Peran Tenaga Kesehatan Dan Kerjasama Lintas Sektor Dalam Pengendalian Malaria

Malaria masih merupakan salah satu masalah kesehatan masyarakat di Indonesia. Pengendalian malaria tidak bisa hanya dilakukan oleh sektor kesehatan, namun harus kerja sama dengan lintas sektor terkait guna mempercepat hasil yang dicapai serta efisiensi dan efektifitas. Pengembangan dan pembangunan kota Batam membawa dampak terhadap faktor lingkungan fisik. Perubahan tersebut sangat berpengaruh terhadap kondisi eko-epidemiologi penyakit terutama malaria, karena Batam mempunyai banyak wilayah endemik malaria. Tujuan penelitian untuk memperoleh informasi peran sektor kesehatan dan lintas sektor terkait serta pemangku kepentingan malaria di Kota Batam. Desain penelitian adalah Cross sectional dengan pendekatan kualitatif yaitu menggunakan metoda wawancara mendalam dan telaah dokumen. Pengambilan sampel secara Purposive Sampling dan menggunakan analisi domain dan kontras. Informan adalah pejabat Dinas Kesehatan dan lintas sektor terkait yaitu ; Dinas Pertanian, Kehutanan, Kelautan, Perikanan, Pariwisata, pekerjaan umum, Bappeda, DPRD, pemberdayaan masyarakat dan tokoh masyarakat kota Batam. Hasil penelitian menunjukkan bahwa program pengendalian malaria masih kurang maksimal dikarenakan kurang optimalnya dukungan dan kerja sama berbagai sektor di luar kesehatan, oleh karena itu perlu ditingkatkan kemitraan dan di integrasi dengan berbagai kegiatan yang ada di setiap institusi/lintas sektor terkait. Kesimpulan penelitian, peran pemerintah daerah dan seluruh pemangku kepentingan dan masyarakat sangat dibutuhkan dalam pengendalian vektor malaria yang optimal dan penyediaan sumber data untuk mengambil kebijakan, sehingga hasil yang diharapkan dapat tercapai

What do we know about cross-country comparative studies in HRM? A critical review of literature in the period of 2000-2014

Significant progress has been made in the research on variations in HRM across national boundaries, in both the quantity of studies and theoretical advancements since the mid-1980s. The aim of this paper is to provide a systematic review of existing literature on cross-country comparative studies of HRM as an important strand of the international HRM field in order to shed new light on dominant key concerns and themes, and emerging syntheses. More specifically, we conducted a systematic review of cross-country comparative HRM studies published in academic journals in the English language in the 15-year period of 2000–2014. Our paper charted the development of cross-country comparative studies of HRM as a sub-field of HRM research. Our analysis of 125 articles from 30 business and management journals shows the countries/regions that have been studied, topics, and research methods used. We also highlight a number of research avenues for further study in this field. Although there are a number of distinct strands to the literature, our study concludes that there is an emerging common ground in underlying concerns and theoretical assumptions both within the field, and with other areas of management inquiry

Perspectives of informal caregivers who support people following hip fracture surgery: a qualitative study embedded within the HIP HELPER feasibility trial

Objectives: To illuminate the perspectives of informal caregivers who support people following hip fracture surgery. Design: A qualitative study embedded within a now completed multi-centre, feasibility randomised controlled trial (HIP HELPER). Setting: Five English National Health Service (NHS) hospitals. Participants: We interviewed 20 participants (10 informal caregivers; 10 people with hip fracture), following hip fracture surgery. This included one male and nine females who experienced a hip fracture; and seven male and three female informal caregivers. The median age was 72.5 years (range: 65 to 96 years), 71.0 years (range: 43 to 81 years) for people with hip fracture and informal caregivers, respectively. Methods: Semi-structured, virtual interviews were undertaken between November 2021 and March 2022, with caregiver dyads (person with hip fracture and their informal caregiver). Data were analysed thematically. Findings: We identified two main themes: expectations of the informal caregiver role, and reality of being an informal caregiver; and sub-themes: expectations of care and services; responsibility and advocacy; profile of people with hip fracture; decision to be a caregiver; transition from hospital to home. Conclusion: Findings suggest informal caregivers do not feel empowered to advocate for a person’s recovery or navigate the care system, leading to increased and unnecessary stress, anxiety and frustration when supporting the person with hip fracture. We suggest that a tailored information-giving on the recovery pathway, which is responsive to the caregiving population (i.e., considering the needs of male, younger, and more active informal caregivers and people with hip fracture) would smooth the transition from hospital to home

Hospital-based caregiver intervention for people following hip fracture surgery (HIP HELPER): multicentre randomised controlled feasibility trial with embedded qualitative study in England

This is the final version. Available from BMJ Publishing via the DOI in this record. Data availability statement: Data are available upon reasonable request. Data includes access to the full protocol, anonymised participant level dataset and statistical code. Access to the de-identified dataset for purposes of research other than this study, would be at the discretion of the Chief Investigator, TOS and Norwich CTU. Requests for the de-identified dataset generated during the current study should be made to the Chief Investigator, TOS (email: toby.o.smith@warwick. ac.uk) or Norwich CTU ([email protected]). TOS and Norwich CTU will consider requests once the main results from the study have been published up until 31st December 2028.OBJECTIVES: To assess the feasibility of conducting a pragmatic, multicentre randomised controlled trial (RCT) to test the clinical and cost-effectiveness of an informal caregiver training programme to support the recovery of people following hip fracture surgery. DESIGN: Two-arm, multicentre, pragmatic, open, feasibility RCT with embedded qualitative study. SETTING: National Health Service (NHS) providers in five English hospitals. PARTICIPANTS: Community-dwelling adults, aged 60 years and over, who undergo hip fracture surgery and their informal caregivers. INTERVENTION: Usual care: usual NHS care. EXPERIMENTAL: usual NHS care plus a caregiver-patient dyad training programme (HIP HELPER). This programme comprised three, 1 hour, one-to-one training sessions for a patient and caregiver, delivered by a nurse, physiotherapist or occupational therapist in the hospital setting predischarge. After discharge, patients and caregivers were supported through three telephone coaching sessions. RANDOMISATION AND BLINDING: Central randomisation was computer generated (1:1), stratified by hospital and level of patient cognitive impairment. There was no blinding. MAIN OUTCOME MEASURES: Data collected at baseline and 4 months post randomisation included: screening logs, intervention logs, fidelity checklists, acceptability data and clinical outcomes. Interviews were conducted with a subset of participants and health professionals. RESULTS: 102 participants were enrolled (51 patients; 51 caregivers). Thirty-nine per cent (515/1311) of patients screened were eligible. Eleven per cent (56/515) of eligible patients consented to be randomised. Forty-eight per cent (12/25) of the intervention group reached compliance to their allocated intervention. There was no evidence of treatment contamination. Qualitative data demonstrated the trial and HIP HELPER programme was acceptable. CONCLUSIONS: The HIP HELPER programme was acceptable to patient-caregiver dyads and health professionals. The COVID-19 pandemic impacting on site's ability to deliver the research. Modifications are necessary to the design for a viable definitive RCT. TRIAL REGISTRATION NUMBER: ISRCTN13270387.National Institute for Health and Care Researc

Scientific Goals and Objectives for the Human Exploration of Mars: 1. Biology and Atmosphere/Climate

To prepare for the exploration of Mars by humans, as outlined in the new national vision for Space Exploration (VSE), the Mars Exploration Program Analysis Group (MEPAG), chartered by NASA's Mars Exploration Program (MEP), formed a Human Exploration of Mars Science Analysis Group (HEM-SAG), in March 2007. HEM-SAG was chartered to develop the scientific goals and objectives for the human exploration of Mars based on the Mars Scientific Goals, Objectives, Investigations, and Priorities.1 The HEM-SAG is one of several humans to Mars scientific, engineering and mission architecture studies chartered in 2007 to support NASA s plans for the human exploration of Mars. The HEM-SAG is composed of about 30 Mars scientists representing the disciplines of Mars biology, climate/atmosphere, geology and geophysics from the U.S., Canada, England, France, Italy and Spain. MEPAG selected Drs. James B. Garvin (NASA Goddard Space Flight Center) and Joel S. Levine (NASA Langley Research Center) to serve as HEMSAG co-chairs. The HEM-SAG team conducted 20 telecons and convened three face-to-face meetings from March through October 2007. The management of MEP and MEPAG were briefed on the HEM-SAG interim findings in May. The HEM-SAG final report was presented on-line to the full MEPAG membership and was presented at the MEPAG meeting on February 20-21, 2008. This presentation will outline the HEM-SAG biology and climate/atmosphere goals and objectives. A companion paper will outline the HEM-SAG geology and geophysics goals and objectives

Linking learning with governance in networks and clusters: key issues for analysis and policy

In this paper we analyse the relationship between governance and learning in clusters and networks. In particular, we see these two key elements as interdependent, suggesting that, under particular circumstances, such interdependence may drive clusters and networks towards a dynamic development trajectory. A pure ‘governance perspective’ makes the development of any locality dependent on the system of powers which exists within the locality or across the global value chain. In parallel, a pure ‘competence-based approach’ focuses mainly on the capabilities of actors to learn and undertake activities. In contrast, we open the prospects for an interdependent relation that may change the actual competences of actors as well as the governance settings and dynamics in networks and clusters. When supported by public policies, the learning process may have the potential to modify the governance environment. Simultaneously, the learning process is intrinsically influenced by economic power, which may seriously affect the development prospects of clusters and networks. This is why an intertwined consideration of both aspects is necessary to promote specific approaches to learning and to design appropriate policies. In this paper we offer two preliminary case studies to clarify some of these dynamics: the first taken from the computers cluster in Costa Rica and the second from an Italian bio-pharmaceutical firm and its production network. The first case study refers to the software cluster that was created from scratch in Costa Rica thanks to an enlightened government policy in coordination with new local enterprises and an important foreign direct investor; while the second reflects on the ability of an individual company to create a network of relationships with large transnational companies in order to acquire new competences without falling into a subordinate position with respect to its larger partners

Genome modeling system: A knowledge management platform for genomics

In this work, we present the Genome Modeling System (GMS), an analysis information management system capable of executing automated genome analysis pipelines at a massive scale. The GMS framework provides detailed tracking of samples and data coupled with reliable and repeatable analysis pipelines. The GMS also serves as a platform for bioinformatics development, allowing a large team to collaborate on data analysis, or an individual researcher to leverage the work of others effectively within its data management system. Rather than separating ad-hoc analysis from rigorous, reproducible pipelines, the GMS promotes systematic integration between the two. As a demonstration of the GMS, we performed an integrated analysis of whole genome, exome and transcriptome sequencing data from a breast cancer cell line (HCC1395) and matched lymphoblastoid line (HCC1395BL). These data are available for users to test the software, complete tutorials and develop novel GMS pipeline configurations. The GMS is available at https://github.com/genome/gms

A dynamic theory of network failure

Organizational and sociological research dealing with network governance has mainly focused on network advantages rather than on their problems or dysfunctionalities. This left partially unexplored the field of network failure. Even if some early attempts at explicitly theorizing network failures have been made, we argue that explanations based mainly on social conditions (ignorance and opportunism) offered by this emerging theory (e.g. Schrank and Whitford, 2011), are not exhaustive. In this article we report the results of our empirical investigation on the underperforming network between the worldwide famous Venice Film Festival and its local hospitality system (in Venice, Italy). In the case study we are presenting, we will show how institutions have not been able to inhibit opportunism and sustain trust among network members because of mobilizing practices developed across formal lines of communication. With this work we propose a dynamic theory of network failure, answering to the more general call for network theories to focus the attention on agency and micro-processes