Pelaksanaan Perjanjian Kerja Waktu Tertentu Terkait Pemberian Upah Pekerja Menurut Undang Undang Nomor 13 Tahun 2003 Tentang Ketenagakerjaan di PT. Sakura Bumi Persada Kabupaten Pelalawan

Work has very important significance in human life so that every person in need of work. To obtain a job and a decent living is the right of every citizen, it is already evident in the set in Article 27 Paragraph (2) of the 1945 Constitution, namely: every citizen the right to work and a decent living for humanity. It is not all just hung to the government. Employers also have an important role in employment so that employment can be based on the full wisdom in all sectors. A company is obliged to see to it that the employees have the awareness to be responsible for the smooth progress, the survival of the company. Therefore in need of a labor agreement that connects between a person who acts as a worker or workers with a person who acts as an employer for the creation of a form of relationship that binds to perform an act in accordance with Act No. 13 of 2003 concerning employment.From the above information, the author makes some problem formulation in which the formulation of the problem is how the implementation of the agreements specified time-related wages in PT. Sakura Bumi Persada in Pelalawan Pangkalan Kerinci, what are the factors that hinder the provision of wage workers, how the efforts made by PT. Sakura Bumi Persada in Pelalawan Pangkalan Kerinci in overcoming delays in payment of wages.After this when in Act No. 13 of 2003 has been explained in detail about the rights and obligations of employers and workers, but why there are still many companies that are in default to its employees. Supposedly the company and its employees can be more concerned about their rights and responsibilities in conducting an employment agreement that the company and the workers were not negligent so as to create harmony which resulted in economic communities working in the company and increasing the better

Self-perceived halitosis among students of higher learning institutions in Rwanda

Aim: This study aimed to determine the prevalence of self-perceived halitosis (SPH), its effects and associated factors among students of higher learning institutions in Kigali, Rwanda.Materials and methods: A self-administered structured questionnaire was distributed to 354 students. Data was entered into excel sheet and analyzed using SPSS version 16.0. Chi-square test was performed and p<0.05 was considered significant.Results: Out of 354 questionnaires distributed, only 329 were completely filled and used for analysis of which 48.6% were filled by females. The prevalence of perceived bad breath was 23.1%, and was similar in both sexes. About 23% reported that breath had interfered with their social life at school during the month of the study, while 13.1% and 19.7% respectively reported to have lost their friends at school and avoided other people from feeling that they had bad breath. Respondents who reported to have cavities in their teeth; gum bleeding; white or yellow deposits on their tongue; and dry mouth were more likely to report perceived bad breath than their counterparts (x2-= 18.21, p< 0.001; x2-= 28.03, p< 0.001; x2-= 28.19, p< 0.001, x2-= 4.55, p< 0.033 respectively). The oral habits that were associated with perceived bad breath were “not brushing teeth every day” (x2-= 5.51, p= 0.019); “tobacco smoking” (x2= 31.91, p= 0.001); “drinking alcohol regularly” (x2= 7.73, p= 0.005); and “using chewing gum every day” (x2 = 28.03, p< 0.001).Conclusion: A substantial proportion of students in institutions of high learning in Rwanda reported to have bad breath. Tooth cavities, gum bleeding, white or yellow deposits on tongue, infrequent tooth brushing; tobacco smoking and regular alcohol consumption were significantly associated with perceived bad breath.Keywords: Self-perceived halitosis, associated factors, social life, Student

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients

Microvascular vasodilator plasticity following acute exercise

Endothelium-dependent vasodilation is reduced following acute exercise, or following high intraluminal pressure in isolated arterioles from sedentary adults, but not in arterioles from regular exercisers. The preserved vasodilation in arterioles from exercisers is hydrogen peroxide (H2O2)-dependent, whereas resting dilation is nitric oxide (NO)-dependent. We hypothesize chronic exercise elicits adaptations allowing for maintained vasodilation when NO bioavailability is reduced

Factors related to compliance to anti-malarial drug combination: example of amodiaquine/sulphadoxine-pyrimethamine among children in rural Senegal

<p>Abstract</p> <p>Background</p> <p>The introduction of new anti-malarial treatment that is effective, but more expensive, raises questions about whether the high level of effectiveness observed in clinical trials can be found in a context of family use. The objective of this study was to determine the factors related to adherence, when using the amodiaquine/sulphadoxine-pyrimethamine (AQ/SP) association, a transitory strategy before ACT implementation in Senegal.</p> <p>Methods</p> <p>The study was conducted in five rural dispensaries. Children, between two and 10 years of age, who presented mild malaria were recruited at the time of the consultation and were prescribed AQ/SP. The child's primary caretaker was questioned at home on D3 about treatment compliance and factors that could have influenced his or her adherence to treatment. A logistic regression model was used for the analyses.</p> <p>Results</p> <p>The study sample included 289 children. The adherence rate was 64.7%. Two risks factors for non-adherence were identified: the children's age (8–10 years) (ORa = 3.07 [1.49–6.29]; p = 0.004); and the profession of the head of household (retailer/employee versus farmer) (ORa = 2.71 [1.34–5.48]; p = 0.006). Previously seeking care (ORa = 0.28 [0.105–0.736], p=0.001] satisfaction with received information (ORa = 0.45 [0.24–0.84]; p = 0.013), and the quality of history taking (ORa = 0.38 [0.21–0.69]; p = 0.001) were significantly associated with good compliance.</p> <p>Conclusion</p> <p>The results of the study show the importance of information and communication between caregivers and health center staff. The experience gained from this therapeutic transition emphasizes the importance of information given to the patients at the time of the consultation and drug delivery in order to improve drug use and thus prevent the emergence of rapid drug resistance.</p