Digitalization: The Way to Tourism Destination’s Competitive Advantage (Case Study of Indonesia Marine Tourism)

This article is a conceptual paper that proposes the importance of digitalization in marine tourism destination in order to significantly improve its competitive advantage. The digitalization should become a new capability as it supports the activities of value co-creation amongst the stakeholders including the customers. Digitalization will create resource integration, value platform and information-sharing models, while the pre-requisites for the success of its implementation are developing digital strategy, leadership and culture. National tourism digitalization movement, appoint seaports as leader in digital transformation, encourage collaboration intra- and inter-destination, and conduct intensive digital socialization and training.     Keywords: digitalization, digital capability, value co-creation, digital transformatio

Health Belief Model on Sexual Behavior Issues Among Prisoners at Prison in Pekalongan, Central Java

Bacground: One of the basic human needs to be fulfilled is sexual need. Prisoners face problem in their sexual need fulfilment and freedom, due to the prison's diciplinary system, including supervison, strict disciplinary mechanism, and enactment of spatial division between men and women. As a consequence, there often occur perverted sexual behaviors, including homosexuality. This study aimed to analyze the sexual behavior issues among prisoners at prison using Health Belief Model.Subjects and Method: This was a qualitative descriptive study with phenomenological approach. The main key informants in this study were prisoners having imprisoned for one year or more and officers at Class IIA prison, in Pekalongan, Central Java. The supporting informants included health personnel (doctors and nurses) at Class IIA prison clinic.Results: All informants reported that they were susceptible to engage in risky sexual behaviors in order to fulfil their sexual need, such as masturbation and homosexuality. The psychological adverse effects they had experienced included fear and feeling of embarrassment their perverted sexual behaviors were recognized by others. The informants reported that they did not have self-efficacy in coping with sexual need issues while in prison.Conclusion : The imprisonment system has an impact on the way inmates meet their sexual needs through masturbation. The role of prison officials is urgently needed to enable prisoners to address the problems of their biological needs through beneficial activities while in prison.Keywords: prisoners, sexual behaviors, Health Belief ModelCorrespondence: Liliana Dwi Pranita. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285647000303.Journal of Health Promotion and Behavior (2017), 2(3): 232-241https://doi.org/10.26911/thejhpb.2017.02.03.0

Development of Emulsion Gel Sunscreen Containing Olive Oil and Clove Oil

Sunlight contributes to the healing of multiple health conditions, including in respiratory diseases such as Covid-19, by boosting the immune system. Nevertheless, too much sun exposure can cause sunburn and lead to skin cancer. To minimize the harms of excessive sun exposure, the skin needs to be strictly shielded with the use of sunscreen. This study aimed to develop an olive oil and clove oil emulsion gel preparation and determine its sun protective factor (SPF) value. Olive oil was formulated into an emulsion gel with varying concentrations of 2%, 4%, and 6%, and then 5% of clove oil was added. Physicochemical properties such as organoleptic, homogeneity, pH values, viscosity, and spreadability were tested. Further, UV protection was examined based on determining the SPF value, and the stability of preparation was evaluated using real-time and freeze-thaw methods. The results showed that the preparation had a good physicochemicality, while the SPF value was 20.91 ± 0.29, 22.52 ± 0.52, and 23.39 ± 0.45, respectively. However, the results of the stability test showed a significant change in the pH and SPF value after storage. It can be concluded that the emulsion gel of olive oil and clove oil preparation could be considered to have a medium level of protection of sunscreen. Keywords: olive oil, clove oil, emulsion gel, sunscreen, UV protection, stabilit

Pourquoi la reprise après la Covid-19 doit être sexospécifique

This summary highlights key learning from research from the Covid-19 Responses for Equity (CORE) initiative focusing on the impact the pandemic is having across different vulnerable groups and how gender intersects and often exacerbates these effects. Supported by the International Development Research Centre (IDRC), CORE brings together 21 projects to understand the socioeconomic impacts of the pandemic, improve existing responses, and generate better policy options for recovery. The research is being led primarily by local researchers, universities, thinktanks and civil society organisations across 42 countries in Africa, Asia, Latin America and the Middle East.Cette synthèse met en évidence les principaux enseignements tirés de la recherche menée dans le cadre de l’initiative Covid-19 Responses for Equity (CORE) axée sur l’impact de la pandémie sur différents groupes vulnérables et sur la façon dont le genre recoupe et exacerbe souvent ces conséquences. Soutenu par le Centre de recherches pour le développement international (CRDI), CORE réunit 21 projets visant à comprendre les impacts socio-économiques de la pandémie, améliorer les interventions existantes et générer de meilleures options stratégiques pour la reprise. La recherche est principalement dirigée par des chercheurs locaux, des universités, des groupes de réflexion et des organisations de la société civile dans 42 pays d’Afrique, d’Asie, d’Amérique latine et du Moyen-Orient.International Development Research Centr

Why COVID-19 recovery must be gender-responsive

This summary highlights key learning from research from the Covid-19 Responses for Equity (CORE) initiative focusing on the impact the pandemic is having across different vulnerable groups and how gender intersects and often exacerbates these effects. Supported by the International Development Research Centre (IDRC), CORE brings together 21 projects to understand the socioeconomic impacts of the pandemic, improve existing responses, and generate better policy options for recovery. The research is being led primarily by local researchers, universities, thinktanks and civil society organisations across 42 countries in Africa, Asia, Latin America, and the Middle East

Clinical outcomes of seasonal influenza and pandemic influenza A (H1N1) in pediatric inpatients

<p>Abstract</p> <p>Background</p> <p>In April 2009, a novel influenza A H1N1 (nH1N1) virus emerged and spread rapidly worldwide. News of the pandemic led to a heightened awareness of the consequences of influenza and generally resulted in enhanced infection control practices and strengthened vaccination efforts for both healthcare workers and the general population. Seasonal influenza (SI) illness in the pediatric population has been previously shown to result in significant morbidity, mortality, and substantial hospital resource utilization. Although influenza pandemics have the possibility of resulting in considerable illness, we must not ignore the impact that we can experience annually with SI.</p> <p>Methods</p> <p>We compared the outcomes of pediatric patients ≤18 years of age at a large urban hospital with laboratory confirmed influenza and an influenza-like illness (ILI) during the 2009 pandemic and two prior influenza seasons. The primary outcome measure was hospital length of stay (LOS). All variables potentially associated with LOS based on univariable analysis, previous studies, or hypothesized relationships were included in the regression models to ensure adjustment for their effects.</p> <p>Results</p> <p>There were 133 pediatric cases of nH1N1 admitted during 2009 and 133 cases of SI admitted during the prior 2 influenza seasons (2007-8 and 2008-9). Thirty-six percent of children with SI and 18% of children with nH1N1 had no preexisting medical conditions (p = 0.14). Children admitted with SI had 1.73 times longer adjusted LOS than children admitted for nH1N1 (95% CI 1.35 - 2.13). There was a trend towards more children with SI requiring mechanical ventilation compared with nH1N1 (16 vs.7, p = 0.08).</p> <p>Conclusions</p> <p>This study strengthens the growing body of evidence demonstrating that SI results in significant morbidity in the pediatric population. Pandemic H1N1 received considerable attention with strong media messages urging people to undergo vaccination and encouraging improved infection control efforts. We believe that this attention should become an annual effort for SI. Strong unified messages from health care providers and the media encouraging influenza vaccination will likely prove very useful in averting some of the morbidity related to influenza for future epidemics.</p

Clinical Impact of Ceftriaxone Resistance in Escherichia coli Bloodstream Infections: A Multicenter Prospective Cohort Study

BACKGROUND: Ceftriaxone-resistant (CRO-R) Escherichia coli bloodstream infections (BSIs) are common. METHODS: This is a prospective cohort of patients with E coli BSI at 14 United States hospitals between November 2020 and April 2021. For each patient with a CRO-R E coli BSI enrolled, the next consecutive patient with a ceftriaxone-susceptible (CRO-S) E coli BSI was included. Primary outcome was desirability of outcome ranking (DOOR) at day 30, with 50% probability of worse outcomes in the CRO-R group as the null hypothesis. Inverse probability weighting (IPW) was used to reduce confounding. RESULTS: Notable differences between patients infected with CRO-R and CRO-S E coli BSI included the proportion with Pitt bacteremia score ≥4 (23% vs 15%, P = .079) and the median time to active antibiotic therapy (12 hours [interquartile range {IQR}, 1-35 hours] vs 1 hour [IQR, 0-6 hours]; P \u3c .001). Unadjusted DOOR analyses indicated a 58% probability (95% confidence interval [CI], 52%-63%) for a worse clinical outcome in CRO-R versus CRO-S BSI. In the IPW-adjusted cohort, no difference was observed (54% [95% CI, 47%-61%]). Secondary outcomes included unadjusted and adjusted differences in the proportion of 30-day mortality between CRO-R and CRO-S BSIs (-5.3% [95% CI, -10.3% to -.4%] and -1.8 [95% CI, -6.7% to 3.2%], respectively), postculture median length of stay (8 days [IQR, 5-13 days] vs 6 days [IQR, 4-9 days]; P \u3c .001), and incident admission to a long-term care facility (22% vs 12%, P = .045). CONCLUSIONS: Patients with CRO-R E coli BSI generally have poorer outcomes compared to patients infected with CRO-S E coli BSI, even after adjusting for important confounders