This study aims to analyze the implementation of the KRISNA Special Allocation Fund in budget planning at the Regional Development Planning Agency of Rokan Hilir Regency. The Collaborative Application System for Planning and Budgeting Performance Information functions to carry out budgeting or proposals for the use of website-based Special Allocation Funds since 2018 in Rokan Hilir Regency. This research uses qualitative research method with descriptive research type. The main informants in this research were the Head of Bappeda, Head of Bappeda Division, Head of Sub Division of Bappeda, Head of Education Office, Head of Department of Housing and Settlements Service, and Head of Agriculture Service in Rokan Hilir Regency. Sample selection is done by (purposive sampling). Based on the results of research and data analysis, it shows that: (1) The implementation of the application system policy since the second quarter for the 2019 budget still has several question marks, including those related to the amount of funds approved by the central government which is not fixed.
This paper describes and analyzes the peatland restoration policy undertaken by the Indonesian government. The Indonesian government has since implemented the first phase of peatland restoration in 2016-2020. It can be said that the restoration of the peatland area of 2.4 million hectares faces several problems. One of the main problems is the unsuccessful restoration of peatlands in the company’s concession areas. Companies that are obliged to restore peatlands in their concessions do not comply with regulations set by the government. As the program’s leader, the Peatland Restoration Agency is powerless to do much because its authority extends only to supervising the company’s concession area. Restoration of peatlands outside the concession area (cultivated land and protected forest) can be satisfied because the government can directly restore these peatlands. This paper uses various reliable document sources as the primary data source, which becomes material for analysis.
One of the important issues that are currently happening is that violations of children's rights are increasing all the time. Based on data from the Online Information System for the Protection of Women and Children (PPA Symphony), it was recorded that 5,463 children in Indonesia had experienced violence throughout 2020 and in 2021 there was an almost two-fold increase, namely, there were 10,832 cases of violence against children, and around 59.70 percent of the violence was sexual violence against children. One of the protective measures taken by the Government to realize the welfare of children is to provide guarantees for the fulfillment of their rights without discriminatory treatment, namely the issuance of Law Number 35 of 2014 concerning Amendments to Law Number 23 of 2002 concerning Child Protection. Physical and sexual violence are important issues to be discussed. One of the efforts made by the Rokan Hilir Regency Government to handle child cases that occurred is the Rokan Hilir Regency Regional Regulation Number 10 of 2019 concerning the Implementation of Child Protection. This study uses qualitative methods with the type of research included in field research, with the research design using descriptive analysis methods.
Objectives: This study aimed to investigate the prevalence and current treatment status of immune thrombocytopenia (ITP) in Taiwan.Methods: This was a retrospective study conducted using claim data collected from the Bureau of National Health Insurance (BNHI) of Taiwan from 2003 to 2007. ITP patients were identified using the ICD-9 code, 287.3 (primary thrombocytopenia), with two diagnoses separated by at least 14 days for diagnostic specificity. In addition, sensitivity analysis was based on 28 (ITP-28) and 84 (ITP-84) days.Results: ITP prevalence ranged from 10.35 to 11.02 (per 100,000 individuals) with an annual number of 2,300 to 2,500 patients, and sensitivity analyses using ITP-28 and ITP-84 criteria showed that the prevalence were "9.52 to 10.35" and "6.87 to 8.14" in 5,445 ITP patients, respectively. The median age of ITP-14 patients was 46.5 years. In children, the female-to-male ratio was nearly equal (0.93), whereas in adults, it was 1.91. About 3.9% received splenectomy, of which 64.3% were responsive to splenectomy. Further, 92.6% were responsive to steroids. The average costs per visit were US$ 36 and US$ 1,700 for outpatients and inpatients, respectively. For steroid-responsive patients, the mean costs for clinic visits and hospitalization were US$ 35 and US$ 1,415, respectively. In contrast, the medical expense for steroid-refractory patients was approximately one and a half times the costs for responsive patients (inpatient: US$ 54; outpatient: US$ 2,349). For splenectomy-responsive inpatients, the average expenses prior to, at, and after splenectomy were US$ 1,877, 5,476, and 2,061, respectively. For splenectomy-refractory inpatients, the costs were comparable to those of responsive patients (P> 0.05). On the contrary, there were significant differences between the expenditure for splenectomy-responsive and -refractory outpatients. Among ITP patients in Taiwan, 7.4% and 6.4% had hepatitis B virus (HBV) and hepatitis C virus (HCV) infections, respectively, and 1.5% had both HBV and HCV infections. Patients with HBV were significantly high in the splenectomy group (splenectomy vs. non-splenectomy 11.7% vs. 7.2%, P = 0.01), and those who were more responsive to splenectomy had a low HCV infection rate, i.e., 14.5% had HCV infection in splenectomy-refractory group vs. 4.38% in splenectomy-responsive group (P = 0.02). Conclusions:The epidemiology of ITP in Taiwan, including the age and sex, was comparable with that in western countries, except with lower incidence of splenectomy in our patients. The status of HBV and HCV infection in splenectomized patients should be closely monitored. The medical expenditure in Taiwan was much lower than that in western countries. We suggest that novel agents or more aggressive treatment strategies should be further explored or considered in Taiwan.
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