesijanti; Khouw, Ilse; Deurenberg, Paul
2018-01-01
Indonesia is currently facing double burden malnutrition in children. As overweight and obesity are due to a disturbed energy balance, this study aimed to assess the association of total energy intake and physical activity with the prevalence of overweight among Indonesian children. The data used for this analysis were from 1143 children, 6-12 years old, that participated in the South East Asian Nutrition Survey (SEANUTS). Physical activity (PA) was measured using pedometers for 2 consecutive days and was categorized low, moderate and high. Child nutritional status was categorized based on body mass index for age z-scores (BAZ) into normal weight (-2 SD ≤BAZ≤1 SD) or overweight (BAZ >1 SD). Energy intake was calculated from a one day 24 hour recall and compared to the Indonesian recommended dietary allowance (RDA) for energy. Children with low PA had higher risk (ODDs 3.4, 95% CI: 2.0, 6.0) of being overweight compared to children who had high PA. Children with moderate PA and energy take >100% RDA had higher risk (ODDs 4.2, 95% CI 1.9, 9.3) of being overweight than children with high PA and energy intakes ≤100% RDA. Low physical activity independently or moderate physical activity and high energy intake are risk factors for Indonesian children to get overweight. Program intervention such as increasing physical activity at school and home is needed to reduce overweight among children.
Overweight and obesity in Indonesia: prevalence and risk factors-a literature review.
Rachmi, C N; Li, M; Alison Baur, L
2017-06-01
Overweight/obesity is a problem faced by both high- and low- and middle-income countries. This review aimed to report published data on the prevalence of overweight and obesity in Indonesian children, adolescents, and adults, along with the associated risk factors. Literature review. We conducted a literature search for articles published in English (through Medline via OvidSP, Scopus, Global Health via OvidSP and Web of Science electronic databases) and Indonesian languages (several websites, direct contact with Indonesian public health researchers, practitioners and Ministry of Health staff) from earliest to March 2016. We screened the results and ensured the quality of included studies with Loney's tools for critically appraising prevalence or incidence studies. We included 17 papers on the topic which were available in full text and passed the critical appraisal process. The prevalence of overweight/obesity has increased over the past two decades in Indonesian children, adolescents and adults. Prevalence rates are higher in boys than girls among children, but higher in females in the adolescent and adult age groups. The prevalence of overweight/obesity is also higher in those living in urban areas and with higher income or education. Overweight/obesity is a serious public health problem in Indonesia with a continuing increase in its prevalence. Interventions at the household level and beyond are needed to successfully lower the prevalence of overweight/obesity in the country. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Food intake, plate waste and its association with malnutrition in hospitalized patients.
Simzari, Kobra; Vahabzadeh, Davoud; Nouri Saeidlou, Sakineh; Khoshbin, Susan; Bektas, Yener
2017-11-16
Hospital malnutrition is a worldwide dilemma and challenge. High levels of plate waste contribute to malnutrition-related complications in hospital. We investigated the association between the levels of plate waste, food intake and patient satisfaction with nutritional risk and malnutrition prevalence in three hospital settings. The sample population of 120 patients, aged 18-65 year, admitted consecutively over a 12 month period to 3 different educational university hospitals was included. For all the patients, diet history, anthropometric measurements, body mass index and patient satisfaction with the hospital food service was evaluated. Weight plate waste for all daily meals was done and actual intakes computed individually for each day. Nutrition risk screening (NRS)-2002 (≥ 3) tool was used for estimating the nutritionally at-risk population. Results: From one hundred twenty non-critically ill patients with a mean 8.9 ± 3.5 day length of hospital stay, 40.8% (49) were men and 59.2% (71) were female. Mean energy and protein requirements were 2,030.3 ± 409.03 kcal/day and 76.13 ± 15.33 g/day respectively. Mean intakes were 1,326 ± 681.44 kcal/day and 66.81 ± 31.66 g/day respectively. The mean percent of plate waste for lunch and dinner were 37.7 ± 29.88 and 30.4 ± 23.61 respectively. In the total population, 25% of patients were satisfied and 75% patients were unsatisfied with hospital foods. Based on BMI (< 20), unintentional weight loss (> 10%), malnutrition prevalence was 12.5% and 14.2% respectively during hospitalization. The prevalence of nutritionally at-risk population was 30% at admission time and reached 33.3% at discharge. Plate waste and hospital malnutrition were highly prevalent in accompanying with increasing nutritionally risk progression. So it should be addressed as an important health issue and appropriate strategies for stimulating governmental policies should be adopted.
Impact of the Indonesian Throughflow on the Atlantic Meridional Overturning Circulation
NASA Astrophysics Data System (ADS)
Le Bars, Dewi; Dijkstra, Henk
2014-05-01
Understanding the mechanisms controlling the strength and variability of the Atlantic Meridional Overturning Circulation (AMOC) is one of the main topics of climate science and in particular physical oceanography. Current simple representations of the global ocean overturning separates the surface return flow to the Atlantic basin into a cold water path through the Drake Passage and a warm water path through the Indonesian Throughflow and Agulhas leakage. The relative importance of these two paths has been investigated in non-eddying ocean models. In these models the Agulhas retroflection cannot be modelled properly, which leads to an important overestimation of the Agulhas leakage. Furthermore, it seems that the in these models the relation between the meridional density gradient and the overturning strength is greatly simplified and changes significantly when eddies are resolved (Den Toom et al. 2013). As a result, the impact of the Pacific-Indian Oceans exchange through the Indonesian Throughflow on the AMOC is still unknown. To investigate this question we run a state-of-the-art ocean model, the Parallel Ocean Program (POP), globally, at eddy resolving resolution (0.1º). Using climatological forcing from the CORE dataset we perform two simulations of 110 years, a control experiment with realistic coastlines and one in which the Indonesian Passages are closed. Results show that, for a closed Indonesian Throughflow, the Indian Ocean cools down but its salinity increases. The Agulhas leakage reduces also by 3Sv (Le Bars et al. 2013) and the net effect on the south Atlantic is a cooling down and decrease salinity. The anomalies propagate slowly northward and a significant decrease of the AMOC is found at 26ºN after 50 years. This decrease AMOC also leads to reduced northward heat flux in the Atlantic. These processes are investigated with a detailed analysis of the heat and freshwater balances in the Atlantic-Arctic region and in the region south of 34ºS where Drake Passage waters meet Indian Ocean waters and influence the density filed of the whole Atlantic basin. Den Toom, M., H. Dijkstra, W. Weijer, M. Hecht, M. Maltrud, and E. van Sebille, 2013: Response of a Strongly Eddying Global Ocean to North Atlantic Freshwater Perturbations. J. Phys. Oceanogr. doi:10.1175/JPO-D-12-0155.1, in press. Le Bars, D., Dijkstra, H. a. and De Ruijter, W. P. M.: Impact of the Indonesian Throughflow on Agulhas leakage, Ocean Sci., 9(5), 773-785, doi:10.5194/os-9-773-2013, 2013.
What's New: Update on GASB and Accounting Standards.
ERIC Educational Resources Information Center
Marrone, Robert S.; Scharle, Robert E.
1996-01-01
Updates the Governmental Accounting Standards Board (GASB) statements, which pronounce upon and provide guidance in accounting and financial reporting for state and local governmental entities. Describes the development of GASB's governmental finance-reporting model project and identifies five components of internal control. One figure and two…
77 FR 12514 - Determination of Governmental Plan Status; Correction
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-01
... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 [REG-157714-06] RIN 1545-BG43 Determination of Governmental Plan Status; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION... governmental plans. FOR FURTHER INFORMATION CONTACT: Concerning the proposed regulations, Pamela Kinard at (202...
45 CFR 150.313 - Market conduct examinations.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Non-Federal Governmental Plans-Civil Money Penalties § 150.313 Market conduct examinations. (a..., or the operation of a non-Federal governmental plan, involving the review of one or more (or a... consist of one of the following: (i) Concurrence with the issuer's or non-Federal governmental plan's...
45 CFR 150.313 - Market conduct examinations.
Code of Federal Regulations, 2011 CFR
2011-10-01
... Non-Federal Governmental Plans-Civil Money Penalties § 150.313 Market conduct examinations. (a..., or the operation of a non-Federal governmental plan, involving the review of one or more (or a... consist of one of the following: (i) Concurrence with the issuer's or non-Federal governmental plan's...
39 CFR 3002.15 - Office of Public Affairs and Governmental Relations. [Reserved
Code of Federal Regulations, 2010 CFR
2010-07-01
... 39 Postal Service 1 2010-07-01 2010-07-01 false Office of Public Affairs and Governmental Relations. [Reserved] 3002.15 Section 3002.15 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL ORGANIZATION §§ 3002.15 Office of Public Affairs and Governmental Relations. [Reserved...
47 CFR 76.1505 - Public, educational and governmental access.
Code of Federal Regulations, 2011 CFR
2011-10-01
... SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Open Video Systems § 76.1505 Public, educational and governmental access. (a) An open video system operator shall be subject to public, educational and... video system operator must ensure that all subscribers receive any public, educational and governmental...
47 CFR 76.1505 - Public, educational and governmental access.
Code of Federal Regulations, 2014 CFR
2014-10-01
... SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Open Video Systems § 76.1505 Public, educational and governmental access. (a) An open video system operator shall be subject to public, educational and... video system operator must ensure that all subscribers receive any public, educational and governmental...
47 CFR 76.1505 - Public, educational and governmental access.
Code of Federal Regulations, 2012 CFR
2012-10-01
... SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Open Video Systems § 76.1505 Public, educational and governmental access. (a) An open video system operator shall be subject to public, educational and... video system operator must ensure that all subscribers receive any public, educational and governmental...
47 CFR 76.1505 - Public, educational and governmental access.
Code of Federal Regulations, 2010 CFR
2010-10-01
... SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Open Video Systems § 76.1505 Public, educational and governmental access. (a) An open video system operator shall be subject to public, educational and... video system operator must ensure that all subscribers receive any public, educational and governmental...
47 CFR 76.1505 - Public, educational and governmental access.
Code of Federal Regulations, 2013 CFR
2013-10-01
... SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Open Video Systems § 76.1505 Public, educational and governmental access. (a) An open video system operator shall be subject to public, educational and... video system operator must ensure that all subscribers receive any public, educational and governmental...
Antibiotic Resistance in Sepsis Patients: Evaluation and Recommendation of Antibiotic Use
Pradipta, Ivan Surya; Sodik, Dian Chairunnisa; Lestari, Keri; Parwati, Ida; Halimah, Eli; Diantini, Ajeng; Abdulah, Rizky
2013-01-01
Background: The appropriate selection of empirical antibiotics based on the pattern of local antibiotic resistance can reduce the mortality rate and increase the rational use of antibiotics. Aims: We analyze the pattern of antibiotic use and the sensitivity patterns of antibiotics to support the rational use of antibiotics in patients with sepsis. Materials and Methods: A retrospective observational study was conducted in adult sepsis patient at one of Indonesian hospital during January-December 2011. Data were collected from the hospital medical record department. Descriptive analysis was used in the processing and interpretation of data. Results: A total of 76 patients were included as research subjects. Lung infection was the highest source of infection. In the 66.3% of clinical specimens that were culture positive for microbes, Klebsiella pneumoniae, Escherichia coli, Staphylococcus hominis were detected with the highest frequency. The six most frequently used antibiotics, levofloxacin, ceftazidime, ciprofloxacin, cefotaxime, ceftriaxone, and erythromycin, showed an average resistance above 50%. Conclusions: The high use of antibiotic with a high level resistance requires a policy to support its rational use. Local microbial pattern based on site infection and pattern of antibiotics sensitivity test can be used as supporting data to optimize appropriateness of empirical antibiotics therapy in sepsis patients. PMID:23923107
Degree of agreement among sepsis diagnosis criteria in adult emergency room patients with infection
NASA Astrophysics Data System (ADS)
Sinto, R.; Chandra, A. T.; Lie, K. C.; Suwarto, S.
2018-03-01
The study on the degree of agreement among three established sepsis diagnosis criteria become the necessity to investigate the best sepsis diagnosis criteria in Indonesia further. A cross-sectional study of adult Emergency Room patients hospitalized with a diagnosis of infection in CiptoMangunkusumo Hospital, Indonesia was conducted during March and April 2017. We recorded diagnosis, gender, age, comorbidities, infection source, and origin. Every subject was classified into sepsis and non-sepsis based on 1991, 2001 and sepsis-3 criteria. Raw % and Kappa agreement coefficients (κ) were calculated according to previously established formula to measure the degree of agreement among three diagnostic criteria. As many as 278 subjects were included in this study. The raw % agreement and κ between 1991 and 2001 criteria is 69.07% and 0.34 respectively. The raw % agreement and κ between 2001 and sepsis-3 criteria is 56.12% and 0.15 respectively. The raw % agreement and κ between 1991 and sepsis-3 criteria is 48.19% and -0.02. In conclusions, there is afair agreement between 1991 and 2001 criteria, poor agreement between 2001 and sepsis-3 criteria, and poor disagreement between 1991 and sepsis-3 criteria. This necessitates further Indonesian study of the best diagnosis criteria to diagnose an infected patient with sepsis.
Operation Sumatra Assist: surgery for survivors of the tsunami disaster in Indonesia.
Chambers, Anthony J; Campion, Michael J; Courtenay, Brett G; Crozier, John A; New, Charles H
2006-01-01
The tsunami of 26 December 2004 was one of the deadliest natural disasters recorded, with the Indonesian province of Aceh being the most devastated region. As part of the Australian Government's response to the disaster, the Australian Defence Force deployed personnel from the Sydney-based 1st Health Support Battalion to Banda Aceh, the capital of the province. This unit joined with medical personnel from the New Zealand Defence Force to form the ANZAC field hospital. The mission of this unit as part of Operation Sumatra Assist was to provide medical and surgical care to the people of Aceh during the critical stages of rebuilding of the tsunami-devastated region. Surgical teams of the ANZAC field hospital were some of the first to provide definitive surgical care to the critically injured survivors of the disaster. During the first 4 weeks of the deployment, 173 surgical procedures were carried out for 71 patients in this facility. Thirty patients underwent 119 procedures (69% of total) for injuries sustained in the tsunami. Most of these patients required debridements, dressing changes and wound management procedures for the management of severe soft tissue infections. Three amputations were carried out. The remaining 41 patients underwent 54 procedures (31%) for emergent surgical conditions unrelated to the disaster.
Marek, Tonia
2008-12-01
Most projects financed by governments often end in deceptive results; certain indicators of health improve little, and certain not at all. Why? One cause could be the concentration of initiatives in the public sector, whereas half of heath care spending in Africa is in the private sector. It is time to consider the health care system in its entirety, and not just the public part. In this article the private sector is defined as all service provision provided by non-governmental supplier, either in the formal private sector (pharmacy, private hospital, etc.) or in the informal private sector (local, traditional therapists, informal consultations, for example).
5 CFR 919.215 - Which nonprocurement transactions are not covered transactions?
Code of Federal Regulations, 2010 CFR
2010-01-01
... foreign government or foreign governmental entity; (2) A public international organization; (3) An entity... wholly or partially of one or more foreign governments or foreign governmental entities. (b) A benefit to... governmental operations. (g) Any other transaction if the application of an exclusion to the transaction is...
31 CFR 19.215 - Which nonprocurement transactions are not covered transactions?
Code of Federal Regulations, 2010 CFR
2010-07-01
... governmental entity; (2) A public international organization; (3) An entity owned (in whole or in part) or... foreign governments or foreign governmental entities. (b) A benefit to an individual as a personal... results from ordinary governmental operations. (g) Any other transaction if the application of an...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-16
... territories of the governmental end-user or international organization. For example, such would be required to.... Furthermore, companies, international organizations, and foreign governmental entities bear significantly more...), to or within a foreign business entity, foreign governmental entity, or international organization...
41 CFR 105-68.215 - Which nonprocurement transactions are not covered transactions?
Code of Federal Regulations, 2010 CFR
2010-07-01
... foreign government or foreign governmental entity; (2) A public international organization; (3) An entity... wholly or partially of one or more foreign governments or foreign governmental entities. (b) A benefit to... incidental benefit that results from ordinary governmental operations. (g) Any other transaction if the...
29 CFR 1471.215 - Which nonprocurement transactions are not covered transactions?
Code of Federal Regulations, 2010 CFR
2010-07-01
... governmental entity; (2) A public international organization; (3) An entity owned (in whole or in part) or... foreign governments or foreign governmental entities. (b) A benefit to an individual as a personal... transaction. (f) An incidental benefit that results from ordinary governmental operations. (g) Any other...
10 CFR 2.309 - Hearing requests, petitions to intervene, requirements for standing, and contentions.
Code of Federal Regulations, 2011 CFR
2011-01-01
..., local governmental body, and affected, Federally-recognized Indian Tribe. (i) A State, local governmental body (county, municipality or other subdivision), and any affected Federally-recognized Indian... contention requirements in paragraph (f) of this section), except that a State, local governmental body or...
10 CFR 2.309 - Hearing requests, petitions to intervene, requirements for standing, and contentions.
Code of Federal Regulations, 2010 CFR
2010-01-01
..., local governmental body, and affected, Federally-recognized Indian Tribe. (i) A State, local governmental body (county, municipality or other subdivision), and any affected Federally-recognized Indian... contention requirements in paragraph (f) of this section), except that a State, local governmental body or...
Governmental Surveillance of Three Progressive Educators.
ERIC Educational Resources Information Center
Nelson, Murry R.; Singleton, H. Wells
Governmental interference with academic freedom is illustrated by F.B.I. surveillance of and unauthorized distribution of information about progressive educators John Dewey, George Counts, and Harold Rugg. These three educators attracted the attention of governmental agencies and special interest groups during the 1930s and 1940s because they…
26 CFR 1.892-4T - Commercial activities (temporary regulations).
Code of Federal Regulations, 2010 CFR
2010-04-01
... current or future production of income or gain are commercial activities. An activity may be considered a... railroad is not a non-profit activity. (4) Governmental functions. Governmental functions are not commercial activities. The term “governmental functions” shall be determined under U.S. standards. In general...
26 CFR 1.892-4T - Commercial activities (temporary regulations).
Code of Federal Regulations, 2011 CFR
2011-04-01
... current or future production of income or gain are commercial activities. An activity may be considered a... railroad is not a non-profit activity. (4) Governmental functions. Governmental functions are not commercial activities. The term “governmental functions” shall be determined under U.S. standards. In general...
26 CFR 1.892-4T - Commercial activities (temporary regulations).
Code of Federal Regulations, 2014 CFR
2014-04-01
... current or future production of income or gain are commercial activities. An activity may be considered a... railroad is not a non-profit activity. (4) Governmental functions. Governmental functions are not commercial activities. The term “governmental functions” shall be determined under U.S. standards. In general...
26 CFR 1.892-4T - Commercial activities (temporary regulations).
Code of Federal Regulations, 2013 CFR
2013-04-01
... current or future production of income or gain are commercial activities. An activity may be considered a... railroad is not a non-profit activity. (4) Governmental functions. Governmental functions are not commercial activities. The term “governmental functions” shall be determined under U.S. standards. In general...
26 CFR 1.892-4T - Commercial activities (temporary regulations).
Code of Federal Regulations, 2012 CFR
2012-04-01
... current or future production of income or gain are commercial activities. An activity may be considered a... railroad is not a non-profit activity. (4) Governmental functions. Governmental functions are not commercial activities. The term “governmental functions” shall be determined under U.S. standards. In general...
7 CFR 1205.337 - Influencing governmental action.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 10 2010-01-01 2010-01-01 false Influencing governmental action. 1205.337 Section... RESEARCH AND PROMOTION Cotton Research and Promotion Order Expenses and Assessments § 1205.337 Influencing governmental action. No funds collected by the Board under this subpart shall in any manner be used for the...
7 CFR 1205.337 - Influencing governmental action.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 10 2011-01-01 2011-01-01 false Influencing governmental action. 1205.337 Section... RESEARCH AND PROMOTION Cotton Research and Promotion Order Expenses and Assessments § 1205.337 Influencing governmental action. No funds collected by the Board under this subpart shall in any manner be used for the...
7 CFR 1250.351 - Influencing governmental action.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 10 2011-01-01 2011-01-01 false Influencing governmental action. 1250.351 Section... RESEARCH AND PROMOTION Egg Research and Promotion Order Expenses and Assessments § 1250.351 Influencing governmental action. No funds collected by the Board under this subpart shall in any manner be used for the...
7 CFR 1250.351 - Influencing governmental action.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 10 2010-01-01 2010-01-01 false Influencing governmental action. 1250.351 Section... RESEARCH AND PROMOTION Egg Research and Promotion Order Expenses and Assessments § 1250.351 Influencing governmental action. No funds collected by the Board under this subpart shall in any manner be used for the...
Engaging Education Policies through Governmentality Studies
ERIC Educational Resources Information Center
Brass, Jory
2015-01-01
This article offers a brief introduction to governmentality studies and the conceptual tools that it provides to help English educators recognise the ideas and practices that education policies mobilise to steer our professions towards particular values, norms and outcomes. After a short overview of governmentality, it offers a short discussion of…
77 FR 3202 - Determination of Governmental Plan Status
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-23
... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 [REG-157714-06] RIN 1545-BG43 Determination of Governmental Plan Status AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of... regulations, (REG-157714-06) relating to the determination of governmental plans. DATES: The public hearing is...
77 FR 5442 - Determination of Governmental Plan Status
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-03
... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 [REG-157714-06] RIN 1545-BG43 Determination of Governmental Plan Status AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of... governmental plans. This notice supersedes the notice of public hearing published in the Federal Register on...
Inherited metabolic disorders in Thailand.
Wasant, Pornswan; Svasti, Jisnuson; Srisomsap, Chantragan; Liammongkolkul, Somporn
2002-08-01
The study of inborn errors of metabolism (IEM) in Thailand is in its infancy. The majority are clinically diagnosed since there are only a handful of clinicians and scientists with expertise in inherited metabolic disorders, shortage of well-equipped laboratory facilities and lack of governmental financial support. Genetic metabolic disorders are usually not considered a priority due to prevalence of infectious diseases and congenital infections. From a retrospective study at the Medical Genetics Unit, Department of Pediatrics, Siriraj Hospital; estimated pediatrics patients with suspected IEM were approximately 2-3 per cent of the total pediatric admissions of over 5,000 annually. After more than 10 years of research and accumulated clinical experiences, a genetic metabolic center is being established in collaboration with expert laboratories both in Bangkok (Chulabhorn Research Institute) and abroad (Japan and the United States). Numerous inherited metabolic disorders were identified--carbohydrate, amino acids, organic acids, mitochondrial fatty acid oxidation, peroxisomal, mucopolysaccharidoses etc. This report includes the establishment of genetic metabolic center in Thailand, research and pilot studies in newborn screening in Thailand and a multicenter study from 5 institutions (Children's National Center, King Chulalongkorn Memorial Hospital, Pramongkutklao Hospital, Ramathibodi and Siriraj Hospitals). Inherited metabolic disorders reported are fructose-1,6-bisphosphatase deficiency, phenylketonuria, homocystinuria, nonketotic hyperglycinemia, urea cycle defect (arginino succinate lyase deficiency, argininosuccinate synthetase deficiency), Menkes disease, propionic acidemia and mucopolysaccharidoses (Hurler, Hurler-Scheie).
Brusamolino, Ercole; Maffi, Guido
2004-01-01
This paper critically reviews an experience of health cooperation in an hospital of a rural area of Ivory Coast. This particular situation is analysed in the more general frame of health problems in low-income countries and may suggest priorities for international health cooperation. The analysis of the main causes of avoidable death in poor countries does indicate targets and tools of intervention. In this case, the target was the reduction of infant mortality from anaemia of different origin and from HIV-1 mother-to-infant transmission. The major tool for intervention was the partnership between an Italian teaching and research hospital and the African hospital, with the catalyst of a non-governmental organisation. This paper analyses the different levels at which cooperation developed in this project, from sheer economic support to the implementation of disease-oriented twinning programs that can improve health care and strengthen research capacity on both sides. Besides, medical, ethical and social implications of the ongoing cooperation program are discussed, with particular reference to the problems of preventing mortality from severe anaemia (diet fortification in children and pregnancy and transfusional guidelines in severe malaria) and of preventing mother-to-child neonatal transmission of HIV-1 infection (counselling and testing pregnant women for HIV-1, nevirapine administering to the mother and the baby and breast-feeding).
Surface properties of Indonesian-made narrow dynamic compression plates.
Dewo, P; Sharma, P K; van der Tas, H F; van der Houwen, E B; Timmer, M; Magetsari, R; Busscher, H J; van Horn, J R; Verkerke, G J
2008-07-01
The enormous need of orthopaedic (surgical) implants such as osteosynthesis plates is difficult to be fulfilled in developing countries commonly rely on imported ones. One of the alternatives is utilization of local resources, but only after they have been proven safe to use, to overcome this problem. Surface properties are some of the determining factors of safety for those implants. We have succeeded in developing prototype of osteosynthesis plate and the results indicate that Indonesian-made plates need improvement with regards to the surface quality of physical characterization.
NASA Astrophysics Data System (ADS)
Aziz, T. A.; Pramudiani, P.; Purnomo, Y. W.
2018-01-01
Difference between quadratic equation and quadratic function as perceived by Indonesian pre-service secondary mathematics teachers (N = 55) who enrolled at one private university in Jakarta City was investigated. Analysis of participants’ written responses and interviews were conducted consecutively. Participants’ written responses highlighted differences between quadratic equation and function by referring to their general terms, main characteristics, processes, and geometrical aspects. However, they showed several obstacles in describing the differences such as inappropriate constraints and improper interpretations. Implications of the study are discussed.
Discovery of New Eunicellins from an Indonesian Octocoral Cladiella sp.
Chen, Yung-Husan; Tai, Chia-Ying; Su, Yin-Di; Chang, Yu-Chia; Lu, Mei-Chin; Weng, Ching-Feng; Su, Jui-Hsin; Hwang, Tsong-Long; Wu, Yang-Chang; Sung, Ping-Jyun
2011-01-01
Two new 11-hydroxyeunicellin diterpenoids, cladieunicellin F (1) and (–)-solenopodin C (2), were isolated from an Indonesian octocoral Cladiella sp. The structures of eunicellins 1 and 2 were established by spectroscopic methods, and eunicellin 2 was found to be an enantiomer of the known eunicellin solenopodin C (3). Eunicellin 2 displayed inhibitory effects on the generation of superoxide anion and the release of elastase by human neutrophils. The previously reported structures of two eunicellin-based compounds, cladielloides A and B, are corrected in this study. PMID:21747739
Chemical Constituents and Bioactivities of Several Indonesian Plants Typically Used in Jamu.
Widyowati, Retno; Agil, Mangestuti
2018-01-01
This article reviews the chemical constituents and bioactivities of several Indonesian plants typically used in Jamu prescriptions in Indonesia. Jamu is Indonesia traditional medicine: it consists of either a single ingredient or a mixture of several medicinal plants. One plant family always used in Jamu is Zingiberaceae (ginger), such as Curcuma domestica/C. longa, C. xanthorrhizae, C. heyneana, C. zedoaria, C. aeruginosa, Zingiber aromaticum, Alpinia galanga. We also report other commonly used plant families such as Justicia gendarussa and Cassia siamea, whose activities have been extensively explored by our department.
Indonesian men's perceptions of violence against women.
Nilan, Pam; Demartoto, Argyo; Broom, Alex; Germov, John
2014-07-01
This article explores male perceptions and attitudes toward violence against women in Indonesia. It analyzes interview data from Indonesian men collected as part of a large multimethod Australian government-funded project on masculinities and violence in two Asian countries. Reluctance to talk about violence against women was evident, and the accounts of those men who did respond referred to three justificatory discourses: denial, blaming the victim, and exonerating the male perpetrator. The findings support continuation of government and nongovernmental organization (NGO) projects aimed at both empowering women and reeducating men. © The Author(s) 2014.
Duerink, D O; Hadi, U; Lestari, E S; Roeshadi, Djoko; Wahyono, Hendro; Nagelkerke, N J D; Van der Meulen, R G; Van den Broek, P J
2013-07-01
to investigate knowledge, attitude and behaviour toward infection control in two teaching hospitals on the island of Java by means of a questionnaire and to evaluate the use of the questionnaire as a tool. we investigated knowledge, attitude and behaviour toward infection control in two teaching hospitals on the island of Java by means of a questionnaire to identify problem areas, barriers and facilitators. The target was to include at least 50% of all health care workers (physicians, nurses, assistant nurses and infection control nurses) in each hospital, department and profession. Differences between demographic variables and scores for individual questions and groups of questions were compared using the chi-square statistic and analysis of variance and Spearman's rho was used to test for correlations between knowledge, attitude, self-reported behaviour and perceived obstacles. more than half of the health care workers of the participating departments completed the questionnaire. Of the 1036 respondents (44% nurses, 37% physicians and 19% assistant nurses), 34% were vaccinated against hepatitis B, 77% had experienced needle stick accidents and 93% had been instructed about infection control. The mean of the correct answers to the knowledge questions was 44%; of the answers to the attitude questions 67% were in agreement with the correct attitude; obstacles to compliance with infection control guidelines were perceived in 30% of the questions and the mean self-reported compliance was 63%. Safe handling of sharps, hand hygiene and the use of personal protective equipment were identified as the most important aspects for interventions. Significant positive correlations were found between knowledge, attitude, self-reported behaviour and perceived obstacles. the questionnaire in conjunction with site visits and interviews was a valuable strategy to identify trouble spots in the hospitals and to determine barriers to facilitators of change that should be taken into account when planning interventions. Successful interventions should cover hospital management, the infection control team, as well as the health care workers on the wards.
Aghaei Hashjin, Asgar; Kringos, Dionne; Ravaghi, Hamid; Manoochehri, Jila; Gorji, Hassan Abolghasem; Klazinga, Niek S.
2015-01-01
Background: Iran has a widespread diagnostics and clinical support services (DCSS) network that plays a crucial role in providing diagnostic and clinical support services to both inpatient and outpatient care. However, very little is known on the application of quality assurance (QA) policies in DCSS units. This study explores the extent of application of eleven QA strategies in DCSS units within Iranian hospitals and its association with hospital characteristics. Methods: A descriptive cross-sectional study was conducted in 2009/2010. Data were collected from 554 DCSS units among 84 hospitals. Results: The average reported application rate for the QA strategies ranged from 57%-94% in the DCSS units. Most frequently reported were checking drugs expiration dates (94%), pharmacopoeia availability (92%), equipment calibration (87%) and identifying responsibilities (86%). Least reported was external auditing of the DCSS (57%). The clinical chemistry and microbiology laboratories (84%), pharmacies, blood bank services (83%) reported highest average application rates across all questioned QA strategies. Lowest application rates were reported in human tissue banks (50%). There was no significant difference between the reported application rates in DCSS in the general/specialized, teaching/research, nonteaching/research hospitals with the exception of pharmacies and radiology departments. They reported availability of a written QA plan significantly more often in research hospitals. Nearly all QA strategies were reported to be applied significantly more often in the DCSS of Social Security Organization (SSO) and private-for-profit hospitals than in governmental hospitals. Conclusion: There is still room for strengthening the managerial cycle of QA systems and accountability in the DCSS in Iranian hospitals. Getting feedback, change and learning through application of specific QA strategies (eg, external/internal audits) can be improved. Both the effectiveness of QA strategies in practice, and the application of these strategies in outpatient DCSS units require further policy attention. PMID:26673175
Aghaei Hashjin, Asgar; Kringos, Dionne; Ravaghi, Hamid; Manoochehri, Jila; Gorji, Hassan Abolghasem; Klazinga, Niek S
2015-05-20
Iran has a widespread diagnostics and clinical support services (DCSS) network that plays a crucial role in providing diagnostic and clinical support services to both inpatient and outpatient care. However, very little is known on the application of quality assurance (QA) policies in DCSS units. This study explores the extent of application of eleven QA strategies in DCSS units within Iranian hospitals and its association with hospital characteristics. A descriptive cross-sectional study was conducted in 2009/2010. Data were collected from 554 DCSS units among 84 hospitals. The average reported application rate for the QA strategies ranged from 57%-94% in the DCSS units. Most frequently reported were checking drugs expiration dates (94%), pharmacopoeia availability (92%), equipment calibration (87%) and identifying responsibilities (86%). Least reported was external auditing of the DCSS (57%). The clinical chemistry and microbiology laboratories (84%), pharmacies, blood bank services (83%) reported highest average application rates across all questioned QA strategies. Lowest application rates were reported in human tissue banks (50%). There was no significant difference between the reported application rates in DCSS in the general/specialized, teaching/research, nonteaching/research hospitals with the exception of pharmacies and radiology departments. They reported availability of a written QA plan significantly more often in research hospitals. Nearly all QA strategies were reported to be applied significantly more often in the DCSS of Social Security Organization (SSO) and private-for-profit hospitals than in governmental hospitals. There is still room for strengthening the managerial cycle of QA systems and accountability in the DCSS in Iranian hospitals. Getting feedback, change and learning through application of specific QA strategies (eg, external/internal audits) can be improved. Both the effectiveness of QA strategies in practice, and the application of these strategies in outpatient DCSS units require further policy attention. © 2015 by Kerman University of Medical Sciences.
"Languaging the Worker: Globalized Governmentalities in/of Language in Peripheral Spaces"
ERIC Educational Resources Information Center
Dlaske, Kati; Barakos, Elisabeth; Motobayashi, Kyoko; McLaughlin, Mireille
2016-01-01
In the introduction to the special issue "Languaging the worker: globalized governmentalities in/of language in peripheral spaces", we take up the notion of governmentality as a means to interrogate the complex relationship between language, labor, power, and subjectivity in peripheral multilingual spaces. Our aim here is to argue for…
Jentes, Emily S.; Millman, Alexander J.; Decenteceo, Michelle; Klevos, Andrew; Biggs, Holly M.; Esposito, Douglas H.; McPherson, Heidi; Sullivan, Carmen; Voorhees, Dayton; Watkins, Jim; Anzalone, Fanancy L.; Gaul, Linda; Flores, Sal; Brunette, Gary W.; Sotir, Mark J.
2017-01-01
Public health investigations can require intensive collaboration between numerous governmental and nongovernmental organizations. We describe an investigation involving several governmental and nongovernmental partners that was successfully planned and performed in an organized, comprehensive, and timely manner with several governmental and nongovernmental partners. PMID:27601520
Justifying Compulsory Environmental Education in Liberal Democracies
ERIC Educational Resources Information Center
Schinkel, Anders
2009-01-01
The need for education for (as opposed to about) sustainability is urged from many sides. Initiatives in this area tend to focus on formal education. Governmental, supra-governmental and non-governmental bodies all expect much of this kind of education, which is to transform children--and through them society--in the direction of sustainability.…
NASA Astrophysics Data System (ADS)
Gourlan, A. T.; Meynadier, L.; Allegre, C. J.
2005-12-01
The northward tectonic motion of the Australian plate and the evolution of the Indonesian Island Arcs through the last 20 Ma, generate changes in the flow and the origin of the circulation between the Pacific and the Southern Indian Oceans. Indeed, the emergence of the Indonesian Archipelago and probably the rapid uplift of the island of Halmahera have dramatically reduced the Indonesian Gateway. However, the precise dating of this event is still a matter of debate. The Neodymium isotopic composition of marine sediments is an extremely good proxy to reconstruct the major changes in the past ocean circulation. The residence time of Nd is shorter than the circulation time of the global ocean. Therefore, the Nd isotopic composition varies between the different ocean basins and is function of changes in source provenances, paleocirculation, orogenic processes, and intensity of weathering on the continents as well as on the volcanic arcs. To reconstruct the evolution of the oceanic flow from the Pacific to the equatorial Indian Ocean since the Miocene, we have applied on high carbonates content sediments a leaching technique using acetic acid. The reliability of our technique has been assessed by comparison with the Hydroxylamine hydrochloride technique developed by Bayon et al (1). The Nd isotopic composition is determinated in the past seawater from the record in Fe-Mn oxides. The sedimentary sequences are accurately dated using bio and chimiostratigraphy. Three ODP Sites were chosen in the Indian Ocean with a water depth ranging from 1600 to 2800 m and mutually distant by about 3000 km. From West to East: Site 761 which is at the western edge of the Indonesian Gateway on the central northeastern part of the Wombat Plateau off NW Australia, Site 757 is located on the south of the Ninetyeast ridge and Site 707 is located in the western tropical Indian Ocean near the Seychelles Islands. Our data are compared with the first results from Site 807 located in the Pacific Ocean on the northern rim of the Ontong Java Plateau. Results on the seawater signal of the Indian sites show a similar pattern in ɛNd for the last 20 Ma with a continous increase in ɛNd from -8 to -4.5 followed by an abrupt change of the ɛNd values (decreasing at -6.5) which occurred around 3-4 Ma. Comparing our results with the Nd isotopic composition of three Fe-Mn crusts dragged close to the Indian sites (SS63, DODO 232D and VA16 13KD-1 (2,3)), we confirm a throughflow travelling west, with pacific waters entering across the Indonesian arcs, to the east of African coast since at least 15 Ma and support the idea of the rapid closure of the Indonesian seaway around 3-4 million years ago in less than 2 Ma. (1) Bayon et al, 2001, Chem. Geology 187,179 -199 (2) Franck et al, Chem. Geology 2005 submitted (3) O'Nions et al, 1998, EPSL, 155, 15-28