Indonesian National Army Involvement in the Law Enforcement: Environmental Pollution in Citarum River

Citarum river, located in West Java, is the longest and the largest river in Indonesia. Nevertheless, it is also noted as the most polluted rivers in the world. The aims of this research are to know the steps and the efforts taken by the government in the manifestation of Citarum Harum program, to understand the legal basis or the legal form or legislation with the involvement of the Indonesian National Army, and to see the social impact of this program for the local community. The juridical-empirical research methodology in this study refers to a research method in the literature study and an interview to sources by asking several questions face to face. The findings showed the Government involvement in handling Citarum River is stipullated in the Presidential Regulation Number 15 of 2018, the acceleration of pollution control and damage of watershed. To tackle with the problem, the government hold a program called Citarum Harum. In addition, the involvement and the various efforts done by Indonesian National army members in the program is in accordance with the mandatory laws. It has a significant impact on the ecosystem and the local community.Sungai Citarum yang terletak di Jawa Barat merupakan sungai yang paling panjang dan paling besar di Indonesia. Namun sayangnya, Sungai Citarum tercatat sebagai salah satu dari sungai yang paling tercemar di dunia.. Tujuan penelitian ini untuk mengetahui langkah-langkah pemerintah dalam upaya mewujudkan program Citarum Harum, mengetahui dasar hukum dan kaitan hukum atau undang-undang dengan keterlibatan Tentara Nasional Indonesia dalam program Citarum Harum, dan mengetahui dampak sosial program Citarum Harum bagi masyarakat setempat. Metode penelitian hukum yuridis empiris  yaitu metode penelitian studi kepustakaan dan wawancara yang dilakukan dengan mengajukan beberapa pertanyaan kepada narasumber secara langsung dengan bertatap muka. Hasil penelitian menunjukkan bahwa penanganan Sungai Citarum yang melibatkan pemerintah, yaitu Peraturan Presiden Nomor 15 Tahun 2018 tentang Percepatan Pengendalian Pencemaran dan Kerusakan Daerah Aliran Sungai Citarum dengan pemerintah juga mengadakan sebuah program untuk menanggulangi pencemaran dalam Sungai Citarum ini, yang diberi nama Citarum Harum dan keterlibatan anggota Tentara Nasional Indonesia dalam program Citarum Harum dalam melakukan berbagai upaya yang sesuai dengan amanah Undang-undang ini memberikan dampak yang cukup signifikan terhadap ekosistem dan juga sosial masyarakat setempat

Evaluation of a school based comprehensive sexuality education program among very young adolescents in rural Uganda

Background: Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10-14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods: We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results: Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66-2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion: This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future

Student String Quartet

Centennial Lecture Hall May 24, 1968 8:15p.m

Members of the University String Quartet

Centennial Lecture Hall April 25, 1968 8:15p.m

Validity and Reliability of Three-dimensional Imaging to Measure Limb Volume: A Systematic Review

Introduction: Approximately 30% of women treated for breast cancer will develop lymphedema, yet early identification can prevent this occurrence. It is important to accurately and efficiently measure limb volume to identify pre-clinical lymphedema. Three-dimensional (3 D) imaging is emerging as a potential method to meet the need for accuracy and efficiency. The purpose of this review was to evaluate the psychometrics of 3 D imaging to measure limb volume. Methods: A systematic search of 4 databases was conducted for articles using 3 D imaging to measure limb volume. Articles were included that compared 3 D imaging to water displacement using human subjects, from 2000 to present. Data related to relevant psychometrics (validity, reliability, responsiveness) and patient populations were extracted from each article and analyzed. Risk of bias in study design was also assessed for each article. Results: The initial search of publications included 141 articles, 27 of which were selected based on the title and abstract. Only 13 articles were selected after full text review. Evidence from a preponderance of high-quality studies demonstrates that 3 D imaging is valid and reliable. Discussion: 3 D scanning can provide an accurate and efficient alternative means of measuring limb volume in breast cancer related lymphedema when compared to the reference standard of water displacement. Limitations to immediate clinical adoption include lack of information related to diagnostic accuracy and responsiveness, as well as a uniform definition of lymphedema

Adolescents' sexual wellbeing in Southwestern Uganda : a cross-sectional assessment of body image, self-esteem and gender equitable norms

Measures of sexual wellbeing and positive aspects of sexuality in the World Health Organization definition for sexual health are rarely studied and remain poorly understood, especially among adolescents in Sub-Saharan Africa. The objective of this study was to assess sexual wellbeing in its broad sense-i.e., body image, self-esteem, and gender equitable norms-and associated factors in young adolescents in Uganda. A cross-sectional survey of adolescents ages 10-14 years in schools was carried out between June and July 2016. Among 1096 adolescents analyzed, the median age was 12 (Inter-Quartile Range (IQR): 11, 13) and 58% were female. Self-esteem and body image scores were high with median 24 (IQR: 22, 26, possible range: 7-28) and median 22 (IQR: 19, 24, possible range: 5-25) respectively. Gender equitable norms mean score was 28.1 (SD 5.2: possible range 11-44). We noted high scores for self-esteem and body image but moderate scores on gender equitable norms. Girls had higher scores compared to boys for all outcomes. A higher age and being sexually active were associated with lower scores on gender equitable norms. Gender equitable norms scores decreased with increasing age of adolescents. Comprehensive and timely sexuality education programs focusing on gender differences and norms are recommended

Sexual health of very young adolescents in South Western Uganda : a cross-sectional assessment of sexual knowledge and behavior

Background: In most Sub-Saharan African countries, little is known about young adolescents' sexual and reproductive health (SRH). Though some efforts have been made to understand and improve SRH of older adolescents, very young adolescents (VYAs) are often overlooked, and little is known about their sexual knowledge and behaviors. The goal of this study was to describe SRH knowledge, information-seeking, and sexual behavior of VYAs in Uganda. Methods: A cross-sectional survey was administered in 33 primary schools in June and July of 2016. Trained interviewers administered surveys to adolescents ages 10-14 regarding SRH knowledge, information-seeking, sexual behavior, and relevant covariates. Continuous variables were summarized as means (SD) or medians (IQR) whereas categorical variables were summarized as proportions (percentages). Results: A total of 1096 adolescents were included in this analysis, 81.8% of which were from rural areas, with a median age of 12. Regarding sexually transmitted infections (STIs) knowledge; 95% knew HIV while 37% knew other STIs apart from HIV. Although 47% knew at least one way in which HIV is acquired only 8% knew at least four ways. Regarding contraceptive knowledge, 56% mentioned at least one modern method of preventing pregnancy (condoms, pills, intrauterine devices, implants, or injections). The majority (85%) of VYAs reported accessing SRH information in the media with 35% reporting accessing media with sexual content while 10% vs 22% consulted their father or mother respectively and 31% a school source. At least 7.6% of VYAs had ever had sexual intercourse, 90% of which were not using any protection. Conclusion: Comprehensive SRH knowledge was low among VYAs in this study. Media remains an important source of information for SRH for this age group though it may be misused as some adolescents reported accessing sexual content that may be inappropriate. A large proportion of sexually active VYAs reported sexual risky behaviors. This study highlights the need for an accurate and more comprehensive SRH education approach for VYAs in Uganda at an opportune age before the majority engage in sexual behavior

A spatio-temporal atlas of the developing fetal brain with spina bifida aperta

Background: Spina bifida aperta (SBA) is a birth defect associated with severe anatomical changes in the developing fetal brain. Brain magnetic resonance imaging (MRI) atlases are popular tools for studying neuropathology in the brain anatomy, but previous fetal brain MRI atlases have focused on the normal fetal brain. We aimed to develop a spatio-temporal fetal brain MRI atlas for SBA. Methods: We developed a semi-automatic computational method to compute the first spatio-temporal fetal brain MRI atlas for SBA. We used 90 MRIs of fetuses with SBA with gestational ages ranging from 21 to 35 weeks. Isotropic and motion-free 3D reconstructed MRIs were obtained for all the examinations. We propose a protocol for the annotation of anatomical landmarks in brain 3D MRI of fetuses with SBA with the aim of making spatial alignment of abnormal fetal brain MRIs more robust. In addition, we propose a weighted generalized Procrustes method based on the anatomical landmarks for the initialization of the atlas. The proposed weighted generalized Procrustes can handle temporal regularization and missing annotations. After initialization, the atlas is refined iteratively using non-linear image registration based on the image intensity and the anatomical land-marks. A semi-automatic method is used to obtain a parcellation of our fetal brain atlas into eight tissue types: white matter, ventricular system, cerebellum, extra-axial cerebrospinal fluid, cortical gray matter, deep gray matter, brainstem, and corpus callosum. Results: An intra-rater variability analysis suggests that the seven anatomical land-marks are sufficiently reliable. We find that the proposed atlas outperforms a normal fetal brain atlas for the automatic segmentation of brain 3D MRI of fetuses with SBA. Conclusions: We make publicly available a spatio-temporal fetal brain MRI atlas for SBA, available here: https://doi.org/10.7303/syn25887675. This atlas can support future research on automatic segmentation methods for brain 3D MRI of fetuses with SBA

A spatio-temporal atlas of the developing fetal brain with spina bifida aperta [version 2; peer review: 2 approved]

Background: Spina bifida aperta (SBA) is a birth defect associated with severe anatomical changes in the developing fetal brain. Brain magnetic resonance imaging (MRI) atlases are popular tools for studying neuropathology in the brain anatomy, but previous fetal brain MRI atlases have focused on the normal fetal brain. We aimed to develop a spatio-temporal fetal brain MRI atlas for SBA. Methods: We developed a semi-automatic computational method to compute the first spatio-temporal fetal brain MRI atlas for SBA. We used 90 MRIs of fetuses with SBA with gestational ages ranging from 21 to 35 weeks. Isotropic and motion-free 3D reconstructed MRIs were obtained for all the examinations. We propose a protocol for the annotation of anatomical landmarks in brain 3D MRI of fetuses with SBA with the aim of making spatial alignment of abnormal fetal brain MRIs more robust. In addition, we propose a weighted generalized Procrustes method based on the anatomical landmarks for the initialization of the atlas. The proposed weighted generalized Procrustes can handle temporal regularization and missing annotations. After initialization, the atlas is refined iteratively using non-linear image registration based on the image intensity and the anatomical land-marks. A semi-automatic method is used to obtain a parcellation of our fetal brain atlas into eight tissue types: white matter, ventricular system, cerebellum, extra-axial cerebrospinal fluid, cortical gray matter, deep gray matter, brainstem, and corpus callosum. Results: An intra-rater variability analysis suggests that the seven anatomical land-marks are sufficiently reliable. We find that the proposed atlas outperforms a normal fetal brain atlas for the automatic segmentation of brain 3D MRI of fetuses with SBA. Conclusions: We make publicly available a spatio-temporal fetal brain MRI atlas for SBA, available here: https://doi.org/10.7303/syn25887675. This atlas can support future research on automatic segmentation methods for brain 3D MRI of fetuses with SBA

The Iowa Homemaker vol.4, no.8

Table of Contents Put the Home Into Homemaking by Ruth M. Lindquist, page 3 The Thanksgiving Table by Elizabeth Peterson, page 4 Sunshine for Babies by Edna Armstrong, page 5 Conference of Extension Specialists by Viola Jammer, page 5 Something Old for Which to Be Thankful by Marian Bigelow, page 6 A Course for Homemakers by Pearl Harris, page 6 Only 39 More Days Until Christmas by Rhea Ferne Schultz, page 7 The Evolution of Home Economics by Ruth Elaine WIlson, page 8 College Girls Earn Their Way in the Rockies by Marvel Secor, page 8 News From the State Association by Margaret M. Baker, page 9 Campus News, page 10 Who’s There and Where, page 11 Editorial, page 12 The Eternal Question, page 13 Homemaker as Citizen, page 14 The Possibilities of Batik, page 1