scholarly journals Implementation of the Simple Multi Attribute Rating Technique Method (SMART) in Determining Toddler Growth

2020 ◽  
Vol 5 (2) ◽  
pp. 169
Author(s):  
Agung Wahana ◽  
Cecep Nurul Alam ◽  
Siti Nur Rohmah
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Growth And Development ◽  
Decision Making Process ◽  
Infants And Toddlers ◽  
Community Nutrition ◽  
Reduce Child Mortality ◽  
Anthropometric Index ◽  
Improvement Programs ◽  
Improve Health

Toddler nutritional status is an important factor in efforts to reduce child mortality. The development of community nutrition can be monitored through the results of recording and reporting of community nutrition improvement programs reflected in the results of weighing infants and toddlers every month at the Pos Pelayanan Terpadu (Posyandu/ Integrated Service Post) , where these efforts aim to maintain and improve health and prevent and cope with the emergence of public health problems, especially aimed at toddlers. However, in carrying out the health service activities of Medical Officers, faced with an important problem that is still difficult in providing information related to the results of monitoring the growth and development of infants, because information on growth and development of infants owned is obtained from the data collection done manually such as; make records and calculations to find out the condition of a toddler declared good, less, or bad. Implementation of the SMART method in Toddler's growth and development, this method can be used based on the weights and criteria that have been determined. The criteria used are based on the Anthropometric index assessment criteria. The results of the analysis are the results of ranking the greatest value to be used as the material in the decision-making process.

scholarly journals Could clustering of comorbidities be useful for better defining the internal medicine patients’ complexity?

2018 ◽  
Vol 12 (2) ◽  
pp. 137 ◽  
Author(s):  
Flavio Tangianu ◽  
Paola Gnerre ◽  
Fabrizio Colombo ◽  
Roberto Frediani ◽  
Giuliano Pinna ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Decision Making ◽  
Cluster Analysis ◽  
Adverse Events ◽  
Decision Making Process ◽  
High Similarity ◽  
High Prevalence ◽  
Clinical Problems ◽  
Index Disease ◽  
Improve Health

Internal medicine patients are mostly elderly with multiple comorbidities, usually chronic. The high prevalence of comorbidity and multimorbidity has a significant impact on both positive responses to treatment and the occurrence of adverse events. Clustering is the process of nosography grouping into meaningful associations with some index disease, so that the objects within a cluster have high similarity in comparison with one another. In the decision-making process it is imperative that, in addition to understanding the immediate clinical problems, we are able to explicit all the contextual factors that have to be taken into account for the best outcome of care. Cluster analysis could be leveraged in developing better interventions targeted to improve health outcomes in subgroups of patients.

scholarly journals Contributions in the field of Public Health for decision-making in health

2017 ◽  
Vol 27 (2) ◽  
pp. 128 ◽  
Author(s):  
Luiz Antônio Tavares Neves
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Motor Development ◽  
Growth And Development ◽  
Human Growth ◽  
Public Health Decision ◽  
Health Decision Making ◽  
Scientific World ◽  
Health Decision ◽  
Human Growth And Development

  Brazil has made a wide development and contribution in the field of Public Health. These contributions have maximized public health decision-making, which is a factor of great importance for the maintenance of health of a given population, either in the prevention of disease, as is the case of immunizations or with actions in Health Promotion, improving the quality of life of the affected population. Thus, the Journal of Human Growth and Development has contributed enormously to the dissemination of knowledge, not only in Brazil but also in the world making a major effort with its publications in English which is the preferred language of the modern scientific world. It was evidenced the importance of research in the investigation of better ways to obtain the public health of a given community, bringing discussion of themes that involve aspects of human growth and development such as nutritional aspects, sexuality, motor development, covering situations and diseases as obesity, cerebral palsy, dyslexia and violence. The Journal of Human Growth and Development has maintained the tradition of approaching the different aspects that involve clinical practice for people and for Public Health. 

scholarly journals PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS

2019 ◽  
Vol 5 (4) ◽  
pp. 169-175
Author(s):  
Atsarina Fauzan ◽  
Sri Setiyarini ◽  
Christantie Effendy ◽  
Martina Sinta Kristanti
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Palliative Care ◽  
Health Care Providers ◽  
Physiological Condition ◽  
Health Centers ◽  
Decision Making Process ◽  
Care Providers ◽  
Snowball Sampling ◽  
Patients With Cancer

Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia.Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care.Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used.Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients,  (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making.Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.

scholarly journals Opportunities for early-career researchers to engage with science policy through the Biochemical Society

2021 ◽  
Author(s):  
Byron Carpenter
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Science Policy ◽  
Early Career ◽  
Decision Making Process ◽  
Education Funding ◽  
Policy Makers ◽  
Research Education ◽  
Early Career Researchers ◽  
Diversity And Inclusion

Science policy can be broadly defined as a two-way dialogue between science-related sectors and government. It involves the exchange of scientific findings and opinions with policy makers to inform the decision-making process, as well as the scrutinization of legislation around science-related topics to ensure it is based on sound evidence. Science policy covers a variety of issues, including research, education, funding, ethics, public health and equality, diversity and inclusion (EDI).

scholarly journals How to increase awareness of additional vaccinations; the case of maternal pertussis vaccination

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
K. van Zoonen ◽  
W. L. M. Ruijs ◽  
H. E. De Melker ◽  
M. E. J. Bongers ◽  
L. Mollema
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Pregnant Women ◽  
Process Model ◽  
Information Source ◽  
Vaccine Uptake ◽  
Adoption Process ◽  
Decision Making Process ◽  
Health Council ◽  
Dutch Health

Abstract Background Effective and safe vaccines are available outside national immunization programs (NIP). Increased awareness and vaccine uptake can improve public health. Before the inclusion of maternal pertussis vaccination (MPV) in the Dutch NIP in December 2019, extra communication efforts were undertaken. Here we examine the success of these efforts, investigating women’s awareness of and their decision-making process regarding MPV. Methods Between December 2018 and January 2019, one year before the introduction of MPV in the NIP, and about three years after MPV was recommended by the Dutch Health Council, pregnant and non-pregnant women (i.e. child younger than two years) were invited to fill out an online questionnaire. Participant’s decision-making processes regarding MPV were assessed with an adapted Precaution Adoption Process Model (PAPM), including stages of awareness, engagement, information-seeking, and vaccination behaviour. Furthermore, factors related to the decision-making process were examined. Results In total, 942 women were included, of whom 62% were non-pregnant. Most of the pregnant and nonpregnant women were aware of MPV during pregnancy (respectively 69 and 56%). Most aware women had heard about MPV through their midwife and the Public Health Institute (PHI) website. Women unaware of MPV reported a need for information, preferably from their midwives. Most aware women felt MPV was important to them (88%) and were classified as “engaged”. Of the eligible and “engaged” pregnant women, 58% were vaccinated, versus 38% of “engaged” non-pregnant women. Conclusions As the most preferred and trusted source of information, midwives are essential to increasing awareness of MPV. The PHI website is considered to be a reliable information source and is often consulted. To increase awareness, appropriate healthcare workers should be encouraged to actively inform target groups about available, additional vaccinations.

scholarly journals Evaluation of the decision-making process underlying the initial off-label use of vaccines: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042748
Author(s):  
Dieynaba Diallo ◽  
Caroline Quach
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Scoping Review ◽  
Grey Literature ◽  
Decision Making Process ◽  
Off Label Use ◽  
Advisory Committees ◽  
Off Label ◽  
Vaccination Recommendations ◽  
Label Use

IntroductionVaccination has become a central part of public health prevention. Vaccines are introduced after licensure by national regulatory authorities, whereas recommendations for use of licensed vaccines are made by national or international advisory committees and may include off-label use. The methodological and decision-making processes that are used to assess novel initial off-label vaccine use are unclear. This review aims to examine the off-label assessment processes to map evidence and concepts used in the decision-making process and present a common approach between all recommendations and specifics of each decision.Methods and analysisThe methodological framework described at the Joanna Briggs Institute will be applied to this scoping review. A search strategy was developed, in collaboration with an experienced senior health research librarian, by combining Mesgarpour’s highly sensitive search strategies. Peer-reviewed and grey literature will be systematically identified using PubMed, Medline and EMBASE; governmental agency and pharmaceutical websites; and search engines, such as Google Scholar. Reports and studies on off-label vaccine use in public health will be included. Screening will be independently undertaken by two reviewers. Data will be extracted using a standard form. Results will be narratively summarised to highlight relevant findings and guide the development of an analytical framework for off-label vaccination recommendations.Ethics and disseminationThis research does not require ethical approval. This scoping review will provide decision-making elements and a synthesis of knowledge on vaccines off-label use. Findings will be relevant to decision-makers/advisory committees and public health. These will be disseminated through peer-reviewed articles and conferences.

scholarly journals Deontological or Utilitarian? An Eternal Ethical Dilemma in Outbreak

2021 ◽  
Vol 18 (16) ◽  
pp. 8565
Author(s):  
Po-En Tseng ◽  
Ya-Huei Wang
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Moral Dilemmas ◽  
Decision Making Process ◽  
Ethical Theories ◽  
Public Health Decision ◽  
Deontological Ethics ◽  
Health Decision ◽  
Epidemiology And Public Health ◽  
Made In

Both deontological ethics and utilitarian ethics are important theories that affect decision making in medical and health care. However, it has been challenging to reach a balance between these two ethical theories. When there is a conflict between these two ethical principles in the medical context, the conflict must be addressed in order to reach an appropriate solution for patients and others involved. To demonstrate decisions made in terms of deontological ethics and utilitarian ethics, the study will use the film Outbreak as example to further understand these two ethics in relation to epidemiology and public health. The paper will also analyze film scenarios to examine how deontological ethics and utilitarian ethics are involved and strike a balance with different pearspectives to reach an appropriate public health solution. To reach more just solutions, it is essential to determine how to make wise decisions by balancing deontological ethics and utilitarian ethics. However, the decision-making process is complicated because any solution must consider not only medical ethics but also political, environmental, and military issues. In order to reach an appropriate public health decision, those involved should be inclined toward empathy and contemplate things from different ethical perspectives to deal with ethical/moral dilemmas and create greater beneficence and justice for patients and humanity at large.

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