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Regulasi dan Penegakan Hukum Lingkungan dalam Menangani Kebakaran Hutan Berdasarkan Undang-Undang Nomor 32 Tahun 2009 Harvelian, Agnes; Ashraf, Muhammad; Kartika, Tantri
HUMANIORUM Vol 1 No 4 (2023): Jurnal Humaniorum
Publisher : PT Elaborium Elevasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37010/hmr.v1i4.28

Abstract

The importance of maintaining environmental balance and dealing with complex issues such as forest fires in Indonesia requires attention to the relevant legal aspects. The concept of the environment involves the human area and the accumulation of its activities, with forests playing a central role in maintaining ecosystems and providing benefits for society. Law Number 32 of 2009 concerning Environmental Protection and Management is a strong legal basis for dealing with this problem. This research method applies a normative approach and literature study to analyze legal aspects related to forest fires. Within this framework, the statutory approach is used to collect all laws and regulations that are relevant to the legal issues being studied, especially in the context of enforcing criminal law against forest fires as an environmental crime. The results reveal the importance of effective law enforcement in the environmental context, which is regulated by Article 98 of Law Number 32 of 2009. This article outlines criminal sanctions for those who violate air, water, or environmental damage criteria.
Self-efficacy, drug side effects, and nurse communication: Factors related in chemotherapy adherence for breast cancer patients Ashraf, Muhammad; Malini, Hema; Refnandez, Randy; Kardila, Intan Yullya
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2748

Abstract

Background: Chemotherapy is a crucial therapy for breast cancer patients, and its success heavily depends on patient compliance. However, despite extensive in the impact of  Non-compliance, there is still limited understanding of the specific factors influencing chemotherapy adherence among breast cancer patients, highlighting the need to re identify these contributing factors. Purpose: This study aims to identify the determinant factors related to chemotherapy adherence among breast cancer patients at the West Sumatera Provincial Hospital. Methods: This study is a quantitative research with a cross-sectional design. An accidental sampling technique was used, with a total of 81 patients. Bivariate analysis was conducted using the chi-square test (p < 0.05), and multivariate analysis was performed using Multiple Logistic Regression. Results: The results showed that 61.7% of patients had good compliance. Factors associated with compliance included good self-efficacy, low knowledge, feeling bothered by the side effects of chemotherapy drugs, and effective nurse interpersonal communication. Multivariate analysis revealed that self-efficacy and drug side effects had a significant relationship with compliance (p < 0.05). Drug side effects were the most significant factor (OR = 12.223, 95% CI: 1.371 to 109.015, p < 0.05). Conclusion: The findings of this study highlight the importance of managing drug side effects and enhancing self-efficacy through patient education and improved nurse interpersonal communication. These measures are expected to improve the quality of nursing care and patient outcomes.