Robson Classification and quality audit

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gehanath Baral
Keyword(s):  
Cesarean Section ◽  
World Health Organization ◽  
Real Time ◽  
Perinatal Outcome ◽  
World Health ◽  
Related Factors ◽  
Quality Audit ◽  
Robson Classification ◽  
Health Organization

World Health Organization has recommended Robson Classification from baseline obstetric characters to assess, monitor and compare Cesarean Section rates by the quantity analysis. Incorporation of real time labor related factors requires quality audit for both maternal and perinatal outcome.

scholarly journals Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Yluska Myrna Meneses Brandão e Mendes ◽  
Daphne Rattner
Keyword(s):  
Information System ◽  
Cesarean Section ◽  
World Health Organization ◽  
World Health ◽  
Teaching Hospitals ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
Robson Classification ◽  
The World ◽  
Health Organization

Objective. To determine the distribution of cesarean sections performed in teaching hospitals participating in the Project for Improvement and Innovation in the Care and Teaching of Obstetrics and Neonatology (Apice ON) using the Robson Classification. Methods. Cross-sectional descriptive study on cesarean sections performed at Apice ON hospitals according to the Robson Classification, using secondary data from the 2017 Live Births Information System on the year prior to project implementation, hence a baseline study. Hospitals are described according to their geographic distribution and cesarean section rates, using absolute and relative frequencies. Results. The proportions of newborns by Robson groups were similar to those proposed by the World Health Organization, except for Group 5 (with previous cesarean section) and Group 10 (preterm), with regional differences. The teaching hospitals’ average cesarean section rates ranged from 24.8% to 75.1%, exceeding by far the recommended values, even in Robson groups considered low risk for cesarean section (Groups 1 to 4). Conclusions. Brazilian teaching hospitals displayed cesarean section rates higher than those recommended by the World Health Organization for all groups; a worrisome fact, as by teaching they induce attitudes in future professional practices. These results highlight the importance of a reliable information system. Monitoring and evaluation of cesarean sections using the Robson Classification can be an important tool to guide management and propose actions to reduce rates. Countries with high cesarean section rates might explore this hypothesis in their teaching hospitals in order to define policies for the reduction of their rates.

Perancangan Sistem Informasi “DIAMONS” (Diabetes Monitoring System) Berbasis Internet of Things (IoT)

2019 ◽  
Vol 6 (1) ◽  
pp. 39-51
Author(s):  
Endang Sri Rahayu ◽  
Nurul Amalia
Keyword(s):  
Internet Of Things ◽  
World Health Organization ◽  
Real Time ◽  
Monitoring System ◽  
World Health ◽  
Health Organization ◽  
Diabetes Monitoring

Diabetes merupakan penyakit “silent killer” yang ditandai dengan peningkatan kadar glukosa darahdan kegagalan sekresi insulin. World Health Organization (WHO) pada tahun 2016 menyatakanbahwa diabetes menduduki urutan ke-6 sebagai penyakit mematikan di Indonesia. Sehingga upayapencegahan dan penanganan diabetes perlu mendapat perhatian yang serius. Internet of Things (IoT)dapat dijadikan sarana penunjang dalam penanganan penyakit diabetes. Inovasi ini memungkinkanperangkat perawatan kesehatan terhubung dengan jaringan internet, sehingga data pasien dapatdiperbaharui dan diakses secara real-time. Selain mempermudah akses, penggunaan IoT juga akanmemberikan nilai tambah pada efisiensi biaya pelayanan kesehatan. Penelitian ini bertujuan untukmerancang software sistem monitoring gula darah berbasis web yang terintegrasi dengan IoT,sehingga pasien dapat melakukan pemeriksaan, konsultasi dengan dokter dan melihat data rekammedis dari jarak jauh. Data hasil pemeriksaan akan disimpan didalam cloud dan ditampilkan secaraonline. Penelitian ini menggunakan Node MCU ESP8266 sebagai mikrokontroller yang telahdilengkapi dengan modul WiFi, Thingspeak sebagai cloud, aplikasi online dengan “Diamons” sebagaidashboard yang mampu menampilkan presentasi data grafis, dibangun dengan bahasa HypertextPreprocessor (PHP) sebagai bahasa pemogramannya. Penelitian ini akan melibatkan pihak medisdalam pengambilan keputusan. Umpan balik yang diberikan kepada pasien berupa anjuran sepertiresep obat, pola makan, dan kegiatan fisik yang harus dilakukan oleh pasien.

scholarly journals Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Silvina Ramos ◽  
Mariana Romero ◽  
Carla Perrotta ◽  
Yanina Sguassero ◽  
Cecilia Straw ◽  
...  
Keyword(s):  
Information System ◽  
Cesarean Section ◽  
World Health Organization ◽  
Health Professionals ◽  
Formative Research ◽  
World Health ◽  
Cesarean Section Rate ◽  
The World ◽  
Health Organization ◽  
Type Of Delivery

Abstract Background While cesarean section is an essential life-saving strategy for women and newborns, its current overuse constitutes a global problem. The aim of this formative research is to collect information from hospitals, health professionals and women regarding the use of cesarean section in Argentina. This article describes the methodology of the study, the characteristics of the hospitals and the profile of the participants. Methods This formative research is a mixed-method study that will be conducted in seven provinces of Argentina. The eligibility criteria for the hospitals are (a) use of the Perinatal Information System, (b) cesarean section rate higher than 27% in 2016, (c) ≥ 1000 deliveries per year. Quantitative and qualitative research techniques will be used for data collection and analysis. The main inquiry points are the determining factors for the use of cesarean section, the potential interventions to optimize the use of cesarean section and, in the case of women, their preferred type of delivery. Discussion It is expected that the findings will provide a situation diagnosis to help a context-sensitive implementation of the interventions recommended by the World Health Organization to optimize cesarean section use. Trial registration IS002316 Plain English Summary Cesarean section is an essential medical tool for mothers and their children, but nowadays its overuse is a problem worldwide. Our purpose is to get information from hospitals, health professionals and women about how cesarean section is used in Argentina. In this protocol we describe how we will carry out the study and the characteristics of the hospitals and participants. We will implement this study in seven provinces of Argentina, in hospitals that have more than 1,000 births each year, had a cesarean section rate higher than 27% in 2016 and use the Perinatal Information System. We will gather information using forms, surveys and interviews. We want to identify the factors that decide the use of a cesarean section, the potential interventions that can improve the use of cesarean section and, in the case of women, the type of delivery they prefer. We expect that this study will give us a diagnosis of how cesarean section is used in Argentina, and that this will help to apply the interventions that the World Health Organization recommends to optimize the use of cesarean section in our specific context.

scholarly journals IMPLEMENTASI REAL TIME CLOCK ( RTC ) PADA ROBOT LINE FOLLOWER UNTUK VACUUM CLEANER BERBASIS ARDUINO

2021 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Regi Cahaya Ginting ◽  
Ishak Ishak ◽  
Suardi Yakub
Keyword(s):  
World Health Organization ◽  
Real Time ◽  
World Health ◽  
Vacuum Cleaner ◽  
Real Time Clock ◽  
Corona Virus ◽  
Health Organization

Wabah penyakit corona virus (COVID-19) telah dinyatakan darurat kesehatan masyarakat oleh World Health Organization (WHO) dan virusnya kini telah menyebar ke banyak negara dan wilayah. Banyak korban telah meninggal yang disebabkan COVID-19 ditularkan melalui kontak langsung dengan orang yang terinfeksi. Penting bagi warga untuk mengambil tindakan pencegahan penularan lebih lanjut serta mengurangi dampak wabah dan mendukung program pemerintah menangani Virus Corona. Dimana salah satu program pemerintah dalam menangani virus ialah dengan menjalankan protokol kesehatan COVID-19. Adapun point penting dalam protokol kesehatan yang dibuat oleh pemerintah yaitu menjaga jarak dan menjaga kebersihan tempat,seperti rumah,kantor,sekolah,dan lain-lain. Salah satu alat yang umum digunakan untuk membersikan tempat ialah Vacuum Cleaner atau penyedot debu,namun vacuum cleaner saat ini masih dijalankan dengan manual oleh manusia,agar protokol kesehatan dapat berjalan dengan menjaga jarak dan menjaga kebersihan,maka diperlukan sebuat sistem yang dapat melakukan pembersihan secara otomatis sesuai jadwal yang ditentukan,agar tempat tetap terjaga kebersihanya, salah satu cara yang dapat diterapkan adalah membuat robot line follower untuk vacuum cleaner yang akan berjalan otomatis dengan bantuan motor DC, yang akan membersihkan debu dan kotoran tepat waktu dan terjadwal dengan menggunakan Teknik Counter, Real Time Clock, dan microcontroler Arduino.

Establishment of the first World Health Organization International Genetic Reference Panel for quantitation of BCR-ABL mRNA

Blood ◽  
2010 ◽  
Vol 116 (22) ◽  
pp. e111-e117 ◽  
Author(s):  
Helen E. White ◽  
Paul Matejtschuk ◽  
Peter Rigsby ◽  
Jean Gabert ◽  
Feng Lin ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
World Health Organization ◽  
Real Time ◽  
Quantitative Polymerase Chain Reaction ◽  
Reference Panel ◽  
World Health ◽  
Chain Reaction ◽  
Polymerase Chain ◽  
Health Organization ◽  
First World

Serial quantitation of BCR-ABL mRNA levels is an important indicator of therapeutic response for patients with chronic myelogenous leukemia and Philadelphia chromosome–positive acute lymphoblastic leukemia, but there is substantial variation in the real-time quantitative polymerase chain reaction methodologies used by different testing laboratories. To help improve the comparability of results between centers we sought to develop accredited reference reagents that are directly linked to the BCR-ABL international scale. After assessment of candidate cell lines, a reference material panel comprising 4 different dilution levels of freeze-dried preparations of K562 cells diluted in HL60 cells was prepared. After performance evaluation, the materials were assigned fixed percent BCR-ABL/control gene values according to the International Scale. A recommendation that the 4 materials be established as the first World Health Organization International Genetic Reference Panel for quantitation of BCR-ABL translocation by real-time quantitative polymerase chain reaction was approved by the Expert Committee on Biological Standardization of the World Health Organization in November 2009. We consider that the development of these reagents is a significant milestone in the standardization of this clinically important test, but because they are a limited resource we suggest that their availability is restricted to manufacturers of secondary reference materials.

scholarly journals INFLAMMATORY MYOFIBROBLASTIC TUMORS IN THE PECULIAR CONTEXT OF THE POSTPARTUM CASE REPORT

2021 ◽  
Vol 9 (03) ◽  
pp. 607-611
Author(s):  
Khalloufi C. ◽  
◽  
Ibnoulkhatib S. ◽  
El Kebir A. ◽  
Karkouri M. ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
World Health Organization ◽  
Rare Complication ◽  
Malignant Neoplasm ◽  
World Health ◽  
Pathological Examination ◽  
The World ◽  
Inflammatory Myofibroblastic Tumors ◽  
Health Organization

The debate persists about the inflammatory or tumoral, benign or malignant nature of the Inflammatory myofibroblastic tumors (TMI). Radioclinically, they can mimic a malignant neoplasm, although they are classified as intermediate by the World Health Organization (WHO). The diagnosis is almost always made by pathological examination. The treatment is poorly codified but the management is usually surgical. The removal of these tumors is a challenge when the mass is developed at the expense of or in the vicinity of noble organs. Several therapies have been tested to overcome the limitations of surgery, the results are variable. These tumors rarely affect the digestive tract. We propose the study of a case of myofibroblastic tumor developed at the expense of the omentum, five months after a cesarean section, in order to try to determine if it is a rare complication of the postpartum or a fortuitous combination.

Encouraging real-time tracking of vaccines to reduce the risk of stock-outs: World Health Organization

2018 ◽  
Vol 32 (3) ◽  
pp. 239
Author(s):  
SaurabhRamBihariLal Shrivastava ◽  
PrateekSaurabh Shrivastava ◽  
Jegadeesh Ramasamy
Keyword(s):  
World Health Organization ◽  
Real Time ◽  
World Health ◽  
Real Time Tracking ◽  
Health Organization

scholarly journals Hepatitis E Virus (HEV) Detection and Quantification by a Real-Time Reverse Transcription-PCR Assay Calibrated to the World Health Organization Standard for HEV RNA

2017 ◽  
Vol 55 (5) ◽  
pp. 1478-1487 ◽  
Author(s):  
Jeffrey J. Germer ◽  
Irina Ankoudinova ◽  
Yevgeniy S. Belousov ◽  
Walt Mahoney ◽  
Chen Dong ◽  
...  
Keyword(s):  
World Health Organization ◽  
Real Time ◽  
Reverse Transcription ◽  
Hepatitis E Virus ◽  
Hepatitis E ◽  
World Health ◽  
Analytical Sensitivity ◽  
International Standard ◽  
Health Organization ◽  
Detection And Quantification

ABSTRACT Hepatitis E virus (HEV) has emerged as a cause of chronic hepatitis among immunocompromised patients. Molecular assays have become important tools for the diagnosis and management of these chronically infected patients. A real-time reverse transcription-quantitative PCR (RT-qPCR) assay utilizing Pleiades probe chemistry and an RNA internal control for the simultaneous detection and quantification of HEV RNA in human serum was developed based on an adaptation of a previously described and broadly reactive primer set targeting the overlapping open reading frame 2/3 (ORF2/3) nucleotide sequence of HEV. A chimeric bovine viral diarrhea virus construct containing an HEV RNA insert (SynTura HEV) was developed, value assigned with the first World Health Organization (WHO) international standard for HEV RNA (code 6329/10), and used to prepare working assay calibrators and controls, which supported an assay quantification range of 100 to 5,000,000 IU/ml. The analytical sensitivity (95% detection rate) of this assay was 25.2 IU/ml (95% confidence interval [CI], 19.2 to 44.1 IU/ml). The assay successfully amplified 16 different HEV sequences with significant nucleotide mismatching in primer/probe binding regions, while evaluation of a WHO international reference panel for HEV genotypes (code 8578/13) showed viral load results falling within the result ranges generated by WHO collaborative study participants for all panel members (genotypes 1 to 4). Broadly reactive RT-qPCR primers targeting HEV ORF2/3 were successfully adapted for use in an assay based on Pleiades probe chemistry. The availability of secondary standards calibrated to the WHO HEV international standard can improve the standardization and performance of assays for the detection and quantification of HEV RNA.

scholarly journals Using Social Marketing to Reduce Intention of Cesarean Section in Iranian Women

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mostafa Maleki ◽  
Ali Mousavizadeh ◽  
Saadat Parhizkar ◽  
Mohsen Shams
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Social Marketing ◽  
Formative Research ◽  
World Health ◽  
Marketing Theory ◽  
Related Factors ◽  
The Social ◽  
Health Organization ◽  
University Degree

Introduction. In Iran, the rate of cesarean section is three times more than the acceptable rate considered by the World Health Organization. This study aimed at reducing the selection of cesarean section by primigravida through an intervention based on social marketing in Boyer-Ahmad County, Iran, 2015. Methods. In this field trial, 39 of primigravida women were identified and selected as a target group. Formative research (a quantitative survey and a qualitative study) was done to achieve the social marketing mix. The tailored intervention was developed based on the findings of formative research. The intervention was implemented for one month for pregnant women who had cesarean section intention. Their intention for the cesarean section was studied again one month after the implementation of the intervention. The effectiveness of the intervention was evaluated by the proportion test. Results. The average age of the women was 25.82. All of the women 38.5 percent had a diploma degree and lower than and 61.5 percent had a university degree. Before the intervention, 39 women intended to do Cesarean. The intention of 30 pregnant women was changed significantly one month after the intervention. Conclusion. The study showed the effectiveness of an intervention based on consumer-oriented social marketing theory and could be used to reduce Cesarean intention. More studies about related factors of vaginal delivery selection especially from behavioral intention up to behavior are suggested.

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