scholarly journals Community-based wheelchair caster failures call for improvements in quality and increased frequency of preventative maintenance

Spinal Cord ◽  
2021 ◽  
Author(s):  
Anand Mhatre ◽  
Jon Pearlman ◽  
Mark Schmeler ◽  
Benjamin Krider ◽  
John Fried
Keyword(s):  
High Risk ◽  
Secondary Data ◽  
Preventative Maintenance ◽  
Chi Square ◽  
Wheelchair Users ◽  
Manual Wheelchair ◽  
Group 2 ◽  
Health Complications ◽  
Rehabilitation Needs ◽  
Failure Types

Abstract Study design Secondary data analysis of wheelchair failures and service repair logs from a network of wheelchair suppliers. Objective To determine the frequency of wheelchair caster failures and service repairs across wheelchair manufacturers and models and investigate the relationships between them. Setting Wheelchair caster failures and service repairs occurred in the community. Methods Reported caster failure types were classified based on the risk they pose for user injuries and wheelchair damage. Caster failures experienced by users of tilt-in-space and ultralightweight manual wheelchair models and Group 2, 3 and 4 power wheelchair models between January 2017 and October 2019 were analyzed using Chi-Square tests for independence. Correlational analysis of failures and service repairs was performed. Results A total of 6470 failures and 151 service repairs reported across four manufacturers and five models were analyzed. Failure types were significantly associated with manufacturers and models, respectively. Users of tilt-in-space wheelchairs, who require greater seating support, experienced twice the proportion of high-risk caster failures than the ultralightweight manual wheelchair users. Similarly, Group 3 and 4 power wheelchair users, who have complex rehabilitation needs, experienced 15-36% more high-risk failures than Group 2 users. Service repairs negatively correlated with high-risk manual wheelchair caster failures. Conclusions Wheelchair users who have greater seating and complex rehabilitation needs are at a higher risk for sustaining injuries and secondary health complications due to frequent caster failures. The study findings call for significant reforms in product quality and preventative maintenance practices that can reduce wheelchair failures and user consequences.

Efektivitas Kartu Skor Poedji Rochjati (KSPR) Untuk Deteksi Resiko Tinggi Pada Ibu Hamil Di Puskesmas Ngumpakdalem Kabupaten Bojonegoro

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Devi Endah Saraswati ◽  
Fela Putri Hariastuti
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Health Center ◽  
Secondary Data ◽  
P Value ◽  
District Health ◽  
Chi Square ◽  
Risk Detection ◽  
Score Card ◽  
Risk Pregnancy

ABSTRAKKehamilan, persalinan, nifas dan bayi baru lahir dalam prosesnya terdapat kemungkinan suatu keadaan yang dapat mengancam jiwa ibu dan bayi bahkan dapat menyebabkan kematian. Kematian ibu dapat dicegah jika kita dapat melakukan deteksi dengan baik, salah satu alat unuk mendeteksi resiko tinggi ibu hamil adalah dengan menggunakan Kartu Skor Poedji Rochjati (KSPR). Tujuan dari penelitian ini untuk mengetahui  Efektifitas Kartu Skor Poedji Rochjati (KSPR) untuk deteksi resiko tinggi pada ibu hamil di wilayah Puskesmas Ngumpakdalem Kabupaten Bojonegoro.Desain penelitian kohord retrospektif dengan menggunakan data sekunder. Penelitian dilakukan bulan Mei – Agustus 2017 di Puskesmas Ngumpakdalem, Kecamatan Dander, Kabupaten Bojonegoro. Populasi dalam penelitian ini adalah seluruh ibu hamil pada tahun 2016 sebanyak 505 ibu, sampel dalam penelitian ini menggunakan tehnik total populasi.Hasil penelitian terdapat ibu hamil dengan resiko rendah (KRR) sebanyak 312 (61,8%), dengan kehamilan resiko tinggi  (KRT) sebanyak 175 (34,6%), dan dengan kehamilan resiko sangat tinggi (KRST) sebanyak 18 (3,6%), responden dengan jumlah skor 2 sebanyak 312 (61,2%), skor 6 sebanyak 116 (23%), skor 10 sebanyak 59 (11,7%), skor 14 sebanyak 17 (3,4%), dan skor 18 sebanyak 1 (0,2%). Hasil uji Chi Square didapatkan nilai p value 0,001 yang berarti kartu Skor Poedji Rochjati (KSPR) efektif untuk deteksi resiko tinggi pada ibu hamil.Kartu Skor Poedji Rochjati (KSPR) efektif untuk deteksi resiko tinggi pada ibu hamil, tetapi kehamilan tanpa resiko tetap perlu diberikan asuhan secara komprehensif karena resiko kehamilan dapat berubah seiiring waktu kehamilan dan persalinan. Kata Kunci : Efektifitas, KSPR, Resiko Tinggi, Ibu Hamil  ABSTRACTPregnancy, childbirth, childbirth and newborn in the process there is the possibility of a situation that can be life-threatening mother and baby can even cause death. Maternal deaths can be prevented if we can perform a good detection, one tool to detect high risk pregnant women is by using the Card Score Poedji Rochjati (KSPR). The purpose of this research is to know the effectiveness of Rochjati Poedji Score Card (KSPR) for high risk detection in pregnant women in Ngumpakdalem District Health Center of Bojonegoro Regency.Design of retrospective cohort studies using secondary data. The study was conducted in May - August 2017 at Ngumpakdalem Health Center, Dander Sub-district, Bojonegoro District. The population in this study is all pregnant women in 2016 as many as 505 mothers, the sample in this study using total population technique.The results of the study were low-risk pregnant women (KRR) of 312 (61.8%), with a high-risk pregnancy (175.6%), and with a very high risk of pregnancy (KRST) of 18 (3, 6%), respondents with score of 2 as many as 312 (61.2%), score of 6 as much as 116 (23%), score of 10 as much 59 (11.7%), score 14 as 17 (3.4%), and score of 18 as much as 1 (0.2%). Chi Square test results obtained p value 0.001, which means the card Score Poedji Rochjati (KSPR) effective for high risk detection in pregnant women.The Poedji Rochjati (KSPR) Score Card is effective for high risk detection in pregnant women, but non-risk pregnancies need to be given comprehensive care because the risk of pregnancy may change over time of pregnancy and delivery. Keywords: Effectiveness, KSPR, High Risk, Pregnant Mother

scholarly journals RELATIONSHIP BETWEEN PREGNANT WOMEN'S HIGH-RISK AGE WITH THE PRETERM OF LABOR IN BIDAN PRAKTIK MANDIRI (BPM) BIDAN NANIK SUWATI, AMD. KEB, PUNGGING VILLAGE, MOJOSARI SUB-DISTRICT, MOJOKERTO DISTRICT

2018 ◽  
Vol 7 (2) ◽  
pp. 141-147
Author(s):  
Siti Fithrotul Umami ◽  
Titiek Idayanti
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Preterm Labor ◽  
Secondary Data ◽  
Statistical Test ◽  
Chi Square ◽  
Control Approach ◽  
A Value ◽  
Term Delivery ◽  
Sample Technique

Background. High-risk age for pregnant women is < 20 or > 35 years, the possibility of a bad pregnancy / complications will increase, such as preterm labor. Premature birth is the main cause in almost 2/3 of births. Preterm labor is a labor that occurs in pregnancy between 28 - 37 weeks. The incidence in BPM Bidan Nanik Suwati, Pungging Village, Mojosari Sub-District, which is from 80 women giving birth, found 7 respondents experienced preterm labor including 4 (57.14%) aged <20 and> 35 years and 3 (42.86%) aged 20 - 30 years.Objectives. The purpose of this study was to determine the correlation between pregnant women's high-risk age with the preterm of labor in Bidan Praktik Mandiri (BPM) Bidan Nanik Suwati, Amd. Keb, Pungging Village, Mojosari Sub-District, Mojokerto District.Methods. The research method used is analytic correlation with a case control approach using research instruments in the form of secondary data. The sample technique used in this study was total sampling, so the sample of the study was all pregnant women of high-risk age in BPM Nanik Suwati, Pungging Village, Mojosari Sub-District at 68 respondents. The results of data collection were processed by chi-square statistical test (X2) with a significance distance of α = 0.05.Results. From the results of the study, almost half (31%) of respondents experienced preterm labor and most (69%) of respondents experienced term delivery. Shows a significant relationship between the age of high-risk pregnant women with the incidence of preterm labor with a value of P = 0.036.Conclusion. The factors that influence preterm labor, such as parity, frequency of ANC patients, and obstetric complications. Therefore, it should be recommended for mothers as much as possible not to become pregnant at a high-risk age, namely age <20 and> 35 years. Keywords:      High Risk Age, Pregnant Women, Preterm Labor Incidence.

PERSEPSI PETERNAK PADA KEPEMIMPINAN PENDAMPING DAN HUBUNGANNYA DENGAN PRODUKTIVITAS USAHA TERNAK DI PAGUYUBAN AL-AWWALIYAH, PASIRWANGI, GARUT, JAWA BARAT

2019 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Dwi Indah Sulistiani ◽  
Ujang Maman ◽  
Junaidi J
Keyword(s):  
Data Analysis ◽  
Secondary Data ◽  
Primary Data ◽  
Leadership Qualities ◽  
Chi Square ◽  
Education Experience ◽  
Spss Software ◽  
Chi Square Analysis ◽  
And Behavior ◽  
The Relationship

Objective of this research; 1) determine the perception of ranchers against the properties and behavior of the leadership of the companion in the Society of Al-Awwaliyah 2) analyze the relationship between productivity breeder with productivity of livestock in the Society of Al-Awwaliyah 3) identify the relationship perceptions of ranchers against the leadership companion with productivity of livestock in the Society of Al-Awwaliyah , The data used in this study are primary and secondary data. Primary data were obtained from questionnaires which stem from ranchers while secondary data sourced from literature in the form of books and articles. Data processing was performed using Chi-square analysis using SPSS software version 21. One of the factors relating to the productivity of ranchers is the perception of ranchers against the leadership of their companion. Leadership companion views of the nature and behavior of which is owned by a companion. Productivity ranchers indirectly related to the productivity of the cattle business. Characteristics breeder visits of age, years of education, experience ranchers, and businesses in addition to ranchers. The results of data analysis showed that there is a significant relationship between business other than ranchers with ranchers productivity. The relationship between the perception of the nature of the companion breeder with productivity ranchers produce Pearson Chi-Square value is 9.751 and Asymp. Sig. (2-sided) of 0.002. This is due to interest ranchers against leadership qualities possessed by a companion who produce prolific ranchers. Ranchers consider that a companion of his leadership qualities are ideal as a companion.

Usia Resiko Tinggi dan Perdarahan Post Partum

2018 ◽  
Vol 3 (2) ◽  
pp. 91
Author(s):  
Ani Media Harumi ◽  
Kasiati Kasiati
Keyword(s):  
High Risk ◽  
Post Partum ◽  
Chi Square ◽  
Sample Number ◽  
Chi Square Test ◽  
Study Population ◽  
Relationship Of ◽  
The Relationship

Abstract: The purpose of this study is to analyze the relationship of age high risk with the incidence ofbleeding post partum in dr. M. Soewandhie Surabaya hospital. This research is analytic with an approachof a sectional cross. The study population was all post partum mothers in the Dr. M. Soewandhie Surabayahospital in January 2016 to March 2017, which amounts to an average of 1840respondents while theresearch sample number 182. Measuring collection sheet data obtained by systematic random sampling.The Study was conducted Chi-Square test obtained mean count X2 (0,00) is less than á (0.05) thenH0 is rejected and H1 accepted it means that there is a relationship between the age of high risk withbleeding post partum. Conclusion, there is a relationship between the age of high risk with the incidenceof bleeding post partum in the Spaceof the Maternity room Dr. Moch. Soewandhie Surabayahospital.

Prevalence of facemask use among general public when visiting wet market during Covid-19 pandemic: An observational study. (Preprint)

2020 ◽  
Author(s):  
Gobi Hariyanayagam ◽  
Sera Selvanthan Sundram Gunasekaran ◽  
Shargunan Selvanthan Gunasekaran ◽  
Nur Syafina Insyirah Zaimi ◽  
Nor Amirah Abdul Halim
Keyword(s):  
High Risk ◽  
General Population ◽  
Binary Logistic Regression ◽  
Final Analysis ◽  
High Risk Population ◽  
Binary Logistic Regression Model ◽  
Chi Square ◽  
Hygiene Measures ◽  
Wet Market ◽  
Medical Grade

BACKGROUND In late December 2019, an outbreak of a novel coronavirus disease (COVID-19; previously known as 2019-nCoV) was epidemiologically linked to seafood and wet animal market in Wuhan, Hubei, China. This event has instigated negative stigma among the general population to view the wet market as a high-risk location for potential transmission of coronavirus. OBJECTIVE This study investigated the prevalence of facemask use among general population visiting the wet market as well as factors contributing to unacceptable facemask practice. Setting The visitors to a district wet market selling range of live or freshly slaughtered animals during COVID-19 pandemic outbreak was observed for facemask practice. METHODS All Individuals visiting the market were observed for the type, category and practice of wearing facemas. Subjects were categorized into two groups of acceptable and unacceptable facemask practice. The Pearson chi-square was used to test for differences in investigated variables in the univariate setting and Binary Logistic regression model was used in the multivariate setting. Main outcome measure Prevalence, acceptance practice and odds ratio of unacceptance of facemask use. RESULTS Among 1697 individuals included in the final analysis, 1687 (99.7%) was observed wearing facemask with 1338 (78.8%) using medical-grade facemask. Among them, 1615 (95.7%) individuals facemask practice was acceptable while the reaming 72 (4.3%) individuals were observed with unacceptable facemask practice. Individuals using medical-grade facemask and high-risk age group are 6.4 times (OR=6.40; 95% CI, 2.00-20.43; p=.002) and 2.06 times practice (OR=2.06; 95% CI, 1.08-3.94; p=.028) more likely to have unacceptable facemask practice respectively. CONCLUSIONS High saturation of facemask among the general population is an adequate indicator of public hygiene measures strategy which can help to mitigate the COVID-19 epidemic impact. Alarmingly, the unacceptable facemask practice among high-risk population raises the need for a targeted approach by healthcare authorities to ensure satisfactory facemask use.

scholarly journals The Impact of Dynamic Capabilities on Sustainable Competitive Advantage in the Pharmaceutical Sector in Egypt

2017 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Albert Naiem Naguib ◽  
Eahab Elsaid ◽  
Abdel Moneim Elsaid
Keyword(s):  
Competitive Advantage ◽  
Dynamic Capabilities ◽  
Secondary Data ◽  
Primary Data ◽  
Sustainable Competitive Advantage ◽  
Firm Characteristics ◽  
Pharmaceutical Sector ◽  
Chi Square ◽  
Pharmaceutical Firms ◽  
The Impact

This study examines the relationship between dynamic capabilities (experience, routine, skills, firm characteristics, knowledge and technology) and competitive advantage sustainability in the Egyptian pharmaceutical sector. The data was collected using primary and secondary data sources. Primary data was collected from questionnaires distributed to 160 top managers in 20 pharmaceutical firms. The secondary data about pharmaceutical firms like rankings, revenues and market share was collected from external sources such as Intercontinental Marketing Service (IMS). The questionnaires examine six independent variables based on a five-scale Likert scale. The methodology used in the study is non-probability sampling (judgmental sampling), Cronbach’s alpha reliability coefficient and Chi-square tests. The results support the notion that there is a significant relationship between four of the six dynamic capabilities (experience, skills, firm characteristics and knowledge) and the competitive advantage sustainability for pharmaceutical firms in Egypt. Designing the questionnaire and formulating the questions to target the required field was challenging, given that the topic is dynamic and the business scene in Egypt has witnessed drastic political changes since January 2011. The study should assist pharmaceutical companies in Egypt in directing their investments properly and in determining the weaknesses in their dynamic capabilities that need to be addressed.

scholarly journals Empty shelves: selected essential medicines stockouts in South Africa

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Wolvaardt ◽  
R Nemuntandani ◽  
I Kamungoma-Dada
Keyword(s):  
South Africa ◽  
Urban Areas ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Treatment Interruption ◽  
Cross Sectional Study ◽  
Essential Medicines ◽  
Chi Square ◽  
Cross Sectional ◽  
Antiretroviral Medication

Abstract Background Access to essential medicines in South Africa has been compromised by stockouts in health facilities. This study describes the occurrence of stockouts for a selection of essential medicines. Methods This cross-sectional study used secondary data retrieved from the Stop Stock Outs Project (SSP). A descriptive analysis was conducted on data from the 2013-2015 SSP case management database of routinely reported stockouts. Chi square tests of independence was conducted on data from the SSP 2015 annual telephonic survey to investigate associations between the occurrence of stockouts, the level of health facility and the type of health professional. Results 231 facilities reported 609 stockouts. Antiretroviral medication had the most stockout reports (78%; n = 475/609), followed by anti-infectives (17.1%; n = 104/609) and tuberculosis medication (4.9%; n = 30/609). The highest number of stockout reports were received from Gauteng province and the majority (71.09%; n = 150/211) of facilities reporting stockouts were in urban areas. There were more stockouts at ambulatory, rather than inpatient care, facilities however, this was not statistically significant. Conclusions This study confirms that South Africa experiences medicine stockouts for many of the essential medicines, with antiretroviral medication being the category most affected. The stockouts vary between provinces and the urban-rural divide but are an equal threat to both ambulatory and inpatient facilities. Key messages The pattern of stockouts experienced over a three-year period suggest that stockouts are ‘normal’ despite the substantive effects of treatment interruption – especially patients with HIV and/or TB. Antiretroviral therapy is at risk as a result of stockouts.

scholarly journals Pain and its impact on functioning and disability in manual wheelchair users with spinal cord injury: a protocol for a mixed-methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044152
Author(s):  
Mokgadi Kholofelo Mashola ◽  
Elzette Korkie ◽  
Diphale Joyce Mothabeng
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
South African ◽  
Phase 1 ◽  
Pain Medication ◽  
Self Management ◽  
Medication Misuse ◽  
Wheelchair Users ◽  
Manual Wheelchair ◽  
Cord Injury

IntroductionApproximately 80% of people with spinal cord injury experience clinically significant chronic pain. Pain (whether musculoskeletal or neuropathic) is consistently rated as one of the most difficult problems to manage and negatively affects the individual’s physical, psychological and social functioning and increases the risk of pain medication misuse and poor mental health. The aim of this study is to therefore determine the presence of pain and its impact on functioning and disability as well as to develop a framework for self-management of pain for South African manual wheelchair users with spinal cord injury.Methods and analysisCommunity-dwelling participants with spinal cord injury will be invited to participate in this three-phase study. Phase 1 will use a quantitative, correlational design to determine factors related to pain such as pectoralis minor length, scapular dyskinesis, wheelchair functioning, physical quality of life, community reintegration and pain medication misuse. Demographic determinants of pain such as age, gender, type of occupation, completeness of injury and neurological level of injury will also be investigated. Participants with pain identified in phase 1 will be invited to partake in a qualitative descriptive and contextually designed phase 2 to explore their lived experience of pain through in-depth interviews. The results of phases 1 and 2 will then be used with the assistance from experts to develop a framework for self-management of pain using a modified Delphi study. Data analysis will include descriptive and inferential statistics (quantitative data) and thematic content analysis (qualitative data).Ethics and disseminationApproval for this study is granted by the Faculty of Health Sciences Research Ethics Committee of the University of the Pretoria (approval number 125/2018). This study is registered with the South African National Health Research Database (reference GP201806005). This study’s findings will be shared in academic conferences and published in scientific peer-reviewed journals.

scholarly journals Do Camels (Camelus dromedarius) Need Shaded Areas? A Case Study of the Camel Market in Doha

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 480
Author(s):  
Martina Zappaterra ◽  
Laura Menchetti ◽  
Leonardo Nanni Costa ◽  
Barbara Padalino
Keyword(s):  
Ad Hoc ◽  
The Sun ◽  
Chi Square ◽  
Chi Square Test ◽  
Variable Space ◽  
Group 2 ◽  
Sun And Shade ◽  
Poor Welfare ◽  
Group 1

This study aimed at documenting whether dromedary camels have a preference for shade and how their behavior would change depending on the presence of shade and variable space allowance. A total of 421 animals kept in 76 pens (66 with shelter (Group 1), and 10 without shelter (Group 2)) at the camel market in Doha (Qatar) were recorded for 1 min around 11:00 a.m. when the temperature was above 40 °C. The number of animals in the sun and shade and their behaviors were analyzed using an ad libitum sampling method and an ad hoc ethogram. The results of a chi-square test indicated that camels in Group 1 had a clear preference for shade (p < 0.001). The majority of Group 1 camels were indeed observed in the shade (312/421; 74.11%). These camels spent more time in recumbency and ruminating, while standing, walking, and self-grooming were more commonly expressed by the camels in the sun (p < 0.001). Moreover, locomotory stereotypic behaviors (i.e., pacing) increased as space allowance decreased (p = 0.002). Based on the findings of this pilot study, camels demonstrated a preference for shade; shade seemed to promote positive welfare, while overcrowding seemed to trigger stereotypy and poor welfare. Overall, our preliminary results are novel and provide evidence that shaded areas are of paramount importance for camel welfare. Further research, involving designed studies at multiple locations is needed to confirm these results.

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