Priorities and realities: addressing the rich-poor gaps in health status and service access in Indonesia

<p>Abstract</p> <p>Introduction</p> <p>Over the past four decades, the Indonesian health care system has greatly expanded and the health of Indonesian people has improved although the rich-poor gap in health status and service access remains an issue. The government has been trying to address these gaps and intensify efforts to improve the health of the poor following the economic crisis in 1998.</p> <p>Methods</p> <p>This paper examines trends and levels in socio-economic inequity of health and identifies critical factors constraining efforts to improve the health of the poor. Quantitative data were taken from the Indonesian Demographic Health Surveys and the National Socio-Economic Surveys, and qualitative data were obtained from interviews with individuals and groups representing relevant stakeholders.</p> <p>Results</p> <p>The health of the population has improved as indicated by child mortality decline and the increase in community access to health services. However, the continuing prevalence of malnourished children and the persisting socio-economic inequity of health suggest that efforts to improve the health of the poor have not yet been effective. Factors identified at institution and policy levels that have constrained improvements in health care access and outcomes for the poor include: the high cost of electing formal governance leaders; confused leadership roles in the health sector; lack of health inequity indicators; the generally weak capacity in the health care system, especially in planning and budgeting; and the leakage and limited coverage of programs for the poor.</p> <p>Conclusions</p> <p>Despite the government's efforts to improve the health of the poor, the rich-poor gap in health status and service access continues. Factors at institutional and policy levels are critical in contributing to the lack of efficiency and effectiveness for health programs that address the poor.</p

THE INFLUENCE OF OROGRAPHY DURING DEEP MEDITERRANEAN CYCLOGENESIS 11-15 NOVEMBER 2004

The deep cyclogenesis causing a range of severe weather events took place over the Mediterranean Sea from 11- 15 November 2004. The first phase of the event was analysed by a series of numerical experiments using the MM5 forecast model. Factor separation method was applied to investigate the cyclogenetic and cyclolytic influences of orography, upper-level potential vorticity and latent heat flux from the sea as well as their mutual synergies in the cyclone initiation and movement in the lee of Atlas Mountains. Results of model simulations show that pure orographic effect is responsible for generation of the low-level shallow vortex in the lee, while upper-level PV anomaly is a dominant effect in the later stage of lee formation. In addition, upperlevel PV anomaly is crucial for advection of the system to the Mediterranean Sea, where the cyclone experienced a severe deeping in the mature stage of its development

Analysis of the environments of seven Mediterranean tropical-like storms using an axisymmetric, nonhydrostatic, cloud resolving model

Tropical-like storms on the Mediterranean Sea are occasionally observed on satellite images, often with a clear eye surrounded by an axysimmetric cloud structure. These storms sometimes attain hurricane intensity and can severely affect coastal lands. A deep, cut-off, cold-core low is usually observed at mid-upper tropospheric levels in association with the development of these tropical-like systems. In this study we attempt to apply some tools previously used in studies of tropical hurricanes to characterise the environments in which seven known Mediterranean events developed. In particular, an axisymmetric, nonhydrostatic, cloud resolving model is applied to simulate the tropical-like storm genesis and evolution. Results are compared to surface observations when landfall occurred and with satellite microwave derived wind speed measurements over the sea. Finally, sensitivities of the numerical simulations to different factors (e.g. sea surface temperature, vertical humidity profile and size of the initial precursor of the storm) are examined

Coexistencia del coral formador de arrecifes Cladocora caespitosa y la macroalga formadora de dosel Treptacantha ballesterosii: descripción de un nuevo hábitat mediterráneo

Shallow Mediterranean rocky environments are usually dominated by macroalgae, but the stony colonial zooxan­thellate coral Cladocora caespitosa is able to build extensive banks in some particular areas. Although zooxanthellate corals and benthic macroalgae are expected to compete for light and space when overlapping in the same habitat, there is previous evidence that C. Caespitosa and Mediterranean macroalgae do not suffer from competitive exclusion when living together. Here we characterize a new and unique Mediterranean habitat where the reef-building coral C. Caespitosa and erect seaweeds of the order Fucales (Cystoseira s.l.) coexist. In this new habitat C. Caespitosa reaches 34% cover and densities of Cystoseira s.l. (mainly Treptacantha ballesterosii) are much higher than values reported from other sites. Interestingly, abundances of T. Ballesterosii and C. Caespitosa show a positive relationship, suggesting that some kind of facilitation mechanism is taking place. These findings challenge the theory of competitive exclusion between corals and macroalgae and launch a wide array of possible open discussions on coral-macroalgae interactions.Los ambientes rocosos someros del Mediterráneo están habitualmente dominados por macroalgas, no obstante, el coral colonial zooxantelado Cladocora caespitosa es capaz de formar bancos extensos en algunos lugares. Aunque es prede­cible que los corales con zooxantelas y las algas bentónicas compitan por la luz y el espacio cuando coinciden en el mismo hábitat, hay evidencias previas de que C. Caespitosa y las algas mediterráneas no se excluyen competitivamente cuando viven juntas. En este trabajo se caracteriza un nuevo y único hábitat mediterráneo donde el coral formador de arrecifes C. caespi­tosa y algas erectas del orden Fucales (Cystoseira s.l.) coexisten. En este hábitat nuevo C. Caespitosa alcanza coberturas del 34% y las densidades de Cystoseira s.l. (principalmente de Treptacantha ballesterosii) son mucho mayores que los valores encontrados en otros lugares. Remarcablemente, las abundancias de T. Ballesterosii y C. Caespitosa muestran una relación positiva, sugiriendo que existe algún tipo de mecanismo de facilitación. Este hallazgo pone en jaque la teoría de exclusión competitiva entre corales y macroalgas, a la vez que puede iniciar un amplio abanico de discusiones en las interacciones entre corales y macroalgas

Real-time investigation of dynamic protein crystallization in living cells

X-ray crystallography requires sufficiently large crystals to obtain structural insights at atomic resolution, routinely obtained in vitro by time-consuming screening. Recently, successful data collection was reported from protein microcrystals grown within living cells using highly brilliant free-electron laser and third-generation synchrotron radiation. Here, we analyzed in vivo crystal growth of firefly luciferase and Green Fluorescent Protein-tagged reovirus μNS by live-cell imaging, showing that dimensions of living cells did not limit crystal size. The crystallization process is highly dynamic and occurs in different cellular compartments. In vivo protein crystallization offers exciting new possibilities for proteins that do not form crystals in vitroL.R., M.K., D.R., and C.B. thank the German Federal Ministry for Education and Research (BMBF) for funding (Grant Nos. 01KX0806 and 01KX0807). L.R., M.D., and C.B. acknowledge support from the BMBF in the context of the Röntgen-Angström-Cluster (Grant No. 05K12GU3). J.M.-C. and A.B.-N. acknowledge support from the Spanish Ministerio Economía y Competitividad (MINECO, Grant No. BFU2013-43513-R). I.V.M., R.D., and L.R. are grateful for support from the DFG Cluster of Excellence “Inflammation at Interfaces” (EXC 306)S

Electrical switching of a chiral lasing from polariton condensate in a Rashba-Dresselhaus regime

Efficient optical classical and quantum information processing imposes on light novel requirements: chirality with low threshold non-linearities. In this work we demonstrate a chiral lasing from an optical modes due to emerging photonic Rashba-Dresselhaus spin-orbit coupling (SOC). For this purpose we developed a new electrically tunable device based on an optical cavity filled with birefringent liquid crystal (LC) and perovskite crystals. Our novel method for the growth of single crystals of CsPbBr$_3$ inorganic perovskite in polymer templates allows us to reach a strong light-matter coupling regime between perovskite excitons and cavity modes, and induce polariton condensation. The sensitivity of the LC to external electric fields lets us to tune the condensate energy in situ and induce synthetic SOC. This shapes the condensate between a single linearly polarized or two circularly polarized separated in momentum, emitting coherent light. The difference in the condensation thresholds between the two SOC regimes can be used to switch on and off the chiral condensate emission with a voltage.Comment: 8 pages, 5 figure

Diversity in Expression of Phosphorus (P) Responsive Genes in Cucumis melo L

Phosphorus (P) is a major limiting nutrient for plant growth in many soils. Studies in model species have identified genes involved in plant adaptations to low soil P availability. However, little information is available on the genetic bases of these adaptations in vegetable crops. In this respect, sequence data for melon now makes it possible to identify melon orthologues of candidate P responsive genes, and the expression of these genes can be used to explain the diversity in the root system adaptation to low P availability, recently observed in this species

Attraction between DNA molecules mediated by multivalent ions

The effective force between two parallel DNA molecules is calculated as a function of their mutual separation for different valencies of counter- and salt ions and different salt concentrations. Computer simulations of the primitive model are used and the shape of the DNA molecules is accurately modelled using different geometrical shapes. We find that multivalent ions induce a significant attraction between the DNA molecules whose strength can be tuned by the averaged valency of the ions. The physical origin of the attraction is traced back either to electrostatics or to entropic contributions. For multivalent counter- and monovalent salt ions, we find a salt-induced stabilization effect: the force is first attractive but gets repulsive for increasing salt concentration. Furthermore, we show that the multivalent-ion-induced attraction does not necessarily correlate with DNA overcharging.Comment: 51 pages and 13 figure

Organising multi-dimensional biological image information: The BioImage Database

Nowadays it is possible to unravel complex information at all levels of cellular organization by obtaining multi-dimensional image information. at the macromolecular level, three-dimensional (3D) electron microscopy, together with other techniques, is able to reach resolutions at the nanometer or subnanometer level. The information is delivered in the form of 3D volumes containing samples of a given function, for example, the electron density distribution within a given macromolecule. The same situation happens at the cellular level with the new forms of light microscopy, particularly confocal microscopy, all of which produce biological 3D volume information. Furthermore, it is possible to record sequences of images over time (videos), as well as sequences of volumes, bringing key information on the dynamics of living biological systems. It is in this context that work on bioimage started two years ago, and that its first version is now presented here. In essence, Bioimage is a database specifically designed to contain multi-dimensional images, perform queries and interactively work with the resulting multi-dimensional information on the World Wide Web, as well as accomplish the required cross-database links. Two sister home pages of bioimage can be accessed at http://www.bioimage.org and http://www-embl.bioimage.or