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Analisis Peran Ganda Perempuan Yang Bekerja Sebagai Buruh Bangunan di Kota Kendari

The formulation of the problem in this research is how women act as construction workers in Kendari City and why these women choose to be construction workers as their job. This research was carried out with the aim of knowing, understanding and describing women's activities as construction workers and the reasons for choosing work as construction workers. The method used in this research is field research using open, unstructured interviews (semi-structured interviews) and observations, both casual observations and involved observations of the activities of five female construction workers in Kendari City, with purposive selection of informants. sampling which was analyzed descriptively qualitatively.The results of this research can be seen that women as construction workers before carrying out their activities outside the home as construction workers, first complete their domestic role as housewives, as well as when they return home even though they have spent approximately eight hours outside to carry out their work. public role as a construction worker to meet the family's needs, this woman still has to carry out her duties as a housewife. This fact also illustrates that women who work as construction workers carry out dual roles. The main reason for choosing a job as a construction worker was due to family economic pressures. Apart from economic reasons, there are other reasons that support women in working as construction workers, including low education, wanting to send their children to school, limited skills, polygamous husbands and husbands' own income. 

Who Gets to Determine Whether Home Is "Unsafe" at the End of Life?

At the end of life, some patients wish to be discharged directly home from the hospital, but health care teams may consider this unsafe, raising concerns for capacity and risk. However, defining risk is subjective and impacted by values, preferences, and clinical status. Accommodating patient preferences in discharge destinations can promote autonomy, dignity, and quality of life at the end of life. We developed a risk assessment framework to help clinicians objectively identify risk factors and protective factors and develop a comprehensive discharge plan. We applied this framework to a veteran nearing the end of life and he was able to successfully return home from the hospital. Approaching end-of-life discharges with a framework can inform discharge planning and lessen the risk of adverse events. Importantly, this framework can help clinicians communicate better and partner with patients and their loved ones in prioritizing patient values and preferences.

The Choice Study, Cervical Ripening In-Hospital and At-Home: Qualitative Findings and Implications for Practice

Cervical ripening (CR) is recommended as the first stage of induction of labour (IOL) in most circumstances.1 The procedure involves application of an agent, either pharmaceutical such as Prostin, or mechanical, including balloon catheter or osmotic dilator, with the aim of softening and shortening the cervix in preparation for labour. Traditionally, CR has taken place in hospital. However, some UK maternity units now offer the opportunity to return home for a period after application of the cervical ripening agent, referred to as home CR.

Determinants of Factors Affecting the Incidence of Patients Discharged on Their Own Request in the Inpatient Room of the Sahabat Keluarga Clinic: A Qualitative Study

Introduction: Discrepancies in patient expectations of hospital or clinic services can cause patients to return home or be reluctant to use the service again. This is certainly detrimental to both parties, the hospital or clinic will lose because of reduced income and the patient or family feels disadvantaged because treatment has not been completed. The purpose of this study was to explore the influence of knowledge, family support and the cost of care on the incidence of patients returning home at their own request in the Inpatient Room of the Sahabat Keluarga Clinic. Methods: This research design is a qualitative study with a phenomenological approach with the focus of the research directed at exploring the influence of knowledge, family support and the cost of care on the incidence of patients returning home at their own request in the Inpatient Room of the Sahabat Keluarga Clinic. In addition, the qualitative approach is expected to reveal the situation and problems faced in these activities. The informants in this study were the owner or person in charge of the clinic totaling 12 (Twelve) people. Results: Knowledge has an influence on the incidence of patients going home at their own request in the Inpatient Room of the Sahabat Keluarga Clinic. Family support has an influence on the incidence of patients discharged at their own request in the Hospitalization Room of the Sahabat Keluarga Clinic. The cost of care has an influence on the incidence of patients discharged at their own request in the Hospitalization Room of the Sahabat Keluarga Clinic. Conclusion: It is expected that patients actively communicate with medical personnel and the care team to understand health conditions better. In addition, do not hesitate to ask questions and seek further information about the treatment plan that will be carried out.

Fecal Incontinence after Severe Brain Injury: A Barrier to Discharge after Inpatient Rehabilitation?

In this study, we aimed to investigate the incidence of fecal incontinence (FI) after severe acquired brain injuries (sABIs) and to determine whether this symptom can lead to an inability to return home after rehabilitation. This was a retrospective observational cohort study. In total, 521 acute sABI inpatients were enrolled from the Department of Neurorehabilitation at an academic tertiary care hospital. Patients were divided into two groups, with and without FI, at the end of the rehabilitation phase. The primary and secondary endpoints were the incidence of persistent FI and any difference in the discharge destination. Upon admission, new-onset FI was found in 443 (85%) patients, of which 38% had traumatic sABI. Moreover, 62.7% of all patients had FI upon admission. At discharge, 53.3% (264/495) of patients still had FI. Of these, 75.4% (199/264) had a Rancho Level of Cognitive Functioning Scale (LCFS) ≥3. A statistically significant correlation between FI at discharge and the presence of frontal lesions, autonomic crises, and increased LCFS scores was noted. Among the patients discharged to their homes, the proportion with persistent FI was lower (34% vs. 53.3). FI was significantly persistent after sABI, even after recovery from unconsciousness, and must be considered as a consequence of, rather than an independent risk factor for, unfavorable outcomes.

FLORENCE NIGHTINGALE – THE MONUMENT OF HUMANITY IN THE CRIMEAN WAR 1853.-1856.

Background: Ms. Florence Nightingale (F.N.) has been recognized as the founder of modern nursing. She had a prominent role in organizing the medical service for the British army in the Crimean War. Aim: The goal of the research was to determine the role and contribution of F.N. to the medical service during the Crimean War, her original organizing arrangements, and novel treatment modalities in the setting of a mass casualty situation. The impact of her war experience on her psychological condition has been assessed. Methodology: The research was done through a review of the historical documents, considering the work and the role of F.N. in the British Army medical service during the Crimean War. Result: The passionate work of F.N. in the field hospital earned her the nickname Angel of Crimea. She introduced novel methods of nursing and sanitation that reduced the mortality rate in the British Army by 70%. However, after the war, on her return home to England, she showed mood changes consistent with what is nowadays known as posttraumatic stress disorder. Conclusion: Engagement in the medical service during the war carries the inevitable risk of the development of posttraumatic stress disorder. This should be considered a real and obvious threat for medical personnel involved with the treatment of the injured during the war, i.e., the mass casualty situation. The contribution of F.N. to the organization and efficacy of the military medical service of the British Army has been discussed.

Patient and multidisciplinary health professional perceptions of an Australian geriatric evaluation and management and rehabilitation hospital in the home service.

Hospital in the Home models are rapidly expanding in response to increasing bed pressures. This study examined patient and multidisciplinary health professional perceptions of a new geriatric evaluation and management and rehabilitation hospital in the home service in Australia. The service was unique, as adults of all ages with a variety of rehabilitation or geriatric evaluation and management needs were within scope. A qualitative descriptive approach was used with a consumer co-researcher and a consumer advisor being integral to decision-making. Patient feedback was collected via a paper-based patient satisfaction survey between August 2020 and February 2022. Additionally, interviews with current and past staff were conducted from July to November 2021. Reflexive thematic analysis was conducted for qualitative data and descriptive statistics used for quantitative data. Patient surveys were analysed (n = 199, 42.2% response rate) with 60.8% of participants aged 75years or over and 26.6% speaking a language other than English. High satisfaction was expressed. Feelings of comfort, familiarity, convenience, and reassurance were voiced. A person-centred approach enhanced involvement in care. Challenges included carer burden and clear communication. Sixteen staff (33% response rate) were interviewed. In general, staff said the service was inclusive and responsive, and the home environment beneficial, particularly for patients from culturally diverse backgrounds. A strong hospital partnership and comprehensive multidisciplinary approach were vital. Challenges included fragmentation due to part-time roles and combining with a pre-existing acute hospital in the home service. This qualitative exploration of staff and patients' perceptions of a geriatrician-led, multidisciplinary geriatric evaluation and management and rehabilitation hospital in the home service demonstrated that it was person-centred and optimised patients' control and ownership of care. The inclusive service parameters ensured responsiveness to diverse needs whilst allowing earlier return home from hospital, both of which are vital for quality patient care.

Policies of Different Countries to Deal with Population Aging and Their Enlightenment for China

This article summarizes the successful measures taken by countries around the world to deal with the aging population, and focuses on the impact of immigration policies on the aging population. Immigration policy is one of the important ways to solve the thorny impact of population aging. If accurate and efficient immigration policies can be implemented, it will contribute a lot to minimizing the impact of population aging. In order to put forward suggestions for China's future immigration policies, this paper compares the immigration policies of different countries and China's policies to cope with the aging of the population by analyzing the aging trend of the world population and China's aging trend, focusing on two aspects of China's current immigration policies, as well as the results of previous studies. The results show that China's immigration policy is close to the mature strategies of developed countries, but there are still many shortcomings. In order to better adapt to the aging trend in the future, China should improve its legal system, optimize preferential policies, make up for negligence in links, and attract high-quality foreign talents to settle in China and overseas students to return home for development.

Emergency department visits by older adults receiving postacute care in skilled nursing facilities.

Skilled nursing facilities (SNF) represent a common postdischarge destination for hospitalized older adults. The goals of SNF care include the completion of extended skilled nursing care and physical rehabilitation to enable patients to safely return home. However, nearly one in four older adults discharged to SNF are rehospitalized and one in five seek care in the emergency department (ED) but are discharged back to SNF. Our aim was to measure the national prevalence and costs to Medicare of ED visits by SNF patients. Of the 1,551,703 Medicare beneficiaries discharged to SNF in 2019, 16.3% had an ED visit within 14 days (n = 253,104). Of those ED visits, 25.5% resulted in a same-day discharge back to SNF (n = 64,472), costing Medicare $24.6 million. Novel care models that can leverage SNF staff and resources while providing rapid diagnostic services are urgently needed.

International Chinese students' experiences of participating in mandala-based art therapy in Korea: a phenomenological study.

Although China and South Korea share a similar East Asian culture, owing to major social and cultural differences, international students encounter several difficulties, which can lead to various psychological problems. To explore the experiences of eight Chinese doctoral students in South Korea participating in mandala-based art therapy. Data for this phenomenological study were gathered through individual interviews and visual art from April 5 to 20, 2022. The MAXQDA software program was used for data analysis. The data analysis results yielded 355 codes, 53 subcategories, and 17 categories. Five final themes emerged: (a) sealed lips by others' eyes, (b) inner exploration and outward expression, (c) healing power of the mandala, (d) filling the inner space together, and (e) opportunities to understand art therapy. The researchers hope that completing this intervention will enable participants to complete their studies more effectively and achieve their ideals as well as future career goals, helping them ultimately return home safely with both personal and academic growth.

Child Protective Services Reports After Reunification: An Examination of the Risk of Being Rereported to Child Protective Services After Returning Home From Foster Care.

While a number of studies have examined the risk of reentry after exiting foster care, few studies have examined the risk of rereport to Child Protective Services (CPS) in the United States. Understanding more about rereports may help identify targets for supportive services that prevent reentry and promote safety. This study is the first to use nation-wide linked data to examine the risk of rereport for reunified children. The sample included children reunified after experiencing their first episode in foster care with at least one CPS report prior to care. With a 2000-day observation period, flexible parametric survival models with time varying hazard ratios were used to model the hazard or rereport conditional on prior CPS and foster care characteristics. Over 50% of the sample experienced a rereport after reunification. Results indicate that children entering foster care following a history of multiple CPS reports prior to placement were at substantially increased risk of rereport after returning home. A group of children with shorter stays in care had a high risk of recurrence within the first month, but this was not true over time. Implications for future research as well as permanency planning and addressing the needs of families with chronic reports are discussed.

The Fate of Armenian and Greek Properties in the Post-First World War Period

ABSTRACT This article examines the practices of the new parliament formed in Ankara and the fledgling republican regime with a particular focus on laws and regulations as of 1922. It discloses how these ‘legal’ mechanisms were employed to thwart Armenians and Greeks to return home and claim their properties back. Finally, this article explores what types of ‘precautions’ the new Turkish nation-state took to not give confiscated properties to Ottoman Christians, particularly before the forthcoming Lausanne peace negotiations. Turkey could not even tolerate the existence of Armenians and Greeks inside the country, let alone give back their expropriated assets. The state considered abandoned properties as an important source of revenue. However, there was an obligation to return these properties to their owners according to the Vahdettin Regulation of January 1920, which was still valid. Consequently, it was necessary to abrogate this regulation before the commencement of the Lausanne negotiations.

China’s national oil companies going global and coming home: State–firm nexus, global financial networks, and geopolitical risks

Both the “going global” strategy and the Belt and Road Initiative have prompted Chinese companies to carry out overseas investment and global financing. China’s three major national oil companies (NOCs), China National Petroleum Corporation (CNPC), China Petrochemical Corporation (Sinopec), and China National Offshore Oil Corporation (CNOOC) have pursued “modernization through globalization” while balancing profitability and national energy security. This paper attempts to shed some light on NOCs’ going global process by integrating global production networks’ (GPNs) extra-firm (state–firm) relations and global financial networks’ (GFNs) emphasis on world cities and financial and advanced business services providers. Going global, however, has also increased NOCs’ geopolitical risks, resulting in a retreat from the financial centers of world cities and a return home. This paper contributes to the GPN/GFN literature by examining the interactions between lead firms from developing economies and extra-firm actors while also emphasizing the increasing significance of geopolitical risks.

Neonatal gastric perforation in a premature newborn: a case report

Gastric perforation is a rare but highly lethal surgical problem in neonates, especially in preterm and low birth weight infants. The mechanisms of occurrence are still not fully understood. We present a case of successful surgical treatment of a two-day-old premature girl with a burdened history, born and operated on in a perinatal center. A child with a preliminary diagnosis of perforation of a hollow organ, established according to X-ray data, underwent preliminary peritoneal drainage at the first stages. The final diagnosis of gastric perforation was established intraoperatively. After the detection of extensive necrosis of the anterior wall of the stomach with perforation at the border with the pyloric region and a rupture along the greater curvature, suturing of the pinpoint perforation and rupture with plastic surgery of the anterior wall of the stomach with local tissues, gastro- and gastroenterostomy, and drainage of the abdominal cavity was performed. Given the concomitant prematurity, at the age of 1 month 19 days of life, the child was able to return home clinically healthy.

Reconciliation Programs from the Experiences of War-Affected Persons in Post-Conflict Northern Uganda

Today, more than ever, armed conflict perpetuators capitalize on the resourcefulness of young people to achieve their aims leading to young people’s involvement in armed conflicts as ‘child soldiers’, and exposing them to adverse problems including broken relationships with their own families or communities against whom they might have committed (forcibly or otherwise) serious crimes. Consequently, when the conflict ends, or the young people manage to return home they are faced with enormous challenge of reintegrating within the communities they transgressed against, an issue which calls for reconciliation. However what reconciliation means from the perspective of those who had to go through it, and what post-conflict programing should do for them is not clear. This study, employing in-depth case study approach, sought to increase current understanding of reconciliation and reconciliation programs by examining the views of formerly abducted children themselves, relatives and key informants, drawing from their lived experiences in the context of post-conflict northern Uganda.

Pengaruh Kepemimpinan Kepala Cabang dan beban kerja Terhadap Kinerja Pegawai Perumda BPR Kuningan Dengan Motivasi Sebagai Variabel Moderasi

Competition between national, private banking institutions and banks with regional stocks has very tight competition. The empirical influence that we can see from this competition is the need for good performance due to a fairly high workload, so we can see that almost all banks always return home beyond the predetermined work limit, especially at the end of the month. The majority of Perumda BPR Kuningan employees aged 20-35 years are fresh graduates who still lack experience. Therefore, employee performance is still considered less than optimal, so that employee performance at Perumda BPR Kuningan is still not optimal. Data processing techniques using smartPLS. The results of this study are that the leadership of the Branch Head has a positive effect on employee performance, workload has a negative effect on employee performance, work motivation can moderate the influence of Branch Head Leadership on employee performance, work motivation can moderate the influence of Workload on employee performance.

Проблема репатриации черкесских иммигрантов из Османской империи во 2-й половине XIX – начале XX века в документах архивов России и Грузии

The documents analyzed in the article are classified into 2 types – office documentation and regula-tory legal acts. Documents of the 1st type are divided into 2 groups depending on the departments of their compilation and functions. The first set of papers includes official correspondence and re-ports from Russian ambassadors in the Ottoman Empire to the Russian Minister of Foreign Affairs, as well as correspondence from Russian consuls and vice-consuls in Ottoman Empire provinces to Russian diplomats in Constantinople. The papers explain how Circassians came to the Ottoman Empire and the difficulties they faced when attempting to return home. The second group consists of documents prepared by military officials in the Caucasus: instructions from the Viceroy of the Caucasus’s Main Directorate to lower-ranking commanders of subdivisions, heads of regions and territories, instructions from the Commander-in-chief of civil authority in the Caucasus to governors-general and heads of regions and districts of the Caucasus region, etc., military officials’ reports to higher levels, attitudes between departments o According to these records, military officials in the Caucasus sent instructions to their subordinates in early 1861, which included rules addressing North Caucasian repatriates. Similar documents were accepted by tsarist officials in the Caucasus and at the beginning of the 20th century. The regulatory legal acts include: the provision of the Committee of Ministers «on taking measures to suspend the return of the highlanders from Turkey... », developed in July 1861 and approved by the emperor; «Regulations regarding Caucasian settlers returning from Turkey» (09.1861), compiled by the Chief of the General Staff of the Caucasian Army A.P. Kartsov. They contain rules that should have been applied to different groups of North Caucasian repatriates.

제2차 세계대전 기간 미국의 핀업 걸에 나타난 애국주의

During World War II, Pin-Ups played a big role in military propaganda. At the time, Pin-Ups weren’t just about comforting soldiers on the battlefield. Therein lay a uniquely American patriotism. In a liberal country like the United States, it is difficult to ask citizens to defend the country, so American politicians had to appeal to private obligations, first and foremost the moral obligations that exist between men and women. Pin-Ups were a useful tool to arouse men’s patriotism by conveying the message that they should defend their wives and girlfriends on the mainland.
 Meanwhile, American women were able to find their own new sexual identity through Pin-Ups. The conventions that confined women to the roles of wife and mother were broken during the war. New attributes of independence and assertiveness were spreading among American women. The Pin-Up Girl, an icon of the active and desirable woman, was a useful model for American women to create a new self.
 With the end of World War II and the return of men from overseas, the social climate for women returned to the past. A country that had actively supported women’s mobilization into the workforce during the war now began to tell women that it was their patriotic duty to return home. Women lost their place in the workplace and men-only magazines like Playboy became popular. However, the sense of liberation that American women experienced during the war, and the experience of living as full members of society, would later lead to the American women’s movement of the 1960s.

Effectiveness of a Mobile App Intervention for Preparing Preschool Children and Parents for Day Surgery: Randomized Controlled Trial.

Day surgery allows families to return home quickly. Only a few approaches to preparing for day surgery have demonstrated how digital solutions can support families and children. This study aims to evaluate the effectiveness of a mobile app intervention on preschool children's fear and pain and parents' anxiety and stress in preparing children for day surgery. This study was conducted at the Pediatric Day Surgical Department of a university hospital in Finland between 2018 and 2020. Parents of children (aged 2-6 y) who were in a queue for elective day surgery were randomized into the intervention group (IG; n=36) and control group (CG; n=34). The CG received routine preparations, whereas the IG was prepared using a mobile app. Parents' and children's outcomes were measured using validated scales at 4 different points: at home (T1 and T4) and at the hospital (T2 and T3) before and after surgery. Group differences were analyzed using statistical methods suitable for the material. Before surgery, parents in both groups experienced mild anxiety, which decreased after surgery. Parental anxiety did not differ between groups preoperatively (P=.78) or postoperatively (P=.63). Both groups had less anxiety at home after surgery compared with before. The IG showed a significant decrease (P=.003); the CG also improved (P=.002). Preoperatively at home, most parents in both groups experienced no stress or mild stress (P=.61). Preoperatively at the hospital, parents in both groups experienced mild stress; however, parents in the IG experienced more stress during this phase (P=.02). Parents in the IG experienced significantly less stress postoperatively than those in the CG (P=.05). Both groups showed decreased stress levels from before to after surgery (IG: P=.003; CG: P=.004) within each group. There were no significant differences in children's pain levels between the groups and measurement points. This was observed before surgery at home (P=.25), before surgery at the hospital (P=.98), and after surgery at the hospital (P=.72). Children's fear decreased more in the IG (P=.006) than in the CG (P=.44) comparing the phases before and after surgery at home. Fear did not differ between the IG and CG preoperatively at home (P=.20) or at the hospital (P=.59) or postoperatively at the hospital (P=.62) or at home (P=.81). The mobile app intervention did not reduce anxiety or pain. However, it was observed that parents in the IG experienced substantially heightened stress levels before surgery at the hospital, which decreased significantly after surgery at home. In addition, fear levels in children in the IG decreased over time, whereas no significant change was observed in the CG. These results are important for developing health care service chains and providing families with innovative and customer-oriented preparation methods. ClinicalTrials.gov NCT03774303; https://classic.clinicaltrials.gov/ct2/show/NCT03774303.

82 Needs of stroke survivors after acute stroke and early supported discharge (ESD), at hospital discharge, and at 3- and 6-months

Abstract Background There are gaps in our understanding of the needs of Irish stroke survivors as they return home from hospital, and in the first six months following their stroke. Methods We conducted a prospective cohort study in stroke survivors, recruited from three hospital sites across Ireland and profiled their self-reported needs in relation to information, recovery and community re-integration at discharge to home after acute hospitalisation, rehabilitation or early supported discharge, and described ongoing needs over a 6-month period. Results 72 participants, mean age 70 (SD: 13), 61% female, mean NIHSS score 6.3 (SD 6), were recruited at hospital discharge. Needs were gathered on 59 participants (82%) at 7–10 days post discharge, 54 participants (75%) at 3-months, and 45 participants (63%) at 6-months. 40% of respondents reported no unmet needs at discharge, at 3-months 20% reported no unmet needs. The median number of unmet needs was 3 (range, 1–8). Over 50% of respondents reported not having an opportunity to discuss their transition plan before their discharge home. At hospital discharge, people with stroke reported challenges around mobility and falls (>85%), fatigue (73%), emotional issues (66%), and memory (46%); with emotional problems, fatigue, and memory difficulties rating as highest levels of unmet need. Over 40% needed support with housework. In relation to information after stroke, (80%) needed information about their stroke, support around nutrition (51%), return to driving (40%) and financial concerns (32%). These rehabilitation, information and support needs persisted at 3- and 6- months. Conclusion Successful community re-integration after stroke is a complex process for the person with stroke and their family. Our findings concur with those of international-based researchers, that the prevalence of unmet needs is high among stroke survivors. Profiling needs of people with stroke is important to shape the development of therapies to reduce unmet need following a stroke.