62 research outputs found

    Komunikasi Politik Ganjar Pranowo dalam Kunjungannya kepada Masyarakat (Analisis Semiotika Peirce dalam Akun Instagram Ganjar_Pranowo melalui Postingan Instagram Periode 1 September - 1 Oktober 2022)

    Get PDF
    Political communication is the activity of political actors whose message orientation leads to the influence of political decision making. Ganjar is a political actor who actively utilizes his Instagram social media as a medium for political communication. In September 2022, Ganjar's electability as a presidential candidate increased rapidly. Meanwhile, at the same time, two other popular figures, Anies and Prabowo, experienced a decline. This study aims to find out how political communication is carried out by Ganjar Pranowo through Instagram (ganjar_pranowo). The method used is a qualitative research method and uses observation and documentation data collection techniques. The data will be analyzed using Peirce's semiotic theory. The results of the study show that Ganjar's political communication is by positioning himself as a simple person and close to his people. The strategy of using humor is used as social capital so that it is easily accepted by society. The openness of Ganjar's personal preferences increases public trust

    Income distribution patterns from a complete social security database

    Full text link
    We analyze the income distribution of employees for 9 consecutive years (2001-2009) using a complete social security database for an economically important district of Romania. The database contains detailed information on more than half million taxpayers, including their monthly salaries from all employers where they worked. Besides studying the characteristic distribution functions in the high and low/medium income limits, the database allows us a detailed dynamical study by following the time-evolution of the taxpayers income. To our knowledge, this is the first extensive study of this kind (a previous japanese taxpayers survey was limited to two years). In the high income limit we prove once again the validity of Pareto's law, obtaining a perfect scaling on four orders of magnitude in the rank for all the studied years. The obtained Pareto exponents are quite stable with values around α2.5\alpha \approx 2.5, in spite of the fact that during this period the economy developed rapidly and also a financial-economic crisis hit Romania in 2007-2008. For the low and medium income category we confirmed the exponential-type income distribution. Following the income of employees in time, we have found that the top limit of the income distribution is a highly dynamical region with strong fluctuations in the rank. In this region, the observed dynamics is consistent with a multiplicative random growth hypothesis. Contrarily with previous results obtained for the japanese employees, we find that the logarithmic growth-rate is not independent of the income.Comment: 10 pages, 7 Figure

    Determination of medical waste composition in hospitals of Sana'a city, Yemen

    Get PDF
    The composition analysis of medical waste is generally considered to be the fundamental information for the most basic steps in the development of a plan for solid hospitals waste management. The objectives of this study were to determine the quantity, generation rate, and the physical composition of medical waste generated in hospitals of Sana'a city, Yemen. This cross-sectional, descriptive study was conducted on the composition of hospital wastes generated in four governmental hospitals in Sana'a City. Purposive sampling was used in the selection of the hospitals, which included (Al-Thawra, Al-Kuwait, Republic, and Military). Results of this study showed that the daily average of the waste generated from the studied hospitals was 5615 kg/day. Approximately 26% of the total waste was hazardous (infectious, pathological, and chemical wastes). While 74% was a general (non-hazardous) waste. The average rate of the total waste generation was 3 kg/patient/day, and 2.5 kg/bed/day. The mean individual components of generated waste in the studied hospitals were; foods 27%, plastic 22%, paper/cardboard 22%, glass 11%, metals 10%, and others 8%. In conclusion, about 26% of the waste was hazardous. The physical component analysis of the waste indicated that the foods, plastic, and paper/cartoon has the highest content of the hospitals waste. Decision makers in Yemen can use this study information for designing and plan the properly management for the collecting system and the healthy disposal of the hazardous waste. Also, for estimating the total policy of required facilities, manpower, and other related costs.Keywords: Composition; medical waste; hospitals waste; Yeme

    Oral killed cholera vaccines for preventing cholera

    Get PDF
    BACKGROUND: Cholera causes acute watery diarrhoea and death if not properly treated. Outbreaks occur in areas with poor sanitation, including refugee camps. Several vaccines have been developed and tested over the last 50 years. This is an update of a Cochrane review, originally published in 1998, which explored the effects of all vaccines for preventing cholera. This review examines oral vaccines made from killed bacteria. OBJECTIVES: To assess the effectiveness and safety of the available World Health Organization (WHO)-prequalified oral killed cholera vaccines among children and adults. SEARCH METHODS: We searched the Cochrane Infectious Diseases Group Specialized Register; CENTRAL, MEDLINE; Embase; LILACS; and two trials registers (February 2023). SELECTION CRITERIA: We included randomized controlled trials (RCTs), including cluster-RCTs. There were no restrictions on the age and sex of the participants or the setting of the study. We considered any available WHO-prequalified oral killed cholera vaccine as an intervention. The control group was given a placebo, another vaccine, or no vaccine. The outcomes were related to vaccine effectiveness and safety. We included articles published in English only. DATA COLLECTION AND ANALYSIS: Two review authors independently applied the inclusion criteria and extracted data from included studies. We assessed the risk of bias using the Cochrane ROB 1 assessment tool. We used the generic inverse variance and a random-effects model meta-analysis to estimate the pooled effect of the interventions. We assessed the certainty of the evidence using the GRADE approach. For vaccine effectiveness (VE), we converted the overall risk ratio (RR) to vaccine effectiveness using the formula: VE = (1 - RR) x 100%. MAIN RESULTS: Five RCTs, reported in 12 records, with 462,754 participants, met the inclusion criteria. We identified trials on whole-cell plus recombinant vaccine (WC-rBS vaccine (Dukoral)) from Peru and trials on bivalent whole-cell vaccine (BivWC (Shanchol)) vaccine from India and Bangladesh. We did not identify any trials on other BivWC vaccines (Euvichol/Euvichol-Plus), or Hillchol. Two doses of Dukoral with or without a booster dose reduces cases of cholera at two-year follow-up in a general population of children and adults, and at five-month follow-up in an adult male population (overall VE 76%; RR 0.24, 95% confidence interval (CI) 0.08 to 0.65; 2 trials, 16,423 participants; high-certainty evidence). Two doses of Shanchol reduces cases of cholera at one-year follow-up (overall VE 37%; RR 0.63, 95% CI 0.47 to 0.85; 2 trials, 241,631 participants; high-certainty evidence), at two-year follow-up (overall VE 64%; RR 0.36, 95% CI 0.16 to 0.81; 2 trials, 168,540 participants; moderate-certainty evidence), and at five-year follow-up (overall VE 80%; RR 0.20, 95% CI 0.15 to 0.26; 1 trial, 54,519 participants; high-certainty evidence). A single dose of Shanchol reduces cases of cholera at six-month follow-up (overall VE 40%; RR 0.60, 95% CI 0.47 to 0.77; 1 trial, 204,700 participants; high-certainty evidence), and at two-year follow-up (overall VE 39%; RR 0.61, 95% CI 0.53 to 0.70; 1 trial, 204,700 participants; high-certainty evidence). A single dose of Shanchol also reduces cases of severe dehydrating cholera at six-month follow-up (overall VE 63%; RR 0.37, 95% CI 0.28 to 0.50; 1 trial, 204,700 participants; high-certainty evidence), and at two-year follow-up (overall VE 50%; RR 0.50, 95% CI 0.42 to 0.60; 1 trial, 204,700 participants; high-certainty evidence). We found no differences in the reporting of adverse events due to vaccination between the vaccine and control/placebo groups. AUTHORS' CONCLUSIONS: Two doses of Dukoral reduces cases of cholera at two-year follow-up. Two doses of Shanchol reduces cases of cholera at five-year follow-up, and a single dose of Shanchol reduces cases of cholera at two-year follow-up. Overall, the vaccines were safe and well-tolerated. We found no trials on other BivWC vaccines (Euvichol/Euvichol-Plus). However, BivWC products (Shanchol, Euvichol/Euvichol-Plus) are considered to produce comparable vibriocidal responses. Therefore, it is reasonable to apply the results from Shanchol trials to the other BivWC products (Euvichol/Euvichol-Plus)

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

    Get PDF
    Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Chlorophyll fluorescence intensity, photosynthetic yield and flowering in fig fruit trees as affected by phloem stress

    No full text
    HOSSAIN, A. B. M. S., A. SALLEH, M. A. MEKHLED and A. M. Al-SAIF, 2010. Chlorophyll fluorescence intensity, photosynthetic yield and flowering in fig fruit trees as affected by phloem stress. Bulg. J. Agric. Sc., 16: 547-552 Chlorophyll fluorescence intensity, photosynthetic yield in leaves and flowering of fig trees (Ficus carica L.) as affected by phloemic stress (represented by partial bark ring) were studied. The treatments were un-ringed, I-shape partial ring (I-SPR), X-shape partial ring (X-SPR) and S-shape partial ring (S-SPR). The greater bark thickness (width) was found in I SPR treated branch than other treated branches. Branch circumference of all three types of treatment showed higher value in upper ring than in lower ring. The maximum SPAD value was observed in control branch earlier after treatment whereas the maximum value was found in S-SPR treated branch later. Besides, the percent flower bud and fruit set were greater in S-SPR treated trees than other treated branches. The flower bud and fruit set were higher in treated branches than in control. Chlorophyll fluorescence intensity was found similar upward trends with some fluctuations in case of all treatments. The intensity was higher in control and I-SPR treated branches than in other treatments. Fo (lower fluorescence), Fm (higher fluorescence), Fp (Intermediate fluorescence) were highest in leaves of control, I-SPR and X-SPR treated branches. However, X-SPR treatment represented the maximum optimum quantum yield [(Photosynthetic yield (Fv/Fm)]. Resulting, the study represents that phloemic stress (I-SPR, X-SPR & S-SPR), can be applied for the dwarfing physiological growth and early flowering of fig tree and the most effective one was S-SPR
    corecore