12 research outputs found

    Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

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    Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

    Estimating Indonesian Complete Life Table and Fair Annual Pure Premium Range from Abridged Life Table with Bayesian Method and Bootstrapping

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    Several Indonesian life insurance companies recently faced financial problems due to inadequate pricing and idealistic investment expectation. Growing market and insurtech implementation might lead to worse conditions in the future. The current mortality table and investment return assumption are too ideal, so more conservative assumptions are required to get a more reasonable annual pure premium range. This research estimated complete life tables from abridged life tables by truncated Heligman-Pollard and Makeham model, when a lognormal stochastic process estimated annual investment return. Parameters for mortality models and return distribution are estimated using Bayesian method with Metropolis-Hasting’s algorithm. Data from the abridged life table was bootstrapped due to insufficient number for statistical parametric modeling. Good accuracy for estimated abridged mortality rates was reached by referring to the Mean Absolute Percentage Error (MAPE) metric for both males and females, also for the young ages group (new-born to twenty-nine years old) and old ages group (thirty to eighty-four years old). The parameters were satisfactory to estimate the complete life table and extrapolate annual mortality rates calculation until age ninety-nine. A log-normal distribution was found to fit the monthly inflation rates satisfactorily. Assuming that investment return is close to the inflation rates, the annual investment return is anticipated for both profitable and losing situations. Therefore, insurance companies can win the customers’ decisions without compromising their financial stability

    The Differential Pattern in Skeletal-Dental Age and Duration of Growth Spurt based on Chronological Age and Gender Types (A Comparison Study Between Indonesian and Malaysian Children Populations)

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    Context: Growth and development is a continuous process that occurs intrauterine and continues until adulthood. In the process of reaching adulthood, children must go through various stages of growth and development, Growth is influenced by two main factors, namely internal (genetic) factors and external (environmental) factors. Internal factors include gender, obstetrics and race or ethnicity. Based on the background pattern above, the researcher wants to compare the difference in the duration of growth spurt between the Malaysian and Indonesian populations in terms of the Cervical Vertebrae Maturation (CVM) seen on the lateral cefalogram Aims: to compare the differences in the duration of growth spurt between girl and boy in Indonesian and Malaysia Population based on Cervical Vertebrae Maturation (CVM) seen in the lateral cephalogram to determine the right time and orthodontic treatment plan in order to get maximum treatment results. Methods and Material: The study was conducted in June 2020. The research variables were divided into 3 types, namely independent variables (chronological age), dependent variables (skeletal age and growth spurt duration) and controlled variables (Indonesian population children, Gender, CVM CS3 - CS4). Every sample that met the criteria was performed skeletal maturity analysis using Cervical Vertebrae Maturation. Results: The boy sample required a duration of age to reach maturity, 17.93 months in Indonesia and 17.91 months in Malaysia. Meanwhile, the girs sample only required the duration of growth spurt, namely 6.59 months in Indonesia and 6.64 months in Malaysia Conclusion: There is no significant difference between the duration of growth spurt in Indonesian Boy and Malaysian Boy and so does the duration of growth spurt for Indonesian and Malaysian girl

    Bawana Winasis Dieng: budaya tak terkatakan

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    Dieng yang terletak di antara dua kabupaten, yaitu Kabupaten Wonosobo dan Kabupaten Banjarnegara, memang menyimpan sebuah pesona bagi siapa saja yang berkunjung ke sana. Bukan saja karena keindahan alamnya yang memesona atau karena banyaknya tempat wisata yang memiliki angle yang indah sehingga membuat masyarakat yang berkunjung selalu ingin mengabadikan dalam jepretan foto, bukan juga karena udara yang dingin karena secara geografis dikelilingi pegunungan, melainkan lebih dari itu, Dieng menyimpan banyak pesona karena memiliki kekayaan warisan budaya, baik warisan budaya yang bersifat kebendaan berupa cagar budaya maupun warisan budaya tak benda, seperti tradisi, kuliner, dan seni pertunjukan

    Serenade untuk sebuah kisah : selaksa cinta menyatu dengan sewindu waktu

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    Kumpulan cerita pendek ini memperlihatkan kisah-kisah dari tokoh utama yang berkelana dengan berbagai moda dan cara dalam menghargai Warisan Budaya Takbenda (WBTb) di berbagai daerah di Indonesia. Tampak juga reaksi dan pergulatan sikap para tokoh dalam menghargai berbagai adat istiadat masyarakat, ritus, dan perayaan-perayaan. Kehadiran buku ini diharapkan dapat menjadi pengayaan yang mendukung program merdeka belajar dan program literasi
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