This study aims to identify gaps in Indonesia’s national social health insurance scheme (Jaminan Kesehatan Nasional or JKN) in meeting the right to health for disabled persons in the country and to propose strategies to mitigate the gaps. This study employed descriptive qualitative methodologies. A questionnaire survey and structured interviews were undertaken from the period of October to December 2021, with a purposive sample of 317 disabled persons at their working age. Data collection also included on-site observations to sample of healthcare providers in six provinces and focused group discussions with key stakeholders. This study found that JKN is the primary source of hope for disabled persons. Nevertheless, approximately ten percent of disabled persons have been omitted from the scheme. Moreover, respondents of the survey expressed notably lower satisfaction level compared to the national average. Meanwhile, 25% of them also reported that JKN did not cover certain disability-specific benefits. The findings suggest that the national social health insurance scheme is not well prepared to offer disability-inclusive services. Thereby, policymakers should implement various interventions to improve the admission processes for disabled persons and to develop a system to identify disabled members based on their specific disabilities. Additionally, stipulating standards for disability-friendly minimum services for healthcare providers and incorporating the standards into the credentialing systems, providing regular training on disability-friendly services for healthcare personnel, also enhancing benefits coverage for disabled members in the Indonesian Case Base Groups (INA-CBGs) are the necessary strategies to mitigate the gaps.
The purpose of this study is to provide empirical evidence about the relationship between Organizational Culture and Knowledge Management in public sector organizations in Colombia. This research is based on information obtained from a survey applied to workers in different positions and areas of four organizations in the Colombian government at the departmental level. A survey of 22 items measured Organizational Culture, and 19 items measured Knowledge Management. The results show that the strongest correlation is between a flexible organizational structure and leadership that foments the development of worker capabilities to register and use knowledge. Furthermore, to achieve efficiency the public organizations should foster adaptability to environment, a well-defined management and value-oriented human behavior and overcome barriers such as bureaucracy, inefficient administration, and make adequate knowledge management.
The history of organic polymers is a remarkable journey from the discovery of natural materials like rubber and silk to the development of sophisticated synthetic polymers that have transformed industries and modern life. This comprehensive review article presents a detailed account of the evolution of organic polymers. It begins with the early uses of natural polymers and explores key breakthroughs, including the invention of Bakelite, nylon, and neoprene. The theoretical foundations of polymer science, laid by Hermann Staudinger, are discussed, and the post-war surge in polymer development is examined, including the introduction of polyethylene, polypropylene, and PVC. Notable advances in polymer chemistry, such as isotactic polypropylene and silicone polymers, are highlighted. The article also delves into the development of high-performance polymers like Kevlar and carbon-based materials, offering insights into their applications. Moreover, it discusses the current trends in polymer science, emphasizing sustainability and biodegradability. As the world continues to rely on polymers for numerous applications, this review provides a historical perspective and a glimpse into the future of organic polymers, where innovations are expected to shape various aspects of technology, healthcare, and environmental protection.
The Nevado de Toluca Flora and Fauna Protection Area presents a constant fragmentation of its forests. The objective of the research was to identify the processes of forest deterioration and the role of local stakeholders in its conservation. Geographic information systems were used as a basis for the generation of thematic maps, in addition to the application of a flow diagram that defines the problems of the forest and another that describes and analyzes them for the search of solutions. The results show that the main factors affecting deterioration are forest fires, immoderate logging, pests and diseases. Finally, strategies and scenarios for forest management are proposed based on the articulation of local stakeholders.
Cobalt-ion batteries are considered a promising battery chemistry for renewable energy storage. However, there are indeed challenges associated with co-ion batteries that demonstrate undesirable side reactions due to hydrogen gas production. This study demonstrates the use of a nanocomposite electrolyte that provides stable performance cycling and high Co2+ conductivity (approximately 24 mS cm−1). The desirable properties of the nanocomposite material can be attributed to its mechanical strength, which remains at nearly 68 MPa, and its ability to form bonds with H2O. These findings offer potential solutions to address the challenges of co-dendrite, contributing to the advancement of co-ion batteries as a promising battery chemistry. The exceptional cycling stability of the co-metal anode, even at ultra-high rates, is a significant achievement demonstrated in the study using the nanocomposite electrolyte. The co-metal anode has a 3500-cycle current density of 80 mA cm−2, which indicates excellent stability and durability. Moreover, the cumulative capacity of 15.6 Ah cm−2 at a current density of 40 mA cm−2 highlights the better energy storage capability. This performance is particularly noteworthy for energy storage applications where high capacity and long cycle life are crucial. The H2O bonding capacity of the component in the nanocomposite electrolyte plays a vital role in reducing surface passivation and hydrogen evolution reactions. By forming strong bonds with H2O molecules, the polyethyne helps prevent unwanted reactions that can deteriorate battery performance and efficiency. This mitigates issues typically associated with excess H2O and ion presence in aqueous Co-ion batteries. Furthermore, the high-rate performance with excellent stability and cycling stability performance (>500 cycles at 8 C) of full Co||MnO2 batteries fabricated with this electrolyte further validates its effectiveness in practical battery configurations. These results indicate the potential of the nanocomposite electrolyte as a valuable and sustainable option, simplifying the development of reliable and efficient energy storage systems and renewable energy applications.
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