Pengaruh Dukungan Organisasi terhadap Iklim Keselamatan Pasien di Rumah Sakit Restu Ibu Balikpapan

Iklim keselamatan pasien muncul sebagai faktor penting dalam organisasi kesehatan. Tujuan dari peneltian ini untuk menganalisis pengaruh keadilan, dukungan atasan dan penghargaan terhadap iklim keselamatan pasien. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan rancangan survei analitik dengan pendekatan cross sectional study. Sampel penelitian ini sebanyak 187 responden yang merupakan staf di Rumah Sakit Restu Ibu Balikpapan dengan metode purposive sampling. Data dianalisis dengan menggunakan uji regresi linear. Hasil penelitian menunjukkan bahwa ada pengaruh keadilan, dukungan atasan dan penghargaan terhadap iklim keselamatan pasien. Hasil penelitian ini diharapkan dapat menjadi sebuah masukan untuk perbaikan iklim keselamatan pasien yang lebih khusus untuk meperhatikan pemberian penghargaan kepada pegawai.

Quantum feedback control of a solid-state qubit

We have studied theoretically the basic operation of a quantum feedback loop designed to maintain a desired phase of quantum coherent oscillations in a single solid-state qubit. The degree of oscillations synchronization with external harmonic signal is calculated as a function of feedback strength, taking into account available bandwidth and coupling to environment. The feedback can efficiently suppress the dephasing of oscillations if the qubit coupling to the detector is stronger than coupling to environment.Comment: Extended version of cond-mat/0107280 (5 pages, 5 figures); to be published in PRB (RC

Motion and gravitational radiation of a binary system consisting of an oscillating and rotating coplanar dusty disk and a point-like object

A binary system composed of an oscillating and rotating coplanar dusty disk and a point mass is considered. The conservative dynamics is treated on the Newtonian level. The effects of gravitational radiation reaction and wave emission are studied to leading quadrupole order. The related waveforms are given. The dynamical evolution of the system is determined semi-analytically exploiting the Hamiltonian equations of motion which comprise the effects both of the Newtonian tidal interaction and the radiation reaction on the motion of the binary system in elliptic orbits. Tidal resonance effects between orbital and oscillatory motions are considered in the presence of radiation damping.Comment: 26 pages, 8 figure

Draft genome sequence of the commercial biocontrol strain Pantoea agglomerans P10c

We report here the draft genome sequence of the biocontrol strain Pantoea agglomerans P10c, composed of a draft chromosome and two plasmids: the 559-kb large Pantoea plasmid 1 (pPag3) and a 182-kb plasmid (pPag1). A genomic island containing pantocin A biosynthesis genes was identified

Measurement and evaluation of quality of life and well-being in individuals having or having had fertility problems: a systematic review

__Objectives:__ The aims of this study were: (1) to identify which measurement instruments are used in practice to assess the quality of life or well-being of individuals with and without (sub)fertility; (2) to describe the design and outcomes of studies comparing quality of life or well-being of individuals with and without fertility problems; and (3) to determine which of the outcomes of the identified studies could be used in cost-utility studies. __Methods:__ A systematic literature review was performed of studies published before July 2018, using multiple databases. Included studies investigated (health-related) quality of life or well-being of individuals with fertility problems. The applied instruments were assessed, as were the outcomes and suitability for use in cost-utility studies. __Results:__ Twenty-six studies met the inclusion criteria. Twelve distinct instruments of measurement were applied: two generic quality-of-life instruments, five generic well-being instruments and five disease-specific instruments. Most studies found negative associations in one or more domains assessing fertility problems and quality of life or well-being. However, two studies found the opposite. None of the studies reported outcomes relevant for cost-utility studies. __Conclusion:__ Quality of life and well-being related to having fertility problems are regularly studied. However, the reported information is not suitable for use in cost-utility studies. There is a clear need for studies investigating the impact of fertility problems on quality of life in a way that outcomes can be compared across studies and disease areas

Inhibition of T Cell and Promotion of Natural Killer Cell Development by the Dominant Negative Helix Loop Helix Factor Id3

Bipotential T/natural killer (NK) progenitor cells are present in the human thymus. Despite their bipotential capacity, these progenitors develop predominantly to T cells in the thymus. The mechanisms controlling this developmental choice are unknown. Here we present evidence that a member(s) of the family of basic helix loop helix (bHLH) transcription factors determines lineage specification of NK/T cell progenitors. The natural dominant negative HLH factor Id3, which blocks transcriptional activity of a number of known bHLH factors, was expressed in CD34+ progenitor cells by retrovirus-mediated gene transfer. Constitutive expression of Id3 completely blocks development of CD34+ cells into T cells in a fetal thymic organ culture (FTOC). In contrast, development into NK cells in an FTOC is enhanced. Thus, the activity of a bHLH transcription factor is necessary for T lineage differentiation of bipotential precursors, in the absence of which a default pathway leading to NK cell development is chosen. Our results identify a molecular switch for lineage specification in early lymphoid precursors of humans

Limits of Gaudin algebras, quantization of bending flows, Jucys--Murphy elements and Gelfand--Tsetlin bases

Gaudin algebras form a family of maximal commutative subalgebras in the tensor product of $n$ copies of the universal enveloping algebra U(\g) of a semisimple Lie algebra \g. This family is parameterized by collections of pairwise distinct complex numbers $z_1,...,z_n$. We obtain some new commutative subalgebras in U(\g)^{\otimes n} as limit cases of Gaudin subalgebras. These commutative subalgebras turn to be related to the hamiltonians of bending flows and to the Gelfand--Tsetlin bases. We use this to prove the simplicity of spectrum in the Gaudin model for some new cases.Comment: 11 pages, references adde

Risks, alternative knowledge strategies and democratic legitimacy: the conflict over co-incineration of hazardous industrial waste in Portugal.

The decision to incinerate hazardous industrial waste in cement plants (the socalled ‘co-incineration’ process) gave rise to one of the most heated environmental conflicts ever to take place in Portugal. The bitterest period was between 1997 and 2002, after the government had made a decision. Strong protests by residents, environmental organizations, opposition parties, and some members of the scientific community forced the government to backtrack and to seek scientific legitimacy for the process through scientific expertise. The experts ratified the government’s decision, stating that the risks involved were socially acceptable. The conflict persisted over a decade and ended up clearing the way for a more sustainable method over which there was broad social consensus – a multifunctional method which makes it possible to treat, recover and regenerate most wastes. Focusing the analysis on this conflict, this paper has three aims: (1) to discuss the implications of the fact that expertise was ‘confiscated’ after the government had committed itself to the decision to implement co-incineration and by way of a reaction to the atmosphere of tension and protest; (2) to analyse the uses of the notions of ‘risk’ and ‘uncertainty’ in scientific reports from both experts and counter-experts’ committees, and their different assumptions about controllability and criteria for considering certain practices to be sufficiently safe for the public; and (3) to show how the existence of different technical scientific and political attitudes (one more closely tied to government and the corporate interests of the cement plants, the other closer to the environmental values of reuse and recycling and respect for the risk perception of residents who challenged the facilities) is closely bound up with problems of democratic legitimacy. This conflict showed how adopting more sustainable and lower-risk policies implies a broader view of democratic legitimacy, one which involves both civic movements and citizens themselves

Separation of variables for the quantum SL(2,R) spin chain

We construct representation of the Separated Variables (SoV) for the quantum SL(2,R) Heisenberg closed spin chain and obtain the integral representation for the eigenfunctions of the model. We calculate explicitly the Sklyanin measure defining the scalar product in the SoV representation and demonstrate that the language of Feynman diagrams is extremely useful in establishing various properties of the model. The kernel of the unitary transformation to the SoV representation is described by the same "pyramid diagram" as appeared before in the SoV representation for the SL(2,C) spin magnet. We argue that this kernel is given by the product of the Baxter Q-operators projected onto a special reference state.Comment: 26 pages, Latex style, 9 figures. References corrected, minor stylistic changes, version to be publishe