Pengaruh Implementasi Kebijakan Akreditasi Puskesmas terhadap Manajemen Pelayanan Kesehatan Masyarakat dalam Mewujudkan Produktivitas Kerja

Tujuan penulisan artikel ini adalah membahas pengaruh implementasi kebijakan akreditasi puskesmas terhadap manajemen pelayanan kesehatan masyarakat dalam mewujudkan produktivitas kerja Pegawai di UPT Puskesmas Pameungpeuk, Kecamatan Pameungpeuk, Kabupaten Garut yang berada dalam naungan Dinas Kesehatan Kabupaten Garut. Metoda analisis dalam pembahasan topik utama ini menggunakan model analisis jalur untuk membahas hubungan hubungan sebab akibat antara implementasi kebijakan akreditasi puskesmas, manajemen pelayanan kesehatan masyarakat dan produktivitas kerja pegawai, dengan jumlah responden sebanyak 85 orang. Pada pembahasan ini menunjukkan hasil bahwa implementasi kebijakan akreditasi Puskesmas berpengaruh signifikan terhadap manajemen pelayanan kesehatan masyarakat dan produktivitas kerja pegawai. Artikel ini berkesimpulan bahwa untuk mewujudkan produktivitas kerja pegawai dapat dilakukan dengan mengoptimalkan implementasi kebijakan akreditasi Puskesmas serta manajemen pelayanan kesehatan masyarakat. Kata kunci: implementasi kebijakan, akreditasi puskesmas, manajemen pelayanan, produktivitas kerj

Crazing and Fracture in Polymers

Abstract The discussion on the fracture of solid materials, both metals and polymers, customarily begins with a presentation of the stress-strain behavior and of how various conditions such as temperature and strain-rate affect the mechanisms of deformation and fracture. This article describes crazing and fracture in polymeric materials, with a review of the behavior of the elastic modulus as a function of temperature or time parameters, emphasizing the importance of the viscoelastic nature of their deformation and fracture. The discussion covers the behavior of polymers under stress, provides information on ductile and brittle behaviors, and describes craze initiation in polymers and crack formation and fracture by crazing. Macroscopic permanent deformation of polymeric materials caused by shear-yielding and crazing, which eventually can result in fracture and failure, is also covered.</jats:p

Surface Examination and Analysis of Plastics

Abstract This article discusses the operating principles, advantages, and limitations of scanning electron microscopy, atomic force microscopy, x-ray photoelectron spectroscopy, and secondary ion mass spectroscopy that are used to analyze the surface chemistry of plastics.</jats:p

Bracken Fern Poisoning in Animals

&lt;p&gt;&nbsp;&lt;/p&gt; &lt;p&gt;&lt;span&gt;The most prevalent poisonous plant species found in temperate and subtropical climates is bracken fern. Although young plants are said to be more toxic than older ones, plant material as a whole is typically toxic. Various active principles present in it have the potential to cause disease conditions in animals. The fully characterized toxic factors of ferns include thiaminase, quercetin, aplastic anemia factor, and hematuria factor. Among these, quercetin is carcinogenic; long-term ingestion of bracken fern has been linked to bladder tumours. Bone marrow tissue is depressed by the fern poison. Most impacted is the thrombocytic count. Hemorrhages, which are typically located on the outside of the heart and occasionally in the kidney but more frequently in the intestines, are the most common findings in cases of simple fern poisoning.&lt;/span&gt;&lt;/p&gt

When principles and pedagogy clash: Moving beyond the limits of scholarly practices in an academic-community partnership with sex worker activists

While U.S. public health education increasingly promotes community-based participatory research (CBPR) as a mode of socially-responsive research, today's intertwined health and social injustice crises demand honest reckoning with the limitations of CBPR as a framework for change. We are a team of students, fellows, and faculty reflecting on the complexities encountered over three years of collaborative work with street-based sex worker activists, in a city characterised by stark wealth disparities reinforced by policies of the university within which we operate. We centre a peer-based needs assessment survey and report on barriers to resources and services for sex workers to highlight hard choices and often unacknowledged challenges to academic partnerships. Our process intends to unsettle the too-sanguine narratives of CBPR, draw from insights arising in the discipline of law, and illuminate practices needed to honour commitments, translate knowledge to power-shifting action, and constructively engage with those most affected in determining the policies that structure their lives. We ask: Can our privileged position within the academy be usefully analysed, confronted, instrumentalised, and even subverted as we shape new practices and interventions in the name of health justice? How might we imagine principles and practices towards a movement public health

Mobile Screening Units for the Early Detection of Cancer: A Systematic Review

Abstract Mobile screening units (MSUs) provide cancer screening services outside of fixed clinical sites, thereby increasing access to early detection services. We conducted a systematic review of the performance of MSUs for the early detection of cancer. Databases (MEDLINE, EMBASE, Cochrane Library, WHO Global Health Library, Web of Science, PsycINFO) were searched up to July 2015. Studies describing screening for breast, cervical, and colon cancer using MSUs were included. Data were collected for operational aspects including the performance of exams, screening tests used, and outcomes of case detection. Of 268 identified studies, 78 were included. Studies investigated screening for cancers including breast (n = 55), cervical (n = 12), colon (n = 1), and multiphasic screening for multiple cancers (n = 10). The median number of screening exams performed per intervention was 1,767 (interquartile range 5,656–38,233). Programs operated in 20 countries, mostly in North America (36%) and Europe (36%); 52% served mixed rural/urban regions, while 35% and 13% served rural or urban regions, respectfully. We conclude that MSUs have served to expand access to screening in diverse contexts. However, further research on the implementation of MSUs in low-resource settings and health economic research on cost-effectiveness of MSUs compared with fixed clinics to inform policymakers is needed. Cancer Epidemiol Biomarkers Prev; 26(12); 1679–94. ©2017 AACR.</jats:p