21 research outputs found
Small Hydro Power in Indonesia: A Niche Development Analysis: A qualitative study to analyze the niche development using the Strategic Niche Management (SNM) with complementary insights from the Multi-Level Perspective (MLP) and business models
No full textTo reduce carbon emissions by 29% by 2030 and achieve the renewable energy target of 23% by 2025, Indonesia needs to utilize more renewable energy. Although Indonesia is endowed with many renewable energy resources such as hydro, solar, wind and biomass, renewable energy currently only accounts for 14.37% of the total power generation installed capacity (Directorate General of Electricity, 2021). Of these renewable energy sources, Indonesia has a large potential for small hydro power that can be developed, particularly for rural electrification. Around 19,385 MW of small hydro power potential lies across the Indonesian archipelago (ESDM, 2017). However, it has not been harnessed optimally where only 0.6% of the total potential contributes to the overall power plant installed capacity in Indonesia. Small hydro power has been slowly developed in Indonesia, although it has been reintroduced since the 1990s. Therefore, it is necessary to study the development of small hydro power in Indonesia to gain insights into factors that have influenced the development, barriers, opportunities for broader adoption. This research takes a qualitative approach to analyze niche development using the Strategic Niche Management (SNM) with complementary insights from the Multi-Level Perspective (MLP) and business models. The main research addressed in this thesis: "How has the small hydro power market niche developed in Indonesia, and how did business models facilitate the transition?". A case study research approach is used to gain insights on niche development while studying business models implemented in West Java. The data collection method includes interviews with 12 informants representing different groups of actors in the small hydro power sector and secondary data analysis. The results show that the small hydro power niche was initially developed through grants from international donors and development agencies. Landscape factors that influenced niche development include low electrification in rural areas, the Asian Financial Crisis 1998 and the climate change issue. Learning process in the niche resulted in several local turbine manufacturers, improve local people capability and network of actors. Niche actors have implemented business models to overcome adoption barriers of small hydro power in Indonesia. The cooperative business model has emerged to overcome social barriers and build the capacity of the local community. Niche actors created the PPP business model to support grant schemes through a partnership with the private firm. Furthermore, the IPP business model has emerged as incremental improvement in the regime sociotechnical dimension that facilitates niche development. A more significant contribution of the small hydro power plant in the electricity sector is expected in the future. This thesis shows that the Indonesian policymakers need to use shielding concepts from the SNM framework to formulate policies and regulations that support niche development.Management of Technology (MoT
Efficacy of pharmacotherapy according to laser correlation spectrometry in elderly with arterial hypertension and comorbid pathology
Get PDFTofan N. V., Iablonska V. B., Khyzhnyak O. V., Nigreskul O. Yu., Novikov S. A. Efficacy of pharmacotherapy according to laser correlation spectrometry in elderly with arterial hypertension and comorbid pathology. Journal of Education, Health and Sport. 2019;9(5):595-601. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3241770
http://ojs.ukw.edu.pl/index.php/johs/article/view/7015
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017).
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Authors 2019;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.
(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 29.04.2019. Revised: 15.05.2019. Accepted: 31.05.2019.
EFFICACY OF PHARMACOTHERAPY ACCORDING TO LASER CORRELATION SPECTROMETRY IN ELDERLY WITH ARTERIAL HYPERTENSION AND COMORBID PATHOLOGY
N. V. Tofan, V. B. Iablonska, O. V. Khyzhnyak, O. Yu. Nigreskul, S. A. Novikov
Odessa National Medical University – Odessa, Ukraine
Internal Medicine Department №2
Abstract
In patients with arterial hypertension (AH) pharmacotherapy often remains ineffective because of comorbid pathology. Research of haemodynamic and homeostatic processes in such patients allows prescribe effective antihypertensive medicines, improve life quality and prognosis. Material and methods: 60 patients with AH, coronary artery disease and obesity were divided into three groups: 1st group was treated with lisinopril + atorvastatin + aspirin (regimen I); 2nd group was treated with lisinopril + atorvastatin + bisoprolol + aspirin (regimen II); 3rd group was treated with lisinopril + bisoprolol + indapamide + atorvastatin + aspirin (regimen III). Laser correlation spectrometry (LCS) was used to evaluate the homeostatic alterations. Results: All regimens were equally effective in normalization of systolic blood pressure and did not influence the ejection fraction. Only in the 3rd group was determined significant increase of glomerular filtration rate (92.73±2.12 vs 79.62±13.62 ml/min/1.73m2). The LCS test showed that these patients had high level of light scattering particles IV, which may be caused by activation of anabolic processes. In other groups, spectral alterations were not so expressive. Conclusions: Prescription of antihypertensive therapy cause homeostatic and metabolic alterations, which may influence the efficacy of treatment.
Keywords: pharmacotherapy, comorbid pathology, laser correlation spectrometry
STRATEGI PERTAHANAN LAUT INDONESIA DALAM ANALISA DAMPAK DAN UPAYA PEMERINTAH MENGAMANKAN ALUR LAUT KEPULAUAN INDONESIA
Get PDFNegara Kesatuan Republik Indonesia (NKRI) merupakan negara yang berdaulat dan memiliki wilayah yang luas dengan wilayah perairan yang jauh lebih luas daripada luas daratan. Konsep Negara Kepulauan oleh kalangan internasional semakin kokoh dan diakui dengan hasil dari Konvensi ke-3 Perserikatan Bangsa-Bangsa (PBB) mengenai Hukum Laut atau United Nation Convention on the Law of the Sea (UNCLOS III) pada tanggal 10 Desember 1982 yang berlangsung di London, Inggris. Pada tahun 1996, Pemerintah Indonesia mengajukan usulan kepada Organisasi Maritim Internasional Perserikatan Bangsa-Bangsa (IMO) tentang penetapan Alur Laut Kepulauan Indonesia (ALKI) di wilayah teritorial perairan Indonesia. Usulan tersebut disetujui oleh IMO, dan Pemerintah Republik Indonesia kemudian mengeluarkan Undang Undang Nomor 6 Tentang Perairan Indonesia. Pemahaman akan keamanan ALKI dari berbagai pihak yang terlibat masih belum sepenuhnya sama, dikarenakan perbedaan yang mendasar dari bidang-bidang tugas pokok dan fungsinya. Oleh karena itu dalam tulisan ini, penulis mencoba merumuskan berbagai hal yang terkait dengan dampak dan upaya pemerintah Indonesia, berdasarkan analisa keamanan maritim, dan pertahanan laut Indonesia. Hal - hal yang menjadi perhatian penting penulis untuk dijadikan dasar atau bahan analisis yaitu: ancaman maritim di wilayah ALKI yang dalam hal ini penting dan perlu menjadi perhatian utama dalam penanganannya, pengertian - pengertian dan lingkup pertahanan laut Indonesia, serta upaya-upaya yang diperlukan dalam membangun strategi kekuatan pertahanan laut Indonesia dalam menjamin keamanan di sekitar ALKI. Metode yang digunakan oleh penulis dalam penelitian ini adalah metode kualitatif dengan desain studi kepustakaan dan pendekatan fenomenologis. Hasil penelitian menyimpulkan bahwa upaya pengamanan ALKI membutuhkan kemampuan pencegahan dan penangkalan melalui upaya pemerintah dalam meningkatkan kerjasama dan koordinasi yang melibatkan peran seluruh instansi yang berwenang serta melalui kerjasama dengan negara-negara lain dalam hal dukungan teknis berkaitan dengan peningkatan pengendalian keamanan di ALKI, juga dibutuhkan upaya dalam meningkatkan pertahanan dan kekuatan laut dalam mengantisipasi dan meminimalisir ancaman yang terjadi di wilayah ALKI.Kata Kunci: Pertahanan negara, keamanan maritim, ancaman, ALKI, kekuatan laut
Strategi Pertahanan Laut Indonesia dalam Analisa Ancaman dan Kekuatan Laut
No full textBanyak orang sudah tahu bahwa luas laut Indonesia adalah 70% dari luas wilayahnya. Indonesia juga memiliki 17.504 pulau dengan garis pantai terpanjang kedua di dunia. Data Asian Development tahun 2009 menunjukkan bahwa wilayah pesisir Indonesia adalah rumah bagi ribuan spesies laut. Hal ini merupakan kekayaan sekaligus mengandung ancaman bagi keamanan laut Indonesia.Dibutuhkan sebuah kekuatan pertahanan laut yang mampu menjaga perairan Indonesia. Pertahanan laut Indonesia merupakan bagian penting dari sistem pertahanan negara Indonesia, dan mengandung misi yang cukup kompleks yang menjadi tantangan dan sekaligus permasalahan dari berbagai pihak yang terlibat. Pemahaman akan pertahanan laut dari berbagai pihak yang terlibat masih belum sepenuhnya sama, dikarenakan perbedaan yang mendasar dari bidang-bidang tugas pokok dan fungsi mereka. Oleh karena itu dalam tulisan ini, penulis mencoba merumuskan berbagai hal yang terkait dengan pertahanan laut Indonesia, berdasarkan analisa ancaman, dan kekuatan laut Indonesia. Hal - hal yang menjadi perhatian penting penulis untuk dijadikan dasar atau bahan analisis yaitu: ancaman yang dalam hal ini penting dan perlu menjadi perhatian utama dalam penanganannya, pengertian - pengertian dan lingkup pertahanan laut Indonesia, serta upaya-upaya yang diperlukan dalam membangun strategi kekuatan pertahanan laut Indonesia.Metode yang digunakan oleh penulis dalam penelitian ini adalah metode kualitatif dengan desain studi kepustakaan dan pendekatan fenomenologis.Hasil penelitian menunjukkan bahwa dibutuhkan industri pertahanan yang mampu memenuhi kebutuhan alutsista untuk mendukung kekuatan pertahanan laut dan sistem pertahanan laut yang lebih komprehensif dalam mengantisipasi dan meminimalisir ancaman yang ada agar pertahanan laut Indonesiadapat terlaksana dengan lebih optimal
Rolul culturii manageriale şi liderismul în dezvoltarea organizaţională
No full textIn this article the author studies the role of management culture and leadership in organizational development. Because, the culture is a system that self-organized and regulates human existence, the world of meanings, symbols and values, which function as rules, norms and conditions for the personification of a culture. an important role in the development of organizations is the personal culture of manage
Порівняння сироваткового та плазмового гомеостазу в динаміці фармакотерапії різними комбінаціями препаратів у літніх пацієнтів з первинною артеріальною гіпертензією II стадії у поєданні з ішемічною хворобою серця = Comparison of serum and plasma homeostasis in dynamic of pharmacotherapy with different combinations in elderly patients with primary hypertension II stage and ischemic heart disease
Get PDFShtanko V. A., Tofan N. V., Yablonskaya V. B. Порівняння сироваткового та плазмового гомеостазу в динаміці фармакотерапії різними комбінаціями препаратів у літніх пацієнтів з первинною артеріальною гіпертензією II стадії у поєданні з ішемічною хворобою серця = Comparison of serum and plasma homeostasis in dynamic of pharmacotherapy with different combinations in elderly patients with primary hypertension II stage and ischemic heart disease. Journal of Education, Health and Sport. 2016;6(2):283-292. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46670
http://ojs.ukw.edu.pl/index.php/johs/article/view/3405
https://pbn.nauka.gov.pl/works/717179
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).
755 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Author (s) 2016;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,
provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License
(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016.
Порівняння сироваткового та плазмового гомеостазу в динаміці фармакотерапії різними комбінаціями препаратів у літніх пацієнтів з первинною артеріальною гіпертензією II стадії у поєданні з ішемічною хворобою серця
В. А. Штанько, Н. В. Тофан, В. Б. Яблонська
Одеський національний медичний університет, Одеса
Резюме
В даному дослідженні розглянута проблема покращення ефективності фармакотерапії шляхов вивчення сироваткових та плазмових гомеостатичних зсувів на фоні різних комбінацій препаратів у пацієнтів літнього віку з первинною артеріальною гіпертензією II стадії та ішемічною хворобою серця. За допомогою методу ЛКС-метрії виявлені та охарактеризовані особливості спектральної картини при застосуванні трьох комбінацій препаратів у пацієнтів з вищезазначеною паталогією.
Ключові слова: гомеостаз, фармакотерапія, первинна артеріальна гіпертензія, ішемічна хвороба серця, лазерна кореляційна спектроскопія
Comparison of serum and plasma homeostasis in dynamic of pharmacotherapy with different combinations in elderly patients with primary hypertension II stage and ischemic heart disease
V. A. Shtanko, N. V. Tofan, V. B. Yablonskaya
Odessa National Medical University, Odessa, Ukraine
Summary
In this investigation problem of pharmacotherapy efficacy improvement was observed by mean of studying plasma and serum homeostatic alterations under the influence of different combinations in elderly with primary hypertension II stage combined with ischemic heart disease.
For this aim 60 elder patients were examined and treated in the University Clinic of Odessa National Medical University. Mean age of the patients was 67.2±3.8 years. Depending on prescribed treatment regimen (TR) all the patients were divided into 3 groups: lisinopril, cardiomagnil – TR I; lisinopril, bisoprolol, cardiomagnil – TR II; lisinopril, bisoprolol, indapamide, cardiomagnil – TR III. N=20 in all the groups. Laser correlation spectrometry (LCS) was special biophysical investigation method. Blood serum and plasma were investigated biomaterial.
TR I led to increase of intoxication processes in both investigated liquids – serum and plasma. TR II was effective in decrease of catabolic reactions and increase of anabolic ones in plasma, but in serum it caused decrease of anabolic alterations. TR III improved serum homeostasis condition, while in plasma anabolic reactions increased but in the same time was revealed growth of intoxication processes.
LCS is rather sensitive method in reflection of blood serum and plasma homeostatic condition as before the treatment as after it. It allows reveal features of spectral picture after usage of specific combination. For further confirmation of informative capacity of the method must be found out associations of the LCS results with other laboratory investigations.
Keywords: homeostasis, pharmacotherapy, primary hypertension, ischemic heart disease, laser correlation spectrometry
Raporturile Avocatului Poporului cu jurisdicția constituțională
Get PDFThe article discusses a very important legal institution within all democratic regimes namely the People’s Advocate – this is the name under which the Ombudsman is known in Romania. This institution has received lately an increased attention in the context of debates regarding alternative dispute resolution (ADR) tools, with a focus on its mediator role between state institutions and citizens. In the first part, the article offers a short presentation of the evolution of this institution both at the international and domestic level, the author insisting upon the comparative dimension. The rest of the sections of the article focus on the rapports of the People’s Advocate with the constitutional jurisdiction in Romania, insisting upon the legislative changes that had taken place in the last years. The author assesses these changes upon the way in which People’s Advocate exercises its competences given to him/her through the law.</p
Framework Design for the Retrieval of Instant Messaging in Social Media as Electronic Evidence
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