scholarly journals PENDAMPINGAN IBU HAMIL MELALUI PROGRAM ONE STUDENT ONE CLIENT (OSOC) DI WILAYAH KERJA PUSKESMAS SIDOHARJO KABUPATEN SRAGEN

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ani Nur Fauziah
Keyword(s):  
Maternal Mortality ◽  
Care Delivery ◽  
Learning Experience ◽  
Care Process ◽  
Scientific Publications ◽  
Midwifery Care ◽  
Central Java ◽  
Work Area ◽  
Client Program ◽  
Pregnant Mothers

Maternal Mortality Ratein the Central Java in 2012-2014 has significantly increased in 2012: 675 of cases, 2013: 668 of cases, 2014: 711 of cases, while in 2015 and 2016 decreased: 2015: 619 of cases and 2016: 602 of cases. One Student One Client Program (OSOC) is a program launched by the Governmentof Central Java Provinceas an effort to decrease The Rate of Maternal Mortality in Central Java.The targets and outcomes of this activity are scientific publications and  journals continuously also midwifery care process to the mother; pregnant, childbirth, childbirth, birth control and newborn care.The cooperation between healths professional in midwifery process later can contribute in decreasing Maternal Mortality Rate.The method used is direct learning experience in the community. Each learner will get one client (pregnant mother) through a midwife coordinator in Work Area of Puskesmas Sidoharjo to achieve one student one client.The techniques of data collection are forms of; pregnancy midwifery care , delivery, puerper, new baby born and KB. This accompaniment was carried out for 5 months from April - August 2017 in the working area of Puskesmas of Sidoharjo.The result of this are the majority of pregnant mothers can be through pregnancy with healthy and the increase of awareness and knowledge of pregnant women. 

scholarly journals Gambaran Faktor-faktor Ibu Mengikuti Kelas Ibu Hamil di Wilayah Kerja Puskesmas Tempuran Kabupaten Magelang Tahun 2013

2014 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Nova Wijanarko ◽  
Siti Fadhilah ◽  
Dusi Catur Susiwati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Basic Education ◽  
Care Delivery ◽  
Newborn Care ◽  
The Body ◽  
Infant Mortality Rate ◽  
Maternal Mortality Rate ◽  
Pregnant Mothers

Background : The maternal mortality rate (MMR) and infant mortality rate (IMR) is an indicator of success in the development of the health sector. One of the new breakthroughs in the health section of the family in an effort to lower the maternal mortality rate is to establish Pregnancy Class. Pregnancy class is a means to learn together about the health of pregnant women, in the form of face-to-face in a group that aims to increase knowledge, change attitudes and behaviors in order to understand the mother's pregnancy, the body changes and complaints during pregnancy, prenatal care, delivery, postnatal care, KB postpartum, newborn care, myths, beliefs, local customs, infectious diseases and birth certificates. Objective : Knowing description of the factors pregnant mothers attend classes. Method : This study is the descriptive type, using cross-sectional approach. The sampling technique used was simple random sampling with a sample size in this study was 57 respondents. Results: Most of the mothers knowledge level of pregnant women who attend classes are good that as many as 45 respondents (78.9%). Most of the mothers who attend classes pregnant women have high levels of basic education (elementary and secondary) as many as 44 respondents (77.2%). Most have the attitude agrees with the class of pregnant women as many as 46 respondents (80.7%). Most of the husband to provide support to mothers who attend classes pregnant women as many as 44 respondents (77.2%). Conclusions : The level of knowledge of mothers who attend classes either pregnant women, the level of basic education, has agreed attitudes toward classroom activities pregnant women, and the husband's mother gave support to pregnant mothers to attend classes.

A STUDY OF A PEDIATRIC RESIDENCY TRAINING PROGRAM

PEDIATRICS ◽  
1971 ◽  
Vol 47 (5) ◽  
pp. 893-901
Author(s):  
Chandrakant P. Shah ◽  
Geoffrey C. Robinson ◽  
Claire Kinnis ◽  
Sydney Israels
Keyword(s):  
Care Delivery ◽  
Learning Experience ◽  
Residency Training Program ◽  
Health Care Delivery System ◽  
Community Resources ◽  
Community Settings ◽  
Well Child Care ◽  
Pediatric Residency ◽  
Teaching Programs ◽  
Additional Exposure

This study was undertaken in order to determine the extent of the utilization of community settings in pediatric training programs and their value rating by pediatricians in Canada. Community settings were defined as any resident staff learning experience in the community other than at the teaching hospital, and they were divided into medical, social, and educational settings. Response rate was 100% for the 31 programs surveyed and 73.2% for the 790 pediatricians surveyed. Utilization of community settings was minimal, with the exception of pediatricians' offices, community hospitals, and clinics for well child care and rehabilitation. However, most of the pediatricians favored additional exposure of resident staff to these community settings. While pediatric education should continue to teach the pathology of the sick child in hospitals, this study suggests that the Canadian pediatricians think that graduate teaching programs should also embrace other facets of the health care delivery system. This will enhance the utilization of community resources by the pediatricians.

scholarly journals PERBANDINGAN MODEL REGRESI BINOMIAL NEGATIF BIVARIAT DENGAN MODEL GEOGRAPHICALLY WEIGHTED NEGATIVE BINOMIAL BIVARIAT REGRESSION (GWNBBR) PADA KASUS ANGKA KEMATIAN BAYI DAN KEMATIAN IBU DI JAWA TENGAH

2022 ◽  
Vol 10 (4) ◽  
pp. 488-498
Author(s):  
Yashmine Noor Islami ◽  
Dwi Ispriyanti ◽  
Puspita Kartikasari
Keyword(s):  
Infant Mortality ◽  
Maternal Mortality ◽  
Count Data ◽  
Poisson Regression ◽  
Negative Binomial ◽  
Poor People ◽  
Significant Variable ◽  
Central Java ◽  
Observation Area ◽  
Bivariate Regression

Infant mortality (0-11 months) and maternal mortality (during pregnancy, childbirth, and postpartum) are significant indicators in determining the level of public health. Central Java Province which has 35 regencies/cities is included in the top five regions with the highest number of infant and maternal mortality in Indonesia. The data characteristics of the number of infants and maternal mortality are count data. Therefore, the Poisson Regression method can be used to analyze the factors that influence the number of infants and maternal mortality. In Poisson regression analysis, there must be a fulfilled assumption, called equidispersion. Frequently, the variance of count data is greater than the mean, which is known as the overdispersion. The research, binomial negative bivariate regression is used as a solutions to overcome the problem of overdispersion in poisson regression. This method produce a global model. In reality, the geographical, socio-cultural, and economic conditions of each region will be different. This illustrates the effect of spatial heterogeneity, so it needs to be developed into Geographically Weighted Negative Binomial Bivariate Regression (GWNBBR). The model of GWNBBR provides weighting based on the position or distance from one observation area to another. Significant variables for modeling infant mortality cases included the percentage of obstetric complications treated (X1), the percentage of infants who were exclusively breastfed (X3), and the percentage of poor people (X5). Significant variable for modeling maternal mortality cases is the percentage of poor people (X5). Based on the AIC value, GWNBBR model is better than binomial negatif bivariat regression model because it has a smaller AIC value. 

scholarly journals Students’ Perceptions towards Using Mobile Application in Learning Speaking

2019 ◽  
Vol 2 (4) ◽  
pp. 499-514
Author(s):  
Desika Rinanda ◽  
Suparno Suparno ◽  
Sri Samiati Tarjana
Keyword(s):  
Language Learning ◽  
Learning Process ◽  
Mobile Applications ◽  
Mobile Application ◽  
English Language ◽  
Learning Experience ◽  
School Students ◽  
Central Java ◽  
Innovative Learning ◽  
Teaching Learning

The dramatic advancement technologies, particularly mobile applications, have influenced the education sector. The integration of mobile applications in education to change the teaching-learning process has taken place and led to innovative learning, including English language learning. Hence, this study aimed to find out the students’ perceptions and the factors influencing students’ perceptions toward the use of mobile application in learning English particularly speaking. To reach the objectives, this study used case study as the research method. The data were collected mainly through interview and observation. The participants were five vocational school students in Surakarta, Central Java, Indonesia. They were purposively selected because they had been familiar with mobile application and they had been taught speaking English using mobile application by their teacher, so that they could give adequate information.  The research findings showed positive perception from the students toward the use of Learn English Conversation application in learning speaking. They declared that the use of Learn English Conversation application could facilitate them in practicing speaking, bring fun and enjoyable learning during the learning process. Moreover, their positive perceptions were influenced by several factors such as the flexibility and the new learning experience given by the mobile application, the ease to run the mobile application and unrequired a lot of internet quota when the students run the mobile application.

PALLIATIVE CARE FOR CHILDREN WITH SEVERE, REFRACTORY DISEASES. ANALYTICAL REVIEW

2020 ◽  
Vol 66 (6) ◽  
pp. 11-11
Author(s):  
A.A. Ishutin ◽  
◽  
V.S. Stupak ◽  
T.A. Sokolovskaya ◽  
◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Delivery ◽  
Well Being ◽  
Scientific Publications ◽  
Symptoms Of Depression ◽  
Balanced Assessment ◽  
Russian Scientific ◽  
Analytical Review ◽  
Refractory Diseases

Significance. Improving quality and availability of palliative care for children with severe refractory diseases is one of the main objectives of the federal and reginal authorities. The efforts are focused on improving quality of patients’ life, increasing satisfaction of patients (their legal representatives) and families with availability of palliative care, that relieves suffering of patients and reduces symptoms of depression. Purpose of the study. To analyze modern forms and methods of palliative care delivery to children with severe refractory diseases. Material and methods. The authors have conducted a content analysis of scientific publications on organization of palliative care delivery to children with severe refractory diseases. A total of 153 publications were analyzed, including 141 foreign publications for the period from 1998 to the second quarter of 2020. A total of 44 publications have been selected for the analytical review including 28 publications from the international Scopus database, 12 – from the Russian scientific citation index database, including 7 publications from the list of VAK journals (Higher Attestation Commission Journals), and 4 - materials of international medical organizations (WHO, WHA, AHA, European Council). Results. Children with severe refractory diseases need specialized medical, psychological and social assistance. Palliative care includes active and comprehensive support for physical, psychological, social and spiritual well-being of these children, relieving their suffering, from diagnosis to outcome, reducing symptoms of depression in their families, ensuring the best quality of life. More than 21 million children worldwide require palliative care every year, ranging from 20 to 120 per 10,000 children around the world. However, palliative care is often discussed in the late stages of the disease, not always resulting in its early initiation, only little more than half the patients in need receive palliative care, there are differences in tools for assessing care results. It is necessary to early initiate palliative care, increase volumes of its provision, increase the number of specialists and institutions involved in palliative care delivery, as well as implement a comprehensive balanced assessment of care results.

The Effects of a Practice Guideline on Endoscopic Sinus Surgery at an Academic Center

1997 ◽  
Vol 11 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Michael G. Stewart ◽  
Edward J. Hillman ◽  
Donald T. Donovan ◽  
Sarper H. Tanli
Keyword(s):  
Health Care ◽  
Clinical Outcomes ◽  
Endoscopic Sinus Surgery ◽  
Care Delivery ◽  
Hospital Costs ◽  
Sinus Surgery ◽  
Care Process ◽  
Short Term ◽  
Academic Center ◽  
Median Hospital

Practice guidelines (PG) (or clinical pathways) are increasingly important tools for standardizing health care delivery, improving efficiency, monitoring quality, and controlling costs. Health services researchers divide the delivery of health care into three stages: structure, process, and outcome. PGs are a technique to standardize the process of health care delivery, which may result in improved clinical outcomes or may maintain clinical outcomes while increasing process efficiency and decreasing costs. We describe the development and implementation of a PG for endoscopic sinus surgery at an academic center, and report preliminary results on the effects of the PG on the health care process. The PG was developed using a multidisciplinary combination of consensus-building and evidence-based techniques. Initially, participation in the PG was voluntary and at the attending physician's discretion. One year after implementation of the PG, 41 patients had been enrolled by members of the medical school's full-time faculty. Process and short-term outcome variables on those patients were compared to a random sample of 50 patients treated by the same physicians, but not using the PG. There was no evidence of selection bias into the PG based on demographics, severity of sinusitis, or the presence of comorbid factors. There were no differences in time spent in the operating room, postanesthesia care unit, or day surgery observation unit, between patients using the PG and not using the PG. However, patients not using the PG had a significantly higher rate of unplanned admission. Patients using the PG had significantly lower median hospital costs and charges than did patients not using the PG. In addition, median hospital costs and charges decreased steadily for all patients (not just those using the PG), simultaneous with the development and implementation of the PG. There were no differences in short-term clinical outcomes between PG and non-PG patients. In summary, the development and implementation of a PG for endoscopic sinus surgery resulted in lower hospital costs and charges while maintaining acceptable short-term clinical outcomes. PGs have important implications for improving the efficiency of the health care process.

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