Provisions Analysis of Arrangements for Post-Foreign Workers are Entitled to Law No 11 of 2020 Concerning Job Creation, Indonesia

International migration is one of the issues in international relations, where the movement of people between countries is getting more accessible. The problem of international migration is based on legal and illegal immigration into the territory of a nation. The focus of this research is contract workers, professionals or foreign workers. The study aims to analyse the arrangements for foreign workers after the enactment of law No 11 of 2020 concerning Job Creation. The research method, the normative legal research with a statutory regulation approach and a concept approach, uses primary, secondary, and tertiary legal materials. Legal materials are processed and analysed in a coherent, systematic manner. Then a conclusion is drawn using the chosen theory. In conclusion, arrangements for foreign workers do not provide certainty, fairness and legal benefits because even law No 11 of 2020 concerning Job Creation continues to apply until with improvements within a maximum period of two years, implementing regulations are not permitted to be issued, then the provisions in the Job Creation Law will become less functional

Improve Household Income Through Peking Duck Farming

Background: Community service was carried out to increase household income in the Serdang village, Curug district, Tangerang regency, by breeding and rearing Peking ducks. Contribution: Peking duck breeding and rearing farming is considered relatively low in maintenance, attainable ducklings, and affordable feed; while the problem of Peking duck breeding and rearing farming is the lack of capital. Method: The implementation methods consist of: the planning stage, the implementation stage, and the evaluation stage. Results: The result of this community service is the achievement of total 2,597.9 Kg of ready-to-sell Peking ducks, with the sales profit of Rp 17.950.750 per month. From the total of 1,100 heads initial ducklings reared the mortality rate of 91 occurred at the vulnerable age (5-15 days). Conclusion: By the end of the second season of community service, 3 (three) participants become self-suffcient Peking duck breeder

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Gratitude Feelings of Involuntary Childless Couples

Couples who want children but cannot have them without intending to do so are said to be involuntarily childless. For the couple, it is not simple. Without a child, a husband and wife who are already married but are experiencing issues or emotions that force them to be childless can understand what gratitude means. Gratitude is one way that involuntarily childless couples can continue to support one another and remain hopeful about having children. This study aims to explore the meaning of gratitude in involuntary childless couples. This study employs a qualitative methodology and phenomenology. Semi-structured interviews, or interviews where the researcher has prepared the questions in advance using the idea of gratitude, are the data collection method. Three married couples with average marriage ages of 13 years, 12 years, and seven years, participated in this study. The study's findings demonstrate that Involuntarily childless couples are grateful for the help they receive from others and feel fortunate to have such support. Additionally, a childless couple always views their actions positively to feel grateful for Allah's blessings

Peran Perguruan Tinggi Lepisi dalam Memfasilitasi Pemberantasan Covid-19 di Karawaci Tangerang Banten

Tujuan dari pelaksanaan pengabdian kepada masyarakat (PkM) dilingkungan Perguruan Tinggi Lepisi adalah untuk memfasilitasi pemberian vaksin bagi masyrakat Kecamatan Karawaci Kota Tangerang dalam rangka membantu pemberantasan penyebaran covid-19. PkM ini dilaksanakan dalam waktu 2(dua) bulan yaitu sejak tanggal 1 Juli 2021 sampai dengan 31 Agustus 2021. Kegiatan dimulai dengan pembentukan tim PkM, menjalin kerjasama dengan mitra, penerimaan pendaftaran, instalasi perlengkapan dan peralatan. Pelaksanaan vaksin dilaksanakan dalam dua periode yaitu periode 1 dan 2, &nbsp;baik untuk pemberian vaksin dosis 1 dan dosis 2 (yang dibahas dalam artikel PkM ini hanya periode 1). Jumlah pendaftar pada periode 1 sebanyak 3946 peserta, dan yang berhasil memperoleh vaksin sebanyak 3906 peserta, dan sebanyak 40 perserta mengalami penundaan karena alasan kesehatan. Jumlah pendaftar pada pemberian vaksin dosis 2 adalah peserta yang mendapat vaksin dosis 1 yaitu sebanyak 3906. Dari jumlah ini peserta yang berhasil diberikan vaksin sebanyak 3900 peserta dan 6 peserta mengalami penundaan karena alasan kesehatan yang tidak memenuhi persyaratan. Tim PkM perguruan tinggi Lepisi berupaya dan memberikan saran kepada Tim UPT Puskesma untuk mendampingi peserta sampai memenuhi persyaratan kesehatan, sehingga semua peserta akhirnya bisa memperoleh vaksin, baik dosis 1 maupun dosis 2. Jenis vaksin yang digunakan UPT Puskesmas Karawaci adalah Sinovac BioTech

Peran Perguruan Tinggi Lepisi dalam Memfasilitasi Pemberantasan Covid-19 di Karawaci Tangerang Banten

Tujuan dari pelaksanaan pengabdian kepada masyarakat (PkM) dilingkungan Perguruan Tinggi Lepisi adalah untuk memfasilitasi pemberian vaksin bagi masyrakat Kecamatan Karawaci Kota Tangerang dalam rangka membantu pemberantasan penyebaran covid-19. PkM ini dilaksanakan dalam waktu 2(dua) bulan yaitu sejak tanggal 1 Juli 2021 sampai dengan 31 Agustus 2021. Kegiatan dimulai dengan pembentukan tim PkM, menjalin kerjasama dengan mitra, penerimaan pendaftaran, instalasi perlengkapan dan peralatan. Pelaksanaan vaksin dilaksanakan dalam dua periode yaitu periode 1 dan 2, &nbsp;baik untuk pemberian vaksin dosis 1 dan dosis 2 (yang dibahas dalam artikel PkM ini hanya periode 1). Jumlah pendaftar pada periode 1 sebanyak 3946 peserta, dan yang berhasil memperoleh vaksin sebanyak 3906 peserta, dan sebanyak 40 perserta mengalami penundaan karena alasan kesehatan. Jumlah pendaftar pada pemberian vaksin dosis 2 adalah peserta yang mendapat vaksin dosis 1 yaitu sebanyak 3906. Dari jumlah ini peserta yang berhasil diberikan vaksin sebanyak 3900 peserta dan 6 peserta mengalami penundaan karena alasan kesehatan yang tidak memenuhi persyaratan. Tim PkM perguruan tinggi Lepisi berupaya dan memberikan saran kepada Tim UPT Puskesma untuk mendampingi peserta sampai memenuhi persyaratan kesehatan, sehingga semua peserta akhirnya bisa memperoleh vaksin, baik dosis 1 maupun dosis 2. Jenis vaksin yang digunakan UPT Puskesmas Karawaci adalah Sinovac BioTech