Medicine and Health Sciences Commons^™

Recanalization After Radio-Frequency Ablation (Rfa) In Limb Varices At Dr. Cipto Mangunkusumo And Fatmawati General Hospitals From 2015- 2017, Rudi Hermansyah, Dedy Pratama, Witra Irfan

The New Ropanasuri Journal of Surgery

Introduction. Ligation in upper location and stripping of the varicose veins, enfacing high incidence of failure, recanalization. Endovascular surgery is a modality used to treat limb varicose. However, the recanalization following the procedure was never evaluated.

Method. We ran a cohort study on subjects with reflux of the great saphenous vein treated by RFA. Following the RFA procedure, the evaluation proceeded using ultrasound within the first three weeks.

Results. A total of 77 subjects were analysed for recanalization post-RFA. Recanalization was found in one subject (1.3%), partial recanalization in 6 subjects (7.79%), and no recanalization in 70 …

Biology Of Glycocalyx: The Essential Role In Maintaining Epithelial Barrier: A Mini-Review, Toar J.M. Lalisang

The New Ropanasuri Journal of Surgery

No abstract provided.

Open Surgery With Intraoperative Enteroscopy In Jejunoileal Massive Bleeding In Pediatric Patient: An Evidence-Based Case Report, Rini Y. Husni, Kshetra Rinaldhy

The New Ropanasuri Journal of Surgery

Introduction. A case report of surgical exploratory laparotomy with intraoperative enteroscopy (IOE) as a treatment in massive jejunoileal bleeding in children.

Method. We conducted a literature search on databases such as Cochrane, PubMed, ScienceDirect, and Google Scholar. Abstract and title screening was done based on exclusion criteria, inclusion criteria, and double filtering. The selected article then reviewed using critical appraisal tools based on its validity, importance, and applicability. Selected articles were benchmark to the discussion.

Results. The application of open surgery with IOE as the final treatment that can be recommended in the critical or life-threatening condition …

Pulmonary Resection In Complicated Primary Pediatric Pulmonary Tuberculosis: An Evidence-Based Case Report, Hendra Wibowo, Suprayitno Wardoyo, Dhama Shinta

The New Ropanasuri Journal of Surgery

Introduction. Paediatric pulmonary tuberculosis incidence was increasing, with many undetected cases. Antituberculosis regiments are known to be the treatment of choice for tuberculosis. Even though pulmonary resection for pulmonary tuberculosis has reduced in daily practice, it remains continues to play an important role in several advanced conditions and complications. Currently, there are no specific practical guidelines concerning surgical indications and approaches for pulmonary tuberculosis. We report a case with complicated primary paediatric pulmonary tuberculosis underwent resection and looking for the literature of the best evidence.

Method. A case report completed with a discussion based on the best evidence. …

A Rare Presentation Of A Giant Epidermal Cyst Of The Parietooccipital Region: A Case Reports, David Kereh, Septiman Septiman

The New Ropanasuri Journal of Surgery

Introduction. Epidermal cysts are common benign cutaneous cysts. An epidermal cyst may be classified as a giant epidermal cyst if it exceeds 5 cm. Giant epidermal cysts with a diameter of 5 cm or more are rare but have been reported. The epidermal cyst rarely discloses malignancy. Although rare, a case of malignant change of benign epidermal cyst is possible. We describe here a rare case of a giant epidermal cyst of the parietooccipital region in a 35-year-old man.

Case Illustration. A 35-year-old man was admitted to the hospital with a huge swelling over the scalp for the …

Comparison Of External Root Resorption In Orthodontic Treatment Between Self-Ligating And Conventional Bracket Systems, Nuriah Bohari, Noor Airin Koah, Rohana Ahmad

Journal of Dentistry Indonesia

The relationship between orthodontic bracket systems and external root resorption has remained debatable. Objective: This study compared the magnitude and pattern of the external root resorption of maxillary incisors as induced by self-ligating and conventional bracket systems via cone beam computed tomography and medical imaging programs. Methods: Eight participants were recruited for each bracket system. Their maxillary incisors were scanned at the beginning (T0) and 18 months into treatment (T1). Three-dimensional models of the four maxillary incisors at T0 and T1 were reconstructed using the Mimics program. The difference in root length between T0 and T1 models represented external root …

Violent Conflict And Breastfeeding: The Case Of Iraq, Vidya Diwakar, Michael A. Malcolm, George Naufal

Economics & Finance Faculty Publications

Background: This study explores the relationship between armed conflict and breastfeeding practices of Iraqi mothers. To date, the relationship between violent conflict and breastfeeding is surprisingly understudied. Especially in the Middle East, which is conflict-prone and has a young population, research on war and household behavior is critical for promoting recovery and sustainable development. Methods: This study employs a unique pairing of the Iraq Body Count Database and the 2006 and 2011 Multiple Indicator Cluster Surveys for Iraq. We use probit models to explore the association between armed conflict and several breastfeeding outcomes – whether a child was ever breastfed, …

Social Ecological Factors Affecting Substance Abuse In Ghana (West Africa) Using Photovoice, Ahmed Kabore, Evans Afriyie-Gyawu, James Awuah, Andrew R. Hansen, Ashley Walker, Melissa Hester, Moussa Aziz Wonadé Sié, Dhruv Medarametla, Nicolas Meda

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

Introduction: substance abuse is an important public health issue affecting West Africa; however, there is currently a dearth of literature on the actions needed to address it. The aim of this study was to assess the risks and protective factors of substance abuse in Ghana, West Africa, using the photovoice method.

Methods: this study recruited and trained 10 participants in recovery from substance abuse and undergoing treatment in the greater Accra region of Ghana on the photovoice methodology. Each participant received a disposable camera to take pictures that represented the risk and protective factors pertinent to substance abuse …

Intervention For Cognitive Reserve Enhancement In Delaying The Onset Of Alzheimer's Symptomatic Expression (Increase), A Randomized Controlled Trial: Rationale, Study Design, And Protocol, Daniela C. Moga, Brooke F. Beech, Erin L. Abner, Frederick A. Schmitt, Riham H. El Khouli, Ashley I. Martinez, Lynne Eckmann, Mark Huffmyer, Rosmy George, Gregory A. Jicha

Pharmacy Practice and Science Faculty Publications

BACKGROUND: The course of Alzheimer's disease (AD) includes a 10-20-year preclinical period with progressive accumulation of amyloid β (Aβ) plaques and neurofibrillary tangles in the absence of symptomatic cognitive or functional decline. The duration of this preclinical stage in part depends on the rate of pathologic progression, which is offset by compensatory mechanisms, referred to as cognitive reserve (CR). Comorbid medical conditions, psychosocial stressors, and inappropriate medication use may lower CR, hastening the onset of symptomatic AD. Here, we describe a randomized controlled trial (RCT) designed to test the efficacy of a medication therapy management (MTM) intervention to reduce inappropriate …

Medical Conditions And Oral Diseases In Elderly Thai Dental Patients In Lower Northern Thailand, Ruchadaporn Kaomongkolgit, Pissacha Daroonpan, Weeraya Tantanapornkul, Jadesada Palasuk, Ronnayut Chansamat

Journal of Dentistry Indonesia

The World Health Organization (WHO) aims to strengthen oral health promotion and disease prevention around the globe. The prevalence and association of systemic diseases and oral diseases has been reported. Objectives: The objectives of this study were to investigate prevalence of medical conditions and oral diseases in elderly Thai dental patients. Methods: Three hundred dental records of patient aged 60 years old and older were retrospectively reviewed. Data were analyzed using Pearson’s Chi-square and Fisher›s exact test with the significant level at p < 0.05. Results: All of them were Thai of 142 males (47.3%) and 158 females (52.7%). Their age ranged …

Hazards Of Short- And Long-Term Administration Of Glucocorticoids On The Periodontium In Rats: A Histological And Electron Microscopic Study, Tahani Abd El Karim Hagag, Elham Fathy, Mahmoud Fathy Mahmoud, Zeinab Salem

Journal of Dentistry Indonesia

The administration of glucocorticoids is proven to cause serious adverse events. Objectives: This study was conducted to compare the possible hazards of the short- and long-term administration of glucocorticoids on the periodontium in rats, using histological examination and scanning electron microscopy. Methods: Fifteen adult male albino rats were included in the study and divided into the 3 groups. Group I served as a control, group II received 7 mg/kg dexamethasone intramuscularly once a week for 5 wk, and group III received 7 mg/kg dexamethasone intramuscularly once a week for 10 wk. The mandibles were dissected and examined histologically as well …

Orthodontic Camouflage Treatment Of A High-Angle Severe Skeletal Class Ii Discrepancy, Deryana Marshadhianti, Miesje Karmiati Purwanegara

Journal of Dentistry Indonesia

Proper orthodontic treatment in adult patients with severe skeletal Class II discrepancy can be challenging. Recently, miniscrew implants have been used as a strategy to treat skeletal Class II patients. Objective: This report illustrates a skeletal Class II malocclusion management combining straight wire technique and miniscrew implant anchorage. Case report: The patient was a 21-years- old Indonesian female with Class II skeletal discrepancy, a retrognathic mandible, a high mandibular plane angle, and a mouth breathing habit due to a history of allergic rhinitis. Anchorage control is important in the sagittal and vertical directions. Miniscrew implants were placed in the …

Oral Manifestations Of Renal Osteodystrophy In A Patient With Systemic Lupus Erythematosus With Chronic Renal Failure And Secondary Hyperparathyroidism: A Case Report, Inthivorn Riyachan, Ajiravudh Subarnbhesaj, Wilairat Sarideechaigul, Poramaporn Klanrit

Journal of Dentistry Indonesia

Systemic lupus erythematosus (SLE) is one of the chronic autoimmune diseases that leads to multiple manifestations in several organ systems, including chronic renal failure (CRF). Renal osteodystrophy (ROD) is one of the most common complications of CRF associated with secondary hyperparathyroidism (HPT). A combination of CRF and HPT can result in broad-spectrum disorders in the metabolism of minerals such as calcium, phosphorus, and vitamin D, which can affect bone turnover, mineralization, and volume. Radiographic alterations of ROD are considered as one of the earliest signs of CRF. Objective: To describe the oral manifestations in both the maxilla and mandible of …

Antimicrobial Efficacy Of Myrmecodia Pendens Extract And Fraction Combination Against Enterococcus Faecalis Atcc 29212, Faisal Kuswandani, Mieke H. Satari, Ani M. Maskoen

Journal of Dentistry Indonesia

Enterococcus faecalis can withstand harsh environmental conditions in the root canal and cause a secondary infection. Myrmecodia pendens is an herbal medicine rich in polyphenol compounds that have antibacterial, antioxidant, and anticancer properties. Objectives: To analyze the effects of M. pendens fraction combination on the sensitivity of E. faecalis. Methods: The minimum inhibitory concentration (MIC) was determined using a serial microdilution method, and the minimum bactericidal concentration (MBC) was determined by adding the test sample to sterile Mueler Hinton agar medium. Results: The MIC of combination 1 (hexane-ethyl acetate, HE) was 0.049 mg/mL, whereas those of combinations 2 (hexane-water, HA) …

The Papoose Board: Parents’ Perceptions And Attitudes Of Its Usage In Their Child’S Dental Treatment, Ilham Wan Mokhtar, Aida Syazana Mohd Suhaimi, Mas Suryalis Ahmad, Izyan Hazwani Baharuddin, Nur Iryani Izzaty Andytan

Journal of Dentistry Indonesia

Parental perception and attitudes are important parameters in deciding the most suitable behavioral management technique for their children’s dental treatment. Objective: This study sought to evaluate parents’ perceptions, attitudes, and concern in using a papoose board (PB) on their child during dental treatment as a behavioral management technique in dentistry, as well as determine the sociodemographic factors associated with parents’ willingness to use the PB for their children’s dental care. Methods: One hundred parents from three locations with at least one healthy child aged between 4 and 7 years old were randomly identified. A self-made video (duration of 94 s) …

Primary Amelanotic Melanoma Of The Maxillary Gingiva: A Case Report, Wipasinee Sungkhao, Poramaporn Klanrit, Suthin Jinaporntham, Ajiravudh Subarnbhesaj

Journal of Dentistry Indonesia

Malignant melanoma arising in the oral cavity is particularly rare. The clinical presentations of malignant melanoma can range from a benign-looking pigmented macule or nodule to a non-pigmented neoplasm which can be categorized into primary or metastatic lesions. Less than 2% of all melanomas show no pigmentation and could lead to misdiagnosis. Objective: To present a benign looking but life-threatening malignancy of melanotic melanoma. Case report: A 59-year-old female patient was referred to a regional hospital for further treatment of a localized gingival swelling with no ulceration at the anterior maxilla. An incisional biopsy was performed, with initial histopathologic …

Association Of Obesity And Negative Acid-Fast Bacilli Finding Among Pulmonary Tuberculosis Patients With Type 2 Diabetes Mellitus, Nadya Magfira, Md Ikhsan Mokoagow, Ida Ayu Kshanti, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

non-diabetes mellitus population. However, it’s effect on PTB in type 2 diabetes mellitus (T2DM) patient is unclear. The study aims to determine the association between obesity and PTB in patient with T2DM. A cross sectional study was held in in-patient, The Department of Internal Medi cine, Fatmawati General Hospital from January 2015 to December 2017. This study includes patient with T2DM who had been diagnosed with PTB and age > 18 years old. In this study negative Acid-fast-bacilli (AFB) founding defined as patient’s sputum is negative by smear microscopy, while obesity define as body mass index > 24.9 kg/m2. From 363 PTB …

Faktor-Faktor Yang Berkontribusi Terhadap Kejadian Luar Biasa Hepatitis A Di Pesantren X Kab. Cirebon, Januari 2018, Ima Ananda, Syahrizal Syarif, Ade Nurlina

Jurnal Epidemiologi Kesehatan Indonesia

Kejadian luar biasa Hepatitis A di Pondok Pesantren X pada bulan Januari 2018 merupakan KLB Hepatitis A pertama di Kabupaten Cirebon. Penelitian ini bertujuan untuk mengidentifikasi faktor risiko kejadian suspek Hepatitis A di Pondok Pesantren X Kabupaten Cirebon. Penelitian ini menggunakan desain kasus kontrol dengan jumlah kasus 30 orang dan kontrol 53 orang. Populasi penelitian adalah seluruh santri Pondok Pesantren X Kabupaten Cirebon. Kasus adalah suspek hepatitis A yaitu santri Pondok Pesantren X yang mengalami gejala jaundice dan air kencing berwarna seperti teh pada periode Desember 2017-Januari 2018. Kontrol adalah santri Pondok Pesantren X yang tidak mengalami gejala jaundice dan …

Reliability Assessment Of The Examination Of The Sounds In The Temporo­ Mandibular Joints In A Polish Patient Population, Magdalena Osiewicz, Jolanta E Loster, A Wieczorek, Bartłomiej W Loster

Journal of Dentistry Indonesia

Temporomandibular joints (TMJs) sounds are a common phenomenon in individuals with and without temporomandibular disorders (TMD). According to the Research Diagnostic Criteria of Temporomandibular Disorders (RDC/TMD), there are the following two distinguished types of sound: click and crepitation. The implementation of diagnostic criteria in studies should be accompanied by a reliability assessment of these criteria. Objective: This study aimed to assess the intra- and inter-observer reliability of joint sounds examination, using the officially translated and culturally adapted Polish version of the RDC/TMD. Methods: Ninety-eight (n = 98) consecutive adult patients were examined during two clinical sessions by two independent examiners, …

Persistent Endodontics Pathogens Biofilm Inhibited By Lactobacillus Reuteri Indonesian Strain, Armelia Sari Widyarman, Njoo Kiky Elysia Lazaroni

Journal of Dentistry Indonesia

Lactobacillus reuteri is known as probiotics that effective to improve oral health. Objective: To analyze the effect of L. reuteri Indonesian strain, towards Enterococcus faecalis and Candida albicans biofilm growth. Methods: This study was conducted using biofilm assay. Each E. faecalis ATCC-29212 and C. albicans ATCC-10231 were cultured in Brain Heart Infusion Broth, distributed into 96 well-microplate and incubated for 24h, 37°C, anaerobic condition for E. faecalis and aerobic condition for C. albicans. L. reuteri LC382415 (Indonesian strain) was cultured in deMann Rogosa Shar pe Broth and diluted into different concentrations (10⁸,10⁶, and 10^{4 …}

Hubungan Wilayah Tempat Tinggal Dengan Pemberian Asi Ekslusif Pada Anak 0-5 Bulan Di Indonesia (Analisis Data Survei Demografi Kesehatan Indonesia) Tahun 2017, Andi Karnila, Krisnawati Bantas

Jurnal Epidemiologi Kesehatan Indonesia

ASI ekslusif dapat mencegah morbiditas dan mortalitas pada anak. Wilayah tempat tinggal perkotaan dan pedesaan memiliki keterkaitan dengan praktek pemberian ASI ekslusif. Penelitian ini bertujuan untuk menganalisis hubungan antara wilayah tempat tinggal dengan praktek pemberian ASI ekslusif pada anak 0-5 bulan di Indonesia. Desain studi penelitian yaitu cross sectional menggunakan data sekunder Survei Demografi Kesehatan Indonesia. Penelitian ini dilaksanakan diseluruh provinsi di Indonesia. Variabel dalam penelitian ini terdiri dari ASI ekslusif sebagai variabel dependen, wilayah tempat tinggal sebagai variabel independen dan variabel perancu yang terdiri dari umur ibu, pendidikan ibu, paritas, kondisi depresi ibu, status bekerja, status ekonomi, status pernikahan, …

Pemberantasan Sarang Nyamuk 3m Plus Terhadap Kejadian Demam Berdarah Dengue Di Puskesmas Payung Sekaki Kota Pekanbaru; Studi Kasus Kontrol, Tyagita Widya Sari, Retno Putri

Jurnal Epidemiologi Kesehatan Indonesia

Demam Berdarah Dengue (DBD) adalah penyakit menular yang disebabkan oleh virus Dengue dan ditularkan melalui gigitan nyamuk Aedes aegypti. Dinas Kesehatan Provinsi Riau melaporkan jumlah kasus DBD sebanyak 277 dan Case Fatality Rate (CFR) DBD sebesar 1,4% pada tahun 2016, di mana kasus terbanyak berasal dari Kota Pekanbaru yaitu 58 kasus dengan CFR sebesar 0%. Adapun, CFR DBD di wilayah kerja Puskesmas Payung Sekaki meningkat dari 0% pada tahun 2015 menjadi 0,7% pada tahun 2016. DBD merupakan penyakit berbasis lingkungan yang dapat dicegah dengan melakukan tindakan pengendalian vektor, antara lain dengan pemberantasan sarang nyamuk (PSN) dan tindakan pencegahan lainnya. Akan …

Pengaruh Inisiasi Menyusu Dini Terhadap Kematian Neonatal Pada Bayi Berat Lahir >2500 Gram Dan Pada Bayi Berat Lahir Rendah Di Indonesia, Ana Maina Rezky, Asri C. Adisasmita

Jurnal Epidemiologi Kesehatan Indonesia

Kematian balita banyak terjadi pada masa neonatal. Inisiasi menyusu dini merupakan salah satu bentuk perawatan esensial saat lahir dan sebagai kunci awal dalam meningkatkan kelangsungan hidup bayi neonatal. Penelitian ini bertujuan mengetahui pengaruh inisiasi menyusu dini terhadap kematian neonatal pada bayi berat lahir > 2500 gram dan pada bayi berat lahir rendah di Indonesia. Penelitian ini menggunakan data yang bersumber dari Survei Demografi dan Kesehatan Indonesia tahun 2012. Data yang dikumpulkan dalam SDKI diperoleh melalui wawancara responden menggunakan kuesioner. Metode pengambilan sampel yang digunakan dalam SDKI yakni pertama melakukan pemilihan sejumlah primary sample unit (PSU) secara probability proportional to size (PPS), …

Efek Asi Eksklusif Terhadap Stunting Pada Anak Usia 6-59 Bulan Di Kabupaten Bogor Tahun 2019, Hardya Gustada Hikmahrachim, Rinawati Rohsiswatmo, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Stunting, atau perawakan pendek, berhubungan erat dengan hambatan kemampuan kognitif dan kualitas hidup. Prevalensi stunting di Indonesia mencapai 30,8% tahun 2018. Stunting dipengaruhi pemenuhan nutrisi di awal kehidupan, salah satunya melalui ASI eksklusif. Meskipun cakupan ASI eksklusif di Indonesia sudah 74,5%, hubungan stunting dengan ASI eksklusif seringkali tidak konsisten akibat keberagaman kuantitas dan kualitas ASI. Penelitian ini ingin mengetahui efek ASI eksklusif terhadap stunting di Kabupaten Bogor, sebagai salah satu daerah tinggi stunting di Indonesia. Penelitian dengan desain potong lintang ini dilaksanakan di Puskesmas Kecamatan Ciampea, Kabupaten Bogor, pada Februari sampai April 2019. Kriteria inklusi adalah balita usia 6-59 bulan …

Kinerja Rumah Sakit Swasta Dengan Pembayaran Ina Cbgs Di Era Jaminan Kesehatan Nasional: Casemix, Casemix Index, Hospital Base Rate, Atik Nurwahyuni, Ery Setiawan

Jurnal Ekonomi Kesehatan Indonesia

Private hospitals must monitor their performance using indicators commonly used in DRG payment systems: casemix, casemix index and hospital base rate. This study aims to analyze the performance of private hospitals including casemix, casemix index and hospital base rate. This cross sectional study was conducted with a sample of 7 hospitals selected purposively representing private hospital type B, C, and D in 6 provinces. Casemix and CMI RS are strongly influenced by the hospital capacity, which the hospitals class B have higher casemix and CMI than class C and D hospitals. There is a phenomenon, CMI in class C hospitals …

Kajian Literatur Sistematis: Skema Pengendalian Biaya Dalam Asuransi Kesehatan Nasional Di Beberapa Negara, Eka Pujiyanti, Ery Setiawan, Euis Ratna Sari, Indah Pratiwi Suwandi

Jurnal Ekonomi Kesehatan Indonesia

Cost-containment is one of several strategies to ensure the financial sustainability of the National Health Insurance scheme. Several cost-containment models were commonly globally, such as cost-sharing, capping, and others. This review aims to determine the costs and impacts of implemented policy schemes as cost-containment instruments in various countries. We performed a systematic review from several primary databases (Proquest, Pubmed, and Cochrane Library) with the primary intervention are the cost-sharing methods. The results of our review focused on the cost containment scheme from the government perspective, in which the context of social insurance can be a modification of payment systems, cost-sharing, …

Analisis Biaya Satuan (Unit Cost) Dengan Metode Activity Based Costing (Abc) Di Poliklinik Jantung Rsu Dr. H. Koesnadi Bondowoso, Sumiati Sumiati, Eri Witcahyo, Andrei Ramani

Jurnal Ekonomi Kesehatan Indonesia

Determination of rate calculated based on unit cost, based on Bondowoso Regent Regulation Number 62 of 2017, RSU dr. H. Koesnadi Bondowoso unit cost calculates using the Double Distribution method. Double Distribution (DD) method is not appropriate to be applied because it does not reflect activity, method based on activity, precise and accurate so that it can provide the right information is Activity Based Costing (ABC) method. RSU Dr. H. Koesnadi Bondowoso has not made unit cost calculation using Activity Based Costing (ABC) method, especially for outpatient installation. The purpose of this research is unit cost analysis with Activity Based …

Kemampuan Dan Kemauan Pasien Umum Rawat Inap Dalam Membayar Pelayanan Kesehatan Rawat Inap Di Rumah Sakit Umum Kaliwates Kabupaten Jember, Yanuar Anafia, Eri Witcahyo

Jurnal Ekonomi Kesehatan Indonesia

testRational rates were determined by calculating unit costs into account characteristics of product as information related ability and willingness to pay. Ability and willingness were calculated for quality control and cost at the hospital. Community satisfaction index in Kaliwates General hospital released number of customer satisfaction that hasn’t met the standard was rate of inpatient services. Results of preliminary study on general inpatients were 70% having an estimated rate of less than rate set by the hospital, 20% said rates were less affordable and 10% couldn’t estimate rates, then this study was calculate ability and willingness to pay for inpatient …

Analysis Of Risk For Class Shifting And Determinants Of Bpjs Kesehatan Membership Using Generalized Ordered Logit-Unconstrained Partial Proportional Odds Model, Siskarossa Ika Oktora, Ika Yuni Wulansari, Geri Yesa Ermawan

Jurnal Ekonomi Kesehatan Indonesia

The main source of funding of BPJS Kesehatan comes from the different premium class in which the participant registered. The medical benefits among classes are equivalent, except inpatient facilities. But when the improvement health degree is not linear with the incurred costs, problem would arise. This study aims to analyze class shifting and determinants of BPJS Kesehatan membership. Around 1.53 percent of participants access higher classes, while 5.62 percent access lower classes. Class III participants with inpatient status severity level 2 and 3, reaching 41% and 43%, respectively. In addition, 60% of non-PBI participants are Class II premium participants; most …

Chemical Composition And Behavioural Responses Of Male And Female Bactrocera Dorsalis To Their Volatile Emissions, Fikira Kimbokota

Journal of Humanities and Social Sciences

Bactrocera dorsalis, (Tephritidae) presented a grave threat to a broad range of fruit and vegetables in the tropics, including Tanzania. Bactrocera dorsalis is among the most destructive tephritid fruit fly, causing devastating loss of fruits especially mango. Insects use olfactory cues to locate hosts, oviposition sites and mating, in which pheromones are believed to be a strong cue used by insect to locate their mates. However, due to their high ability to adapt and occupy different ecological niches into various agroecological zones, there is a need to evaluate pheromonal composition from time to time to improve their control strategies. Therefore, …