To address gaps in practical skills among Public Health and Preventive Medicine graduates, an ‘open collaborative practice teaching model’ integrating medicine, teaching, and research was introduced. A cross-sectional study surveyed 312 Preventive Medicine undergraduates at a Yunnan medical university from 2020 to 2023, utilizing satisfaction scores and analyses (cluster, factor, SWOT) to assess the impact of the reform. Satisfaction scores from baseline, mid-term, and end-term assessments showed minor variations (4.30, 4.29, 4.36), with dissatisfaction primarily related to teaching content and methods. Key influences on satisfaction included teaching content, methods, and effectiveness. The SWOT analysis highlighted the importance of continuously updating teaching strategies to meet changing student expectations. This study suggests that the model has the potential for wider use in enhancing public health education, particularly in regions facing similar challenges.
Public-private partnerships (PPPs) are vital for infrastructure development in developing countries, integrating private efficiency with public oversight. However, PPP models often face risks, particularly in Indonesia’s water sector, due to its unique geographical and regulatory challenges. This study aims to identify and evaluate risk factors specific to drinking water PPP projects in Indonesia. Using a quantitative approach, structured questionnaires were distributed to experts in the sector, and the data was analyzed using a fuzzy evaluation method. Risks were categorized into location, design and construction, financial, operational, revenue, and political. The study emphasizes that effective risk management, including identification, analysis, and mitigation, is essential for project success. It highlights the importance of stakeholder involvement and flexible risk management strategies. Comprehensive and proactive risk management is key to the success of drinking water infrastructure projects. The research suggests that an integrated and collaborative approach among stakeholders can enhance risk management effectiveness. These findings provide valuable insights for policymakers, project managers, investors, and other stakeholders, underscoring the necessity for adaptable regulatory frameworks and robust policy guidelines to improve the sustainability and efficacy of future water-related PPPs.
Heat stress amplified by climate change causes excessive reductions in labor capacity, work injuries, and socio-economic losses. Yet studies of corresponding impact assessments and adaptation developments are insufficient and incapable of effectively dealing with uncertain information. This gap is caused by the inability to resolve complex channels involving climate change, labor relations, and labor productivity. In this paper, an optimization-based productivity restoration modeling framework is developed to bridge the gap and support decision-makers in making informed adaptation plans. The framework integrates a multiple-climate-model ensemble, an empirical relationship between heat stress and labor capacity, and an inexact system costs model to investigate underlying uncertainties associated with climate and management systems. Optimal and reliable decision alternatives can be obtained by communicating uncertain information into the optimization processes and resolving multiple channels. Results show that the increased heat stress will lead to a potential reduction in labor productivity in China. By solving the objective function of the framework, total system costs to restore the reduction are estimated to be up to 248,700 million dollars under a Representative Concentration Pathway of 2.6 (RCP2.6) and 697,073 million dollars under RCP8.5 for standard employment, while less costs found for non-standard employment. However, non-standard employment tends to restore productivity reduction with the minimum system cost by implementing active measures rather than passive measures due to the low labor costs resulting from ambiguities among employment statuses. The situation could result in more heat-related work injuries because employers in non-standard employment can avoid the obligation of providing a safe working environment. Urgent actions are needed to uphold labor productivity with climate change, especially to ensure that employers from non-standard employment fulfill their statutory obligations.
The trilateral defense and security pact between Australia, the United Kingdom, and the United States has strong impact to the security dynamics in the Indo-Pacific area. This agreement entails a strengthened alliance between Australia and enhanced military collaboration with the United States and the United Kingdom resulting in regional volatility. This paper aims to examine the AUKUS (Australia–United Kingdom–United States Partnership) agreement and the resulting ensuing instability in the Indo-Pacific region, specifically from Indonesia’s perspective. The focus of the research is on the interplay between Indonesia’s diplomacy capability and the military functions of the Indonesian Navy as security policy. This study employs a qualitative approach to delve into in-depth insights into the evolution of AUKUS in the Indo-Pacific region, which triggered a series of responses from many countries subsequent to the announcement of the establishment of the AUKUS Defense Pact. The AUKUS establishment simply reinforces the notion that geopolitical tensions are pulling the area apart. The influence of the AUKUS-China war can jeopardize regional stability since the US and China continuously demonstrate the supremacy of their armaments in order to dissuade one another. The AUKUS-China contest has had a highly adverse impact on Indonesia. This article argues that the Indonesian Navy’s diplomatic prowess is crucial because it has the potential to play a big influence in the Indo-Pacific region’s international political dynamics concerning the South China Sea. Furthermore, the Indonesian Navy must proactively prepare for potential armed conflicts in Indonesian territorial seas by developing a comprehensive maritime policy during times of peace, leveraging its geographical advantages.
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