54 research outputs found

    Karakteristik Masyarakat Dan Hubungannya Dengan Kepuasan Pelayanan Vaksinasi Di 11 Provinsi Di Indonesia

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    Penelitian ini bertujuan untuk mengetahui tingkat kepuasan masyarakat terhadap pelayanan pemberian vaksin. Penelitian dilakukan dengan pengisian angket kepuasan pelayanan obat dan vaksin. Pemilihan lokasi penelitian secara purposive dan sebanyak 559 responden menjawab angket tersebut dengan variabel independen: karateristik pasien yaitu umur, jenis kelamin, pendidikan, pekerjaan dan tingkat ekonomi. Variabel dependen: kepuasan pasien terhadap pelayanan vaksin. Metode penelitian yang digunakan adalah kualitatif. Analisis data menggunakan tabulasi silang dan regresi logistik sederhana. Hasil penelitian menunjukkan tidak ada hubungan antara karakteristik masyarakat dengan kepuasan pelayanan vaksin. Baik dari segi usia, jenis kelamin, pendidikan maupun pekerjaan. Hal ini mungkin terjadi dikarenakan program imunisasi merupakan program wajib pemerintah yang harus dilaksanakan oleh daerah. Saran peningkatan akses menuju fasilitas kesehatan, pelayanan yang paripurna untuk masyarakat serta memberikan edukasi yang menyeluruh kepada masyarakat sehingga pengetahuan tentang manfaat dari pemberian vaksin bisa diterima oleh masyarakat.Penelitian ini bertujuan untuk mengetahui tingkat kepuasan masyarakat terhadap pelayanan pemberian vaksin. Penelitian dilakukan dengan pengisian angket kepuasan pelayanan obat dan vaksin. Pemilihan lokasi penelitian secara purposive dan sebanyak 559 responden menjawab angket tersebut dengan variabel independen: karateristik pasien yaitu umur, jenis kelamin, pendidikan, pekerjaan dan tingkat ekonomi. Variabel dependen: kepuasan pasien terhadap pelayanan vaksin. Metode penelitian yang digunakan adalah kualitatif. Analisis data menggunakan tabulasi silang dan regresi logistik sederhana. Hasil penelitian menunjukkan tidak ada hubungan antara karakteristik masyarakat dengan kepuasan pelayanan vaksin. Baik dari segi usia, jenis kelamin, pendidikan maupun pekerjaan. Hal ini mungkin terjadi dikarenakan program imunisasi merupakan program wajib pemerintah yang harus dilaksanakan oleh daerah. Saran peningkatan akses menuju fasilitas kesehatan, pelayanan yang paripurna untuk masyarakat serta memberikan edukasi yang menyeluruh kepada masyarakat sehingga pengetahuan tentang manfaat dari pemberian vaksin bisa diterima oleh masyaraka

    Poverty, inequality, and social policy in transition economies

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    In examining what happens to poverty and income inequality during the early period of transition to a market economy, the author covers the period up to 1993. His analysis includes almost all transition economies that were not affected by wars, blockades, or embargoes. (In economies so affected, the intrinsic issues of transition are overshadowed by more basic issues of war or quasi-war economy and survival). The two key issues of social policy in transition economies are pension reform and better targeting of social assistance. Pensions represent 70 to 80 percent of cash social expenditures. No reduction of current levels of social spending (which is unsustainable) can be envisaged without pension reform. Better targeting of social assistance is needed because many universally or enterprise-provided benefits have been terminated, poverty has increased, and social programs lack funding. If poverty is on the rise and money is scarce, better targeting is the only option.Health Monitoring&Evaluation,Services&Transfers to Poor,Environmental Economics&Policies,Public Health Promotion,Poverty Impact Evaluation,Environmental Economics&Policies,Safety Nets and Transfers,Services&Transfers to Poor,Rural Poverty Reduction,Health Monitoring&Evaluation

    The virtual image : Brazilian literature in English translation

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    The aim of this thesis is to examine how the virtual image of Brazil and its literature is constructed in the Anglo-American world. To this end, a survey of Brazilian literary works in English translation was carried out. Having gathered this data, it became possible to establish correlations between the historical moments when such translations were made, when their number increased, and the events occurring at those times in the international panorama, as well as to look into the role of sponsors, publishers and translators in the selection and production of such translations. The data also allowed a profile of Brazilian literary works in English translation to be drawn. It became possible to suggest that such works fall into four main categories: `authorial works', 'topical works', `ambassadorial works' and `consumer-oriented works'. In order to look more closely into how the translation process has helped to shape the virtual image of Brazilian literary works in the Anglo-American world, an analysis of a sample of translations of such works was made. Included in this sample were the translations of works by Machado de Asis, by Indianist and Regionalist wirters, culminating in an examination of translations of GuimarAes Rosa's works. Having looked at these aspects of the translation process, what remained to be done was to investigate to what extent Brazilian literary works in English translation are read by the English- speaking public. To this end, a survey of availability and library readership was undertaken. Finally, a reading experiment was carried out in which native speakers of English were asked to read the short story 'A terceira margem do rio', by GuimarAes Rosa. The conclusion attempts to pull all these threads together and to indicate directions for further research

    PAJANAN POLUTAN DALAM / LUAR RUMAH DAN KEJADIAN PENYAKIT PARU OBSTRUKTIF KRONIS PADA RESPONDEN STUDI KOHOR PTM DI KOTA BOGOR, PROVINSI JAWA BARAT

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    ABSTRACT Continuous exposure to indoor and outdoor air pollutants can be a risk of chronic obstructive pulmonary disease (COPD). This article is the result of an analysis of non-communicable disease (NCD) cohort study aimed at finding out the relationship between occupation and duration of indoor and outdoor pollution exposure to COPD events. The data source came from the NCD’s baseline cohort conducted by National Institute of Health Research and Development in 5 urban villages in Bogor Tengah sub-district, Bogor City with the total sample of 1739 people. The study design is cross sectional. The dependent variable of this study is the incidence of COPD (based on measurement results with spirometry), and the independent variables are job type, duration of indoor and outdoor exposure. Data were analyzed using chi square test. The result of the analysis showed that there was a significant correlation between the type of work to the incidence of COPD (p <0.05) (OR = 0.642; 95% CI: 0.47-0.878). Although duration of indoor and outdoor exposure did not correlate significantly, but after re-analyzed by stratification of occupation type, there was a significant correlation between the duration of outdoor pollutant exposure with COPD of respondent group with high-risk job (p = 0,052, OR = 4,558, 95% CI: 1,146-18,128). Need to anticipate the potential risk of COPD on cohort respondents. Keywords: Exposure, air pollutants,occupation, indoor/outdoor pollution, COPD   ABSTRAK Pajanan dari bahan pencemar udara di dalam maupun di luar ruang (indoor/outdoor) secara terus menerus dapat menjadi risiko penyakit paru obstruktif kronis (PPOK). Artikel ini merupakan hasil analisis studi kohor penyakit tidak menular (PTM) yang bertujuan untuk mengetahui hubungan antara pekerjaan dan lama pajanan pencemaran indoor dan outdoor terhadap kejadian PPOK. Sumber data berasal dari baseline kohor PTM yang dilakukan oleh Badan Litbang Kementerian Kesehatan di 5 kelurahan di kecamatan Bogor Tengah, Kota Bogor dengan jumlah sampel sebanyak 1739 orang. Disain penelitian adalah potong lintang. Variabel dependen studi ini adalah kejadian PPOK (berdasarkan hasil pengukuran dengan spirometri), dan variabel independen adalah jenis pekerjaan, lama pajanan indoor dan outdoor. Data dianalisis menggunakan uji chi square. Hasil analisis menunjukan terdapat hubungan yang signifikan antara jenis pekerjaan terhadap kejadian PPOK (p<0,05) (OR=0,642; CI 95% : 0,47-0,878). Meskipun lama pajanan indoor dan outdoor tidak berhubungan secara signifikan, namun setelah dianalisis ulang dengan stratifikasi jenis pekerjaan, terdapat hubungan yang signifikan antara lama pajanan polutan outdoor dengan PPOK kelompok responden dengan pekerjaan berisiko tinggi (p=0,052, OR=4,558, CI 95%: 1,146-18,128). Perlu tindakan antisipasi potensi risiko PPOK pada responden kohor. Kata kunci: Pajanan, bahan pencemar udara,jenis pekerjaan, pencemaran dalam rumah/ luar rumah, PPO

    An alternative measure of inflation

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    The author proposes an alternative measure of inflation that captures the intuition behind the use of "core" measures. Inflation is modeled as an unobserved factor affecting the components of an aggregate price index (including food and energy). The common component, estimated using Kalman filtering, resembles usual measures of core inflation; its extrapolation can be used to improve performance in forecasting core inflation.Inflation (Finance) ; Monetary policy

    Himdag and Belonging at Gila River: Interpreting the Experiences of Akimel O’odham College Graduates Returning to the Gila River Indian Community

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    abstract: Belonging to a tribe or American Indian Indigenous group in the United States, even if one has already been enrolled or accepted into the community, is a lifelong endeavor. Belonging may be achieved by meeting specific criteria during one life stage yet one must continue to behave and act in ways that align with community expectations to maintain a sense of belonging throughout all life stages. This descriptive qualitative case study presents the findings of in-depth interviews, with five individual tribal members, two male and three female participants, ranging in age from 25 to 55, who are college graduates and tribal members. The study aimed to understand the different forms and ideas of belonging for tribal members, how the notion of belonging is understood and achieved over the life course, and how phenotypic arguments, blood quantum, the role of schooling and demonstration of tribal knowledge influences the extent to which belonging is earned and how that can change over time. The study sought to answer the following questions: How do tribal members define “belonging”? How and in what ways do tribal members learn how to become members of the community? And, what can tribal communities and tribal members do to foster a sense of belonging for members who have left to obtain professional or academic training and seek to return to serve the nation? The study focused on participants the Gila River Indian Community, a tribal community in southwest Arizona with approximately 23,000 enrolled members, who completed a higher education degree and sought to return to serve as professionals and/or leaders at their tribal nation. Interviews were conducted off-reservation in the Phoenix metropolitan area within a 30-day window and held during the month of September 2015. Interviews were analyzed using three iterative levels of content analysis. Findings suggest there can be three methods of belonging within Gila River: belonging by cultural practices, belonging by legal definition, and belonging by both cultural and legal definition. However, the three methods of belonging do not automatically equate to being accepted by other tribal members.Dissertation/ThesisDoctoral Dissertation Educational Psychology 201

    Art, Biography, Sexuality: Patrick Procktor and Keith Vaughan

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    This critical review forms a reflection on the research published within the following publications: Patrick Procktor: Art and Life (Unicorn Press, 2010) Keith Vaughan: The Mature Oils 1946-1977, (Sansom & Co., 2012) The research is on two artists, Patrick Procktor (1936-2003), and Keith Vaughan (1912-1977). The monograph on Procktor – previously one of the least documented of the generation of artists who came to prominence in London in the Sixties – positions him in a history of art from which he had been notably absent. The research on Vaughan asserts a new reading of his work, one that is both deeper and more nuanced in its analysis of the ways in which personal experience and sexuality are encoded autobiographically within his work. Crucially, in both artists biography and work are symbiotically linked; the research therefore examines the links between life and art. Revisionary in intent, the work examines trajectories of experience of gay British (or rather, English) artists in the twentieth century, artists who sought to express themselves and forge careers within the constraints of a heteronormative society, albeit one in which attitudes to sexuality were undergoing change. As gay men, both were constrained by the social mores of their times, and each used painting as a means to affirm personal and sexual identities. A key research interest is in the ways in which sexuality and persona are reflected in critical responses to the artist’s work: in Vaughan, Procktor and other gay male artists of the period. The writing on both Procktor and Vaughan examines the relationship between their personal and professional/artistic lives, framed within a broader socio-political and art historical context. It asserts the place of biography as a means to understand and form new readings of the work. The work adds substantially to the literature and wider discourse on post-war British painting and social history

    Exploring the evidence of Middle Amazonian aquifer sedimentary outburst residues in a Martian chaotic terrain

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    The quest for past Martian life hinges on locating surface formations linked to ancient habitability. While Mars' surface is considered to have become cryogenic ~3.7 Ga, stable subsurface aquifers persisted long after this transition. Their extensive collapse triggered megafloods ~3.4 Ga, and the resulting outflow channel excavation generated voluminous sediment eroded from the highlands. These materials are considered to have extensively covered the northern lowlands. Here, we show evidence that a lacustrine sedimentary residue within Hydraotes Chaos formed due to regional aquifer upwelling and ponding into an interior basin. Unlike the northern lowland counterparts, its sedimentary makeup likely consists of aquifer-expelled materials, offering a potential window into the nature of Mars' subsurface habitability. Furthermore, the lake's residue's estimated age is ~1.1 Ga (~3.2 Ga post-peak aquifer drainage during the Late Hesperian), enhancing the prospects for organic matter preservation. This deposit's inferred fine-grained composition, coupled with the presence of coexisting mud volcanoes and diapirs, suggest that its source aquifer existed within abundant subsurface mudstones, water ice, and evaporites, forming part of the region's extremely ancient (~ 4 Ga) highland stratigraphy. Our numerical models suggest that magmatically induced phase segregation within these materials generated enormous water-filled chambers. The meltwater, originating from varying thermally affected mudstone depths, could have potentially harbored diverse biosignatures, which could have become concentrated within the lake's sedimentary residue. Thus, we propose that Hydraotes Chaos merits priority consideration in future missions aiming to detect Martian biosignatures

    The Utilization of Non-Essential Medicines in the Treatment of Ischemic Stroke in Indonesian Hospitals

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    Stroke ranks as the second leading cause of mortality and the third leading cause of disability on a global scale. This has a significant impact, especially in developing countries, places a considerable financial burden on healthcare services, including medicine expenses. Prescribing more generic and essential medicines lowers costs, but prescribing many medicines directly increases overall medication expenses. This study aims to identify commonly prescribed non-essential medicines by internists and neurologists for patients with ischemic stroke. The study adopts a cross-sectional approach, utilizing both quantitative and qualitative methodologies. It involves individuals diagnosed with ischemic stroke. Quantitative data collection encompasses patient characteristics, length of hospitalization, prescribing patterns, secondary diagnoses, number and names of consumed medicines, and therapeutic classes. Retrospectively collected data gained from medical records and admission records between January and September 2019, with a maximum sample size of 30 patients. Qualitative data is obtained through in-depth interviews with internal medicine specialists and neurologists to understand their prescribing practices. The five most prescribed non-essential medicines by specialists in internal medicine and neurology are citicoline, mecobalamin, piracetam, herbal mixtures, and insulin analogs. The use of non-essential medicines aims to achieve enhanced therapeutic effects, expedite post-stroke recovery, and address cognitive impairment and speech difficulties

    Jews and gender in British literature 1815-1865.

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    PhDThis thesis examines the variety of relationships between Jews and gender in early to mid-nineteenth century British literature, focussing particularly on representations of and by Jewish women. It reconstructs the social, political and literary context in which writers produced images and narratives about Jews, and considers to what extent stereotypes were reproduced, appropriated, or challenged. In particular it examines the ways in which questions of gender were linked to ideas about religious or racial difference in the Victorian period. The study situates literary representations of Jews within the context of contemporary debates about the participation of the Jews in the life of the modern state. It also investigates the ways in which these political debates were gendered, looking in particular at the relationship between the cultural construction of femininity and English national identity. It first considers Victorian culture's obsession with Rebecca, the Jewess created in Walter Scott's influential novel Ivanhoe (1819). It examines Rebecca's refusal to convert to Christianity in the context of Scott's discussion of racial separatism and modern national unity. Evangelical writers like Annie Webb, Amelia Bristow and Mrs Brendlah were prolific literary producers, and preoccupied with converting Jewish women. Particularly during the 18'40s and 1850s, evangelical writing provided an important forum for the construction and consolidation of women's national identity. Grace Aguilar's writing was an attempt to understand Jewish identity within the terms of Victorian domestic ideology. In contrast, Celia and Marion Moss, in their historical romances, offered narratives of female heroism and national liberation, drawing on the contemporary debate about slavery. Benjamin Disraeli's construction of a "tough version of Jewish identity was a response both to the contemporary stereotype of the feminised Jew and to the debate about Jewish emancipation. It also drew on the virile ideology of the Young England movement of the 1840s
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