scholarly journals IMPLEMENTASI KEBIJAKAN PENGELOLAAN SAMPAH DI KABUPATEN KUDUS

2021 ◽  
Vol 6 (2) ◽  
pp. 173
Author(s):  
Abdul Wachid ◽  
David Laksamana Caesar
Keyword(s):  
Waste Management ◽  
Monitoring And Evaluation ◽  
Recording Device ◽  
Analysis Method ◽  
Limited Budget ◽  
Total Destruction ◽  
Interview Guide ◽  
Management Policies ◽  
Very High

Indonesia is estimated to produce as much as 64 million tons of waste every year. This figure is very high because only 7 percent of the total destruction has been managed. Kudus Regency has a policy on waste management, but most people in Kudus Regency do not yet know the policy. This study aims to determine the implementation of waste management policies in Kudus Regency. This type of research is qualitative research, with four informants. The research instrument used an interview guide, a recording device, and a camera. The analysis method uses a thematic content analysis. Based on the results of the research, it is known that the local government has not carried out mass socialization of waste management policies to the community so that many people from various groups do not know this regulation. The implementation of waste management in the Kudus Regency is also constrained by a limited budget and waste processing equipment. In also besides, monitoring and evaluation activities are also only a formality because there is no follow-up to the monitoring and evaluation activities every year.

scholarly journals Hazard Awareness & Practices of Biomedical Waste Management among healthcare Staff in Apex Hospitals: A Case Study in District Faisalabad

2021 ◽  
Vol 7 (1) ◽  
pp. 91-96
Author(s):  
Zaid Mehmood ◽  
Nazia Malik ◽  
Muhammad Shabbir ◽  
Sadaf Mahmood
Keyword(s):  
Waste Management ◽  
Structured Interview ◽  
Analysis Method ◽  
Healthcare Staff ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Biomedical Waste ◽  
Interview Guide ◽  
Insufficient Knowledge

The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Using a qualitative approach, the study was conducted in two Apex hospitals i.e. Allied Hospital and District Head Quarter hospital Faisalabad, Punjab, Pakistan from 05 August to 15 October 2019. Consuming a semi-structured interview guide two focus group discussions (FGD) were conducted in each hospital and the participants were conveniently recruited. Each group was consisting of eight members who were directly involved in the creation and handling of biomedical waste (BMW). The thematic analysis method was used to analyze the data. The sanitary staff had insufficient knowledge about BMWM and about the BMWM/HCWM rule (2005) Pakistan. Also, there was no proper mechanism of training of the staff regarding waste management mean. While BMW was being disposed of according to BMWM rule (2005) Pakistan. There is a weak mechanism of implementing proper BMWM in the hospitals where no training, no accountability, and no punishment was being executed against the violation of BMWM Rule 2005 Pakistan.  So, a strict policy is required for its implementation.

RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang
Keyword(s):  
Waste Water ◽  
Radioactive Waste ◽  
Waste Management ◽  
Environmental Monitoring ◽  
Monitoring And Evaluation ◽  
Medical Waste ◽  
Contamination Rate ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Central Highlands

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

Pendayagunaan Sampah Menjadi Produk Kerajinan

2017 ◽  
Vol 17 (1) ◽  
pp. 83
Author(s):  
Nur Fatoni ◽  
Rinaldy Imanuddin ◽  
Ahmad Ridho Darmawan
Keyword(s):  
Waste Management ◽  
Raw Materials ◽  
Economic Value ◽  
Waste Materials ◽  
Waste Collection ◽  
Garbage Disposal ◽  
Waste Separation ◽  
And Training

Waste management is still defined as limited to collection, transportation and garbage disposal. The follow-up of the meaning is the provision of facilities such as garbage bins, garbage trucks and waste collection land. Waste management has not included waste separation. Segregation of waste can minimize the amount of waste that must be discharged to the final place. Segregation of waste can supply recyclable raw materials and handicrafts made from garbage. The manufacture of handicraft products from garbage is still local and requires socialization and training. It is needed to increase the number of craftsmen and garbage absorption on the crafters. Through careful socialization and training, citizens' awareness of waste management becomes advanced by making handicrafts of economic value from waste materials.

Neurological manifestation in severe hypothyroidism in pregnancy

2020 ◽  
Vol 13 (12) ◽  
pp. e238069
Author(s):  
Aparna Sharma ◽  
Nilofar Noor ◽  
Vatsla Dadhwal
Keyword(s):  
Peripheral Neuropathy ◽  
Facial Palsy ◽  
Caesarean Delivery ◽  
Thyroid Stimulating Hormone ◽  
Neurological Manifestations ◽  
Second Trimester ◽  
Pituitary Hyperplasia ◽  
Very High ◽  
In Pregnancy

Neurological manifestations of hypothyroidism include peripheral neuropathy and pituitary hyperplasia. However, these associations are rarely encountered during pregnancy. We report a case of a known hypothyroid with very high thyroid stimulating hormone (TSH) values (512 μIU/mL) in the second trimester. At 24 weeks she developed facial palsy and pituitary hyperplasia which responded to a combination of steroids and thyroxine. She had caesarean delivery at 35 weeks and 3 days gestation in view of pre-eclampsia with severe features and was discharged on oral antihypertensives and thyroxine. On follow-up at 5 months, TSH normalised and pituitary hyperplasia showed a greater than 50% reduction in size. To our knowledge, this is the first reported case of facial palsy and pituitary hyperplasia associated with hypothyroidism during pregnancy.

Stochastic and Deterministic Petri Networks Model for Joint Management Model for Spare Parts and Maintenance: Simulation Study

2020 ◽  
Vol 46 ◽  
pp. 180-188 ◽  
Author(s):  
Oumaima Bounou ◽  
Abdellah El Barkany ◽  
Ahmed El Biyaali
Keyword(s):  
Simulation Study ◽  
Monitoring And Evaluation ◽  
Spare Parts ◽  
Maintenance Management ◽  
Graphical Interface ◽  
Efficient Tool ◽  
Joint Management ◽  
And Storage ◽  
Evaluation Techniques

Maintenance management is an orderly procedure to address the planning, organization, monitoring and evaluation of maintenance activities and associated costs. The maintenance management allows to have an efficient tool either to the management of the preventive or curative activity, an optimization of the production tool, and finally a follow-up of the costs and the performances. A good maintenance management system can help prevent problems and damages to the operating and storage environment, extend the life of assets, and reduce operating costs.In this paper, we will first present our model on the joint management of spare parts and maintenance. We will do a simulation study of our model, presented in the first section of this paper. The results of this study are presented in the second section through the presentation of the influence of certain parameters of the model on the operation of the system under consideration. This study carried out on the graphical interface of Matlab, which is one of the performance evaluation techniques. It allows to visualize the variations and anomalies which can be reached in the system considered as an overcoming of the repair of the machines by the unforeseen breakdowns.

scholarly journals Variability of Prognostic Results Based on Biological Parameters in Sickle Cell Disease Cohort Studies in Children: What Should Clinicians Know?

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 143
Author(s):  
Julie Sommet ◽  
Enora Le Roux ◽  
Bérengère Koehl ◽  
Zinedine Haouari ◽  
Damir Mohamed ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Sickle Cell Disease ◽  
Cohort Studies ◽  
Statistical Methods ◽  
Sickle Cell ◽  
Biological Parameters ◽  
Analysis Method ◽  
Cell Disease ◽  
Statistical Analysis Method

Background: Many pediatric studies describe the association between biological parameters (BP) and severity of sickle cell disease (SCD) using different methods to collect or to analyze BP. This article assesses the methods used for collection and subsequent statistical analysis of BP, and how these impact prognostic results in SCD children cohort studies. Methods: Firstly, we identified the collection and statistical methods used in published SCD cohort studies. Secondly, these methods were applied to our cohort of 375 SCD children, to evaluate the association of BP with cerebral vasculopathy (CV). Results: In 16 cohort studies, BP were collected either once or several times during follow-up. The identified methods in the statistical analysis were: (1) one baseline value per patient (2) last known value; (3) mean of all values; (4) modelling of all values in a two-stage approach. Applying these four different statistical methods to our cohort, the results and interpretation of the association between BP and CV were different depending on the method used. Conclusion: The BP prognostic value depends on the chosen statistical analysis method. Appropriate statistical analyses of prognostic factors in cohort studies should be considered and should enable valuable and reproducible conclusions.

scholarly journals Smartphone-Enhanced Training, QA, Monitoring, and Evaluation of a Platform for Secondary Prevention of Cervical Cancer: Opportunities and Challenges to Implementation in Tanzania

2020 ◽  
pp. 1114-1123
Author(s):  
Karen Yeates ◽  
Erica Erwin ◽  
Zac Mtema ◽  
Frank Magoti ◽  
Simoni Nkumbugwa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Visual Inspection ◽  
Screening Program ◽  
Cervical Screening ◽  
Monitoring And Evaluation ◽  
Visual Assessment ◽  
Cervical Cancer Prevention ◽  
Supportive Supervision ◽  
Health Providers

PURPOSE Until human papillomavirus (HPV)–based cervical screening is more affordable and widely available, visual inspection with acetic acid (VIA) is recommended by the WHO for screening in lower-resource settings. Visual inspection will still be required to assess the cervix for women whose screening is positive for high-risk HPV. However, the quality of VIA can vary widely, and it is difficult to maintain a well-trained cadre of providers. We developed a smartphone-enhanced VIA platform (SEVIA) for real-time secure sharing of cervical images for remote supportive supervision, data monitoring, and evaluation. METHODS We assessed programmatic outcomes so that findings could be translated into routine care in the Tanzania National Cervical Cancer Prevention Program. We compared VIA positivity rates (for HIV-positive and HIV-negative women) before and after implementation. We collected demographic, diagnostic, treatment, and loss-to-follow-up data. RESULTS From July 2016 to June 2017, 10,545 women were screened using SEVIA at 24 health facilities across 5 regions of Tanzania. In the first 6 months of implementation, screening quality increased significantly from the baseline rate in the prior year, with a well-trained cadre of more than 50 health providers who “graduated” from the supportive-supervision training model. However, losses to follow-up for women referred for further evaluation or to a higher level of care were considerable. CONCLUSION The SEVIA platform is a feasible, quality improvement, mobile health intervention that can be integrated into a national cervical screening program. Our model demonstrates potential for scalability. As HPV screening becomes more affordable, the platform can be used for visual assessment of the cervix to determine amenability for same-day ablative therapy and/or as a secondary triage step, if needed.

scholarly journals Incidence of bloodstream infection among patients on hemodialysis by central venous catheter

2010 ◽  
Vol 18 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Cibele Grothe ◽  
Angélica Gonçalves da Silva Belasco ◽  
Ana Rita de Cássia Bittencourt ◽  
Lucila Amaral Carneiro Vianna ◽  
Ricardo de Castro Cintra Sesso ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Severe Infection ◽  
Venous Catheter ◽  
Central Venous Catheter Insertion ◽  
Central Venous ◽  
Double Lumen ◽  
One Year ◽  
Very High

This study evaluated the incidence and risk factors of bloodstream infection (BSI) among patients with a double-lumen central venous catheter (CVC) for hemodialysis (HD) and identified the microorganisms isolated from the bloodstream. A follow-up included all patients (n=156) who underwent hemodialysis by double-lumen CVC at the Federal University of São Paulo - UNIFESP, Brazil, over a one-year period. From the group of patients, 94 presented BSI, of whom 39 had positive cultures at the central venous catheter insertion location. Of the 128 microorganisms isolated from the bloodstream, 53 were S. aureus, 30 were methicillin-sensitive and 23 were methicillin-resistant. Complications related to BSI included 35 cases of septicemia and 27 cases of endocarditis, of which 15 cases progressed to death. The incidence of BSI among these patients was shown to be very high, and this BSI progressed rapidly to the condition of severe infection with a high mortality rate.

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