Peri-urban areas are playing an increasingly crucial role in the agricultural development and intensification in Indonesia.Peri-urban agriculture is highly vulnerable to change compared with urban and rural agricultur...Peri-urban areas are playing an increasingly crucial role in the agricultural development and intensification in Indonesia.Peri-urban agriculture is highly vulnerable to change compared with urban and rural agriculture,due to its location in transitional areas.Indicators of peri-urban agricultural intensity can help guide regional development.In this study,we assessed the sustainability of peri-urban areas based on agricultural intensity in Karawang Regency,Indonesia.We developed a village-based index to assess the region’s agricultural intensity by rescaling the village agriculture index(VAI)and combining the local sustainability index(LSI)with factor analysis.Since the unit of analysis is the village,we modified the LSI to the village sustainability index(VSI).In addition,we also developed a logical matrix analysis to determine the level of agricultural sustainability(LoAS)of each village.The combined results of the three indices(VAI,VSI,and LoAS)generated information about agricultural sustainability.The results indicated that peri-urban villages with high agricultural intensity tended to exhibit low levels of social welfare,economic development,and disaster risk.Moreover,high agricultural intensity did not necessarily ensure the prosperity of the people.Instead,there was the economic disparity among the villages in the study area.Encouraging diversity of agricultural intensity seems to be more critical than promoting agricultural intensity itself.Overall,this study highlights the distinctive characteristics and dynamic of peri-urban areas.New approaches,variables,and information regarding the combination of agricultural intensity and sustainability need to be developed as valuable tools for regional planning.展开更多
Indonesian Minister of Defence Prabowo Subianto won Indonesia’s presidential election in February 2024.Prabowo hails from an elite family that has served in many high positions in Indonesia.Having served in important...Indonesian Minister of Defence Prabowo Subianto won Indonesia’s presidential election in February 2024.Prabowo hails from an elite family that has served in many high positions in Indonesia.Having served in important positions in the military for a long time,he is very well connected with military and political circles.展开更多
Climate change has been a matter of discourse for the last several decades. Much research has been conducted regarding the causes and impacts of climate change around the world. The current research contributes to the...Climate change has been a matter of discourse for the last several decades. Much research has been conducted regarding the causes and impacts of climate change around the world. The current research contributes to the knowledge of the influence of climate change on our environment, with emphasis on earthquake occurrences in the region of Indonesia. Using global temperature anomaly as a measure of climate change, and earthquake data in Indonesia for the period 1900-2022, the paper seeks to find a relationship (if any) between the two variables. Statistical methods used include normal distribution analysis, linear regression and correlation test. The results show peculiar patterns in the progression of earthquake occurrences as well as global temperature anomaly occurring in the same time periods. The findings also indicated that the magnitudes of earthquakes remained unaffected by global temperature anomalies over the years. Nonetheless, there appears to be a potential correlation between temperature anomalies and the frequency of earthquake occurrences. As per the results, an increase in temperature anomaly is associated with a higher frequency of earthquakes.展开更多
Objective:To assess the prevalence of Mycobacterium(M.)tuberculosis infection and its associated risks in children under fifteen years of age.Methods:Based on secondary data from the 2018 Indonesian Basic Health Surve...Objective:To assess the prevalence of Mycobacterium(M.)tuberculosis infection and its associated risks in children under fifteen years of age.Methods:Based on secondary data from the 2018 Indonesian Basic Health Survey(RISKESDAS 2018),this cross-sectional study employed M.tuberculosis infection in children as a dependent variable and age level,sex,region,location,family case positive,and smoking as independent variables.Geospatial analysis was applied to show the prevalence of M.tuberculosis infection and multivariate regression was performed to analyze the risk factors of getting the infection among children under 15 years of age.Results:Prevalence ranges of M.tuberculosis infection among children aged 0-14 years,babies(age<12 months),toddlers(age 12-59 months),and children aged between 5 and 14 years were 0.03%to 0.57%,0%to 0.64%,0%to 0.78%,and 0.01%to 0.53%,respectively in Indonesia.A high prevalence of M.tuberculosis infection among children under 15 years of age was found in Papua and other provinces,such as Kalimantan and Java.Contacting with tuberculosis family members was positively associated with M.tuberculosis infection in children as shown by multivariate logistic regression(OR 8.94;95%CI 5.4-14.6,P<0.05).Conclusions:Contacting with family member who has tuberculosis is related with M.tuberculosis infection among children in Indonesia.Therefore,screening the household for contact with tuberculosis patients is a preventive treatment for children.展开更多
Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Ind...Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Indonesian women from general population were selected as sample framework.Sample size and distribution across regions were determined by the Indonesian Bureau of Statistics(Badan Pusat Statistik,BPS),which represented the national level.Up to 35408 cervical swab specimens were collected from August to September 2016 in 34 Indonesian provinces,categorized into six regions based on the development criteria set by the Ministry of National Development Planning(Badan Perencanaan Pembangunan Nasional,BAPPENAS).From all 1874 samples identified as HPV-positive,hybrid capture was implemented to evaluate type-specific HPV.This study analyzed descriptive data to determine the core-cluster of HPV combination.Co-occurrence HPV network was assessed using‘qgraph’package version 1.6.3 and computed in R version 3.6.3.Two-HPV association was analyzed in logistic regression using bias-reduction generalized linear model(brglm2)package version 0.5.1 adjusted by age and six main Indonesian regions.Results:The logistic regression analysis demonstrated that HPV type 52 had rare relationship despite its common co-occurrence,cementing its role in single HPV infection.HPV type 16 and 18 tended to form infection cluster and were strongly associated with other types.Conclusions:HPV type 52 was the most frequent HPV type among urban Indonesian women and accounted for most single infection cases.Concurrently,HPV 16 and HPV 18 accounted for most multiple infection cases and had strong tendency to attract other types,which may add further complications.However,due to lack of cytology and histological examination and information for other potential determinants,further in-depth studies are necessary to confirm whether these infection patterns truly connect to certain clinical outcomes.展开更多
This study used multinomial logistic regression and Bayesian belief networks(BBN)to analyze factors influenc-ing the functionality of the community-based rural drinking water supply and sanitation program(PAMSIMAS)in ...This study used multinomial logistic regression and Bayesian belief networks(BBN)to analyze factors influenc-ing the functionality of the community-based rural drinking water supply and sanitation program(PAMSIMAS)in Indonesia.28,936 PAMSIMAS projects in 33 provinces in Indonesia were analyzed.The data indicates that 85.4%of the water supply systems were fully functioning,9.1%were partially functioning,and 5.5%were not functioning.In the regression analysis,good management is positively associated with functionality and a high investment per capita is negatively associated with the functionality.The latter suggests the need for comprehen-sive economic analysis in the feasibility study in scattered housing sites and remote-undeveloped areas.We also found that high community participation at the beginning of the project was associated with the not functioning system,while women’s participation was positively associated with the functionality.Furthermore,the household connection is more likely to be functioning than communal connection.BBN analysis shows if the beneficiaries do not pay for water,the probability of not functioning systems is 20 times higher than systems with fee collec-tion.Moreover,the combination of strong management,strong financial status,and household connection rather than communal connection increases the probability of fully functioning to 98%.Improvement of data collection is also necessary to monitor the current conditions of all PAMSIMAS systems in Indonesia.This study offers a country-level perspective for better implementation of the community-based rural water supply and sanitation program in developing countries.展开更多
To increase the resilience of farmers’livelihood systems,detailed knowledge of adaptation strategies for dealing with the impacts of climate change is required.Knowledge co-production approach is an adaptation strate...To increase the resilience of farmers’livelihood systems,detailed knowledge of adaptation strategies for dealing with the impacts of climate change is required.Knowledge co-production approach is an adaptation strategy that is considered appropriate in the context of the increasing frequency of disasters caused by climate change.Previous research of knowledge co-production on climate change adaptation in Indonesia is insufficient,particularly at local level,so we examined the flow of climate change adaptation knowledge in the knowledge co-production process through climate field school(CFS)activities in this study.We interviewed 120 people living in Bulukumba Regency,South Sulawesi Province,Indonesia,involving 12 crowds including male and female farmers participated in CFS and not participated in CFS,local government officials,agriculture extension workers,agricultural traders,farmers’family members and neighbors,etc.In brief,the 12 groups of people mainly include two categories of people,i.e.,people involved in CFS activities and outside CFS.We applied descriptive method and Social network analysis(SNA)to determine how knowledge flow in the community network and which groups of actors are important for knowledge flow.The findings of this study reveal that participants in CFS activities convey the knowledge they acquired formally(i.e.,from TV,radio,government,etc.)and informally(i.e.,from market,friends,relatives,etc.)to other actors,especially to their families and neighbors.The results also show that the acquisition and sharing of knowledge facilitate the flow of climate change adaptation knowledge based on knowledge co-operation.In addition,the findings highlight the key role of actors in the knowledge transfer process,and key actors involved in disseminating information about climate change adaptation.To be specific,among all the actors,family member and neighbor of CFS actor are the most common actors in disseminating climate knowledge information and closest to other actors in the network;agricultural trader and family member of CFS actor collaborate most with other actors in the community network;and farmers participated in CFS,including those heads of farmer groups,agricultural extension workers,and local government officials are more willing to contact with other actors in the network.To facilitate the flow of knowledge on climate change adaptation,CFS activities should be conducted regularly and CFS models that fit the situation of farmers’vulnerability to climate change should be developed.展开更多
Landslide susceptibility maps(LSMs) play a vital role in assisting land use planning and risk mitigation. This study aims to optimize causative factors using logistic regression(LR) and an artificial neural network(AN...Landslide susceptibility maps(LSMs) play a vital role in assisting land use planning and risk mitigation. This study aims to optimize causative factors using logistic regression(LR) and an artificial neural network(ANN) to produce a LSM. The LSM is produced with 11 causative factors and then optimized using forward-stepwise LR(FSLR), ANN, and their combination(FSLR-ANN) until eight causative factors were found for each method. The ANN method produced superior validation results compared with LR. The ROC values for the training data set ranges between 0.8 and 0.9. On the other hand, validation with the percentage of landslide fall into LSM class high and very high, ANN method was higher(92.59%) than LR(82.12%). FSLR-ANN with nine causative factors gave the best validation results with respect to area under curve(AUC) values, and validation with the percentage of landslide fall into LSM class high and very high. In conclusion, ANN was found to be better than LR when producing LSMs. The best Optimization was combination of FSLR-ANN with nine causative factors and AUC success rate 0.847, predictive rate 0.844 and validation with landslide fall into high and very high class with 91.30%. It is an encouraging preliminary model towards a systematic introduction of FSLR-ANN model for optimization causative factors in landslide susceptibility assessment in the mountainous area of Ujung Loe Watershed.展开更多
Indonesia has a moderate to high endemicity of hepatitis B virus(HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B(Hep B) vaccination of newborn...Indonesia has a moderate to high endemicity of hepatitis B virus(HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B(Hep B) vaccination of newborns has been fully integrated into the National Immunization Program. Al though HBV infection has been reduced by the universal newborn Hep B immunization program, it continues to occur in Indonesia. The low birth dose coverage and the presence of vaccine escape mutants might contribute to this endemicity among children. Although limited information is available for an analysis of occult HBV infection(OBI), several variations and substitutions in the pre-S/S region have been detected in Indonesian HBV strains. Additionally, persistent infection and disease progression of chronic hepatitis B are related to not only viral factors but also the host genome. Indonesia is one of the most ethnically heterogeneous nations, with Javanese and Sundanese as the two highest ethnic groups. This multi-ethnicity makes genomic research in Indonesia difficult. In this article, we focused on and reviewed the following aspects: the current hepatitis B immunization program and its efficacy, OBI, HBV infection among high-risk patients, such as hemodialysis patients, and research regarding the host genome in Indonesia.展开更多
Analysis of 2 D seismic data over 4 500 km in length from the Madura Strait Basin in the East Java Sea reveals seismic re?ection characteristics of reefs and associated sedimentary bodies, including asymmetrical or sy...Analysis of 2 D seismic data over 4 500 km in length from the Madura Strait Basin in the East Java Sea reveals seismic re?ection characteristics of reefs and associated sedimentary bodies, including asymmetrical or symmetrical dome re?ections, slope progradational re?ections, chaotic re?ections and discontinuous strong re?ections inside the reef, which onlap the ?ank of the reef. It is concluded that the developmental paleo-environment of most reefs is mainly conducive to shallow marine carbonate platform facies and platform margin facies, based on well core data, variations in seismic facies and strata thickness.The formation and evolution of all reefs are primarily in?uenced by the tectonic framework of the Madura Strait Basin. Platform margin reefs are principally controlled by two types of structures: one is a series of E-W trending Paleogene normal faults, and the other is an E-W trending Neogene inversion structures. In addition, wave actions, tidal currents and other ocean currents play an accelerated role in sorting, rounding and redeposition for the accumulation and evolution of reefs. Tertiary reefs in the MSB can be divided into four types: 1) an open platform coral reef of Late Oligocene to Early Miocene, 2) a platform margin coral reef controlled by normal faults in Late Oligocene to Early Miocene, 3) a platform margin Globigerina moundreef controlled by a "hidden" inversion structure in Early Pliocene, and 4) a platform margin Globigerina mound-reef controlled by thrust faults in the early Pliocene. Patterns of the formation and evolution of reefs are also suggested.展开更多
Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kal...Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kalimantan Islands.Methods:Specimens for light microscopy examination were fixed with warm 70%alcohol,cleared and mounted in lactophenol for wet mounting.Drawings were made with the aid of a drawing tube attached to a Nikon compound microscope.Measurements were given in micrometers(μ) as the average of findings,followed by the range in parentheses,unless otherwise stated.Results:Kalkephalus(Costatus) indicus was found from 7 Ptyas mucosus,Kalicephalus bungari from 2 Naja sputatrix and 1 Kalicephalus(Costatus) indicus and Kalicephalus assimilis found from 1 Ophiophagus hannah.The morphology and measurement of three species of Kalicephalus found in this study were close to those described before.Conclusions:New finding of host of Kalicephalus(Costalus) indicus and Kalicephalus bungari was a snake species of Naja sputatrix.New records of locality were Kalimantan island as the new locality of Kalicephalus assimilis,and Java island was new locality of Kalicephalus(Costatus) indicus.展开更多
BACKGROUND: The purpose of this study was to assess the short-term efficacy of a 4-week ultrasound curriculum taught by American first-year medical students to general practitioners working in public health care clini...BACKGROUND: The purpose of this study was to assess the short-term efficacy of a 4-week ultrasound curriculum taught by American first-year medical students to general practitioners working in public health care clinics, or puskesmas, in Bandung, Indonesia.METHODS: We performed a prospective, observational study of Indonesian health care practitioners from public clinics in Bandung, Indonesia. These practitioners were enrolled in a 4-week ultrasound training course taught by first-year American medical students. A total of six sessions were held comprising of 38 ultrasound milestones. A pre-course and post-course written exam and practical exam was taken by each participant.RESULTS: We enrolled 41 clinicians in the course. The average pre-course exam score was 35.2% with a 2.4% pass rate, whereas the average post-course exam score was 82.0% with a 92.7% pass rate. The average practical score at the completion of the course was 83.2%(SD=0.145) with 82.9% of the class passing(score above 75.0%).CONCLUSION: Our data suggests that first-year medical students can effectively teach ultrasound to physicians in Indonesia using a 4-week intensive ultrasound training course. Future studies are needed to determine the amount of training required for proficiency and to evaluate the physicians' perceptions of the student-instructors' depth of knowledge and skill in point of care ultrasound.展开更多
Recent studies have highlighted the valuable role played by mangrove forests in carbon sequestration and storage.Although Indonesia accounts for a large proportion of global mangrove area, knowledge on the carbon stoc...Recent studies have highlighted the valuable role played by mangrove forests in carbon sequestration and storage.Although Indonesia accounts for a large proportion of global mangrove area, knowledge on the carbon stock and sources in the Indonesian mangrove is still limited. In this study, we quantified the ecosystem organic carbon(OC) stock and its spatial variation at an oceanic mangrove in Wori, North Sulawesi, Indonesia. The sources of soil OC were also investigated. The results showed that the mangrove soil had a substantial OC stock containing15.4 kg/m^2(calculated by carbon) in the top 50 cm soil, and represented the majority of the ecosystem OC stock at the Wori mangrove. The mangrove biomass and ecosystem OC stock were 8.3 kg/m^2 and 23.7 kg/m^2, respectively.There was no significantly difference in the soil OC stock among the stations with difference distances offshore,while the highest mangrove biomass OC stock was found at the seaward station. Isotope mixing calculations showed that the rich OC in mangrove soils was attributed to the accumulated autochthonous mangrove source while the suspended organic matter in tidal water and the mangrove-adjacent seagrass contributed less than 20%to the soil OC. The results further demonstrated the importances of the oceanic mangrove in carbon storage and the mangrove plants in contributing OC to their soils.展开更多
Objective:To examine the potential risk of hepatitis B virus(HBV)spread in Indonesia by migrant workers,based on the molecular characteristics of HBV strains.Methods:Sera collected from migrant workers traveling to th...Objective:To examine the potential risk of hepatitis B virus(HBV)spread in Indonesia by migrant workers,based on the molecular characteristics of HBV strains.Methods:Sera collected from migrant workers traveling to their destination countries(pre-migrant workers)and those returning to Indonesia(post-migrant workers)were screened for HBsAg by ELISA,followed by HBV DNA detection by PCR and(sub)genotype/subtype determination according to surface region and whole genome sequencing.Results:Of 87 pre-migrant workers,15(17.24%)were HBsAgpositive,whereas 15(12.10%)of 124 post-migrant workers were HBs Ag seropositive.HBV genotype analysis based on the S region showed that HBV-B3/adw2 was predominant(96.15%,25/26)whereas 3.85%(1/26)of isolates were HBV-C3/adrq+.Whole genome sequencing of selected strains and phylogenetic tree analysis identified subgenotype B7 in three samples previously categorized as subgenotype B3 based on S region analysis,supporting a recent argument that subgenotypes B5/B7/B8/B9 could be considered as a quasi-subgenotype of B3.Conclusions:A high prevalence of HBsAg carriers was detected among migrant workers from Lombok Island,with no significant difference in prevalence between before and after returning to Indonesia.All strains were classified into genotypes common in Indonesia,and the results suggested that migrant workers are not a risk factor for HBV transmission into Indonesia.展开更多
Objective:This study aims to examine the effects of a community-based friendly health clinic(CFHC)program that adopts manual participatory learning(MPL)intervention on the adolescents living in the rural and urban are...Objective:This study aims to examine the effects of a community-based friendly health clinic(CFHC)program that adopts manual participatory learning(MPL)intervention on the adolescents living in the rural and urban areas of Indonesia to gain further insights into their knowledge,attitudes,and skills related to adolescent reproductive health(ARH).Methods:A quasi-experimental design was used to obtain information on the ARH knowledge,attitudes,and skills of adolescents.Two intervention studies that used similar protocols and measures were conducted.A total of 192 adolescents(96 adolescents from urban and rural areas)participated in the project,and the participants from each area were divided into eight groups.A questionairre was adopted to measure the ARH knowledge,attitudes,and skills of these participants.A content analysis of the logbook entries of these respondents was conducted to identify their ARH-related problems.The questionnairre and self-reported ARH data were collected before and after the eight-week program.Results:The CFHC program significantly increased the ARH attitudes(p=0.045)and skills(p=0.009)of adolescents in the rural area,but only improved the ARH knowledge(p<0.001)of adolescents in both rural and urban areas.Fourteen themes were identified in three dominant categories,namely,schools,families,and communities.Conclusions:The CFHC with MPL intervention can improve the ARH knowledge,attitudes,and skills of adolescents in the rural area,but can only improve the ARH knowledge of adolescents in the urban area.The ARH program must be designed based on the characterictics of these adolescents to improve their life skills during puberty.展开更多
The purpose of the research was to compare the profitability of existing land uses in Tanjung Jabung Barat, Jambi province, Indonesia, for formulating a strategy to reduce emissions from deforestation and de-gradation...The purpose of the research was to compare the profitability of existing land uses in Tanjung Jabung Barat, Jambi province, Indonesia, for formulating a strategy to reduce emissions from deforestation and de-gradation (REDD). Net Present Value was used for comparing profits of different types of investment (e.g. different type of land use). Rapid Rural Appraisal was used to gather information on farm budget data for each land use, including prices, production, labor and other input. The results of the profitability analysis showed that all land uses, both on mineral soil and peat land, were profitable. Oil palm, both in large plantations and smallholder gardens, was the most profitable land-use system. However, the profitability of smallholder oil palm on peatland was lower than on mineral soils yet oil palm was still more competitive than rubber on mineral soils. The competitiveness of mixed gardens with oil palm was higher on peatland and the threat of converting other land uses to oil palm was higher on mineral soil than on peat. For crop systems, irrigated paddy had the highest profitability.展开更多
Considering the importance of connecting urbanization phenomena and vulnerability assessments, this paper aims to explore vulnerability assessment in three different city sizes in the northern coast of Central Java pr...Considering the importance of connecting urbanization phenomena and vulnerability assessments, this paper aims to explore vulnerability assessment in three different city sizes in the northern coast of Central Java province of Indonesia. It compares the vulnerability levels of the three cities based on their sizes (that is, levels of urbanization). It uses the most current secondary data from the lowest administrative levels,called as kelurahan (urban village), for its assessment. There are two indexes used to indicate their vulnerability levels, namely exposure and sensitivity index (ESI) and adaptive capacity index (ACI). By combining the ESI and ACI, the study found that the kelurahans in Tegal (the medium sized city) have similar vulnerability levels. The kelurahans in Semarang (as the big city) have more combination of vulnerability levelsdindicating that the city has various sensitivity, exposure, as well as adaptive capacity among its kelurahans. In Lasem (the small sized city), due to limitations imposed by adaptationdmostly because of lack of public services and high dependency on primary economic sectorsdall of its kelurahans were found to be vulnerable. The study therefore concluded that the bigger a city is, the more the different areas of that city will have varying levels of vulnerability, leading to a high propensity of vulnerability among its inhabitants. On the other hand, the smaller a city is, the less capacity it will have in reducing its emerging vulnerability challenges.展开更多
BACKGROUND: The purpose of this study was to use point-of-care ultrasound(POCUS) to investigate the relationship between tobacco smoke exposure and the characteristics of the common carotid artery(CCA). The effect of ...BACKGROUND: The purpose of this study was to use point-of-care ultrasound(POCUS) to investigate the relationship between tobacco smoke exposure and the characteristics of the common carotid artery(CCA). The effect of both primary and secondary smoking on CCA properties was evaluated.METHODS: We performed a prospective cross-sectional study across 20 primary care clinics in Bandung, West Java, Indonesia in July 2016. Point of care ultrasound was performed on a convenience sample of Indonesian patients presenting to clinic. The CCA wall stiffness and carotid intima-media thickness(CIMT) were measured during diastole and systole. These measurements were correlated with smoke exposure and cardiovascular disease.RESULTS: We enrolled 663 patients in the study, with 426 patients enrolled in the smoking category and 237 patients enrolled in the second-hand smoke category. There was an overall positive correlation with the measured lifestyle factors and the ultrasound-measured variables in the group of individuals who smoked. For all variables, age seemed to contribute the most out of all of the lifestyle factors for the positive changes in CIMT and CCA wall stiffness.CONCLUSION: Our data yielded correlations between CCA properties and cardiovascular risk, as well as between CIMT and arterial stiffness. We were also able to demonstrate an increase in thickness of the CIMT in patients who have been exposed by tobacco through the use of ultrasound. Further large scale studies comparing patients with multiple cardiac risk factors need to be performed to confi rm the utility of ultrasound fi ndings of cardiovascular disease and stroke.展开更多
Objective:First-line nurse managers are more likely to work according to gender beliefs and stereotypes,which may affect their managerial competence.This study is aimed at comparing managerial competence of male and f...Objective:First-line nurse managers are more likely to work according to gender beliefs and stereotypes,which may affect their managerial competence.This study is aimed at comparing managerial competence of male and female first-line nurse managers in public hospitals in Indonesia.Methods:This study employed a descriptive comparative approach with a cross-sectional survey with a total of 256 participants selected from 18 public hospitals.To measure managerial competence,the managerial competence scale for Indonesian first-line nurse managers was used.Data were analyzed using descriptive analyses using mean,standard deviation,and Independent t-test.Results:Managerial competence of male and female first-line nurse managers was not significantly different(P=0.555).Female nurse managers descriptively reported/received higher ranking in facilitating spiritual nursing care,managing self,staffing and professional development,utilizing informatics,and applying quality care improvement.Male nurse managers repor ted higher in leadership and financial management.Conclusions:Female and male first-line nurse managers should be treated equally for leadership and managerial development.展开更多
Land subsidence can have a considerable impact on the socio-economic viability of areas. In urban areas, land subsidence tends to damage buildings and infrastructures gradually, while in rural peat land it slowly dest...Land subsidence can have a considerable impact on the socio-economic viability of areas. In urban areas, land subsidence tends to damage buildings and infrastructures gradually, while in rural peat land it slowly destroys vegetation. The damages will worsen since climate change has further implications for the areas affected by land subsidence. In Indonesia, the response to land subsidence varies in different areas in terms of awareness, urgency and action on the part of both public authorities and land users. This paper systematically investigates these varied responses in urban and rural peat land areas. Interviews with experts and surveys of 330 land users in selected sub-districts were conducted and further supplemented by focus group discussions. We found that both the public authorities as well as the land users’ responses were considered as of limited value to contest land subsidence. We suggest that the endorsement of land users’ response into governmental policies would make a significant difference in improving land subsidence management.展开更多
文摘Peri-urban areas are playing an increasingly crucial role in the agricultural development and intensification in Indonesia.Peri-urban agriculture is highly vulnerable to change compared with urban and rural agriculture,due to its location in transitional areas.Indicators of peri-urban agricultural intensity can help guide regional development.In this study,we assessed the sustainability of peri-urban areas based on agricultural intensity in Karawang Regency,Indonesia.We developed a village-based index to assess the region’s agricultural intensity by rescaling the village agriculture index(VAI)and combining the local sustainability index(LSI)with factor analysis.Since the unit of analysis is the village,we modified the LSI to the village sustainability index(VSI).In addition,we also developed a logical matrix analysis to determine the level of agricultural sustainability(LoAS)of each village.The combined results of the three indices(VAI,VSI,and LoAS)generated information about agricultural sustainability.The results indicated that peri-urban villages with high agricultural intensity tended to exhibit low levels of social welfare,economic development,and disaster risk.Moreover,high agricultural intensity did not necessarily ensure the prosperity of the people.Instead,there was the economic disparity among the villages in the study area.Encouraging diversity of agricultural intensity seems to be more critical than promoting agricultural intensity itself.Overall,this study highlights the distinctive characteristics and dynamic of peri-urban areas.New approaches,variables,and information regarding the combination of agricultural intensity and sustainability need to be developed as valuable tools for regional planning.
文摘Indonesian Minister of Defence Prabowo Subianto won Indonesia’s presidential election in February 2024.Prabowo hails from an elite family that has served in many high positions in Indonesia.Having served in important positions in the military for a long time,he is very well connected with military and political circles.
文摘Climate change has been a matter of discourse for the last several decades. Much research has been conducted regarding the causes and impacts of climate change around the world. The current research contributes to the knowledge of the influence of climate change on our environment, with emphasis on earthquake occurrences in the region of Indonesia. Using global temperature anomaly as a measure of climate change, and earthquake data in Indonesia for the period 1900-2022, the paper seeks to find a relationship (if any) between the two variables. Statistical methods used include normal distribution analysis, linear regression and correlation test. The results show peculiar patterns in the progression of earthquake occurrences as well as global temperature anomaly occurring in the same time periods. The findings also indicated that the magnitudes of earthquakes remained unaffected by global temperature anomalies over the years. Nonetheless, there appears to be a potential correlation between temperature anomalies and the frequency of earthquake occurrences. As per the results, an increase in temperature anomaly is associated with a higher frequency of earthquakes.
文摘Objective:To assess the prevalence of Mycobacterium(M.)tuberculosis infection and its associated risks in children under fifteen years of age.Methods:Based on secondary data from the 2018 Indonesian Basic Health Survey(RISKESDAS 2018),this cross-sectional study employed M.tuberculosis infection in children as a dependent variable and age level,sex,region,location,family case positive,and smoking as independent variables.Geospatial analysis was applied to show the prevalence of M.tuberculosis infection and multivariate regression was performed to analyze the risk factors of getting the infection among children under 15 years of age.Results:Prevalence ranges of M.tuberculosis infection among children aged 0-14 years,babies(age<12 months),toddlers(age 12-59 months),and children aged between 5 and 14 years were 0.03%to 0.57%,0%to 0.64%,0%to 0.78%,and 0.01%to 0.53%,respectively in Indonesia.A high prevalence of M.tuberculosis infection among children under 15 years of age was found in Papua and other provinces,such as Kalimantan and Java.Contacting with tuberculosis family members was positively associated with M.tuberculosis infection in children as shown by multivariate logistic regression(OR 8.94;95%CI 5.4-14.6,P<0.05).Conclusions:Contacting with family member who has tuberculosis is related with M.tuberculosis infection among children in Indonesia.Therefore,screening the household for contact with tuberculosis patients is a preventive treatment for children.
基金Ministry of Health,Republic of Indonesia provided financial assistance to support this study from their annual budget allocation.
文摘Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Indonesian women from general population were selected as sample framework.Sample size and distribution across regions were determined by the Indonesian Bureau of Statistics(Badan Pusat Statistik,BPS),which represented the national level.Up to 35408 cervical swab specimens were collected from August to September 2016 in 34 Indonesian provinces,categorized into six regions based on the development criteria set by the Ministry of National Development Planning(Badan Perencanaan Pembangunan Nasional,BAPPENAS).From all 1874 samples identified as HPV-positive,hybrid capture was implemented to evaluate type-specific HPV.This study analyzed descriptive data to determine the core-cluster of HPV combination.Co-occurrence HPV network was assessed using‘qgraph’package version 1.6.3 and computed in R version 3.6.3.Two-HPV association was analyzed in logistic regression using bias-reduction generalized linear model(brglm2)package version 0.5.1 adjusted by age and six main Indonesian regions.Results:The logistic regression analysis demonstrated that HPV type 52 had rare relationship despite its common co-occurrence,cementing its role in single HPV infection.HPV type 16 and 18 tended to form infection cluster and were strongly associated with other types.Conclusions:HPV type 52 was the most frequent HPV type among urban Indonesian women and accounted for most single infection cases.Concurrently,HPV 16 and HPV 18 accounted for most multiple infection cases and had strong tendency to attract other types,which may add further complications.However,due to lack of cytology and histological examination and information for other potential determinants,further in-depth studies are necessary to confirm whether these infection patterns truly connect to certain clinical outcomes.
文摘This study used multinomial logistic regression and Bayesian belief networks(BBN)to analyze factors influenc-ing the functionality of the community-based rural drinking water supply and sanitation program(PAMSIMAS)in Indonesia.28,936 PAMSIMAS projects in 33 provinces in Indonesia were analyzed.The data indicates that 85.4%of the water supply systems were fully functioning,9.1%were partially functioning,and 5.5%were not functioning.In the regression analysis,good management is positively associated with functionality and a high investment per capita is negatively associated with the functionality.The latter suggests the need for comprehen-sive economic analysis in the feasibility study in scattered housing sites and remote-undeveloped areas.We also found that high community participation at the beginning of the project was associated with the not functioning system,while women’s participation was positively associated with the functionality.Furthermore,the household connection is more likely to be functioning than communal connection.BBN analysis shows if the beneficiaries do not pay for water,the probability of not functioning systems is 20 times higher than systems with fee collec-tion.Moreover,the combination of strong management,strong financial status,and household connection rather than communal connection increases the probability of fully functioning to 98%.Improvement of data collection is also necessary to monitor the current conditions of all PAMSIMAS systems in Indonesia.This study offers a country-level perspective for better implementation of the community-based rural water supply and sanitation program in developing countries.
文摘To increase the resilience of farmers’livelihood systems,detailed knowledge of adaptation strategies for dealing with the impacts of climate change is required.Knowledge co-production approach is an adaptation strategy that is considered appropriate in the context of the increasing frequency of disasters caused by climate change.Previous research of knowledge co-production on climate change adaptation in Indonesia is insufficient,particularly at local level,so we examined the flow of climate change adaptation knowledge in the knowledge co-production process through climate field school(CFS)activities in this study.We interviewed 120 people living in Bulukumba Regency,South Sulawesi Province,Indonesia,involving 12 crowds including male and female farmers participated in CFS and not participated in CFS,local government officials,agriculture extension workers,agricultural traders,farmers’family members and neighbors,etc.In brief,the 12 groups of people mainly include two categories of people,i.e.,people involved in CFS activities and outside CFS.We applied descriptive method and Social network analysis(SNA)to determine how knowledge flow in the community network and which groups of actors are important for knowledge flow.The findings of this study reveal that participants in CFS activities convey the knowledge they acquired formally(i.e.,from TV,radio,government,etc.)and informally(i.e.,from market,friends,relatives,etc.)to other actors,especially to their families and neighbors.The results also show that the acquisition and sharing of knowledge facilitate the flow of climate change adaptation knowledge based on knowledge co-operation.In addition,the findings highlight the key role of actors in the knowledge transfer process,and key actors involved in disseminating information about climate change adaptation.To be specific,among all the actors,family member and neighbor of CFS actor are the most common actors in disseminating climate knowledge information and closest to other actors in the network;agricultural trader and family member of CFS actor collaborate most with other actors in the community network;and farmers participated in CFS,including those heads of farmer groups,agricultural extension workers,and local government officials are more willing to contact with other actors in the network.To facilitate the flow of knowledge on climate change adaptation,CFS activities should be conducted regularly and CFS models that fit the situation of farmers’vulnerability to climate change should be developed.
文摘Landslide susceptibility maps(LSMs) play a vital role in assisting land use planning and risk mitigation. This study aims to optimize causative factors using logistic regression(LR) and an artificial neural network(ANN) to produce a LSM. The LSM is produced with 11 causative factors and then optimized using forward-stepwise LR(FSLR), ANN, and their combination(FSLR-ANN) until eight causative factors were found for each method. The ANN method produced superior validation results compared with LR. The ROC values for the training data set ranges between 0.8 and 0.9. On the other hand, validation with the percentage of landslide fall into LSM class high and very high, ANN method was higher(92.59%) than LR(82.12%). FSLR-ANN with nine causative factors gave the best validation results with respect to area under curve(AUC) values, and validation with the percentage of landslide fall into LSM class high and very high. In conclusion, ANN was found to be better than LR when producing LSMs. The best Optimization was combination of FSLR-ANN with nine causative factors and AUC success rate 0.847, predictive rate 0.844 and validation with landslide fall into high and very high class with 91.30%. It is an encouraging preliminary model towards a systematic introduction of FSLR-ANN model for optimization causative factors in landslide susceptibility assessment in the mountainous area of Ujung Loe Watershed.
文摘Indonesia has a moderate to high endemicity of hepatitis B virus(HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B(Hep B) vaccination of newborns has been fully integrated into the National Immunization Program. Al though HBV infection has been reduced by the universal newborn Hep B immunization program, it continues to occur in Indonesia. The low birth dose coverage and the presence of vaccine escape mutants might contribute to this endemicity among children. Although limited information is available for an analysis of occult HBV infection(OBI), several variations and substitutions in the pre-S/S region have been detected in Indonesian HBV strains. Additionally, persistent infection and disease progression of chronic hepatitis B are related to not only viral factors but also the host genome. Indonesia is one of the most ethnically heterogeneous nations, with Javanese and Sundanese as the two highest ethnic groups. This multi-ethnicity makes genomic research in Indonesia difficult. In this article, we focused on and reviewed the following aspects: the current hepatitis B immunization program and its efficacy, OBI, HBV infection among high-risk patients, such as hemodialysis patients, and research regarding the host genome in Indonesia.
基金Supported by the Qingdao National Laboratory for Marine Science and Technology(Nos.QNLM201708,QNLM2016ORP0206)the Scientific and Technological Innovation Project Financially Supported by Qingdao National Laboratory for Marine Science and Technology(Nos.2017ASKJ02,2017ASKJ01,2016ASKJ13)+2 种基金the Special Fund for Land&Resources Scientific Research in the Public Interest(No.201511037)the Natural Science Foundation of Shandong Province of China(No.ZR2016DB33)the National Key Research and Development Program(No.2017YFC0306706-04)
文摘Analysis of 2 D seismic data over 4 500 km in length from the Madura Strait Basin in the East Java Sea reveals seismic re?ection characteristics of reefs and associated sedimentary bodies, including asymmetrical or symmetrical dome re?ections, slope progradational re?ections, chaotic re?ections and discontinuous strong re?ections inside the reef, which onlap the ?ank of the reef. It is concluded that the developmental paleo-environment of most reefs is mainly conducive to shallow marine carbonate platform facies and platform margin facies, based on well core data, variations in seismic facies and strata thickness.The formation and evolution of all reefs are primarily in?uenced by the tectonic framework of the Madura Strait Basin. Platform margin reefs are principally controlled by two types of structures: one is a series of E-W trending Paleogene normal faults, and the other is an E-W trending Neogene inversion structures. In addition, wave actions, tidal currents and other ocean currents play an accelerated role in sorting, rounding and redeposition for the accumulation and evolution of reefs. Tertiary reefs in the MSB can be divided into four types: 1) an open platform coral reef of Late Oligocene to Early Miocene, 2) a platform margin coral reef controlled by normal faults in Late Oligocene to Early Miocene, 3) a platform margin Globigerina moundreef controlled by a "hidden" inversion structure in Early Pliocene, and 4) a platform margin Globigerina mound-reef controlled by thrust faults in the early Pliocene. Patterns of the formation and evolution of reefs are also suggested.
文摘Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kalimantan Islands.Methods:Specimens for light microscopy examination were fixed with warm 70%alcohol,cleared and mounted in lactophenol for wet mounting.Drawings were made with the aid of a drawing tube attached to a Nikon compound microscope.Measurements were given in micrometers(μ) as the average of findings,followed by the range in parentheses,unless otherwise stated.Results:Kalkephalus(Costatus) indicus was found from 7 Ptyas mucosus,Kalicephalus bungari from 2 Naja sputatrix and 1 Kalicephalus(Costatus) indicus and Kalicephalus assimilis found from 1 Ophiophagus hannah.The morphology and measurement of three species of Kalicephalus found in this study were close to those described before.Conclusions:New finding of host of Kalicephalus(Costalus) indicus and Kalicephalus bungari was a snake species of Naja sputatrix.New records of locality were Kalimantan island as the new locality of Kalicephalus assimilis,and Java island was new locality of Kalicephalus(Costatus) indicus.
文摘BACKGROUND: The purpose of this study was to assess the short-term efficacy of a 4-week ultrasound curriculum taught by American first-year medical students to general practitioners working in public health care clinics, or puskesmas, in Bandung, Indonesia.METHODS: We performed a prospective, observational study of Indonesian health care practitioners from public clinics in Bandung, Indonesia. These practitioners were enrolled in a 4-week ultrasound training course taught by first-year American medical students. A total of six sessions were held comprising of 38 ultrasound milestones. A pre-course and post-course written exam and practical exam was taken by each participant.RESULTS: We enrolled 41 clinicians in the course. The average pre-course exam score was 35.2% with a 2.4% pass rate, whereas the average post-course exam score was 82.0% with a 92.7% pass rate. The average practical score at the completion of the course was 83.2%(SD=0.145) with 82.9% of the class passing(score above 75.0%).CONCLUSION: Our data suggests that first-year medical students can effectively teach ultrasound to physicians in Indonesia using a 4-week intensive ultrasound training course. Future studies are needed to determine the amount of training required for proficiency and to evaluate the physicians' perceptions of the student-instructors' depth of knowledge and skill in point of care ultrasound.
基金The China-Indonesia Ecological Station Establishment and Marine Biodiversity Investigation in North Sulawesi Seathe Development and Implement Ocean Strategic Planning and Policy supported by Ministry of Natural Resources,PRCthe National Natural Science Foundation of China under contract Nos 41606105 and 41776102
文摘Recent studies have highlighted the valuable role played by mangrove forests in carbon sequestration and storage.Although Indonesia accounts for a large proportion of global mangrove area, knowledge on the carbon stock and sources in the Indonesian mangrove is still limited. In this study, we quantified the ecosystem organic carbon(OC) stock and its spatial variation at an oceanic mangrove in Wori, North Sulawesi, Indonesia. The sources of soil OC were also investigated. The results showed that the mangrove soil had a substantial OC stock containing15.4 kg/m^2(calculated by carbon) in the top 50 cm soil, and represented the majority of the ecosystem OC stock at the Wori mangrove. The mangrove biomass and ecosystem OC stock were 8.3 kg/m^2 and 23.7 kg/m^2, respectively.There was no significantly difference in the soil OC stock among the stations with difference distances offshore,while the highest mangrove biomass OC stock was found at the seaward station. Isotope mixing calculations showed that the rich OC in mangrove soils was attributed to the accumulated autochthonous mangrove source while the suspended organic matter in tidal water and the mangrove-adjacent seagrass contributed less than 20%to the soil OC. The results further demonstrated the importances of the oceanic mangrove in carbon storage and the mangrove plants in contributing OC to their soils.
基金partly supported by the Grant-in-Aid from the Ministry of Education,Culture,Sports,Science and Technology,Japan(16H05826)a Grant-in-Aid from the Japan Initiative for Global Research Network on Infectious Disease(J-GRID)supported by the Ministry of Education,Culture,Sports,Science and Technology,Japansupported by Grantin-Aid from Professor Dato’Sri Tahir through Tahir professorship,Indonesia.
文摘Objective:To examine the potential risk of hepatitis B virus(HBV)spread in Indonesia by migrant workers,based on the molecular characteristics of HBV strains.Methods:Sera collected from migrant workers traveling to their destination countries(pre-migrant workers)and those returning to Indonesia(post-migrant workers)were screened for HBsAg by ELISA,followed by HBV DNA detection by PCR and(sub)genotype/subtype determination according to surface region and whole genome sequencing.Results:Of 87 pre-migrant workers,15(17.24%)were HBsAgpositive,whereas 15(12.10%)of 124 post-migrant workers were HBs Ag seropositive.HBV genotype analysis based on the S region showed that HBV-B3/adw2 was predominant(96.15%,25/26)whereas 3.85%(1/26)of isolates were HBV-C3/adrq+.Whole genome sequencing of selected strains and phylogenetic tree analysis identified subgenotype B7 in three samples previously categorized as subgenotype B3 based on S region analysis,supporting a recent argument that subgenotypes B5/B7/B8/B9 could be considered as a quasi-subgenotype of B3.Conclusions:A high prevalence of HBsAg carriers was detected among migrant workers from Lombok Island,with no significant difference in prevalence between before and after returning to Indonesia.All strains were classified into genotypes common in Indonesia,and the results suggested that migrant workers are not a risk factor for HBV transmission into Indonesia.
基金The author(s)would like to thank the grant is provided by the Ministry of Research,Technology,and Higher Education,Directorate General of Resources for Research,Technology and Higher Education of Indonesia for providing this research,School of Nursing,University of Jember,and Research Center Department(Lembaga Penelitian)of University of Jember.
文摘Objective:This study aims to examine the effects of a community-based friendly health clinic(CFHC)program that adopts manual participatory learning(MPL)intervention on the adolescents living in the rural and urban areas of Indonesia to gain further insights into their knowledge,attitudes,and skills related to adolescent reproductive health(ARH).Methods:A quasi-experimental design was used to obtain information on the ARH knowledge,attitudes,and skills of adolescents.Two intervention studies that used similar protocols and measures were conducted.A total of 192 adolescents(96 adolescents from urban and rural areas)participated in the project,and the participants from each area were divided into eight groups.A questionairre was adopted to measure the ARH knowledge,attitudes,and skills of these participants.A content analysis of the logbook entries of these respondents was conducted to identify their ARH-related problems.The questionnairre and self-reported ARH data were collected before and after the eight-week program.Results:The CFHC program significantly increased the ARH attitudes(p=0.045)and skills(p=0.009)of adolescents in the rural area,but only improved the ARH knowledge(p<0.001)of adolescents in both rural and urban areas.Fourteen themes were identified in three dominant categories,namely,schools,families,and communities.Conclusions:The CFHC with MPL intervention can improve the ARH knowledge,attitudes,and skills of adolescents in the rural area,but can only improve the ARH knowledge of adolescents in the urban area.The ARH program must be designed based on the characterictics of these adolescents to improve their life skills during puberty.
文摘The purpose of the research was to compare the profitability of existing land uses in Tanjung Jabung Barat, Jambi province, Indonesia, for formulating a strategy to reduce emissions from deforestation and de-gradation (REDD). Net Present Value was used for comparing profits of different types of investment (e.g. different type of land use). Rapid Rural Appraisal was used to gather information on farm budget data for each land use, including prices, production, labor and other input. The results of the profitability analysis showed that all land uses, both on mineral soil and peat land, were profitable. Oil palm, both in large plantations and smallholder gardens, was the most profitable land-use system. However, the profitability of smallholder oil palm on peatland was lower than on mineral soils yet oil palm was still more competitive than rubber on mineral soils. The competitiveness of mixed gardens with oil palm was higher on peatland and the threat of converting other land uses to oil palm was higher on mineral soil than on peat. For crop systems, irrigated paddy had the highest profitability.
文摘Considering the importance of connecting urbanization phenomena and vulnerability assessments, this paper aims to explore vulnerability assessment in three different city sizes in the northern coast of Central Java province of Indonesia. It compares the vulnerability levels of the three cities based on their sizes (that is, levels of urbanization). It uses the most current secondary data from the lowest administrative levels,called as kelurahan (urban village), for its assessment. There are two indexes used to indicate their vulnerability levels, namely exposure and sensitivity index (ESI) and adaptive capacity index (ACI). By combining the ESI and ACI, the study found that the kelurahans in Tegal (the medium sized city) have similar vulnerability levels. The kelurahans in Semarang (as the big city) have more combination of vulnerability levelsdindicating that the city has various sensitivity, exposure, as well as adaptive capacity among its kelurahans. In Lasem (the small sized city), due to limitations imposed by adaptationdmostly because of lack of public services and high dependency on primary economic sectorsdall of its kelurahans were found to be vulnerable. The study therefore concluded that the bigger a city is, the more the different areas of that city will have varying levels of vulnerability, leading to a high propensity of vulnerability among its inhabitants. On the other hand, the smaller a city is, the less capacity it will have in reducing its emerging vulnerability challenges.
文摘BACKGROUND: The purpose of this study was to use point-of-care ultrasound(POCUS) to investigate the relationship between tobacco smoke exposure and the characteristics of the common carotid artery(CCA). The effect of both primary and secondary smoking on CCA properties was evaluated.METHODS: We performed a prospective cross-sectional study across 20 primary care clinics in Bandung, West Java, Indonesia in July 2016. Point of care ultrasound was performed on a convenience sample of Indonesian patients presenting to clinic. The CCA wall stiffness and carotid intima-media thickness(CIMT) were measured during diastole and systole. These measurements were correlated with smoke exposure and cardiovascular disease.RESULTS: We enrolled 663 patients in the study, with 426 patients enrolled in the smoking category and 237 patients enrolled in the second-hand smoke category. There was an overall positive correlation with the measured lifestyle factors and the ultrasound-measured variables in the group of individuals who smoked. For all variables, age seemed to contribute the most out of all of the lifestyle factors for the positive changes in CIMT and CCA wall stiffness.CONCLUSION: Our data yielded correlations between CCA properties and cardiovascular risk, as well as between CIMT and arterial stiffness. We were also able to demonstrate an increase in thickness of the CIMT in patients who have been exposed by tobacco through the use of ultrasound. Further large scale studies comparing patients with multiple cardiac risk factors need to be performed to confi rm the utility of ultrasound fi ndings of cardiovascular disease and stroke.
基金supported by Second Century Fund(C2F)the Faculty of Nursing,Chulalongkorn University,Bangkok,Thailandsupported by the 90th Anniversary of Chulalongkorn University Scholarship(Ratchadaphiseksomphot Endowment Fund)。
文摘Objective:First-line nurse managers are more likely to work according to gender beliefs and stereotypes,which may affect their managerial competence.This study is aimed at comparing managerial competence of male and female first-line nurse managers in public hospitals in Indonesia.Methods:This study employed a descriptive comparative approach with a cross-sectional survey with a total of 256 participants selected from 18 public hospitals.To measure managerial competence,the managerial competence scale for Indonesian first-line nurse managers was used.Data were analyzed using descriptive analyses using mean,standard deviation,and Independent t-test.Results:Managerial competence of male and female first-line nurse managers was not significantly different(P=0.555).Female nurse managers descriptively reported/received higher ranking in facilitating spiritual nursing care,managing self,staffing and professional development,utilizing informatics,and applying quality care improvement.Male nurse managers repor ted higher in leadership and financial management.Conclusions:Female and male first-line nurse managers should be treated equally for leadership and managerial development.
文摘Land subsidence can have a considerable impact on the socio-economic viability of areas. In urban areas, land subsidence tends to damage buildings and infrastructures gradually, while in rural peat land it slowly destroys vegetation. The damages will worsen since climate change has further implications for the areas affected by land subsidence. In Indonesia, the response to land subsidence varies in different areas in terms of awareness, urgency and action on the part of both public authorities and land users. This paper systematically investigates these varied responses in urban and rural peat land areas. Interviews with experts and surveys of 330 land users in selected sub-districts were conducted and further supplemented by focus group discussions. We found that both the public authorities as well as the land users’ responses were considered as of limited value to contest land subsidence. We suggest that the endorsement of land users’ response into governmental policies would make a significant difference in improving land subsidence management.
