Faktor-faktor yang Mempengaruhi Perbandingan Harga Petani Karet dalam Menjual Karet ke Pasar Lelang dengan Non Pasar Lelang ( Toke ) di Desa Muhajirin Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi

Penelitian ini dilakukan untuk mengetahui perbandingan harga petani karet yang menjual karet ke pasar lelang dengan non pasar lelang. Penelitian ini dilaksanakan selama satu bulan yang dimulai dari tanggal 11 November sampai dengan 11 Desember 2013 dengan tujuan untuk melihat faktor-faktor yang mempengaruhi petani dalam menjual karet ke pasar lelang dan pasar non lelang serta melihat perbandingan harga di pasar lelang dan pasar non lelang.penelitian ini dilakukan dengan metode penarikan sampel dilakukan secara acak sederhana (Simple Random Sampling Sedangkan untuk mengetahui faktor-faktor yang mempengaruhi petani dalam menjual karet ke pasar lelang dengan non pasar lelang dilakukan uji Chi-Square (Siagel,1997) dengan tabel kontingensi 2x2. Hasil penelitian ini memperlihatkan bahwa Faktor-faktor keterikatan yang ada di daerah penelitian sangat mempengaruhi petani dalam menjual karet ke pasar lelang dan non pasar lelang di Desa Muhajirin Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi Terdapat hubungan yang nyata antara faktor-faktor yenng mempengaruhi petani dalam menjual karet ke pasar lelang dan pasar non lelang di Desa Muhajirin Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi dengan nilai Thitung > Ttabel, dimana nilai Thit = 12,32 > (α/2 = 5% db = 31) = 1,70

Behind the Glitz of the 2010 Budget

At the end of every year, it is important to reflect upon and evaluate the quality of national budget policies. The National Secretariat of the Indonesian Forum for Budget Transparency (Seknas FITRA), together with its network of budget advocacy units across Indonesia, has consistently provided annual reports on budget performance. Such reports are an important part of its budget transparency work program and its effort to realize popular sovereignty over national budgets 2010 was the first year of President Susilo Bambang Yudoyono (SBY)'s second term of office following his re-election in 2009. In this second term, SBY should be able to be more resolute in his espousal of good budget policies and should not accord any priority to maintaining his political image. The principal emphases in the 2010 State budget (APBN 2010) were that it should promote “national economic recovery and boost community welfare”. But all that turned out to be mere rhetoric. The reality was that the budget was further removed than ever from the mandate of Article 23 of the Consititution that national budgets “shall be implemented in an open and accountable manner in order to best attain the prosperity of the people”. Instead of being used to promote the public interest, 40.7% of the 2010 APBN was consumed by routine expenditure on the bureaucracy and top echelons of the civil service. Furthermore, Rp 162.6 trillion of that 40.7% was spent on civil service costs, Rp 19.5 trillion on official travel and Rp 153.6 trillion on payment of interest on loans or loan repayments

A Year of Hijacking of Budgets by the Elite, Bypassing Public Welfare: End of Year Notes and Reflections by SEKNAS FITRA on Budget Year 2011

2011 was a year of budget hijacking by Indonesia's political and bureaucratic elite to the detriment of public welfare. An important factor at play in this situation was increasing “budget mafia” activity, evident in corruption cases within the Ministries of Youth & Sport and Labor & Transmigration; and in confirmation of charges against members of the Budget Committee (Banggar) of the House of Representatives (DPR) as accomplices in those cases. This turn of events confirms that Banggar has become a springboard for budget mafia activity. And, this year, hijacking of budgets has taken place in broad daylight with funds from the public purse being openly squandered on activities of benefit to political and bureaucratic leaders. Proposed construction of a new DPR building has a bad smell about it; purchase of a Presidential aircraft makes no sense; burdens of debt weigh more heavily on citizens; and official travel votes have become like feeding troughs for bureaucrats. All of this has amounted to nothing less than a hijacking of the State budget acted out in full public view. Hijacking of Indonesia's budgets continues because of Indonesia's weak law enforcement regime and because budget processes remain closed. Thus, in comparison to the amount spent on corruption eradication, the value of embezzled assets returned to the public purse is modest. The overall situation was made worse by the predilection of public institutions—especially ministries, agencies and political parties—not to be open about budgetary information. This derailing of budgetary funds has had implications for expenditure on education and health—both of which continued to be ineffective. Although government has managed to spend 20% of budgetary resources on education, education budgets have, at the same time, become a dumping ground for all sorts of activities. Moreover, at the central level, education funding is dispersed across 19 ministries and agencies and almost half of it is being appropriated for payment of salaries. Government is also not meeting its legal obligation to spend 5% of budgetary resources on health. It is no surprise, therefore, that Indonesia's Human Development Index (HDI)—which encompasses education and health—declined in 2011. The elite's hijacking of budgets has also led to neglect of public welfare in regions. A principal cause of this has been distortions of the system for fiscal transfers from the central government to regions (known as dana perimbangan). Those distortions have impacted badly on regional budgetary processes. Indeed, it is the fiscal transfers system itself that is acting as a catalyst for increased civil service spending in regions and for promotion of even more fiscal imbalance among regions. Around half of Indonesia's sub-national (regional) governments are appropriating more than 50% of their budgets to fund civil service costs. This situation was made worse by increased levels of misappropriation of regional funds—evident from national Audit Board reports. FITRA's projections and recommendations for 2012 reflect the assessment that budgets for 2012 are unlikely to be very different to those of 2011. Budget processes are still on a business-as-usual footing. Hijacking of budgets by the elite and neglect of public welfare will continue unless government completely revamps current pro-“rent-seeking” budgetary processes. And, as the next general election approaches, budget mafias will peddle their wares even more actively as they become players in political contests. According to FITRA's projections, State budget funding of civil service costs will continue to blow out in 2012 without any improvement of service provided or any diminution in the level of misappropriated funds. 2012 State funding for education will continue to resemble a dumping ground for sundry activities. The legal requirement to spend 5% of budgetary resources on health will, yet again, not be met. And national Audit Board reporting will continue to be little more than an annual ritual that cannot be counted on to improve the quality of budgetary spending. To put a stop to budget mafia operations, budget processes need to be totally revamped. Above all else, budgetary processes need to be open. To achieve that, the Law on State Finances needs to be revised to ensure in particular that it contains specific provisions fleshing out the Constitutional mandate that State budgets “shall be implemented in an open and accountable manner in order to best attain the prosperity of the people”. In addition, corruption eradication efforts should focus on the return of State assets to the public purse by those found guilty of embezzling them. Both the President and the DPR should become agents for change—to make budgets more efficient—and should refrain from deriving personal benefit from State-financed facilities. Revision of the regional fiscal transfers system must also be a priority. That system should squarely focus on realizing fundamental civic rights by reducing per capita fiscal inequalities among regions. The system's policy framework should therefore facilitate more efficient spending on regional civil services and promote greater prosperity for the people

Anticipated and experienced discrimination amongst people with schizophrenia, bipolar disorder and major depressive disorder: a cross-sectional study.

BACKGROUND: The unfair treatment of individuals with severe mental illness has been linked to poorer physical and mental health outcomes. Additionally, anticipation of discrimination may lead some individuals to avoid participation in particular life areas, leading to greater isolation and social marginalisation. This study aimed to establish the levels and clinical and socio-demographic associations of anticipated and experienced discrimination amongst those diagnosed with a schizophrenia and comparator severe mental illnesses (bipolar and major depressive disorders). METHODS: This study was a cross-sectional analysis of anticipated and experienced discrimination from 202 individuals in South London (47% with schizophrenia, 32% with depression and 20% with bipolar disorder). RESULTS: 93% of the sample anticipated discrimination and 87% of participants had experienced discrimination in at least one area of life in the previous year. There was a significant association between the anticipation and the experience of discrimination. Higher levels of experienced discrimination were reported by those of a mixed ethnicity, and those with higher levels of education. Women anticipated more discrimination than men. Neither diagnosis nor levels of functioning were associated with the extent of discrimination. Clinical symptoms of anxiety, depression and suspiciousness were associated with more experienced and anticipated discrimination respectively. CONCLUSIONS: The unfair treatment of individuals with severe mental illnesses remains unacceptably common. Population level interventions are needed to reduce levels of discrimination and to safeguard individuals. Interventions are also required to assist those with severe mental illness to reduce internalised stigma and social avoidance

Treatment-Resistant Schizophrenia: Treatment Response and Resistance in Psychosis (TRRIP) Working Group Consensus Guidelines on Diagnosis and Terminology

OBJECTIVE: Research and clinical translation in schizophrenia is limited by inconsistent definitions of treatment resistance and response. To address this issue, the authors evaluated current approaches and then developed consensus criteria and guidelines. METHODS: A systematic review of randomized antipsychotic clinical trials in treatment-resistant schizophrenia was performed, and definitions of treatment resistance were extracted. Subsequently, consensus operationalized criteria were developed through 1) a multiphase, mixed methods approach, 2) identification of key criteria via an online survey, and 3) meetings to achieve consensus. RESULTS: Of 2,808 studies identified, 42 met inclusion criteria. Of these, 21 studies (50%) did not provide operationalized criteria. In the remaining studies, criteria varied considerably, particularly regarding symptom severity, prior treatment duration, and antipsychotic dosage thresholds; only two studies (5%) utilized the same criteria. The consensus group identified minimum and optimal criteria, employing the following principles: 1) current symptoms of a minimum duration and severity determined by a standardized rating scale; 2) moderate or worse functional impairment; 3) prior treatment consisting of at least two different antipsychotic trials, each for a minimum duration and dosage; 4) systematic monitoring of adherence and meeting of minimum adherence criteria; 5) ideally at least one prospective treatment trial; and 6) criteria that clearly separate responsive from treatment-resistant patients. CONCLUSIONS: There is considerable variation in current approaches to defining treatment resistance in schizophrenia. The authors present consensus guidelines that operationalize criteria for determining and reporting treatment resistance, adequate treatment, and treatment response, providing a benchmark for research and clinical translation

Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study

Exposures constitute a dense network of the environment: exposome. Here, we argue for embracing the exposome paradigm to investigate the sum of nongenetic "risk" and show how predictive modeling approaches can be used to construct an exposome score (ES; an aggregated score of exposures) for schizophrenia. The training dataset consisted of patients with schizophrenia and controls, whereas the independent validation dataset consisted of patients, their unaffected siblings, and controls. Binary exposures were cannabis use, hearing impairment, winter birth, bullying, and emotional, physical, and sexual abuse along with physical and emotional neglect. We applied logistic regression (LR), Gaussian Naive Bayes (GNB), the least absolute shrinkage and selection operator (LASSO), and Ridge penalized classification models to the training dataset. ESs, the sum of weighted exposures based on coefficients from each model, were calculated in the validation dataset. In addition, we estimated ES based on meta-analyses and a simple sum score of exposures. Accuracy, sensitivity, specificity, area under the receiver operating characteristic, and Nagelkerke's R2 were compared. The ESMeta-analyses performed the worst, whereas the sum score and the ESGNB were worse than the ESLR that performed similar to the ESLASSO and ESRIDGE. The ESLR distinguished patients from controls (odds ratio [OR] = 1.94, P < .001), patients from siblings (OR = 1.58, P < .001), and siblings from controls (OR = 1.21, P = .001). An increase in ESLR was associated with a gradient increase of schizophrenia risk. In reference to the remaining fractions, the ESLR at top 30%, 20%, and 10% of the control distribution yielded ORs of 3.72, 3.74, and 4.77, respectively. Our findings demonstrate that predictive modeling approaches can be harnessed to evaluate the exposome

Two distinct patterns of treatment resistance:clinical predictors of treatment resistance in first-episode schizophrenia spectrum psychoses

BACKGROUND: Clozapine remains the only evidence-based antipsychotic for treatment-resistant schizophrenia (TRS). The ability to predict which patients with their first onset of schizophrenia would subsequently meet criteria for treatment resistance (TR) could help to diminish the severe functional disability which may ensue if TR is not recognized and correctly treated. METHOD: This is a 5-year longitudinal assessment of clinical outcomes in a cohort of 246 first-episode schizophrenia spectrum patients recruited as part of the NIHR Genetics and Psychosis (GAP) study conducted in South London from 2005 to 2010. We examined the relationship between baseline demographic and clinical measures and the emergence of TR. TR status was determined from a review of electronic case records. We assessed for associations with early-, and late-onset TR, and non-TR, and differences between those TR patients treated with clozapine and those who were not. RESULTS: Seventy per cent (n = 56) of TR patients, and 23% of the total study population (n = 246) were treatment resistant from illness onset. Those who met criteria for TR during the first 5 years of illness were more likely to have an early age of first contact for psychosis (years) [odds ratio (OR) 2.49, 95% confidence interval (CI) 1.25-4.94] compared to those with non-TR. The relationship between an early age of first contact (years) and TR was significant in patients of Black ethnicity (OR 3.71, 95% CI 1.44-9.56); and patients of male gender (OR 3.13 95% CI 1.35-7.23). CONCLUSIONS: For the majority of the TR group, antipsychotic TR is present from illness onset, necessitating increased consideration for the earlier use of clozapine

White Noise Speech Illusions: A Trait-Dependent Risk Marker for Psychotic Disorder?

Introduction: White noise speech illusions index liability for psychotic disorder in case-control comparisons. In the current study, we examined i) the rate of white noise speech illusions in siblings of patients with psychotic disorder and ii) to what degree this rate would be contingent on exposure to known environmental risk factors (childhood adversity and recent life events) and level of known endophenotypic dimensions of psychotic disorder [psychotic experiences assessed with the Community Assessment of Psychic Experiences (CAPE) scale and cognitive ability]. Methods: The white noise task was used as an experimental paradigm to elicit and measure speech illusions in 1,014 patients with psychotic disorders, 1,157 siblings, and 1,507 healthy participants. We examined associations between speech illusions and increasing familial risk (control -> sibling -> patient), modeled as both a linear and a categorical effect, and associations between speech illusions and level of childhood adversities and life events as well as with CAPE scores and cognitive ability scores. Results: While a positive association was found between white noise speech illusions across hypothesized increasing levels of familial risk (controls -> siblings -> patients) [odds ratio (OR) linear 1.11, 95% confidence interval (CI) 1.02-1.21, p = 0.019], there was no evidence for a categorical association with sibling status (OR 0.93, 95% CI 0.79-1.09, p = 0.360). The association between speech illusions and linear familial risk was greater if scores on the CAPE positive scale were higher (p interaction = 0.003; ORlow CAPE positive scale 0.96, 95% CI 0.85-1.07; ORhigh CAPE positive scale 1.26, 95% CI 1.09-1.46); cognitive ability was lower (p interaction < 0.001; ORhigh cognitive ability 0.94, 95% CI 0.84-1.05; ORlow cognitive ability 1.43, 95% CI 1.23-1.68); and exposure to childhood adversity was higher (p interaction < 0.001; ORlow adversity 0.92, 95% CI 0.82-1.04; ORhigh adversity 1.31, 95% CI 1.13-1.52). A similar, although less marked, pattern was seen for categorical patient-control and sibling-control comparisons. Exposure to recent life events did not modify the association between white noise and familial risk (p interaction = 0.232). Conclusion: The association between white noise speech illusions and familial risk is contingent on additional evidence of endophenotypic expression and of exposure to childhood adversity. Therefore, speech illusions may represent a trait-dependent risk marker

Examining the independent and joint effects of genomic and exposomic liabilities for schizophrenia across the psychosis spectrum

Psychosis spectrum disorder has a complex pathoetiology characterised by interacting environmental and genetic vulnerabilities. The present study aims to investigate the role of gene-environment interaction using aggregate scores of genetic (polygenic risk score for schizophrenia (PRS-SCZ)) and environment liability for schizophrenia (exposome score for schizophrenia (ES-SCZ)) across the psychosis continuum

Evidence, and replication thereof, that molecular-genetic and environmental risks for psychosis impact through an affective pathway

Background There is evidence that environmental and genetic risk factors for schizophrenia spectrum disorders are transdiagnostic and mediated in part through a generic pathway of affective dysregulation. Methods We analysed to what degree the impact of schizophrenia polygenic risk (PRS-SZ) and childhood adversity (CA) on psychosis outcomes was contingent on co-presence of affective dysregulation, defined as significant depressive symptoms, in (i) NEMESIS-2 (n = 6646), a representative general population sample, interviewed four times over nine years and (ii) EUGEI (n = 4068) a sample of patients with schizophrenia spectrum disorder, the siblings of these patients and controls. Results The impact of PRS-SZ on psychosis showed significant dependence on co-presence of affective dysregulation in NEMESIS-2 [relative excess risk due to interaction (RERI): 1.01, p = 0.037] and in EUGEI (RERI = 3.39, p = 0.048). This was particularly evident for delusional ideation (NEMESIS-2: RERI = 1.74, p = 0.003; EUGEI: RERI = 4.16, p = 0.019) and not for hallucinatory experiences (NEMESIS-2: RERI = 0.65, p = 0.284; EUGEI: -0.37, p = 0.547). A similar and stronger pattern of results was evident for CA (RERI delusions and hallucinations: NEMESIS-2: 3.02, p < 0.001; EUGEI: 6.44, p < 0.001; RERI delusional ideation: NEMESIS-2: 3.79, p < 0.001; EUGEI: 5.43, p = 0.001; RERI hallucinatory experiences: NEMESIS-2: 2.46, p < 0.001; EUGEI: 0.54, p = 0.465). Conclusions The results, and internal replication, suggest that the effects of known genetic and non-genetic risk factors for psychosis are mediated in part through an affective pathway, from which early states of delusional meaning may arise