Tinjauan Hukum Internasional Mengenai ASEAN Open Sky Dan Dampaknya Bagi Indonesia

Aircraft is known as the most effective means transportation at this time. Start in terms of safety, comfort, economy, and the time when compared with other means of transportation such as land and sea transportation. By using aircraft, as if there are no more boundaries between regions of the country to another. Since the number of positive benefits, then the air transport becomes very important in human life and even the country. One country to enter into agreements with other countries by exchanging the rights of freedom in the air. ASEAN Open Sky is one form of multilateral agreements between countries which aims to realize the ASEAN aviation liberalization in the ASEAN region. The liberalization of the concept will be realized in 2015. It is expected there will be positive impacts for Indonesia and ASEAN by following the liberalization of the flight. For negative impacts, Indonesia and other ASEAN countries are required to start paying attention and taking into account all possibilities that will happen, so that negative impacts can be avoided and it can be turned into a positive impact. Keywords : flight, country, liberalizatio

Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities

Paediatric craniomaxillofacial (CMF) surgery requires a multidisciplinary team approach to ensure the optimal and holistic management of children with craniofacial deformities. The aim of this retrospective study was to analyse the complications following functional interventions among 34 CMF deformity patients in a single multidisciplinary craniofacial centre. Electronic data including patient demographic characteristics and clinical entry were analysed. Inclusion criteria were all paediatric patients with CMF deformities who underwent various functional interventions. A total of 64 interventions (48 intermediate and 16 definitive) were conducted. Based on the Sharma classification of complications, 20.3% were type I, 4.7% were type II, 1.6% were type III, and 4.7% were type IV . Most complications were type I, which included local infection (3.1%) and premature opening of tarsorrhaphy (3.1%). More serious complications (types III and IV) included temporary visual loss (1.6%) and intraoperative haemorrhage (1.6%). Although a low complication rate was observed in intermediate interventions, a higher complication rate was observed in more complex definitive interventions such as monobloc distraction osteogenesis. Although most complications were manageable, effective prevention remains mandatory, as serious complications may lead to permanent damage and mortality. This analysis highlights the importance of a multidisciplinary team approach to optimize the outcomes in CMF patient management

Strategies to address inequity of uncorrected refractive error in the Western Pacific: A modified Delphi process

PurposeUncorrected refractive error is the leading cause of vision impairment globally; however, little attention has been given to equity and access to services. This study aimed to identify and prioritise: (1) strategies to address inequity of access to refractive error services and (2) population groups to target with these strategies in five sub-regions within the Western Pacific.MethodsWe invited eye care professionals to complete a two-round online prioritisation process. In round 1, panellists nominated population groups least able to access refractive error services, and strategies to improve access. Responses were summarised and presented in round 2, where panellists ranked the groups (by extent of difficulty and size) and strategies (in terms of reach, acceptability, sustainability, feasibility and equity). Groups and strategies were scored according to their rank within each sub-region.ResultsSeventy five people from 17 countries completed both rounds (55% women). Regional differences were evident. Indigenous peoples were a priority group for improving access in Australasia and Southeast Asia, while East Asia identified refugees and Oceania identified rural/remote people. Across the five sub-regions, reducing out-of-pocket costs was a commonly prioritised strategy for refraction and spectacles. Australasia prioritised improving cultural safety, East Asia prioritised strengthening school eye health programmes and Oceania and Southeast Asia prioritised outreach to rural areas.ConclusionThese results provide policy-makers, researchers and funders with a starting point for context-specific actions to improve access to refractive error services, particularly among underserved population groups who may be left behind in existing private sector-dominated models of care