WACANA PERCAKAPAN DOKTER DAN PASIEN DI RUANG PRAKTIK : SEBUAH STUDI TENTANG REALISASI TINDAK TUTUR

Komunikasi yang kurang baik antara dokter dan pasien meyebabkan ketidakpuasaan pasien terhadap pelayanan medis. Penelitian deskriptif kualitatif dengan studi kasus bertujuan untuk mengungkapkan bentuk tindak tindak tutur dan register dalam wacana medis. Data diambil dari interaksi medis dalam bentuk tindak tutur yang dituturkan oleh dokter umum dan sepuluh pasiennya. Data dianalisis berdasarkan tindak tutur Searle (1979, teori Analisis Wacana Profesi (Gunarsson, 2009), register (Holmes, 1992). Penemuan dalam penelitian ini menunjukkan tindak tutur asertif, direktif, ekspresif dan komisif yang lazim muncul dalam wacana medis. Dokter menggunakan register kedokteran dan memberikan pertanyaan yang panjang ketika berinteraksi dengan pasien dewasa. Penelitian selanjutnya disarankan tentang tindak tutur dan register berbagai dokter specialist, hal ini akan menunjukkan hasil interaksi dan jenis komunikasi yang berbeda

Optimum Partition Parameter of Divide-and-Conquer Algorithm for Solving Closest-Pair Problem

Divide and Conquer is a well known algorithmic procedure for solving many kinds of problem. In this procedure, the problem is partitioned into two parts until the problem is trivially solvable. Finding the distance of the closest pair is an interesting topic in computer science. With divide and conquer algorithm we can solve closest pair problem. Here also the problem is partitioned into two parts until the problem is trivially solvable. But it is theoretically and practically observed that sometimes partitioning the problem space into more than two parts can give better performances. In this paper, a new proposal is given that dividing the problem space into (n) number of parts can give better result while divide and conquer algorithm is used for solving the closest pair of point's problem.Comment: arXiv admin note: substantial text overlap with arXiv:1010.590

Economics of Disability Research Report #6: Comparing the Robustness of Economic Outcomes Measured in the CPS and NHIS Data

Using data from the March Current Population Survey (CPS), Burkhauser, Daly and Houtenville (2001) show that the employment rates of working-age people with disabilities declined over the 1990s business cycle and that this population did not proportionally share in gains of 1990s economic growth. In this report we use the National Health Interview Survey (NHIS) to test the robustness of these controversial findings. We first compare the concepts of disability, employment, and household income in the CPS and NHIS. We then develop hypotheses regarding the differences we find when using these concepts to estimate disability prevalence rates, employment rates, and mean household size-adjusted income with the CPS and NHIS. Finally, we carry out these estimates for working-age men and women with disabilities over the year 1983 through 1996 using these two data sets

Employee’s View on Job Satisfaction: A Study on Garments Industry in Bangladesh

Purpose: This paper focuses on the job satisfaction of the employees of the ready-made garment industry in Bangladesh. Introduction: Almost every country irrespective of its stage of development is engaged in garment manufacturing and trading. This industry migrates from high-wage to low-wage countries like a “flying goose”. Almost, without any exception, historically, the readymade industry was the first industry a country was able to introduce, which eventually led to the development of other industries. Literature review: Literature review shows that after the liberation industrial base here in Bangladesh had to face a sudden vacuum of the entrepreneurs (who were mainly from West Pakistan). However, towards 1980’s a new industrial venture namely garments manufacturing factories started to grow with some favorable policy support from the Government and preferential treatment of major apparel importing countries by guaranteed share of their market. Methods: The data collection method is primary survey on employees of garment industry and experts of the same industry supported by secondary research on previous research, industry report, government paper, and interview of resource persons. Percentage analysis, hypothesis tests are the primary tools used for the data analysis. Conclusions: The findings show that garment workers are unhappy with their working environment and about pay package.garments, Job, Satisfaction, Employees, Working, Environment

Promises and hurdles in EU-Kazakhstan energy cooperation. EUCAM Commentary No. 20, November 2011

Kazakhstan’s Prime Minister, Karim Massimov, once referred to energy cooperation as the ‘core’ of relations between his country and the European Union (EU). Indeed, there is great mutual interest in this area. Six percent of the EU’s crude oil imports and 16 percent of its uranium imports come from Kazakhstan. And around 80 percent of the latter’s oil exports go towards Europe. For Kazakhstani producers, access to European lucrative and reliable markets is of utmost importance. Over the last several years, the thrust of Kazakhstan’s foreign policy was aimed at increasing the capacity of the Caspian Pipeline Consortium (CPC) that pumps Kazakhstani oil to Europe. Moreover, Kazmunaigaz’s (KMG) – the national oil and gas company – major external investment was in the Romanian oil company Rompetrol

A Qualitative Exploration to Understand Access to Pharmacy Medication Reviews: Views from Marginalized Patient Groups

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This research was led by the Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2UH, UK.Background: Vulnerable patients from marginalized groups (e.g., people with disabilities, people experiencing homelessness, black and minority ethnic communities) experience higher rates of ill-health, inequitable access to healthcare and low engagement with screening services. Addressing these disparities and ensuring healthcare provision is impartial and fair is a priority for the United Kingdom (UK) healthcare system. Aim: Using Levesque’s access conceptual framework, this study explored the views of patients from marginalized groups, specifically on how access to pharmacy services could be improved and their experiences of receiving a medication review service. Method: Qualitative data were collected via semi-structured interviews on patient experiences of pharmacy services and how access to these could be improved (n = 10). Interviews of patients who had received a medication review from their pharmacist were also conducted (n = 10). Using an interpretivist approach, five ‘demand-side’ dimensions of Levesque’s access conceptual framework were explored (ability to perceive a need for medication support, their ability to seek this support, ability to reach the pharmacy, ability to pay and engage). Results: The findings exposed the medicine, health and social care challenges of vulnerable people and how these are often not being adequately managed or met. Using the access formwork, we unpack and demonstrate the significant challenges patients face accessing pharmacy support. Discussion: Pharmacy organizations need to pay attention to how patients perceive the need for pharmacy support and their ability to seek, reach and engage with this. Further training may be needed for community pharmacy staff to ensure services are made accessible, inclusive and culturally sensitive. Effective engagement strategies are needed to enable the provision of a flexible and adaptable service that delivers patient-centred care. Policy makers should seek to find ways to reconfigure services to ensure people from diverse backgrounds can access such services

Value-addition of silk using natural dye extracted from Lichen (Evernia cirrhatum)

The natural dyes are used since pre-historic times for colouring the wide varieties of fibres for providing value addition, look and desire of the customer. In this study among the different sources of Lichen, Evernia cirrhatum was used to standardise the dyeing recipe for degummed silk cloth. A series of experiments were conducted to optimize the dyeing variables viz., medium of dye extraction, concentration of dye material, dye extraction time and dyeing time. The dyed fabric was then treated with chemical auxiliaries and fastness test was undertaken. Aqueous medium was used by taking 2 g of E. cirrhatum dye per 100 ml of water with 60 minute extraction time and 60 minute dyeing time was found to be optimum. In case of chemical auxiliaries, 2% of citric acid, 2% of sodium sulphate, 3% of oxalic acid and 4% tartaric acid with simultaneous dyeing method was found as best. It was observed that the dyed silk exhibited good to excellent colour fastness to washing and perspiration, no stain on rubbing and very good for light fastness. The chemical auxiliaries that exhibit best fastness characteristic were sodium sulphate and tartaric acid with fastness grade of good to excellent for washing and perspiration fastness, slight stain to no stain for rubbing fastness and good to very good for light fastness

Structural labor market changes in France

France posted remarkable gains in employment in the second half of the 1990s, suggesting that, beyond cyclical factors, structural unemployment may have changed in the period. We provide a novel methodology to separate structural from cyclical labor market changes and apply it to French household level data from 1990 to 2000. We show that the equilibrium relationship between real wages and unemployment has improved significantly in France in the second half of the 1990s. Further calculations suggest that long-term unemployment will decline substantially in France with respect to its average level in the 1990s if this improved trade-off is not undone

CR-warped product submanifolds of locally conformal Kaehler manifolds

In the present paper characterizations in terms of the canonical structures P and F on a CR-submanifold of a locally conformal Kaehler manifold are worked out under which the sub manifold reduces to a CR-warped product submanifold