scholarly journals Bacterial colonization, species diversity and antimicrobial susceptibility patterns of indwelling urinary catheters from postpartum mothers attending a Tertiary Hospital in Eastern Uganda

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262414
Author(s):  
Ashley Winfred Nakawuki ◽  
Rebecca Nekaka ◽  
Lydia V. N. Ssenyonga ◽  
George Masifa ◽  
Dorreck Nuwasiima ◽  
...  

Background Postpartum urinary Catheter-Related Infections (CRIs) are a significant cause of maternal sepsis. Several studies done have reported the presence of mixed populations of bacteria with a significant increase in Extended-Spectrum Beta-Lactamase (ESBL) Enterobacteriaceae spps, Methicillin-Resistant Staphylococcus aureus (MRSA), Multi-Drug Resistant (MDR) bacteria in urine and blood cultures of catheterized patients despite the use of prophylactic antibiotics. This study aimed at determining the bacterial species diversity and susceptibility patterns of indwelling urinary catheters from postpartum mothers attending Mbale Regional Referral Hospital (MRRH). Methods A cross-sectional study employing quantitative and qualitative was carried out in MRRH among postpartum mothers with urinary catheters and their care-takers. The purposive non-random sampling strategy was used to collect data using an interviewer-administered questionnaire for the quantitative data collection and in-depth interviews for qualitative data collection. All the data collection tools used were developed, pretested and validated. At the point of de-catheterization, Catheter tips from enrolled participants were cut about 2-3cm below the balloon aseptically into test-tube containing peptone water, sonication technique employed, and incubation done 24hours then cultured to ensure phenotypic identification. An antibiotic sensitivity test was performed using the disc diffusion method following Clinical and Laboratory Standards Institute (CLSI) guidelines. Quantitative data collected was entered in Microsoft Excel and then exported to STATA14 for statistical analysis. Thematic analysis was used to analyse and organise qualitative data by an inductive coding method using Nvivo 12 software. Results In this study, 208 postpartum mothers participated, the majority of whom were caesarean section mothers of age range 20–24 years and 17 care-takers with a median age of 32 years. The prevalence of catheter tips bacterial colonisation was 98% despite 88.5% of the participants being on broad-spectrum antibiotics. The average duration of catheterisation was 2 days. All bacteria isolates were potential uro-pathogens with a mean occurrence of 2 bacteria species in each urinary catheter tip. The rates of MDR to commonly used antibiotics were high. The urinary catheter size of greater than F14 and duration of catheterization greater than 2 days were significantly associated with the number of bacterial species isolated from each sample. The maintenance care and knowledge of care-urinary catheter care among the care-takers was found sub-optimal. Conclusion There was a high prevalence of catheter colonisation with bacterial spps diversity averaging 2 spps per sample despite use of broad spectrum antibiotics. The MDR rates were high, which calls for routine culture and sensitivity. Health workers practicing obstetric medicine need to pay attention to catheter sizes during catheterisation and its duration. Health education should be part of antenatal and postnatal care education.

2021 ◽  
pp. 004723952110316
Author(s):  
Mustafa Serkan Günbatar

The purpose of this research was to determine the effectiveness of the instruction process using the flipped classroom (FC) model within the scope of Computer Networks and Communication course. Theoretically, the community of inquiry model was taken as a reference and the effectiveness of the instruction process was evaluated accordingly. Students were preservice teachers studying Computer Education and Information Technology in the third grade in the Van region in Turkey. There were a total of 19 students, of which 12 are male and seven are female. FC process was carried out in the spring semester of 2018–2019 and lasted 11 weeks in total. A mixed-method design was used to gathering the data. Therefore, the research design was an explanatory design from mixed-methods designs. The quantitative data collection tool was the Turkish version of the Community of Inquiry Survey. The quantitative data were analyzed by dividing the students into very low, low, high, and very high levels. The qualitative data collection tool was the interview form created concerning the community of inquiry model. The qualitative data were analyzed by the use of the community of inquiry coding template's themes. At the end of the instruction process, students had a very high level of cognitive, social, and teaching presence perception. This situation was detailed and supported with the qualitative data obtained. Concerning the cognitive presence, the students firstly talked about that they started the learning process with videos. Regarding the social presence, they mentioned the motivating effect of the questions. About the teaching presence, participants firstly mentioned the direct instruction role of the videos.


2019 ◽  
Vol 4 (3) ◽  
pp. 59-61
Author(s):  
Muhammad Umar Isa ◽  
Yusri Bin Kamin ◽  
Yusri Bin Kamin

Project based learning (PoBL) is a constructivism learning approach that focuses around student centred learning. PoBL has been found to be effective in different tertiary institutions of learning across the globe. However, in spite the effectiveness of PoBL, it has not been adopted in Nigerian tertiary institutions. Therefore, the purpose of this study is to investigate the effective strategies for integrating PoBL in teaching and learning Woodwork Technology Education (WTE) at tertiary institutions in Nigeria. Three research questions were posed in this study. A mixed method approach involving both quantitative and qualitative method was employed for the study. The sample of the study comprised 50 in-service postgraduate students from Nigerian tertiary institutions studying Technical Vocational Education and Training (TVET) in Universiti Teknologi Malaysia for the quantitative aspect, and 9 in-service post graduate students for the qualitative part. A 16-item structured questionnaire was used for quantitative data collection while semi structured interview was used for qualitative data collection. Data was analyse using the SPSS software version 24 to analyse quantitative data and NVIVO 12 was used for qualitative data analysis. The findings of the study revealed that traditional instructional approach is the predominant method used in teaching and learning WTE at tertiary institutions in Nigeria. It was also revealed from the findings that PoBL encourage student ownership of learning, enhances students critical thinking, effective collaboration and communication. The findings from the study also revealed that restructuring of WTE curriculum at tertiary institutions in Nigeria to focus on a learner centred approach, as well as organising seminars and workshops for WTE lecturers to be acquainted with the application of PoBL in WTE teaching and learning were among the effective strategies for integrating PoBL in teaching and learning WTE at tertiary institutions in Nigeria. Finally, this paper calls for the integration of PoBL into the teaching and learning of WTE at Universities, Polytechnics and Colleges of education in Nigeria for effectiveness in skills acquisition.


2020 ◽  
Vol 9 (3) ◽  
pp. 163
Author(s):  
Oğuz Kaan Esentürk ◽  
Nuri Berk Güngör

The aim of this study was to investigate the effect of peer-mediated adaptive physical activity program on problem behaviors of mentally handicapped students. Eight mentally handicapped students and eight peer students with normal development participated in this study, which was designed according to a sequential descriptive design. In the research, peer education program was applied to the peer students in line with the skills expected to be exhibited during the practices. In the study, Problem Behavior Sub-Scale (PBS), which is one of the subscales of Social Skills Rating System (SSRS) developed by Gresham and Elliot (1990) and Turkish adaptation by Sucuoglu and Ozokcu (2005) was used as a quantitative data collection tool. As a qualitative data collection tool, semi-structured interview form was used. The Friedman test was used to analyze the quantitative data, and Wilcoxon Signs test was used to determine the source of the difference. Significance value was determined as 0.05. In the analysis of qualitative data, content analysis was applied. The quantitative findings of the study showed that the peer-mediated APA program was effective on the problem behaviors of mentally handicapped students and that the skills acquired as a result of the practice were maintained by the children three weeks after the completion of the practices. In the qualitative findings, the teachers stated that after the peer-mediated APA program, there were positive developments in the ability of mentally handicapped students to experience push-pull, touch discomfort, fear, trust, power control with their peers and to act in accordance with the instructions. The obtained qualitative and quantitative findings showed that peer mediated APA program had positive effects on the problem behaviors of mentally handicapped students.


2018 ◽  
Vol 1 (2) ◽  
pp. 59-63
Author(s):  
Juliana Juliana

This research aims to determine the increase in memory of children in memorization of Hadith through movement method in PAUD Darul Fikri. This type of research is classroom action research, which was held in July 2018 until August 2018. The study consisted of two cycles with four main activities present on each cycle, namely planning, observation action, and reflection. Data is analyzed using qualitative data and quantitative data. The subject in this study was a child in the Darul Fikri PAUD. A total of 17 children. The data collection techniques used are oral test and observation techniques. Oral tests include how many hadiths have been memorized and the child's ability to repeat their memorization. While the observation is done directly to see the implementation of the program of memorization of the hadith in Paud Darul Fikri.


2004 ◽  
Vol 12 (3) ◽  
Author(s):  
Wassila Naamani Mehanna

The aim of this research was to establish effective e-learning practice in higher education. This was achieved by looking at examples of different pedagogic techniques employed in several cases. The effectiveness of these techniques was established by looking at the students’ outcomes on these courses. This study has adopted a sequential mixed methodology characterized by an initial phase of qualitative data collection and analysis, which was followed by a phase of quantitative data collection and analysis. The first phase of the study involved collecting a year of data from a postgraduate programme. A grounded approach was used to analyse one million words of online conferences or discussions, and led to the emergence of 29 pedagogic behaviours. These pedagogic behaviours were then developed into a coding instrument. The second phase, hypothetico-deductive analysis, confirmed their presence in three other cases, five million words of online interactions, and established their associations with students’ learning and outcomes. The findings suggest seven clusters of pedagogies correlated with students’ grades and the effect size calculation revealed an educational significance for all of them. This indicates that if they are employed in online classrooms they are likely to enhance students’ learning and outcomes.DOI: 10.1080/0968776042000259582


AN-NISA ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 537-548
Author(s):  
Indah Dwi Sartika

Penelitian tindakan ini bertujuan untuk menggambarkan proses dan hasil dalam meningkatkan kemampuan membaca permulaan TK PAUD Anak Bangsa Kota Palembang Provinsi Sumatera Selatan melalui penerapan media bulletin board. Metode penelitian yang digunakan adalah penelitian tindakan dengan model Kemmis dan Taggart, yang meliputi perencanaan, tindakan dan observasi, refleksi. Subjek penelitian ini adalah TK PAUD Anak Bangsa yang berjumlah 16 orang anak. Penelitian dilakukan dalam dua siklus yang terdiri dari delapan pertemuan pada setiap siklus. Teknik pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Teknik analisis data dalam penelitian ini adalah analisis data kualitatif dan analisis data kuantitatif. Hasil penelitian menunjukan bahwa kemampuan membaca permulaan anak mengalami peningkatan setelah diterapkan media bulletin board. Skor kemampuan membaca permulaan anak pada pra siklus sebesar 44, siklus I sebesar 62, dan siklus II sebesar 65,125. Hasil tersebut memberikan implisasi bahwa kemampuan membaca permulaan dapat ditingkatkan melalui penerapan media bulletin board.Research action aims to describe the process and results in improving the ability to read the beginning of TK PAUD Anak Bangsa of Palembang City South Sumatera Province through the application of Media bulletin board. The research methods used are research actions with the Kemmis and Taggart models, which include planning, action and observation, reflection. The subject of this research is TK PAUD Anak Bangsa, a total of 16 children. Research is conducted in two cycles consisting of eight meetings on each cycle. Data collection techniques are conducted through observation, interviews and documentation. The data analysis techniques in this study are qualitative data analysis and quantitative data analysis. The results showed that the ability to read children's beginnings improved after the media bulletin board was applied. Scores of children's start reading on the pre-cycle of 44, cycle I by 62, and cycle II by 65.125. The results gave implisation that the ability to read the start can be increased through the application of Media bulletin board.


2021 ◽  
Vol 58 (1) ◽  
pp. 5235-5245
Author(s):  
Bakaruddin Et al.

This study aims to reveal a number of determinants of financial not independent be the cause of the elderly in disadvantaged areas. The study was designed in the format of mixed method, wherein in the first stage of qualitative data collection to identify a number of determinants of the causes of the financial not independent elderly. All variables are declared invalid later developed into quantitative data collection instrument at a later stage. The results of different Kruskal-Wallis test was applied to see the differences between the determinants of independent elderly and elderly are not independent. Then performed logistic regression analysis to see the effect of each determinant to provide empirical evidence on the probability not independent elderly. The results showed that the only factor of land ownership, health


2020 ◽  
Vol 1 (2) ◽  
pp. 54
Author(s):  
Dwi Wahyu Arukah ◽  
Irfai Fathurohman ◽  
Moh. Syaffruddin Kuryanto

This study aims to improve the learning outcomes of grade IV students of SDN 2 Karangbener on the theme of my goals using the Think Pair Share (TPS) model. This type of research is a class action research consisting of four stages, namely planning, implementation, and reflection which is carried out for 2 cycle consists of 2 meetings. The subjects of this study were the fourth grade students of SDN 2 Karangbener with a total of 14 students. Data collection techniques using interviews, observation, tests, and documentation. Analysis of the data used is quantitative data and qualitative data. The results showed an increase in learning outcomes in the realm of knowledge. In cycle I the knowledge domain of grade IV SDN 2 Karangbener students obtained a percentage of completeness of 64.2% with the statement of students who received a total score of 9 students and those who did not complete as many as 5 students. And to be 85.7% in the second cycle with the statement of students complete marks and 2 students who did not complete. Based on the result of the class action research conducted it can be concluded that the application of the Think Pair Share (TPS) model can improve the learning outcomes of grade IV students of SDN 2 Karangbener on the theme of My Goals Abstrak Penelitian ini bertujuan untuk meningkatkan hasil belajr siswa kelas IV SDN 2 Karangbener pada tema Cita-citaku dengan menggunakan model Think Pair Share (TPS). Jenis penelitian ini adalah Penelitian Tindakan Kelas yang terdiri dari empat tahap yaitu perencanaan, pelaksanaan, pengamatan, dan refleksi yang dilaksanakan selama 2 siklus. Setiap siklusnya terdiri dari 2 pertemuan. Subjek penelitian ini adalah siswa kelas IV SDN 2 Karangbener yang berjumlah 14 siswa. Teknik pengumpulan data menggunakan wawancara, observasi, tes, dan dokumentasi. Analisis data yang digunakan yakni data kuantitatif dan data kualitatif. Hasil penelitian menunjukkan peningkatan hasil belajar pada ranah pengetahuan. Pada siklus I ranah pengetahuan siswa kelas IV SDN 2 Karangbener memperoleh persentase ketuntasan sebesar 64,2% dengan keterangan siswa yang mendapat nilai tuntas sebanyak 9 siswa dan yang tidak tuntas sebanyak 5 siswa. Dan menjadi 85,7% pada siklus II dengan keterangan siswa yang mendapat nilai tuntas sebanyak 12 siswa dan yang tidak tuntas sebanyak 2 siswa. Berdasarkan hasil penelitian tindakan kelas yang dilakukan dapat disimpulkan bahwa penerapan model Think Pair Share (TPS) dapat meningkatkan hasil belajar siswa kelas IV SDN 2 Karangbener pada tema Cita-citaku.


Jurnal IPTA ◽  
2015 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
M. Rizky Nugraha S. ◽  
I Made Sendra ◽  
Ni Putu Eka Mahadewi

Selection of research on "Cooking Class as Tour Packages at the Restaurant Laka Leke in Ubud Bali" is motivated the potential that cant be find anything in Ubud area which can be put into a package "cooking class", and how to plan a tour package "cooking class" in support of the potential that exists in Ubud. Data collection in this study was done by observation, interviews, and library research. Type of data used is the qualitative data supported by quantitative data, while the data source are the primary data and secondary data. Results of this study showed that of the observations made on potentiality of tourism in Ubud village is still a lot of potentials that has not been developed and the maximum attention, especially from the local government. Development of tourism in Ubud village just focus on a few places in the Ubud area. For the Bureau of Tourist’s Travel or restaurant should pay more attention to making travel packages which involving local communities and make a package that is unique and different so will not appear tour packages that already exist.


2019 ◽  
Vol 10 (2) ◽  
pp. 126-131
Author(s):  
Amrina Rosyada ◽  
Dini Arista Putri ◽  
Nur Alam Fajar

Diarrhea is still a public health problem in developing countries such as Indonesia because morbidity and mortality rates are still high in these areas. A morbidity survey conducted by the Diarrhea Department of the Ministry of Health in Indonesia between 2000 and 2010 shows rising incidences of diarrhea in children. In 2000, Incidence Rate (IR) diarrhea incidents occurred in 301/1000 members of the population, and this increased to 411/1000 in 2010. Cases of diarrhea have become dangerous when suffered by infants because the mortality rate will increase because weaker immunity than olders. Environmental factors such as water, waste, and toilet contribute greatly to cases of diarrhea; therefore, in this research, we analyze environmental characteristics’ effects on the incidence of diarrhea in infants in Palembang. This study uses a mixed-method design combining quantitative data collection using secondary data from the Department of Health with qualitative data collection using in-depth interviews of Palembang’s local government and health center personnel in the districts with the highest and lowest cases of diarrhea. Quantitative data analysis are visualized in the form of a map, while qualitative data are analyzed using content analysis. The results show that Ilir Timur I has the highest incidences of diarrhea while the Sako district has the lowest. Based on the results of the analysis, Ilir Timur I has more cases of diarrhea largely because of its non-working area health centers. Sako has the fewest cases of diarrhea because the clinics, doctors, and midwives in private practice in the region of Sako do not report the cases, as well as because of factors related to access remote health centers. Therefore, interventions based on health data for diarrhea need to be restyled for a drastic reduction of diarrhea cases. Keywords: Area, diarrhea, children, characteristic, environment, data


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