scholarly journals Fuzzy Logic of Work Conformity in Small Enterprises of Traditional Medicines

2020 ◽  
Vol 2 (1) ◽  
pp. 1-10
Author(s):  
Eliza Dwinta ◽  
Ajie Kusuma ◽  
Baniady Gennody Pronosokodewa ◽  
Raden Jaka Sarwadhamana

Good Manufacturing Practices for Traditional Medicine (CPOTB) certification given by National Food and Drug Agency (BPOM) to Small Enterprises of Traditional Medicines (UKOT) is a claim from the production process of traditional medicines that is in accordance with CPOTB. However, not all human resources at UKOT understand and apply existing guidelines in the work practices of traditional medicine production. This study aims to assess the conformity of work by calculating the gap between knowledge of work practices in human resources in one UKOT Yogyakarta with fuzzy method. This assessment is a quantitative, cross-sectional study using a questionnaire that was adapted and modified from six categories of cause and effect. Respondents included in this study were all human resources in UKOT as many as 24 people (total sampling). The results obtained from the gap calculation of work conformity based on the six categories are machinery that have positive values (0,1146). Human resources who work at UKOT have a good understanding of the CPOTB and are already good at implementing work practices in accordance with the CPOTB in the machinery category. The findings that personnel pass through the production area, storage area and quality control area, as well as analysis methods that have not been validated periodically, can be used as an ingredient for improvement by implementing corrective-action-preventive-action on order to improve the quality of work in accordance with CPOTB and guarantee the quality of traditional medicine products from the UKOT Yogyakarta.

2020 ◽  
Vol 8 ◽  
pp. 205031212097800
Author(s):  
Damtew Asrat ◽  
Atsede Alle ◽  
Bekalu Kebede ◽  
Bekalu Dessie

Background: Over the last 100 years, the development and mass production of chemically synthesized drugs have revolutionized health care in most parts of the world. However, large sections of the population in developing countries still depend on traditional medicines for their primary health care needs. More than 88% of Ethiopian parents use different forms of traditional medicine for their children. Therefore, this study aimed to determine factors associated with parental traditional medicine use for children in Fagita Lekoma Woreda. Method: Community-based cross-sectional study was conducted from 1 to 30 March 2019 in Fagita Lekoma Woreda. Data collection tool was a structured interviewer-administered questionnaire. Both descriptive and inferential statistics were used to present the data. Odds ratio and binary and multiple logistic regression analysis were used to measure the relationship between dependent and independent variables. Results: Among 858 participants, 71% of parents had used traditional medicine for their children within the last 12 months. Parents who cannot read and write (adjusted odds ratio = 6.42, 95% confidence interval = 2.1–19.7), parents with low monthly income (adjusted odds ratio = 4.38, 95% confidence interval = 1.58–12.1), and those who had accesses to traditional medicine (adjusted odds ratio = 2.21, 95% confidence interval = 1.23–3.98) were more likely to use traditional medicine for their children. Urban residents (adjusted odds ratio = 0.20, 95% confidence interval = 0.11–0.38) and members of community-based health insurance (adjusted odds ratio = 0.421, 95% confidence interval = 0.211–0.84) were less likely to use traditional medicine for their children. Conclusions: Our study revealed that the prevalence of traditional medicine remains high. Educational status, monthly income, residence, accessibility to traditional medicine, and being a member of community-based health insurance were predictors of potential traditional medicine use. Therefore, the integration of traditional medicine with modern medicine should be strengthened. Community education and further study on efficacy and safety of traditional medicines should be also given great attention.


2020 ◽  
Vol 20 (1) ◽  
pp. 64-72
Author(s):  
Liphapang Dimene ◽  
Mutseyekwa Fadzai ◽  
Jephat Chifamba ◽  
Gerald Nyakatawa ◽  
Carol Mahachi ◽  
...  

Background: Traditional medicines are widely used in the rapidly growing health system and are of economic importance. The study aimed at determining the frequency, pattern of use and factors that influence traditional medicines use during pregnancy. Materials and methods: A cross-sectional study was carried out at four district hospitals in Manicaland, Zimbabwe, using questionnaire based convenience sampling. Results: Traditional medicines use was found to be high with 54% (n = 337) of pregnant women using traditional medicines during pregnancy. The major purpose of use of traditional medicine was found to be preparation for delivery; cervical dila- tion in particular. The following factors showed a significant statistical association for use of traditional medicines: previous mode of delivery (p = 0.006), level of education (p = 0.016), family income (p = 0.007), and residential settlement (p = 0.026). Some of the common traditional medicines used during pregnancy include Camellia sinensis, Aloe, Spirostachys Africana, Thumbergia lancifolia, Dalbergiella nyasae, Steganotaenia oraliacea, Stomatostemma monteiroae and Cussonia arborea. Conclusion: A number of pregnant women use traditional medicines as partus preparators (labour aids) throughout the entire pregnancy period. This calls for obstetricians, general practitioners and midwives to inquire about use of traditional medicine in history. Keywords: Traditional medicines; pregnancy; Zimbabwe.


Author(s):  
Putri Suchi Tulhikma Sarewo ◽  
Tasnim Tasnim ◽  
La Ode Kamalia

Background: Data on the achievement of minimum service standards at Bahteramas Hospital shows that several programs have not reached the specified Minimum Service Standards, namely the availability of facilities and operating equipment (34.37), customer satisfaction (74.04%) from the standard ?80%, time provision of medical records (30 minutes) from standard 10 minutes, completeness of informed concent (67.75%) of ?80%. Observing the development of human resources at the Bahteramas Hospital has not been carried out optimally, for example, such as a standardized selection and recruitment process, support for facilities, infrastructure and technology, individual commitment to organization, leadership commitment and employee work relations themselves. The purpose of this research is to analyze factors related to the quality of human resources at the Bahteramas Regional General Hospital, Southeast Sulawesi Province. Methods: Quantitative research using a cross sectional study design.The population in this study amounted to 981 people. The number of samples in this study were 277 people. The sample was determined by simple random sampling technique. The data were obtained using the testchi square. Result: The test results using the chi square statistical test, it is known that the value of the selection variable (22,378> 3,841), the value of the training variable (18,658> 3,841), the value of the individual commitment variable (38,863> 3,841), the value of the reward variable (51,784> 3,841), the value of the skill variable (94,713> 3,841). Conclusion: There is a relationship between selection and the quality of human resources, there is a relationship between training and the quality of human resources, there is a relationship between individual commitment and the quality of human resources, there is a relationship between reward and the quality of human resources, there is a relationship between skills and the quality of human resources.


2016 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
Ika Avrianti

Inpatient unit of Bhakti Rahayu Hospital as one potential revenue center for the hospital expected to be able to support an increas the income of the hospital. The issue of this research is the decrease trend of Bed Occupancy rate 48,96% with trend -15,79%.This research aims to  increas the quality of inpatient services care in Bhakti Rahayu Hospital based on planning matrix. This research was in inpatient unit Bhakti Rahayu Hospital with an descriptive design cross sectional study of the 80 patients who are representing inpatient hospitalization were taken by simple random sampling. Data was collected by using questionnaires distributed to patients and analysed by quantitative methods arranged in the planning matrix table. The results showed that inpatient services quality has not met the standards of good service so that the service implementation need improvement and enhancement services primarily on aspects of the physical and human resources. The conclusions showed that to increase the quality of health care based on internal factors was very important. Physical aspects and human resources are the top priority to fix up.Keywords:services quality, planning matrix, inpatient unit


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Samuel Masresha Wassie ◽  
Leul Lisanework Aragie ◽  
Belaynew Wasie Taye ◽  
Laychiluh Bantie Mekonnen

Background. In Ethiopia, up to 80% of the population use traditional medicine for primary health care. Studies on the current knowledge and practices of communities in the era of modern health care expansion are lacking. Therefore, this study is aimed at assessing the knowledge, attitude, and practice of traditional medicine among communities in Merawi town.Methods. A descriptive cross-sectional study was carried out among 403 residents of Merawi town. A systematic random sampling was used to select households. Data was collected through house to house interview.Results. 392 out of 403 questionnaires were analysed. Among the participants, 220 (56.1%) were female. The mean (±s.d.) age of the participants was 32.5 (±12.4) years. Nearly two-thirds, 241 (61.5%), of study participants have good knowledge about traditional medicines. Three-quarters of participants prefer modern medicine to traditional drugs. 70.9% of participants had the experience of personal use of traditional therapies.Conclusions. The population in Merawi has good knowledge with high acceptability and use of traditional medicine. The main reasons for high acceptability and practice were cultural acceptability, lesser cost, and good outcome of traditional medicine.


2020 ◽  
Vol 4 (2) ◽  
pp. 29-32
Author(s):  
Dewi Perwito Sari ◽  
Asti Rahayu ◽  
Digdo Suryagama

The use of traditional medicine, in general, is considered safer than modern medicine. This study aims to determine the relationship between frequency of traditional medicines usage, the type and amount of traditional medicines consumed on traditional drug user's health-related quality of life.This research was an observational study conducted in a cross-sectional way. The study was conducted in the city of Surabaya in 2019. Calculation of sample size required for 400 people using the Slovin formula. Inclusion Criteria of respondents were domiciled in Surabaya, had or were taking traditional medicine, aged over 17 years. The research instrument was in the form of a Questionnaire and Short Form 6 Dimension (SF6D) sheet that had been validated for the measurement of the quality of life for health. The instruments were distributed using the Snowball Sampling technique with Google Forms. While manual distribution using random sampling techniques to the people of Surabaya.The collected data were analyzed with the Spearman correlation test and the Kruskal Wallis test. All analyses were carried out with the help of SPSS.The results show that the frequency, type and amount of traditional medicine consumed had a p>0.05 to health-related quality of life. The behavior of traditional medicine usage shows that there is no significant relationship to health-related quality of life to the health of the Surabaya community. Keywords: health-related quality of life; traditional medicine; SF6D; behavior


2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Tezera Jemere Aragaw ◽  
Dessie Tegegne Afework ◽  
Kefyalew Ayalew Getahun

Background. Traditional medicine is used by about 80% of the Ethiopian people to meet their healthcare needs. The aim of this study was to assess the knowledge, attitude, and practice of the community on traditional medicine in Debre Tabor town. Methods. A community-based cross-sectional study was carried out from November 1, 2018, to December 30, 2018, with a face-to-face interview method and involved 402 participants recruited by systematic random sampling technique. Data were analyzed using SPSS version 20.0. The association of independent and dependent variables was determined by binary logistic regression. Results. Among the participants, 294 (73.13%) were females and 108 (26.87%) were males. The ages of participants ranged from 18 to 80 (mean age of the participants was 35.73 ± 0.59 years). Above three-fourths, 322 (80.1%) of the participants had good knowledge. 158 (39.3%) of the participants had a good attitude and 145 (36.1%) of the participants used traditional medicines in their lifetime for different ailments. From all the participants who use traditional medicine, 41 (28.3%) encountered minor adverse effects. Conclusions. The study participants in Debre Tabor have good knowledge but poor attitude and utilization of traditional medicine.


2021 ◽  
Vol 6 (2) ◽  
pp. 73
Author(s):  
Amara Leno ◽  
Walter Kizito ◽  
Amadu Tejan Jalloh ◽  
Mohamed Alpha Bah ◽  
Sorie Mohamed Kamara ◽  
...  

Antimicrobials help in the prevention and treatment of infections and are crucial for animal production, but overuse can result in antimicrobial resistance. Hence, understanding data quality on livestock antimicrobial use is essential. We assessed frequency of reporting, completeness, and concordance of reported data and availability of human resources and infrastructure in 14 districts in Sierra Leone. This was a cross-sectional study involving a review of district and sub-district animal treatment forms submitted from January 2016 to August 2019. Out of the 14 districts, only 3 had filled forms available for review: A total of 6 (0.97% of 616 expected) district forms and 79 (1.15% of 6840 expected) sub-district forms. Data between district and sub-district treatment forms were fully discordant. Hence, completeness of data could not be assessed. All districts had livestock officers (barring one) and livestock assistants but no veterinarians. The gap in community animal health workers ranged from 14 to 100% per district. No districts had a functional computer or internet access. Reporting was non-existent in 11 districts and poor in the other 3. Resources are urgently needed to address critical gaps in human resources and capacity and computer and Internet connectivity to develop critical One Health surveillance functions at the national and sub-national levels.


2020 ◽  
Vol 26 (1) ◽  
pp. 31-36
Author(s):  
Md Zakaria Sarkar ◽  
AHM Ferdows Nur ◽  
Utpal Kumar Dutta ◽  
Muhammad Rafiqul Islam ◽  
Debabrota Roy ◽  
...  

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36


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