Kajian Undang-Undang Nomor 36 Tahun 2009 Tentang Kesehatan dan Peraturan Perundangundangan Lain Terkait Hak Kesehatan Reproduksi dan Keluarga Berencana (Review Of Law No. 36 Year 2009 Concerning The Regulation Of Health And Other Legislation Related To Re

Background: Law No. 36 in the year of 2009 consists of reproductive health and family planning has been exist. Thestudy is aimed to elucidate the regulation on human right issues. Method: It was an applied study to obtain operationalprogram and review of relevant law and regulation. Data were collected by observation and interviews with offi cials offamily planning services in primary health centers in Malang Municipality, East Java Province and Sampit District, Centerof Kalimantan. Discussions with stakeholders to review the Law No. 36 of 2009 associated with results of the issues.Results: It concludes that health service performed at family planning clinic still did not meet quality of services as expected,specially providing information and counseling contains the patient rights on reproductive health and family planning (therights and obligations of governments, local governments, health professionals and other skilled personnel and community participants of Family Planning), article 71, 72, 73, 74, 78 in Law 36 years of Health in 2009. Conclusions: The formulation of regulations to Law No. 36 of Health and other relevant government regulations on reproductive health and family planning is ideal, but the application still has not fully complied. Recommendations: Health service quality should be improved to provide counseling services in addition to enhance awareness about the rights and obligations to health personels and clients by socialization the Law 36 of 2009. Furthermore, it suggests to reevaluate the Health Act after a period of 5 yearto assess the effectiveness of implementation in the next 3 years with the expectations the family planning program hasbeen socialized in accordance with Law No. 36 of 2009 to providers and clients

SUPERVISING MICROWAVE TELECOMMUNICATION NETWORKS WITH THE REALEX EXPERT SYSTEM SHELL

To effectively supervise a telecommunication network, an intelligent supervisory system is proposed consisting of a traditional process monitoring. a fault diagnostic, a communication handler and a database manager subsystem. The whole system is based on a generic expert system shell designed to operate in industrial environment. The diagnostic subsystem contains a two-level inference engine to operate on structural information and traditional if-then rules. To ensure easy mapping of the supervisory system to any telecommunication network a configuration environment consisting of several compilers integrated into a multi-window editor was also developed. The system was implemented on two interconnected IBM PC-s running MS WINDOWS 3.0

Thermodynamics of Heat Shock Response

Production of heat shock proteins are induced when a living cell is exposed to a rise in temperature. The heat shock response of protein DnaK synthesis in E.coli for temperature shifts from temperature T to T plus 7 degrees, respectively to T minus 7 degrees is measured as function of the initial temperature T. We observe a reversed heat shock at low T. The magnitude of the shock increases when one increase the distance to the temperature $T_0 \approx 23^o$, thereby mimicking the non monotous stability of proteins at low temperature. Further we found that the variation of the heat shock with T quantitatively follows the thermodynamic stability of proteins with temperature. This suggest that stability related to hot as well as cold unfolding of proteins is directly implemented in the biological control of protein folding. We demonstrate that such an implementation is possible in a minimalistic chemical network.Comment: To be published in Physical Review Letter

Warfare, Fiscal Capacity, and Performance

We exploit differences in casualties sustained in pre-modern wars to estimate the impact of fiscal capacity on economic performance. In the past, states fought different amounts of external conflicts, of various lengths and magnitudes. To raise the revenues to wage wars, states made fiscal innovations, which persisted and helped to shape current fiscal institutions. Economic historians claim that greater fiscal capacity was the key long-run institutional change brought about by historical conflicts. Using casualties sustained in pre-modern wars to instrument for current fiscal institutions, we estimate substantial impacts of fiscal capacity on GDP per worker. The results are robust to a broad range of specifications, controls, and sub-samples

Political Regimes and Sovereign Credit Risk in Europe, 1750-1913

This article uses a new panel data set to perform a statistical analysis of political regimes and sovereign credit risk in Europe from 1750 to 1913. Old Regime polities typically suffered from fiscal fragmentation and absolutist rule. By the start of World War I, however, many such countries had centralized institutions and limited government. Panel regressions indicate that centralized and?or limited regimes were associated with significant improvements in credit risk relative to fragmented and absolutist ones. Structural break tests also reveal close relationships between major turning points in yield series and political transformations

Effects of CurraNZ, a New Zealand blackcurrant extract during 1 hour of treadmill running in female and male Marathon des Sables Athletes in hot conditions: two case studies

Four weeks before competition in the 2023 Marathon des Sables, a 6 stage, ~250 km running event in the Sahara Desert, we examined effects of 7-day intake of New Zealand blackcurrant extract (210 mg anthocyanins per day) on 1 h treadmill running-induced physiological and metabolic responses in the heat (~34°C, relative humidity: ~30%) in a non-acclimatized amateur female and male athlete (age: 23, 38 yrs, BMI: 24.2, 28.4 kg·m-2, body fat%: 29.2, 18.8%, V ̇O2max: 50.1, 52.1 mL·kg-1·min-1). During the 1 h run at 50%V ̇O2max (speed female: 7.3, male: 7.5 km·h-1), indirect calorimetry was used and heart rate recorded at 15-min intervals with core temperature monitoring (0.05 Hz). The 1 h runs were 3 h after a light breakfast and 2 h after intake of the final dose of New Zealand blackcurrant extract with water allowed ad libitum during the run. With the New Zealand blackcurrant extract, there were no effects in the female athlete. The respiratory exchange ratio (RER) of the female athlete in the non-supplement control condition was 0.77±0.01, indicating existing ~77% contribution of fat oxidation to the energy requirements. In the male athlete during 1 h of running, fat oxidation was higher by 21% (p<0.01), carbohydrate oxidation was 31% lower (p=0.05), RER was 0.03 units lower (p=0.04) and core temperature was 0.4°C lower (p<0.01) with no differences for heart rate, minute ventilation, oxygen uptake and carbon dioxide production for the New Zealand blackcurrant condition compared to the non-supplement control condition. Seven-day intake of New Zealand blackcurrant extract (210 mg anthocyanins per day) provided beneficial physiological and metabolic responses during exertional heat stress by 1 h of indoor (~34°C) treadmill running in a male Marathon des Sables athlete 4 weeks before competition. Future work is required to address whether New Zealand blackcurrant provide a nutritional ergogenic effect for Marathon des Sables athletes during long-duration running in the heat combined with personalized nutrition

Diffuse large B-cell lymphoma of Waldeyer's ring has distinct clinicopathologic features: a GELA study

Background Diffuse large B-cell lymphomas (DLBCLs) arising in specific extranodal sites have peculiar clinicopathologic features. Patients and methods We analyzed a cohort of 187 primary Waldeyer's ring (WR) DLBCLs retrieved from GELA protocols using anthracyclin-based polychemotherapy. Results Most patients (92%) had stage I-II disease. A germinal center B-cell-like (GCB) immunophenotype was observed in 61%, and BCL2 expression in 55%, of WR DLBCLs. BCL2, BCL6, IRF4 and MYC breakpoints were observed in, respectively, 3 of 42 (7%), 9 of 36 (25%), 2 of 26 (8%) and 4 of 40 (10%) contributive cases. A variable follicular pattern was evidenced in 30 of 68 (44%) large biopsy specimens. The 5-year progression-free survival (PFS) and the overall survival (OS) of 153 WR DLBCL patients with survival information were 69.5% and 77.8%, respectively. The GCB immunophenotype correlated with a better OS (P=0.0015), while BCL2 expression predicted a worse OS (P=0.037), an effect overcome by the GCB/non-GCB classification. Compared with matched nodal DLBCLs, WR DLBCLs with no age-adjusted international prognostic index factor disclosed a better 5-year PFS rate (77.5% versus 70.7%; P=0.03). Conclusions WR DLBCLs display distinct clinicopathologic features compared with conventional DLBCLs, with usual localized-stage disease, common follicular features and a high frequency of GCB immunophenotype contrasting with a low rate of BCL2 rearrangements. In addition, they seem to be associated with a better outcome than their nodal counterpar

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