scholarly journals Faktor–Faktor yang Mempengaruhi Kunjungan Nifas Lengkap di Indonesia: Analisis Lanjut Data Riskesdas 2018

Author(s):  
Marlina Hendryka Situmorang ◽  
Pujiyanto Pujiyanto

Abstrak Latar Belakang: Perawatan nifas dibutuhkan pada periode setelah persalinan untuk mendeteksi dini masalah atau mengobati penyakit pascapersalinan. Lebih dari 65% kematian ibu terjadi selama 42 hari pertama pascapersalinan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kunjungan nifas lengkap di Indonesia. Metode: Penelitian menggunakan data Riset Kesehatan Dasar (Riskesdas) 2018. Unit analisis penelitian ini adalah ibu yang melahirkan anak terakhir dalam kurun 2013 sampai wawancara Riskesdas 2018. Hasil: Berdasarkan hasil regresi logistik, faktor predisposisi yang memiliki peluang untuk mempengaruhi kunjungan nifas lengkap adalah umur ibu 20-35 tahun (OR 0,885), pendidikan tinggi (OR 1,167), paritas ≤ 2(OR 1,090), persalinan secara sesar/vacuum/forceps, dll (OR 1,491), persalinan di fasilitas kesehatan (OR 1,489), pemeriksaan kehamilan lengkap (OR 1,613), dan regional Sumatera (OR 0,510). Faktor pemungkin yang memiliki peluang untuk mempengaruhi kunjungan nifas lengkap adalah status tidak bekerja (OR 0,954) dan memiliki jaminan kesehatan (OR 1,141). Faktor kebutuhan yang memiliki peluang untuk mempengaruhi kunjungan nifas lengkap adalah memiliki riwayat komplikasi kehamilan (OR 0,948). Kesimpulan: Faktor-faktor yang mempengaruhi kunjungan nifas lengkap adalah umur ibu, pendidikan, paritas, metode persalinan, tempat persalinan, pemeriksaan kehamilan, regional tempat tinggal, status pekerjaan, kepemilikan jaminan kesehatan, dan riwayat komplikasi kehamilan. The Determinants of Fully Postpartum Visit in Indonesia: Further Analysis of Riskesdas 2018  Abstract Background: Post-natal care is needed during postpartum for early detection or to cure disease or any problem of postpartum. More than 60% of maternal mortality happens during 42 days of postpartum. This research is intended to analyse the determinant factors of fully postpartum visit in Indonesia. Method: This research uses the data from Riskesdas 2018. The unit of analytic research is mothers having last birth happened from 2013 until Riskesdas interview on 2018. Result: Based on the result of logistic regression, predisposition factors that have chance to affect the fully postpartum visit are mothers on age 20-35 years old (OR 0,885), advance education (OR 1,167), parity ≤2 (OR 1,090), laboring through caesar, vacuum, forceps et all (OR 1,491), labor using medical facility (OR 1,489), fully pregnancy checkup (OR 1,613) and region Sumatera (OR 0,510). Enabling factors that have chance to affect the fully postpartum visit are unemployment (OR 0,954) and owning health insurance (OR 1,141). Need factor that has chance to affect fully postpartum visit is having history of pregnancy complications (OR 0,948). Conclusion: The factors affecting fully postpartum visit are age, education, parity, labor method, place of labor, pregnancy checkup and region of province, job status, health insurance ownership and history of pregnancy complication.

2015 ◽  
pp. 89-95
Author(s):  
Thi Hoai Thuong Nguyen ◽  
Hoang Lan Nguyen ◽  
Mau Duyen Nguyen

Background:To provide information helps building policy that meets the practical situation and needs of the people with the aim at achieving the goal of universal health insurance coverage, we conducted this study with two objectives (1) To determine the rate of participating health insurance among persons whose enrolment is voluntary in some districts of ThuaThien Hue province; (2) To investigate factor affecting their participation in health insurance. Materials and Methodology:A cross-sectional descriptive study was conducted in three districts / towns / city of ThuaThien Hue in 2014. 480 subjects in the voluntary participation group who were randomly selected from the study settings were directly interviewed to collect information on the social, economic, health insurance participation and knowledge of health insurance. Test χ2 was used to identify factors related to the participation in health insurance of the study subjects. Results:42.5% of respondents were covered by health insurance scheme. Factors related to their participation were the resident location (p = 0.042); gender (p = 0.004), age (p <0.001), chronic disease (p <0.001), economic conditions (p<0.001) and knowledge about health insurance (p <0.001). Conclusion: The rate of participating health insurance among study subjects was low at 42,5%. There was "adverse selection" in health insurance scheme among voluntary participating persons. Providing knowledge about health insurance should be one of solutions to improve effectively these problems. Key words: Health insurance, voluntary, Thua Thien Hue


2019 ◽  
Vol 22 (11) ◽  
pp. 485-491
Author(s):  
Arih Diyaning Intiasari ◽  
Budi Aji ◽  
Siti Masfiah ◽  
Laksono Trisnantoro ◽  
Julita Hendrartini

2017 ◽  
Vol 6 (7) ◽  
pp. 5426 ◽  
Author(s):  
Hiren J. Patel ◽  
Vaishnavi P. Parikh

The pharmaceutical industry has faced several marked challenges in order to bring new chemical entities (NCEs) into the market over the past few decades. Various novel drug delivery approaches have been used as a part of life cycle management from which Osmotic drug delivery systems look the most promising one. After discussing the history of osmotic pump development, this article looks at the principles, advantages and disadvantages of osmotic drug delivery systems. Then, the basic components of osmotic pump and factors affecting the design of oral osmotic drug delivery systems are discussed in detail. In the later part of the manuscript, various types of osmotic pumps available in the market and evaluation methods for osmotic drug delivery systems are discussed in detail.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V.L Malavasi ◽  
E Fantecchi ◽  
V Tordoni ◽  
L Melara ◽  
A Barbieri ◽  
...  

Abstract Background Natural history of atrial fibrillation (AF) shows a progression of arrhythmia from non-permanent to permanent AF. Permanent AF was found associated with a worse prognosis than non-permanent one. Aim To assess the factors associated with progression to permanent AF in an unselected population of AF patients with non-permanent AF. Methods In this prospective study we enrolled in- as well as out-patients with non-permanent AF and age ≥18 years, with at least one episode of ECG-documented AF within 1 year. The patients were followed-up at 1 month and every 6 months thereafter. Results Out of 523 patients, 314 (60%) were in non-permanent AF (80 [25.5%] paroxysmal AF, 165 [52.5%] persistent AF, 69 [2%] first diagnosed AF), mostly male (188, 59.9%), median age 71 years (IQ range 62–77), median CHA2DS2VASc 3 (1–4), median HATCH score 1 (1–2). After a median follow-up of 701 (IQ range 437–902) days, 66 patients (21%) showed permanent AF. CHA2DS2VASc and HATCH scores were incrementally associated to progression to permanent AF (CHA2DS2VASc χ2 p=0.001; HATCH χ2 p=0.017; p for trend CHA2DS2VASc &lt;0.001, HATCH p=0.001). At multivariable Cox proportional hazard regression the following variables were significantly associated with AF progression: age (hazard ratio [HR] 1.041; 95% CI: 1.004–1.079; p=0.028), at least moderate left atrial (LA) enlargement (&gt;42 ml/m2) (HR 2.092; 95% CI: 1.132–3.866; p=0.018), antiarrhythmics drugs after the enrollment (HR 0.087; 95% CI: 0.011–0.662; p=0.018), EHRA score &gt;2 (HR 0.351; 95% CI: 0.158–0.779; p=0.010) and Valvular HD (HR 2.161; 95% CI: 1.057–4.420; p=0.035). Adding LA dilation to HATCH score (HATCH-LA) and assigning 2 points based on multivariable Cox regression, HATCH-LA was statistically better in ROC curves in prediction of AF progression vs HATCH score (area under the curve 0.695 vs 0.636; DeLong p=0.0225). Survival-free curves on freedom from permanent AF using as discriminator HATCH-LA score ≤2 vs &gt;2 led to a statistically significant difference (χ2=16.080 p&lt;0.001), but the same was not found for HATCH score (χ2 =3.099; p=0.078). Conclusions In patients without permanent AF, progression of AF was independentely related to age, LA dilation, AF symptoms severity, antiarrhythmic drugs and Valvular HD. HATCH score predicted AF progression and adding to it LA dilation (at least moderate) improved patients stratification for the risk of evolution to permanent AF. Funding Acknowledgement Type of funding source: None


Insects ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 48
Author(s):  
Mio Amemiya ◽  
Kôji Sasakawa

Thanatosis, also called death feigning, is often an antipredator behavior. In insects, it has been reported from species of various orders, but knowledge of this behavior in Hymenoptera is insufficient. This study examined the effects of sex, age (0 or 2 days old), temperature (18 or 25 °C), and background color (white, green, or brown) on thanatosis in the braconid parasitoid wasp Heterospilus prosopidis. Thanatosis was more frequent in 0-d-old individuals and in females at 18 °C. The duration of thanatosis was longer in females, but this effect of sex was weaker at 18 °C and in 0-d-old individuals. The background color affected neither the frequency nor duration. These results were compared with reports for other insects and predictions based on the life history of this species, and are discussed from an ecological perspective.


Author(s):  
Drpadmajauday Kumar ◽  
Varsha Kalyanpur

ABSTRACTObjectives: Estimating the hemoglobin (Hb) status in female medicos through prospective cross-sectional study and assessment of influencing ofcofactors were objectives.Methods: Women medicos who volunteered, consented and met selection criteria were enrolled. Hb level was estimated to diagnose anemia.Relationship with influencing factors was assessed statistically.Result: A total of 100 eligible students were enrolled. Mean age±standard deviation (SD) age of the participants’ was 20.9±3.1 years (17-25 years).Mean±SD Hb was 12.25±1.0189 g% (9.0-16.0 g%). 33 were anemic, and mild anemia (32%) was frequent. There was a history of worm infestation inthree students (3%), who were treated adequately. Nine were on iron supplements of which five were still anemic and were continuing the treatmentby the end of the study. 28 (84.84%) anemic students were not on any iron or hematinic treatment. There was no association between the anemiaand nature of diet, consumption of green leafy vegetables, consumption of coffee/tea after food, smoking/tobacco or alcohol consumption, mother’seducation, socioeconomic status, menstrual factors, and physical exercise. The prevalence of anemia was found to be higher in underweight andoverweight students in comparison to students with normal body mass index.Asymptomatic participants (n=78) outnumbered symptomatic ones(n=22), but without any statistical significance. Easy fatigability (14%), pallor (7%), breathlessness (6%), weakness (9%), and easy bruising (1%)were frequent complaints.Conclusion: Anemia is frequent among women medicos, often underdiagnosed, under-reported, many remaining asymptomatic. Negligence ofmedical students toward their anemic status despite the awareness of consequences of low Hb level is a serious cause of concern.Keywords: Awareness, Hemoglobin, Nutritional anemia, Women medical students.


2011 ◽  
Vol 2011 ◽  
pp. 1-14 ◽  
Author(s):  
J. Christopher Westland

Steady improvements in technologies that measure human emotional response offer new possibilities for making computer games more immersive. This paper reviews the history of designs a particular branch of affective technologies that acquire electrodermal response readings from human subjects. Electrodermal response meters have gone through continual improvements to better measure these nervous responses, but still fall short of the capabilities of today's technology. Electrodermal response traditionally have been labor intensive. Protocols and transcription of subject responses were recorded on separate documents, forcing constant shifts of attention between scripts, electrodermal measuring devices and of observations and subject responses. These problems can be resolved by collecting more information and integrating it in a computer interface that is, by adding relevant sensors in addition to the basic electrodermal resistance reading to untangle (1) body resistance; (2) skin resistance; (3) grip movements; other (4) factors affecting the neural processing for regulation of the body. A device that solves these problems is presented and discussed. It is argued that the electrodermal response datastreams can be enriched through the use of added sensors and a digital acquisition and processing of information, which should further experimentation and use of the technology.


2009 ◽  
Vol 2 (3) ◽  
pp. 79-81 ◽  
Author(s):  
Jeong-Wook Seo ◽  
Se Jin Jang ◽  
Min Suk Kim ◽  
Chang Suk Kang ◽  
Woon Sup Han

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