scholarly journals Retrospective analysis of prescriptions for the treatment of cardiovascular diseases in the program «Affordable medicines» on the example of a pharmacy

2020 ◽  
pp. 69-79
Author(s):  
V. S. Huz ◽  
O. M. Zaliska ◽  
N. M. Maksymovych

Improving access and affordability for patients of essential drugs in the treatment of cardiovascular diseases is a priority because mortality and a morbidity rates are high in Ukraine. In April 2017, the government launched the reimbursement program «Affordable medicines», which included drugs to treat cardiovascular disease. The aim of the study was a retrospective analysis of released prescriptions on the example of the pharmacy № 1 in Vynohradiv, Transcarpathian region, which serves patients from the city and Vynohradiv district, which allowed us to analyze and compare the structure of the appointments of primary care physicians and to identify the main INN, stocks of which should be a priority in pharmacies for the treatment of cardiovascular diseases. The objects of study were the records of the pharmacies about drugs released in the program for 24 months, the Orders of the Ministry of Health of Ukraine, the CMU Decisions, the Drug Registry for cardiovascular diseases, the cost for reimbursement in the program «Affordable Medicines» as well. Frequency analysis methods, ATC/DDD methodology, as well as methods of comparative, logical and content analysis were used. Data for the selected period were analyzed using frequency analysis methods and ATC/DDD method, and it was found that enalapril, spironolactone and clopidogrel were in the lead. It was found that the majority of patients in 2017 chose free drugs (more than 80%), and in 2018–2019 this rate was only 60%. According to prescriptions, about 92% are patients from Vynohradiv district, which confirms the improvement of access to drugs in the program «Affordable Medicines» for the rural population. The results were verified by comparing the released e-prescriptions for cardiovascular diseases in the city and district and found that the structure of prescriptions for cardiovascular diseases on e-prescriptions from April 2019 to April 2020 remains stable and the main share is 4 INN: clopidogrel, enalapril, amlodipine and bisoprolol. It is determined that in order for the «Affordable Medicines» program, the provision and convenience of patients, the pharmacies need to have an expanded list of trade names and a sufficient supply of enalapril, spironolactone, clopidogrel and bisoprolol.

2019 ◽  
pp. 21-30
Author(s):  
V. S. Huz ◽  
O. M. Zaliska

The implementation of the government program on reimbursement in Ukraine meets the requirements of WHO to ensure access to drugs, especially in the treatment of cardiovascular diseases (CVD). The list of TN drugs included in the «Affordable medicines» program increased by 22.6% in 2017–2018, and the proportion of compensated TNs has increased completely from 16.2% to 29.1%, that is, every third drug is released free of charge, which provides increased availability for patients with CVD. The purpose of the study was to analyze and compare the list that are available in the State Register of Ukraine for the treatment of CVD, and the range of INNs under the trade name (TN) and producers, which are part of the government program «Affordablee medicines» in dynamics for 2017–2018 years.We conducted an expert evaluation of the demand for drugs and the prospects for expanding the list of drugs in the reimbursement program by questioning pharmacists working in pharmacies involved in a government project in the Lviv and Ivano-Frankivsk regions. The objects of the study were the Orders of the Ministry of Health of Ukraine, the CMU Decisions, the Drug Registry for CVD, the cost for reimbursement in the program «Affordable Medicines». Questionnaires for assessing demand and prospects for expanding the list of reimbursement drugs were conducted. We used methods of comparative and content analysis, as well as logical and graphical analysis. We identified the groups of drugs presented in the «Available drugs» program, mainly foreign suppliers, therefore, the introduction of generic preparations of carvedilol, losartan, simvastatin and spironolactone is promising for domestic production, in order to increase consumption and reduce reimbursement costs, which will ensure availability for consumers. It is advisable to include domestic preparations of isosorbide dinitrate, hydrochlorothiazide, enalapril and atenolol in a program that will expand the list of these drugs in the «Affordable medicines» program. According to the expert opinion of pharmacists from Lviv and Ivano-Frankivsk regions, it is expedient to include from the group of lisinopril in the list of available drugs such as Lisinopril-Teva and Enap, and from the combined preparations of Enap H, Vasar H and Co-Preneca, which are often prescribed by doctors and they are in demand by patients.


2021 ◽  
Vol 4 (1) ◽  
pp. 43
Author(s):  
Yohanes William Lois ◽  
Dewi Linggasari ◽  
Dewi Linggasari ◽  
Hokbyan Angkat ◽  
Hokbyan Angkat

Transportation is a primary need that cannot be separated from life to continue their daily activities, especially nowadays which require a trip bya transportation. Transportation has many options, one of the primadonna for trips in the city of Jabodetabek is the KRL Commuter Line, provided by PT. Kereta Commuter Indonesia. However, currently the Covid-19 pandemic has an impact on transportation trips, including the KRL Commuter Line. Since then, policies regulated by the government have been implemented to stop the spread of Covid-19, such as limiting the number of passengers and enforcing health protocols for passengers and officers. The existence of these restrictions has an effect on transportation travel. This research was conducted to determine the level of awareness of KRL passengers behavior toward the health protocols applied when carrying out activites outside the home and the effect on their travel patterns, as wel as to find out the policies realized by KRL operator officers. The research data were obtained through a questionnaire, then processed by normative anda descriptive analysis methods. From the analysis, it was found that both passengers and officers were quite alert and good at implementing existing policies and passengers revealed that this policy affects their travel patterns. ABSTRAKTransportasi merupakan kebutuhan primer yang tidak dapat dipisahkan dari kehidupan untuk menyambung kegiatannya sehari-hari khususnya pada masa sekarang yang memerlukan suatu perjalanan dengan transportasi. Transportasi punya banyak pilihan, yang menjadi salah satu primadona perjalanan dalam kota Jabodetabek adalah KRL Commuter Line, yang disediakan oleh PT. Kereta Commuter Indonesia. Namun, saat ini adanya wabah pandemi Covid-19 memberikan dampak dalam perjalanan transportasi tidak terkecuali pada KRL Commuter Line. Semenjak itu diterapkanlah kebijakan-kebijakan yang diatur pemerintah guna memutus penyebaran Covid-19, seperti pembatasan jumlah penumpang dan pemberlakuan protokol kesehatan untuk penumpang maupun petugas. Adanya batasan-batasan ini menyebabkan pengaruh pada perjalanan transportasi. Penelitian ini dilakukan untuk mengetahui tingkat kesadaran perilaku penumpang KRL terhadap protokol kesehatan yang diterapkan ketika melakukan kegiatan di luar rumah dan pengaruh terhadap pola perjalanannya, juga untuk mengetahui kebijakan yang direalisasikan oleh petugas operator KRL. Data penelitian didapat melalui kuesioner, lalu diolah dengan metode analisis normatif dan deskriptif. Dari hasil analisis, didapatkan baik penumpang maupun petugas sudah cukup awas dan baik dalam menerapkan kebijakan yang ada dan penumpang mengungkapkan dengan adanya kebijakan ini mempengaruhi pola perjalanannya.


2019 ◽  
Vol 11 (1) ◽  
pp. 8-19
Author(s):  
Crystal Jelita Lumban Tobing

 KPPN Medan II is one of the government organization units at the Ministry of Finance. Where leaders and employees who work at KPPN Medan II always carry out official trips between cities and outside the city. With these conditions, making SPPD documents experiencing the intensity of official travel activities carried out by employees of KPPN Medan II can be said frequently. So that in making SPPD in KPPN Medan II is still using the manual method that is recording through Microsoft Word which in the sense is less effective and efficient. In naming employees who get official assignments, officers manually entering employee data that receives official travel letters are prone to being lost because data is manually written. The web-based SPPD application is built by applying this prototyping method which is expected to facilitate SPPD KPPN Medan II management officers in making SPPD that is effective, efficient, accurate, time-saving, and not prone to losing SPPD data of KPPN Medan II employees who will has made official trips due to the existence of a special database to accommodate all SPPD files.


2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Nurwan Nurwan ◽  
Ali Hadara ◽  
La Batia

ABSTRAK: Inti pokok masalah dalam penelitian ini meliputi latar belakang gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna, Faktor-faktor yang mendorong gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna, proses gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna dan akibat gerakan sosial masyarakat Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna? Latar belakang gerakan sosial masyarakat Kampung Labaluba yaitu keadaan kampungnya yang hanya terdiri dari beberapa kepala keluarga tiap kampung dan jarak yang jauh masing-masing kampung membuat keadaan masyarakatnya sulit untuk berkomnikasi dan tiap kampung hanya terdiri dari lima sampai dengan tujuh kepala keluarga saja. Kampung ini letaknya paling timur pulau Muna terbentang dari ujung kota Raha sekarang sampai kampung Wakuru yang saat ini. Kondisi ini juga yang menjadi salah satu faktor penyebab kampung ini kurang berkembang baik dibidang ekonomi, sosial politik, pendidikan maupun di bidang kebudayaan. Keadaan ini diperparah lagi dengan sifat dan karakter penduduknya yang masih sangat primitif. Faktor yang mendorong adanya gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna adalah adanya ketidaksesuaian antara keinginan pemerintah setempat dan masyarakat yang mendiami Kampung Labaluba pada waktu itu. Sedangkan proses gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna bermula ketika pemerintah seolah memaksakan kehendaknya kepada rakyat yang menyebabkan rakyat tidak setuju dengan kebijakan tersebut. Akibat yang ditimbulkan dari adanya gerakan sosial masyarakat Kampung Labaluba Desa Kontumere Kecamatan Kabawo Kabupaten Muna terbagi dua yaitu akibat positif dan akibat negatif.Kata Kunci: Gerakan Sosial, Factor dan Dampaknya ABSTRACT: The main issues in this study include the background of the social movement of Labaluba Village, Kontumere Village, Kabawo Sub-District, Muna District, Factors that encourage social movements of Labaluba Kampung Sub-village, Kontumere Village, Kabawo Sub-District, Muna District, the social movement process of Labaluba Village, Kontumere Village, Kabawo Sub-District Muna Regency and due to Labaluba community social movements Kontumere Village Kabawo District Muna Regency? The background of the Labaluba Kampung community social movement is that the condition of the village consists of only a few heads of households per village and the distance of each village makes it difficult for the community to communicate and each village only consists of five to seven households. This village is located east of the island of Muna stretching from the edge of the city of Raha now to the current village of Wakuru. This condition is also one of the factors causing the village to be less developed in the economic, social political, educational and cultural fields. This situation is made worse by the very primitive nature and character of the population. The factor that motivated the existence of the social movement of Labaluba Village in Kontumere Village, Kabawo Subdistrict, Muna Regency was the mismatch between the wishes of the local government and the people who inhabited Labaluba Village at that time. While the process of social movements in Labaluba Village, Kontumere Village, Kabawo District, Muna Regency began when the government seemed to impose its will on the people, causing the people to disagree with the policy. The consequences arising from the existence of social movements in Labaluba Village, Kontumere Village, Kabawo District, Muna Regency are divided into two, namely positive and negative effects. Keywords: Social Movements, Factors and their Impacts


Author(s):  
V. A. Gorichny ◽  
D. Yu. Serdukov ◽  
A. V. Yazenok ◽  
A. V. Nosov ◽  
G. G. Zagorodnikov ◽  
...  

An outpatient examination of 530 employees engaged in work with chemical weapons related to organophosphorus compounds at chemically hazardous facilities was carried out. Risk factors for the development of cardiovascular diseases of atherogenic etiology among personnel of the facilities were studied in relation to the type of work performed using statistical analysis methods. When assessing the lipidogram, a high incidence of atherogenic dyslipidemia in a group of personnel involved in the storage of chemical weapons was found out in comparison with a group of people engaged in the destruction and control of chemical weapons (73.1 vs 61.2 vs 59.6%, p


Land ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 33
Author(s):  
Palmyra Repette ◽  
Jamile Sabatini-Marques ◽  
Tan Yigitcanlar ◽  
Denilson Sell ◽  
Eduardo Costa

Since the advent of the second digital revolution, the exponential advancement of technology is shaping a world with new social, economic, political, technological, and legal circumstances. The consequential disruptions force governments and societies to seek ways for their cities to become more humane, ethical, inclusive, intelligent, and sustainable. In recent years, the concept of City-as-a-Platform was coined with the hope of providing an innovative approach for addressing the aforementioned disruptions. Today, this concept is rapidly gaining popularity, as more and more platform thinking applications become available to the city context—so-called platform urbanism. These platforms used for identifying and addressing various urbanization problems with the assistance of open data, participatory innovation opportunity, and collective knowledge. With these developments in mind, this study aims to tackle the question of “How can platform urbanism support local governance efforts in the development of smarter cities?” Through an integrative review of journal articles published during the last decade, the evolution of City-as-a-Platform was analyzed. The findings revealed the prospects and constraints for the realization of transformative and disruptive impacts on the government and society through the platform urbanism, along with disclosing the opportunities and challenges for smarter urban development governance with collective knowledge through platform urbanism.


2017 ◽  
Vol 8 (1) ◽  
pp. 122
Author(s):  
Yunita Ratna Sari

Solo is one of the two Cities in Indonesia that received the highest award of District / City Worthy Children's implementation from President JokowiWidodo as the City of Eligible Children. The success of Solo to get the award of Decent Child's City can not be separated from the leadership FX.HadiRudyatmo as the Mayor of Solo. The objectives of this research are: (1) To know and explain the leadership of FX.HadiRudyatmo in realizing the Solo of Decent City, (2) To analyze and analyze the factors that make Solo Municipal Children's Favorite and (3) to know and analyze the actors who contribute greatly in Solo Kota Decent Children. The method used in this study is a qualitative descriptive approach that explains the results of research, assessment and other references reinforced by empirical data conducted through interviews and observation. The results showed that the leadership of FX.HadiRudyatmo in realizing the Decent City Solo is very democratic but the egosektoral among the Organization of Regional Devices in realizing the Solo Municipal Decent Children is still high and there are still problems that can not be resolved even though Solo gets the predicate Solo Kota Major Main is the number of children who exposed to HIV / AIDS is still high and the availability of child data information management system. Recommendations given to the Government are to build more intense communications and improve routine coordination among the Regional Device Organizations through scheduled meetings amongst the WTO, promoting socialization and education to all levels of society on HIV / AIDS as well as the creation of a web data base on child data.Keywords: Leadership, Head of Region, District / City Eligible Children


1988 ◽  
Vol 19 (2) ◽  
pp. 266-291 ◽  
Author(s):  
James L. Cobban

By the beginning of the twentieth century, Semarang was a major port city and administrative centre on Java. Attainment of this position was due partly to the expansion of its hinterland during the nineteenth century. This expansion was closely related to developments in the means of transportation and the consequent ability of plantation owners to bring the products of their plantations to the port for shipment to foreign markets. By the end of the century virtually the whole economic life of central Java focused upon Semarang. The city also exercised administrative functions in the Dutch colonial administration and generally had been responsible for Dutch interests in the middle and eastern parts of the island. The importance of Semarang as an administrative centre increased after 1906. In that year the government incorporated the city as an urban municipality (stadsgemeente). In 1914 it had consular representation from the United States, Belgium, Denmark, France, Great Britain, Italy, Norway, Germany, and Thailand. Subsequently, in 1926 it became the capital of the Province of Central Java under the terms of an administrative reform fostered by the colonial government at Batavia. Status as an urban municipality meant that local officials sitting on a city council would govern the domestic affairs of the city. The members of the city council at first were appointed from Batavia, subsequently some of them were elected by residents of the city. By the beginning of the twentieth century Semarang had enhanced its position as a major port on the north coast of the island of Java. It was one of the foremost cities of the Dutch East Indies, along with Batavia and Surabaya, a leading port and a centre of administration and trade. This article outlines the growth of the port of Semarang during the nineteenth century and discusses some of the conflict related to this growth over living conditions in parts of the city during the twentieth century, a conflict which smouldered for several decades among the government, members of the city council, and the non-European residents of the city, one which remained unresolved at the end of the colonial era.


1991 ◽  
Vol 8 ◽  
pp. 271-287
Author(s):  
A. G. Dickens

On 4 March 1554 some hundreds of London schoolboys fought a mock battle on Finsbury Field outside the northern wall of the city. Boys have always gratified their innate romanticism by playing at war, yet this incident, organized between several schools, was overtly political and implicitly religious in character. It almost resulted in tragedy, and, though scarcely noticed by historians, it does not fail to throw Ught upon London society and opinion during a major crisis of Tudor history. The present essay aims to discuss the factual evidence and its sources; thereafter to clarify the broader context and significance of the affair by briefer reference to a few comparable events which marked the Reformation struggle elsewhere. The London battle relates closely to two events in the reign of Mary Tudor: her marriage with Philip of Spain and the dangerous Kentish rebellion led by the younger Sir Thomas Wyatt. The latter’s objectives were to seize the government, prevent the marriage, and, in all probability, to place the Princess Elizabeth on the throne as the figurehead of a Protestant regime in Church and State. While Wyatt himself showed few signs of evangelical piety, the notion of a merely political revolt can no longer be maintained. Professor Malcolm R. Thorp has recendy examined in detail the lives of all the numerous known leaders, and has proved that in almost every case they display clear records of Protestant conviction. It is, moreover, common knowledge that Kent, with its exceptionally large Protestant population, provided at this moment the best possible recruiting-area in England for an attack upon the Catholic government. Though the London militia treasonably went over to Wyatt, the magnates with their retinues and associates rallied around the legal sovereign. Denied boats and bridges near the capital, Wyatt finally crossed the Thames at Kingston, but then failed to enter London from the west. By 8 February 1554 his movement had collapsed, though his execution did not occur until 11 April.


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