23 research outputs found
The Effectiveness and Cost-Effectiveness of Screening Strategies for Breast Cancer in Indonesia
No full textAn informed decision-making based on suitable cost-effectiveness analysis is needed to better inform policy options for maximizing health outcomes and further scaling-up of services of breast cancer early detection program in Indonesia. The findings from this study address existing knowledge gaps and provide recommendations for future policy and research. The inclusion of relevant stakeholders throughout this research has been important in increasing the research quality and supporting the translation of research into policy and practice
IMPLEMENTASI TELEMEDISIN DALAM AKSESIBILITAS DAN KUALITAS LAYANAN KESEHATAN DI ASEAN: KAJIAN LITERATUR SISTEMATIS
No full textTelemedisin merupakan inovasi revolusioner yang telah memberikan dampak signifikan dalam meningkatkan aksesibilitas dan kualitas pelayanan kesehatan di berbagai negara di kawasan ASEAN. Pentingnya telemedisin terletak pada kemampuannya untuk memperluas jangkauan layanan kesehatan di wilayah negara-negara di ASEAN. Meskipun telah mengalami peningkatan penggunaan yang luas pasca COVID-19, masih terdapat berbagai hambatan seperti regulasi, budaya dan infrastruktur yang perlu diatasi. Penelitian ini bertujuan untuk mengidentifikasi hambatan tersebut, menganalisis dampak telemedisin terhadap peningkatan layanan kesehatan di daerah terpencil, serta memberikan rekomendasi kebijakan yang diperlukan untuk mendukung adopsi telemedisin di negara-negara ASEAN. Studi ini mengadopsi kajian literatur sistematis untuk menganalisis implementasi telemedisin di kawasan ASEAN. Populasi yang diteliti mencakup artikel ilmiah yang diterbitkan antara tahun 2019 sampai dengan 2024, yang berkaitan dengan implementasi telemedisin di negara-negara ASEAN, khususnya di Indonesia, Malaysia, Filipina, Singapura, Thailand dan Vietnam. Dengan menggunakan kriteria inklusi dan eksklusi, artikel yang memenuhi syarat dalam berbahasa inggris dipilih, menyoroti dampak telemedisin terhadap aksesibilitas dan kualitas kesehatan, serta tantangan dalam implementasinya di wilayah ASEAN. Pencarian dilakukan di basis data ProQuest, Scopus, dan PubMed MEDLINE dengan kata kunci yang relevan. Penelitian ini mengumpulkan 35 artikel dari berbagai jurnal yang berfokus pada topik telemedisin, terutama dalam konteks dengan aksesibilitas dan kualitas layanan kesehatan khususnya di negara-negara ASEAN, serta merumuskan kebijakan yang mendukung keberlanjutan teknologi telemedisin
Spatial Analysis of Dengue Hemorrhagic Fever Case Distribution in West Java Province 2023
No full textIntroduction: Dengue Hemorrhagic Fever (DHF) is a communicable disease that poses a significant public health challenge in Indonesia. Research Objectives: This study aims to spatially analyze Dengue Hemorrhagic Fever (DHF) case distribution in West Java Province in 2023 using Incidence Rate (IR) and Case Fatality Rate (CFR) variables. Materials and Method: Data were obtained from the West Java Health Profile and the Central Bureau of Statistics, processed using Quantum GIS software. Research Results: The analysis results indicate that areas with high vulnerability to Dengue Hemorrhagic Fever (DHF) are predominantly urban regions, such as Bogor City, Sukabumi City, and Bandung City. Conclusions: This spatial visualization is expected to serve as a reference for policymakers in designing more effective Dengue Hemorrhagic Fever (DHF) control and prevention strategies. GIS-based information also facilitates a better understanding of health phenomena for readers
AUTOKORELASI SPASIAL PNEUMONIA DI JAWA BARAT TAHUN 2023
No full textPenyakit Pneumonia adalah jenis penyakit menular, dan terjadi pada balita di Jawa Barat pada tahun 2023 sebanyak 102.576 kasus per kabupaten/kota. Cakupan penemuan kasus pneumonia pada tahun 2023 adalah 45%, naik 0,1 poin dari tahun 2023, dengan cakupan 44,90%. Cakupan penemuan kasus pada tahun 2020 adalah 32,2%, tahun 2021 menjadi 27,9%, dan tahun 2022 menjadi 44,90%. Untuk mengidentifikasi pola dan korelasi spasial dari data pneumonia pada 27 kabupaten/kota di Jawa Barat pada Tahun 2023. Metode studi ini adalah penelitian analitik yang menggunakan rancangan studi ekologi. Penelitian ini menggunakan unit analisis spasial pada tingkat kecamatan. Metode Indeks Moran dan Local Indicators of Spatial Association (LISA), bersama dengan uji statistik pada program GeoDa, digunakan untuk menganalisis data penelitian ini. Hasil: Pola sebaran kasus pneumonia di Jawa Barat pada tahun 2023 termasuk dalam kategori kelompok. Nilai moran I lebih tinggi dari E yang bernilai -0,0385 untuk pneumonia, diare, imunisasi dasar lengkap, pemberian vitamin A, dan gizi buruk. Nilai moran I lebih rendah untuk BBLR dan ASI ekslusif, yang menunjukkan pola persebaran yang menyebar (disperse), dan memiliki karakteristik yang sama di wilayah sekitarnya. Simpulan: Pada tahun 2023, pola penyebaran pneumonia di Provinsi Jawa Barat menunjukkan pola yang acak dan mengelompok. Diharapkan pengambil kebijakan melakukan hal-hal yang tepat untuk meningkatkan kualitas kesehatan
Spatial Autocorrelation of Diarrhea Cases in West Java Province in 2023
No full textIntroduction: Diarrhea have been being a significant public health threat for the community due to its impact on morbidity and even mortality especially among infants and toddlers. Understanding the pattern of diarrhea, how the key factors influence the prevalence of the disease and which areas are at the highest risk could help in controlling diarhhea.
Objective: Through spatial autocorrelation analysis of diarrhea prevalence with several risk factors, such as open defecation behavior, population density, access to proper sanitation, availability of drinking water facilities, and the number of health centers in West Java Province in 2023, this study aims to identify which districts/cities in the province are at high risk of diarrhea.
Method: This ecological study analyzed 27 districts/cities in West Java Province in 2023 using secondary data from Open Data Jabar. The dependent variable was the number of diarrhea cases, while independent variables included key factors influencing the prevalence of diarrhea. The Moran index was used for autocorrelation tests, The study used Geoda software version 1.22.
Result: The study found positive autocorrelation pattern between diarrhea prevalence and population density as well as access to proper sanitation. Negative autocorrelatios found for the other factors i.e. the number of drinking water facilities, the number of villages that stopped open defecation and the number of health centers. The risk analysis reveals four districts categorized as high risk of diarrhea: Depok City, Bekasi City, Bogor City, and Cianjur City. Depok City has the highest score of 12, due to high population density and lack of access to proper sanitation. Bekasi, Bogor City, and Cianjur have the next highest scores, with proper sanitation being the largest contributing factor.
Conclusion: Autocorrelation analysis can help understand diarrhea patterns and factors influencing its prevalence, provide guidance for program implementation and prioritization to address the most high risk areas
Systematic Review: Economic Evaluation of Treatment for Human Epithelial Growth Factor Receptor 2-positive Metastatic Breast Cancer from a National Health Insurance Perspective
No full textBackground: Economic evaluation is often held from the societal perspective. Even it is important, as the therapy affects greatly to the patients’ life in society, economic evaluation from the payer perspective, is as important as it may help National Health Insurance (NHI) as the payer avert budget deficit as was observed in Indonesia. Unfortunately economic evaluation from the payer’s perspective is very rare to be done. This article compiles and reviews research articles of economic evaluation of therapy for human epithelial growth factor receptor 2-positive metastatic Breast Cancer (mBC) as an alternative to trastuzumab therapy, which has recently been removed from Indonesia’s National Health Insurance coverage. Methods: The literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations and PICO methodology (Population, Intervention, Comparison, and Outcome). Relevant articles were retrieved from online biomedical databases Scopus, PubMed, ScienceDirect, and SAGE Journals. Quality appraisal was performed using a standardized checklist which consisted of items in the CHEC checklist. Results: A total of six articles pertaining to economic evaluation of therapy for HER2-positive mBC from the NHI perspective (period: 2008–2018) were reviewed. Trastuzumab+chemotherapy showed the longest overall survival (OS, 37.8 months) with Progression-free Survival (PFS) of 12.7 months. Trastuzumab+docetaxel as 1st line therapy were associated with the longest PFS (19 months) with a total cost of US360,880 and US158,293). Lapatinib+capecitabine as 2nd line therapy and exemestane monotherapy were associated with the lowest total cost (US$3,190). Conclusion: Lapatinib+capecitabine as 2nd line therapy and exemestane monotherapy show potential as alternatives to trastuzumab therapy for HER-2 positive mBC
Pengaruh Kualitas Produk Terhadap Keputusan Pembelian Konsumen Pada Produk Body Care Scarlett Di Toko Istana Cosmetics Pekanbaru
No full textThis study aims to determine and analyze The Effect Of Product Quality On Consumer Purchasing Decisions On Scarlett Body Care Products At The Istana Cosmetics Store In Pekanbaru. The type of research that the author uses is descriptive survey research and quantitative research methods using SPSS 22. The results of this study indicate that the variable Product Quality with indicators Performance, Features, Reliability, Conformance, Durability, Serviceability, Estetika, and Perceived get results from respondents in the Strongly Agree category. As for variabel Consumer Purchasing Decisions with indicators of Need Recognition, Information Search, Evaluation Of Alternatives, Purchasing Decisions, and Post Purchasing Behavior getting results from respondents in the Agreed category. The results of the simple linear regression research show that the Product Quality has a significant relationship to Consumer Purchasing Decisions
Prevalence of Low Back Pain Among Office Workers During the COVID-19 Pandemic in Various Countries: A Systematic Review
No full textThe COVID-19 pandemic has led to the implementation of work from home policies in almost all parts of the world. This policy has increased the onset of musculoskeletal disorders in workers, such as low back pain (LBP). This study aimed to examine the prevalence of LBP among office workers during the COVID-19 pandemic after implementing WFH policies. This study was performed using data from various countries to determine the relationship between LBP and several risk factors, specifically age, sex, physical activity, ergonomic factors, as well as work environment factors such as temperature, humidity, lighting, noise, and work duration. A systematic review was conducted using sub-population studies published from 2020 to 2022. The data was obtained from six electronic databases: ProQuest, ScienceDirect, Embase, Scopus, Ebsco Medline, and Cambridge Core. The prevalence of LBP in office workers was associated with age, ergonomics, and environmental factors: air temperature, humidity, and lighting. There was no specific relationship between sex, physical activity, and working duration when working from home during the COVID-19 pandemic
Rencana bisnis untuk unit pelayanan home care RS Pusat Pertamina tahun 2004 ( studi kelayakan )
No full textRencana bisnis untuk unit pelayanan home care RS Pusat Pertamina tahun 2004 ( studi kelayakan
A politics of métissage: Maxine Hong Kingston’s The Woman Warrior: Memoirs of a Girlhood Among Ghosts
No full textIn her Autobiographical Voices: Race, Gender, Self-Portraiture (1989), Françoise Lionnet identifies the life writing of women of color as the reflection of their heterogeneous differences and theorizes female autobiographical narratives as métissage. Métissage, nearly untranslatable, meaning “braiding,” views autobiography as an engagement of the author with history, myth, and cultures, and defines it as a braid of multiple voices and disparate forms. In The Woman Warrior: Memoirs of a Girlhood Among Ghosts (1976), Maxine Hong Kingston combines numerous voices into the (auto)biographical “I” as well as various forms in the narrative to express her identity as comprising manifold, different elements. In her life writing, she neither follows the unique self-representation propagated by male writers nor validates the inner personal tradition of women. Instead, breaking the fixities of thought and expression, she juxtaposes the historical with the mythical, the biographical with the autobiographical to form a language of resistance and solidarity. The present paper argues that by articulating her identity as a braid of differences, constructing self as a braid of multiple voices, and making her narrative a braid of multiple genres and traditions Kingston enacts her life writing as a politics of mé[email protected] Akter Popy - is an Associate Professor in the Department of English, Noakhali Science and Technology University, Bangladesh. Her research articles have appeared in reputed peer reviewed journals like Crossings, Harvest, Commonwealth Review, Dialogue and Overtones. Her area of interest is autobiography studies. She is currently involved in a research project on selected South Asian Women’s autobiography.Noakhali Science and Technology University, BangladeshBlinde, P. L. 1979. The icicle in the desert: Perspective and form in the works of two Chinese-American women writers. The Ethnic Perspective 6:3: 51-71.Bolaki, S. 2009. It translated well: The promise and the perils of translation in Maxine Hong Kingston’s The Woman Warrior. MELUS 34:4: 39-60.Cheung, K. 1988. ‘Don’t tell’: Imposed silences in The Color Purple and The Woman Warrior. PMLA 103:2: 162-174.Fong, B. 1989. Maxine Hong Kingston’s autobiographical strategy in The Woman Warrior. Biography 12:2: 116-126.Friedman, S. S. 1998. Women’s autobiographical selves. In: S. Smith & J. Watson (eds.), Women, Autobiography Theory: A Reader, 72-82. Madison: The University of
Wisconsin Press.Hasebe-Ludt, E. et al. 2009. Life Writing and Literary Métissage as an Ethos for Our Times. Switzerland: Peter Lang Publishing.Hermans, H. J. M. 2003. The construction and reconstruction of a dialogical self. Journal of Constructivist Psychology 16:2: 89–130.Hsu, H. 2020. Maxine Hong Kingston’s genre-defying life and work. The New Yorker, June 8 & 15. https://www.newyorker.com/magazine/2020/06/08/maxine-hong-kingstons-genre-defying-life-and-work (accessed 1 June 2020).Hua, A. 2013. Chinese diasporic women’s writing, gender and identities: Rereading Maxine Hong Kingston’s The Woman Warrior for mnemonic traces. Asian Women
29:3: 71-96.Huntley, E. D. 2001. Maxine Hong Kingston: A Critical Companion. United States: Greenwood Press.Kingston, M. H. 1981. The Woman Warrior. London: Picador.Kingston, M. H. 1989. China Men. New York: Vintage International Edition.Li, L. D. 1988. The naming of a Chinese American ‘I’: Cross-cultural sign/ifications in The Woman Warrior. Criticism 30:4: 497–515.Lionnet, F. 1989. Autobiographical Voices: Race, Gender, Self-Portraiture. Ithaca: Cornell University Press.Ludwig, S. & Alexoae-Zagni, N. (eds). 2014. On the Legacy of Maxine Hong Kingston: The Mulhouse Book. Berlin/Münster: LIT Verlag.Neuman, S. 1992. From different poetics to a poetics of differences. In: M. Kadar (ed). Essays on Life Writing: From Genre to Critical Practice, 213-230. University of
Toronto Press.Patel. N. 2019. Challenging the canon: How Maxine Hong Kingston narrates nonfiction with ghosts and talk-story. Paper Shell Review. https://english.umd.edu/research_innovation/journals/paper-shell-review/paper-shell-review-spring-2019/challenging-canon (accessed 1 June 2021).Shu, Y. 2001. Cultural politics and Chinese-American female subjectivity: Rethinking Kingston’s Woman Warrior. MELUS 26: 2: 199-223.Smith, S. 1987. A Poetics of Women’s Autobiography: Marginality and the Fictions of Self-representation. Indiana: Indiana University Press.Smith, S. & Julia W. 2001. Reading Autobiography: A Guide for Interpreting Life Narratives. Minneapolis: University Minnesota Press.Thompson, P. H. 1983. This is the story I heard: A conversation with Maxine Hong Kingston and Earll Kingston. Biography 6:1: 1-12.Watson, J. 1993. Toward an anti-metaphysics of autobiography. In: R. Folkenflik (ed.), The Culture of Autobiography: Constructions of Self-representation, 57-124. Stanford, CA: Stanford University Press.Zuss, M. 1999. Subject Present: Life-Writings and Strategies of Representation. New York: Peter Lang Publishing Inc.35 (4/2021)172
