BackgroundEmergency separation of conjoined twins is performed when one twin is already dead or dying and threatens the survival of the other. The particular decision to perform an emergency separation of conjoined twins provides an ethical dilemma that needs special attention. Adding to the complexity of surgical and postsurgical management in emergency separation, ethical and sociocultural aspects further complicate decision-making.Case presentationFrom 1987 to 2022, 18 conjoined twin separations were performed in our centre. This paper describes three conjoined twin emergency separations. (...) In the first case of thoracoomphalopagus babies at nine days of age, one baby was diagnosed with necrotizing enterocolitis with frequent desaturation and seizures, and the other baby was healthy. Emergency separation was performed on the twelfth day of age; unfortunately, neither baby survived the surgery. In the second case, emergency separation was performed on the 110th day of life due to sepsis in one baby. The nonseptic twin passed away six hours after surgery, while the septic twin died 12 days after surgery due to wound dehiscence and abdominal sepsis. The third case was of an omphalopagus conjoined twin with a parasitic twin. The healthy baby was deemed nonviable but found to be healthy upon birth. Immediate emergency separation was performed at 2 h of age. The living baby survived the surgery but passed away two months later.ConclusionsWhen separation is deemed necessary to save one twin, it becomes difficult to apply standard ethical medical reasoning. The decision to separate results in most cases in very high-risk surgeries with poor outcomes during surgery and postsurgery. Compounded by the complexity of the case, sociocultural and religious aspects further add to the dynamics of decision-making. A multidisciplinary team must work together with a health ethics committee and navigate through this ethical conundrum with the patient and family at its decision-making centre to decide on the best plan of care. (shrink)

Purpose - This study examines local strategies for stunting prevention across various Indonesian regions, emphasizing the role of social phenomena in shaping these efforts. Design/methodology/approach - Thematic analysis, supported by NVivo software, was used to analyze the data, focusing on the interplay of social, cultural, and economic factors. Findings - The study revealed significant regional disparities in stunting rates and the effectiveness of prevention strategies. Community-driven initiatives, such as Gotong Royong, were particularly effective in fostering collective action and improving nutritional (...) practices. Innovative communication strategies leveraging digital platforms significantly enhanced awareness and engagement, especially in urban areas. Practical implications – Innovative communication strategies, particularly those leveraging digital platforms, have proven effective in raising awareness and educating communities about stunting prevention. Originality – This research uses a comprehensive approach to evaluate local strategies in various socio-economic and cultural contexts, providing valuable insights into the customization of stunting prevention programs in Indonesia. (shrink)

Background: Food biofortification practices in agricultural sectors involve the process of employing biotechnology to enhance the nutritional content of crops during their growth process. Biofortification makes foods even more nutritious and highly functional for addressing malnutrition among children. These practices in farming industries need guidance and legal support from various national policies to support high-quality supplies of school meals fully. Aim: This study aims to analyze the association between various national policies and the implementation of food biofortification practices in agricultural (...) sectors among countries implementing school meal programs. Methods: The Bayesian Mindsponge Framework, combining the reasoning strengths of Mindsponge Theory and inference advantages of Bayesian analysis, was employed on a dataset of 126 government representatives who manage large-scale school meal programs in 126 different countries. Results: Findings showed that food safety policy was positively associated with food biofortification practices in agricultural sectors among countries implementing school meal programs. In contrast, nutrition policy had a significant negative association with these practices. Additionally, policies of school feeding, health, agriculture, and the private sector had unclear associations with food biofortification. Conclusions: Findings underscore the strong position of food safety policy in guiding food biofortification practices in agricultural sectors among countries implementing school meal programs. There is a need to re-assess the implemented nutrition policy due to its significant negative association with these practices. Enhancing and strengthening the policies of school feeding, health, agriculture, and the private sector may increase their potencies in giving positive impacts on food biofortification practices in agricultural sectors to ensure high-quality school meal supplies. (shrink)

This research was aimed to discover whether sex-role identity could play a significant role as moderating variable to the relation between McClleland’s needs of achievement, affiliation and power and employee’s performance. Subjects of this research were employees in scales division from a cosmetical company in Jakarta Following Baron and Kenny’s ideas, data was analyzed with two way analysis of variance. The main hypothesis in this research is moderating effect of sex role identity in how need of achievement, need of affiliation (...) and need of power affect employee performance. Two way analysis of variance resulted in the rejection of major hypothesis. Therefore, sex-role identity did not function as moderator in the relation between all needs and employee performance. However, need of achievement was found to influence employee performance .  . (shrink)

In lieu of an abstract, here is a brief excerpt of the content:400 Feminist Studies 44, no. 2. © 2018 by Feminist Studies, Inc. L. Ayu Saraswati People, Professionalization, and Promises: Navigating the Politics of PhD Programs in Women’s Studies I have been housed at four different universities—all in women’s studies. My PhD is from the University of Maryland, College Park. I completed a postdoctoral program at Emory University. My first tenure track position was at the University of Kansas. I (...) am currently a tenured associate professor and graduate advisor at the University of Hawai’i. All of these places have strong women’s studies graduate programs. Yet, each program has its own vision of what a women’s studies doctoral program should look like. Some define their interdisciplinarity by asking students to master at least two disciplinary methods and methodologies as they focus on a particular major field; others offer “tracks” in other disciplines that the program has formally approved and collaborates with; and yet others ask students to credential themselves in two disciplines—the goal being students can then get hired in other disciplines, rather than simply banking only on getting a job in women ’s studies. Which model is best, one may ask? The answer, of course, depends on what one wants to do with a PhD in women’s studies. Hence, in what follows, I will lay out several factors to consider when deciding which program to choose. Then, I will share some challenges we have experienced as faculty members building women’s studies PhD programs so that university administrators can L. Ayu Saraswati 401 further build on and engage in this important conversation of shaping the future of women’s studies PhD programs. For Future PhDs: What I Have Learned as a Women’s Studies PhD Graduate The good news is that not all women’s studies PhD programs are the same. It is up to students to choose which one fits their goal. If students are wholly invested in being interdisciplinary scholars and willing to put all of their eggs in one women’s studies basket, then doctoral programs structured around areas of study or major fields may work better. The University of Maryland, for example, offers five major fields: Gender, Race, Racialization, and/or Diaspora Studies; Art, Culture, Technologies, and Social Change; Bodies, Gender and Sexualities; Gendered Labor, Households and Communities; and Women’s Movements, Global and Local. If none of these major fields fits perfectly—as the fields often reflect the faculty members’ expertise, students can create their own. After choosing or creating a major field, students will then take classes— in theories and methods—that will solidly ground their expertise in their chosen field. In this setup, students may take classes from many departments, such as history, anthropology, ethnic studies, and English, for example, that are centered around their field. The assumption (or the hope) is when students travel through and take these classes in different disciplinary locations, they will then synthesize and transform the knowledge they learn in each department to produce truly interdisciplinary knowledge. The drawback of this model, however, is that it may be harder for the students to land a job in a traditional discipline or in a discipline other than women’s studies. This may be because it is not uncommon that students end up crafting or adopting a more avantgarde method of analysis that does not simply sit neatly in one discipline, such as “literary ethnography,” for example. Many times, however, new and avant-garde methods that students design may not be perceived as innovative. Rather, they may be seen as incoherent. Indeed, as Mary Margaret Fonow and Sally Kitch argue in their article “Analyzing Women ’s Studies Dissertations: Methodologies, Epistemologies and Field Formation,” not devising and discussing a solid feminist methodology that would clearly link the argument and the evidence is one of the main 402 L. Ayu Saraswati problems found in many of these dissertations.1 Their suggestion, therefore, is to strengthen the “fundamentals of research design and writing.” (I will return to this issue later.) In cases where students would like to entertain the possibilities of securing a job in disciplines other than women’s studies, programs that offer concentrations based on... (shrink)

The specific objectives of the study were 1) To create a “ke-kame-tu” formula (15-60-25), 2) To create nuggets as a PMT product based on the ke-kame-tu formula, 3) To analyze the proximate content, amino acids, zinc, calcium, phosphorus and magnesium of PMT products, 4) To determine the preferred PMT product based on the acceptance test by toddlers. The making of the “ke-kame-tu” formula (15-60-25) used a randomized block design (RAK) with one treatment and three replications. The PMT product was made (...) using the ke-kame-tu formula (15-60-25) and the acceptability test used 30 toddler panelists. Analysis of protein, calcium, phosphorus and magnesium (HPLC/AAS and spectrophotometry). To determine the acceptability of the PMT product, a limit of ≥50% of toddlers stated that they liked it was used. Nuggets made using a modified recipe with the addition of 100 grams of ke-kame-tu formula. The results of the protein analysis were 16.60%, calcium 0.07 mg%, phosphorus 0.15 mg%, magnesium 0.02 mg%, zinc 1.95 mg%. If toddlers consume 100 grams of this nugget, it will be able to meet the nutritional needs, especially protein for toddlers aged 6-11 months by 110.6%, 1-3 years by 83% and 4-6 years by 66.4%. The results of the trial on toddler panelists showed that all toddlers liked the nuggets served. If we looked at carefully at the protein content of this nugget with complete essential amino acid content, it is very possible to substitute the fulfillment of toddler protein requirements. Consumption of toddler protein according to needs will achieve optimal nutritional status, in other words, the problem of stunting can be prevented and dealt with. (shrink)

The scarcity of resources during the COVID‐19 pandemic caused ethical dilemmas in prioritizing patients for treatment. Medical and ethical guidance only emphasizes clinical procedures but does not consider the sociocultural aspect. This study explored the perception of former COVID‐19 patients and their families on the decision‐making process of the patient's selection at a time of scarcity of resources. The result will inform the development of an ethical guide for allocating scarce resources that aligns with Indonesian culture. We conducted qualitative research (...) with in‐depth interviews between May ‐ December 2022 involving sixteen participants from various cities in Indonesia. We transcribed the interviews and analyzed the results using thematic analysis. This study found that doctor's decisions often differed from patient's expectations in allocating scarce resources, and therefore, it should be communicated appropriately. Medical decisions were not sufficiently made ethically, but must also be made communicatively. In Indonesia's strong communal culture, community involvement was essential to distributing limited resources. A better approach to ethical education, including adequate communication skills, is necessary to prepare health professionals for facing unpredictable future pandemics. (shrink)

Malang City has evolved into a prominent hub for students. Embracing this new role, it has become a sought-after destination for learners from outside Java who wish to pursue their education at local universities. The influx of international students brings a vibrant intercultural dynamic to the city, affecting both the local community and the students themselves. As these students undergo the adaptation process to integrate and thrive in their new environment, they often face challenges such as culture shock, which arises (...) from insufficient preparation and knowledge about their new surroundings. Culture shock can be minimized in the process of student adaptation by the application of intercultural communication, which can bridge the constraints of understanding in society. This research aims to examine the impact of intercultural communication on the adaptation process of Hindu students in Malang City, focusing on how it can reduce the incidence of culture shock. Employing a qualitative-interpretative approach, the research gathers data through comprehensive and interactive interviews based on the informants' personal experiences. Informants are selected using purposive sampling, and data is analyzed using the Miles and Huberman framework, which involves data collection, reduction, and interpretation. The outcomes highlight that culture shock among Hindu students in Malang City is influenced by internal factors, including personal abilities, insufficient factual information, and experiences in intercultural social interactions. While external factors include language, food, customs, and climate. The phases of culture shock development in the adaptation process include the optimistic phase, cultural phase, recovery phase, and adjustment phase. The duration for students to transition from experiencing culture shock to achieving adaptation ranges from one month to a year. Effective intercultural communication plays a crucial role in this adaptation process, helping to reduce the impact of culture shock by facilitating stages of convergence, divergence, and maintenance. (shrink)

This article employs a thumbs and thumbnails analysis to analyze the 85 most viewed Asian online porn thumbnails, videos, and their audiences’ comments to argue that cyberspace functions as a space of “affective simulation,” rather than simply as a space of representation. For these online viewers, the performativity of pain by Asian women porn stars functions as an entry point to access and externalize their affective excess.

This study explores the dual role of educational practitioners as leaders and educators in the education sector, focusing on conflict management through mindfulness, ten principles of Buddhist governance, and transformational leadership. The research, involving 116 Buddhist monks and nuns with leadership experience in Indonesian Buddhist education institutions, employed statistical analysis techniques such as descriptive statistics, parametric inferential statistics, and SPSS 27. The findings indicate that transformational leadership directly impacts conflict management, while mindfulness and the ten principles of Buddhist governance have (...) indirect effects mediated by transformational leadership. Additionally, mindfulness has a direct influence on conflict management, as do the ten principles of Buddhist governance. The study underscores the importance of developing mindfulness, incorporating Buddhist principles, and fostering transformational leadership among educational leaders and practitioners to enhance conflict management skills. (shrink)

This paper discusses Al-Rāniri ‘s criticism of the theological conception in Nusantara Sufism which contains elements of pantheism. This paper begins by describing the teachings of Waḥdah shuhūd in Sufism Al-Rāniri. This teaching believes in God, Allah as the only one and only being, while the universe is only a madzhar that testifies to the oneness of Allah Himself. That is why a being other than Allah is not separate, it is neither independent nor one with God. Based on this (...) view, Al-Rāniri criticizes, even kafuses the wujūdiyah followers because they tend to be pantheistic which unites God,Allah and humans. The Sufism teachings developed by Al-Rāniri were able to bring together sharia and Sufism. This teaching can be accepted by the people of the archipelago, Aceh in particular because the people of the Archipelago in the following years were colored by Sunni teachings that uphold the practice of sharia. This paper aims to find the position of Waḥdah shuhūd teachings in the context of Nusantara Islamic studies, especially in the field of Sufism, whose roots cannot be separated from the development of Sufism in the 17-18 century. Therefore, this study uses a descriptive-analytical approach while adhering to the accuracy of the analysis data that has been carried out by previous researchers. (shrink)

The use of contraceptives has become prevalent among females in Thailand in the past 20 years, and oral contraceptive use has been suggested to trigger changes in fat intake, energy expenditure, fat metabolism and blood pressure. Based on field investigations of 391 married women aged 20 years or over in Yasothon Province, North-east Thailand, this study aims to elucidate the effects of oral contraceptive use on body mass index (BMI: kg/m2 ) and blood pressure, taking into account reproductive histories and (...) socioeconomic conditions. The proportion of obese (BMI> 25) subjects was high in the age groups 3049 and 5049, 5069 age groups. Current contraceptive practices in the studied population included sterilization by operation, oral contraception and injection. These methods accounted for 43·0%, 12·8% and 8·2% of the population, respectively. Sociodemographic factors such as reproductive history, years of education and household income were not significantly related to BMI or to blood pressure (ANOVA with age adjustment). In contrast, oral contraceptive users had significantly higher BMIs and diastolic blood pressures (p<0·01, ANOVA with age adjustment). Multiple regression analysis also revealed that oral contraceptive use was a weak but significant contributing factor to both high BMI and blood pressure when sociodemographic factors were taken into account and controlled for statistically. It can thus be concluded that the use of contraceptive pills, which contain oestrogen and progestin and are provided free of charge to Thai women, tend to increase BMI and to elevate blood pressure. (shrink)

This article discusses the factors that confer a contemplative atmosphere to the village of Girilayu and stimulate local artisans to create batik motifs that contain symbolic philosophical meanings that confer ethical values to batik making while adapting to contemporary design and technological processes. Since 2016, Mbok Semok batik has struggled to preserve local traditions and patterns that stimulate contemplation in its designs. The paper is based an ethnographic approach involving data collection from Girilayu batik artisans; later analyzed using a phenomenological (...) approach in order to describe the correlation between design and contemplative philosophical meaning in Mbok Semok. Thus, the paper functions as an example of the need to articulate local ethical practices with technological change in a way that grounds harmony in human relationships with the environment and the supernatural beyond. (shrink)

Centhini manuscript is one of the ancient manuscripts from Kesultanan Surakarta Hadiningrat in the 19th century which has had a role in the cultural and ecological aspects in regulating the use of teakwood. Therefore, deep study into utilization of teak wood in Centhini Manuscript will be conducted as cultural heritage from Indonesia. Narrative methods is used in this research to present thematic results. Direct observation is conducted on various artifacts to analyze the symbolic value of teakwood. The results show that (...) in the past, religious considerations, alertness and well-being is an important factor in the selection of teak in the Javanese community. Selection of teak is carried out strictly as accountability to the environment. The purpose of this research is to build cultural values as strategy on teak wood utilization in Indonesia and to develop ecology-minded design in the future. (shrink)

This is a feminist theory reader for college and graduate school level students.

This research aims to analyze the relationship between tourism geography and the role of Airport Representatives with transferability skills on foreign tourists' satisfaction in handling airport arrivals and departures. The methodology used is a mixed method which includes interviews, observations, and questionnaires to collect data, as well as path analysis to test the relationship between variables. The results of the analysis show that the "Geography of Tourism" variable shows an f square value of 0.609, which shows a very large or (...) very significant effect on the "Tourist Satisfaction" variable. This shows that tourism geography has a strong influence on tourist satisfaction. Airport Representative service quality has a significant effect on tourist satisfaction with an original sample value of 0.772 and a T-statistic of 35.927, and transferability skills contribute with an original sample value of 0.521 and a T-statistic of 14.661. The conclusion of this research confirms that improving communication skills and handling emergency situations by Airport Representatives can significantly increase tourist satisfaction. In addition, positive experiences at the airport have the potential to increase tourist loyalty. The implication of this research is the importance of investing in training and skills development for Airport Representatives to improve service quality in the tourism industry. (shrink)

Tri Hita Karana is a traditional Balinese philosophy that emphasizes the importance of balance in the relationships between humans and God, humans and others, and humans and the natural environment. Although this principle underpins many aspects of life, its application in architectural and urban planning often faces various challenges. This research identifies the gap between traditional principles and the demands of modern development. A qualitative case study approach was used in Kedonganan Traditional Village, Kuta, Bali, employing in-depth interviews and direct (...) observation methods. The results of the study show that the people of Kedonganan Traditional Village still uphold customs and cultural traditions, which are implemented in various aspects of daily life, including religious activities, mutual cooperation, and environmental management. Collaboration between the government and traditional communities has proven effective in maintaining ecological, social, and spiritual balance. Additionally, the findings indicate that cultural, architectural and landscape elements remain relevant and functional in community life. The implications of this research highlight the importance of integrating Tri Hita Karana values into development policies to achieve sustainable balance. (shrink)

The puppet arts in Bali can be found in the wayang Kamasan painting at Kamasan Village, Klungkung Regency. This painting inspired the creation and development of new handicraft in Bali. The objectives this research: 1. To find the wayang Kamasan painting in Klungkung Regency; 2. To find the development of handicraft types in Bali inspired by wayang Kamasan painting. This research used a qualitative descriptive approach, and data collection by observation, interview, and documentation. The results that wayang Kamasan painting is (...) estimated to have existed since the reign of the ancient Bali kingdom, which was during the reign of King Dalem Waturenggong in Semarapura Klungkung. The wayang Kamasan painting character painted on a canvas with a light brown base color, stiff, two-dimensional, and the description follows the applied standards. The figures depicted taken from Ramayana and Mahabharata story. The Balinese handicrafts inspired by wayang Kamasan painting include ceramics, wovens such as sokasi/keben, keris sheath, dulang, bokor, guitars, beruk, and others. The authors expect in the future the wayang Kamasan painting can survive, and emerges the world's concern for its preservation. (shrink)

This article investigates the semiotic strategies employed in Indonesian presidential campaign posters, utilizing semiotics as a powerful tool to decode symbols and signs in political communication. The study focuses on the verbal and visual aspects of the posters, aiming to uncover their intended meaning, myth, and ideologies. Through a comprehensive analysis of the visual elements, symbols, and textual cues, the research examines the semiotic strategies employed to convey messages and influence voter perceptions. Drawing on theoretical frameworks of semiotics and political (...) communication, the findings reveal how subtle visual and textual choices shape the interpretation and reception of political messages. The implications extend beyond this specific campaign, offering valuable insights for future electoral discourse and visual communication strategies. Understanding the semiotic strategies in political campaigning enhances our comprehension of the complex dynamics of political communication, facilitating a more nuanced understanding of how political messages are constructed and perceived. This study contributes to a deeper understanding of the role of semiotics in political communication and provides a foundation for further research in the field. (shrink)

The purpose of this study seeks to analyze the problem of Unity in Diversity as a Source of Politics and Cultural Identity of the Indonesian Nation in Legal Formation. In general, the process of establishing customary, national, regional and international law in various parts of the world no one knows even uses Bhineka Tunggal Ika as the source of legal formation. However, often the formation of law in Indonesia refers to the philosophical meaning of Unity in Diversity. The formulation of (...) the research problem: 1) What are the markers of Unity in Diversity in Legal Formation?; 2) Why is Bhineka Tunggal Ika so important in the Formation of Law in Indonesia?; 3) Is there a contribution of Bhineka Tunggal Ika in the formation of customary law? This research was completed using qualitative methods. All data in this study are descriptive which have been collected directly or indirectly. Data acquisition is optimized through a literature study. All data were analyzed qualitatively to solve the research problem. The results showed that: 1) Unity in Diversity can be a marker of Indonesian national cultural identity in Legal Pluralism; 2) Bhineka Tunggal Ika in the formation of state law is considered relevant as a political source that is able to accommodate Customary Law and Religious Law into State Law; 3) Unity in Diversity as the identity of Indonesian Nation Culture, as well as political sources, has contributed in the spirit of the formation of Customary Law in the midst of the times. (shrink)

The story of “Kutukan Dapur” by Eka Kurniawan presents a colonial setting: Dutch colonialism and postcolonialism in the image of two characters, Diah Ayu and Maharani. Maharani is in patriarchal shackles, which is ingrained in her family life and social structure. Meanwhile, Diah Ayu is in the bonds of Dutch colonialism, which is brought back by the author. Both are in a subaltern position but in different conditions. Based on this description, this research asks two questions which are analyzed using (...) Gayatri Spivak's subaltern theory, (1) what the position of Diah Ayu and Maharani in "Kutukan Dapur" short story, and (2) how the subaltern is constructed through the efforts of the two characters to get out of that position is. The method used is qualitative. The narratives are classified and analyzed to understand the subaltern's position and construction and its resistance efforts. This research indicates that Maharani and Diah Ayu are subalterns of Maharani dominated by patriarchy, while Diah Ayu is dominated by Dutch colonialism. Maharani fought back, but only with an idea or ideas. Unlike Diah Ayu, she is able to fight in a real form. However, as the author, Eka is trapped in a biased construction in addition to gender bias and representation. In subaltern studies, representation is only a tool towards more real domination. The two figures seem to be fighting against the power structure (colonial and patriarchal) but are still trapped in the dominance of the other. (shrink)

En este artículo tratamos de abordar un problema de difícil solución: la forma de tra-ducir el término mawlá, cuyo significado no es el mismo en todas las regiones y etapas históricas. Estudiamos el uso que de este vocablo y de su plural se hizo en al-Andalus desde la época de la conquista hasta la caída de califato de Córdoba, sumando observa-ciones personales relativas a los tipos de walaŽ que se establecieron, al papel desempe-ñado por el grupo social denominado "los mawali" (...) y a factores muy diversos que ayu-dan a interpretar correctamente dicho nombre. ABSTRACT In this paper we address a problem with no easy solution: the translation of the term mawlá, whose meaning differs from region to region and is subject to change over time. We study the use of this word in al-Andalus from the period of the Conquest to the fall of the Caliphate of Cordova, adding some personal observations concerning the types of wald', the role played by the social group called "the mawali" and many other factors that help to establish the correct interpretation of this word. (shrink)