PENGARUH KOMITMEN MANAJEMEN, PERILAKU POSITIF TENAGA KESEHATAN DAN DUKUNGAN DINKES TERHADAP KUALITAS LAYANAN PADA UPTD PUSKESMAS DI KABUPATEN BARITO SELATAN PROVINSI KALIMANTAN TENGAH

Abstrak: Setia Lestari, Npm.1911.32202.5182, Pengaruh Komitmen Manajemen, Perilaku Positif Tenaga Kesehatan Dan Dukungan Dinkes Terhadap Kualitas Layanan Pada UPTD Puskesmas Di Kabupaten Barito Selatan Provinsi Kalimantan Tengah, Dibawah Bimbingan Lanny Purnama Kosasi Dan H.M. Zaid Abdurakhman, 2021. Tujuan penelitian ini adalah Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh secara simultan terhadap kualitas layanan, Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh secara parsial terhadap kualitas layanan dan untuk mengetahui dan menganalisis diantara komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes yang berpengaruh dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah.Populasi penelitian adalah tenaga kesehatan di UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah 685 sedangkan sampel 87 responden dengan analisis regresi berganda. Hasi uji hipotesis pertama diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara simultan terhadap kualitas layanan, uji hipotesis kedua diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara parsial terhadap kualitas layanan dan hasi uji hipotesis ketiga diketahui bahwa komitmen manajemen, berpengaruh signfikan secara dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah. Kata Kunci : Komitmen Manajemen, Perilaku Positif, Dukungan Dinkes dan Kualitas Layanan Abstract: Setia Lestari, Npm.1911.32202.5182, The Effect Of Management Commitment, Positive Behavior Of Health Personnel And Dhopping Support On Quality Of Service At The UPTD Puskesmas In Barito Selatan District Province Kalimantan, Tengah. Under The Guidance Lanny Purnama Kosasi And Zaid Abdurakhman, 2021. The purpose of this study was to determine and analyze the effect of management commitment, positive behavior of health workers and the support of the Health Office simultaneously influence the quality of service, to determine and analyze the effect of management commitment, positive behavior of health workers and support from the Health Office partially affect service quality and to determine and analyze between management commitment, positive behavior of health workers and support from the Health Office which have a dominant influence on service quality at UPTD Puskesmas in South Barito Regency, Central Kalimantan Province. The study population was health workers at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province, 685 while the sample was 87 respondents with multiple regression analysis. The results of the first hypothesis test are known that management commitment, positive behavior of health workers and support from the Health Office have a significant simultaneous effect on service quality, the second hypothesis test is known that management commitment, positive behavior of health workers and support from the Health Office have a partially significant effect on service quality and the results of hypothesis testing Third, it is known that management commitment has a dominant significant effect on service quality at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province. Keywords: Management Commitment, Positive Behavior, Health Office Support and Service Quality

Success factors of health promotion: Evaluation by DEMATEL and M-DEMATEL methods — A case study in a non-profit organization

Proper health knowledge and adequate motivation for health activities are key factors that influence an individual to adopt a healthy behavior. Health promotion positively influences progressive behaviors that seek to advance health potential, to continuously improve one’s lifestyle. There are many health promotion indications constantly encouraging people to eat healthier food. Based on the successful experience of a non-profit organization promoting a healthier vegetarian diet, this research identifies the operating factors that lead to the success of health promotion. The formulation and implementation of the health promotion strategy must be combined with the key success factors in order to accomplish the objectives. This study assessed seven factors, evaluated using the proposed method. The proposed Decision Making Trial and Evaluation Laboratory (DEMATEL) method constructs the cause and effect model of health promotion, and places forward suggestions and strategies for improvement based on the evaluation of the results. This research compared the original DEMATEL with a Modified DEMATEL (M-DEMATEL) to identify the success factors of health promotion. According to the results of both methods, “leadership”, “communication channel” and “budget” are the most important and influential factors when promoting healthy diets. The results have shown the connection and the difference between the two methods. The main purpose of this research is not to determine which method is the best method, instead, to derive the combined effect of both methods.

The Association between Changes in Physical Activity and Its Related Factors During the COVID-19 Pandemic-Based on the Data from 2020 Community Health Survey in Daegu

Objectives: We investigated relation between changes in physical activity during the COVID-19 pandemic and its related factors in Daegu Metropolitan City.Methods: 6,910 subjects were selected from 2020 Community Health Survey in Daegu. We analyzed the relation of changes in physical activity and general characteristics, health behavior, health status, health anxiety, mental health, chronic disease.Results: 49.7% of the total survey subjects, 47.8% of hypertensive patients, 46.7% of diabetic, and 54.3% of obesity patient showed a decrease in physical activity during the COVID-19 outbreak. Results by multiple logistic regression analysis, in female (odds ratio, OR = 1.37; 95% confidence interval, CI = 1.18-1.59), 19-29y (OR = 1.49; 95% CI = 1.18-1.88), 30s (OR = 1.52; 95% CI = 1.18-1.96), 40s (OR = 1.55; 95% CI = 1.20-2.00), residents in the urban area (OR = 1.41; 95% CI = 1.18-1.69), non-practice of moderate to vigorous physical activity (OR = 1.49; 95% CI = 1.26-1.76), high health anxiety from COVID-19 infection (OR = 1.41; 95% CI = 1.21-1.65), perceived depression (OR = 1.90; 95% CI = 1.50-2.40), and obesity (OR = 1.23; 95% CI = 1.07-1.41) more decreased than before COVID-19 pandemic in physical activity.Conclusions: The prolonged reduction in physical activity due to COVID-19 may increase the burden of disease on infectious and chronic diseases. Therefore, a public health intervention is essential to increase physical activity for the group with a high decrease in physical activity and then interventions are needed involving the entire population.

Validity and Reliability of the Korean Version of the Self-Care of Diabetes Inventory (SCODI-K)

This was a methodological study to evaluate the validity and reliability of the Korean version of the Self-Care of Diabetes Inventory (SCODI-K). A total of 210 patients with type 2 diabetes from a university hospital were enrolled. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach’s α was used to assess reliability. The SCODI-K consisted of 40 items in four dimensions (self-care maintenance, self-care monitoring, self-care management, and confidence). Four factors (activity-nutritional behavior, health-adherence behavior, health-promotion behavior, diet-restriction behavior) in the dimension of self-care maintenance, two factors (health status monitoring, symptom recognition) in the dimension of self-care monitoring, three factors (glucose self-control, problem-solving behavior, consultative self-care) in the dimension of self-care management, and one factor (self-care confidence) in the dimension of confidence were extracted. Confirmatory factor analysis supported a good fit with reliable scores for the SCODI-K model (normed chi-square(χ²/df) < 5, root mean square error of approximation (RMSEA) < 0.1, comparative fit index (CFI) ≥ 0.9, goodness-of-fit-index (GFI) ≥ 0.9). The SCODI-K showed a high positive correlation coefficient of 0.75 with the summary of diabetes self-care activities (SDSCA), confirming convergent validity. Cronbach’s α was 0.92 for the overall scale and 0.69 to 0.90 for the four dimensions. Therefore, the SCODI-K is a valid and reliable instrument for assessing self-care of patients with type 2 diabetes in Korea.

Architectural Design and the Mind

Recent years have witnessed a surge of interest in the neuroscience of architecture. This burgeoning area of research explores how the design of the built environment shapes human behavior, health, and wellness. In this chapter, the author reviews key historical developments in architectural design that motivated current research on the psychology and neuroscience of architectural experience. He argues that these evidence-based design movements of today emerged in response to a narrow aesthetic dogma that was widely adopted in the mid-20th century and contributed to the mass standardization of architectural form. Within this historical context, he reviews key findings from recent publications on the neuroscience of architecture and discusses the implications of this research for architectural design and human experience.

Choices in Sustainable Food Consumption: How Spanish Low Intake Organic Consumers Behave

The consumption of organic products has consistently increased over the last decades, covering increasingly diversified consumers, both in the characteristics and the reasons associated with consumption. This heterogeneity evidences the need to examine in depth the reasons for the purchase and consumption of these products. The core aim of this study is related to the motivational drivers of organic consumption. The survey included 250 respondents from Andalusia (Spain) who completed an online questionnaire and personal interviews. A convenience sampling method was applied, and the best-worst scaling method allowed us to analyze ten attributes of organic purchasing behavior. Health benefits and environmental impact are the key attributes explaining the consumption of organic products. To deeply understand organic consumer motivations, we studied the influence of six classification variables over the studied attributes. Applying ordinal regressions, we found that having children under 18 at home and a consumer’s academic level contribute in a relevant way to explain the valorization of the health benefits attribute. Also, the place to purchase organic food and academic level correlates with the valuation of GMOs in food. Andalusia is one of the largest European regions for organic production but with minor relevance in consumption. Nevertheless, despite this apparent paradox, the results of the present study point to a consumer profile very similar to other European countries with consolidated organic consumption.

A-7 Improving Brain-Behavior Health in Pediatric Survivors of ECMO

Objective Extracorporeal Membrane Oxygenation (ECMO) is a lifesaving measure associated with developmental delays and disabilities among survivors. While guidelines recommend follow-up care for ECMO survivors, children miss care due to the lack of standardized follow-up programs and formalized medical homes. We identified deficiencies in follow-up and developed a novel, structured program at a tertiary care children’s hospital called Standardizing Therapies after ECMO program (STEp) for ECMO survivors. Methods An IRB approved program, STEp was implemented in 2017. If consented, a STEp physician formally evaluated the patient’s post ECMO needs, ordered necessary consults, provided parental education and a letter to pediatrician describing patient’s likely long term medical needs and entered patient in a structured post-discharge follow-up program. We conducted a retrospective chart review to collect data prior to and after implementation of the program in 2017. Results There were 33 survivors in the pre-STEp period (2011–16) and 46 survivors in the STEp period (2017–2020). Consent was provided for STEp in 40 patients (87%). The referral rate improved in all necessary specialties (audiology, PT/OT, Neurology). Neuropsychology evaluation referrals improved from 42% to 58% and the timely evaluation improved from 50% to 100%. 35% of the patients evaluated by neuropsychology in the STEp period were diagnosed with a neurodevelopmental/neurocognitive disorder and thus received appropriate therapies. Conclusions Implementation of a standardized follow-up program for ECMO is feasible and can be implemented successfully. STEp demonstrates that with a structured post-ECMO follow-up program, ECMO survivors can receive appropriate neuropsychological evaluations consistently, thereby identifying potential problems and treatment options.

PENGARUH PROMOSI KESEHATAN TERHADAP PENGETAHUAN IBU TENTANG ASI EKSKLUSIF : LITERATURE REVIEW

AbstrakASI merupakan makanan yang terbaik bagi bayi, karena mengandung zat gizi yang sesuai dengan kebutuhan bayi, kandungan gizi yang terdapat dalam ASI sangat sempurna dan sangat bermanfaat bagi bayi. Secara global cakupan ASI eksklusif masih rendah yaitu 42%. Tujuan penelitian yaitu untuk mengkaji pengaruh pendidikan kesehatan terhadap pengetahuan ibu tentang ASI Eksklusif. Penelitian ini menggunakan metode kajian pustaka (literature review) yaitu dengan mengumpulkan hasil penelitian berupa artikel lmiah atau studi pustaka. Artikel yang review sebanyak 6 artikel dan dipublikasikan 5 tahun terakhir yaitu 2017-2021. Pencarian artikel menggunakan Google Scholar dan Springerlink. Hasil penelitian menunjukan adanya pengaruh antara pendidikan kesehatan terhadap pengetahuan ibu tentang ASI Ekslusif. Pengetahuan seseorang dapat dipengaruhi oleh umur dan tingkat pendidikan seseorang. Kesimpulan, tujuan dari promosi kesehatan atau pendidikan kesehatan yaitu merubah perilaku individu atau masyarakat dalam bidang kesehatan. Untuk merubah perilaku maka promosi kesehatan diharuskan memiliki dampak jangka pendek yaitu menambah pengetahuan sasaran yang dituju Agar pendidikan kesehatan dapat efektif dilakukan dapat dilakukan dengan diskusi atau ceramah menggunakan media media promosi kesehatan yang dipilih, menggunakan bahasa yang mudah di mengerti, di sesuaikan dengan tingkat pendidikan responden, dan di lakukan di jam jam yang efektif.Kata Kunci: Pengetahuan, Ibu, ASI Eksklusif AbstractBreast milk is the best food for babies, because it contains nutrients that are in accordance with the baby's needs, the nutritional content contained in breast milk is perfect and very beneficial for babies. Globally, the coverage of exclusive breastfeeding is still low, namely 42%. The research objective was to examine the effect of health education on maternal knowledge about exclusive breastfeeding. This study uses a literature review method, namely by collecting research results in the form of scientific articles or literature studies. The articles that were reviewed were 6 articles and published in the last 5 years, namely 2017-2021. Search for articles using Google Scholar and Springerlink. The results showed that there was an influence between health education on maternal knowledge about exclusive breastfeeding. A person's knowledge can be influenced by a person's age and level of education. In conclusion, the goal of health promotion or health education is to change the behavior of individuals or communities in the health sector. To change behavior, health promotion is required to have a short-term impact, namely increasing target knowledge so that health education can be effectively carried out by discussing or lecturing using selected health promotion media, using language that is easy to understand, adjusted to the respondent's education level , and done in the hours that are effective.Keywords: Knowledge, Mother, Exclusive Breastfeeding

Feasibility of a Sheep Welfare Assessment Tool in the Pre-export Phase of Australian Live Export Industry

Sheep are exposed to numerous stressors and environments during the pre-export phase of the live export industry. Establishing how animal behavior, health and demeanor reflect their experiences prior to sea transport is the first step toward testing the suitability and practicality of animal welfare measures. A total of 240 merino wethers originating from four farms were assessed at four locations in the live export chain: on farm, upon arrival to the registered export feedlot (Fe1), prior to departing the feedlot (Fe2) and 30 min post loading onto a live export vessel. Each of these locations and time points represent relevant assessment points as part of the commercial live export process. Pen-side behavioral and health measures were collected. Video footage was collected and edited to provide 48 30–45 s duration clips that were then scored by 12 assessors against 10 demeanor terms using a Qualitative Behavioral Assessment (QBA) methodology; data were analyzed using Principal Components (PC) analysis. Repeated Measures ANOVAs tested for variation in each dependent measure across each location and time point. There were low levels of health issues recorded overall; however, seven health and behavior measures significantly varied across the locations and time points. Most vocalizing was recorded on farm; most drinking, eating and resting behaviors were recorded at Fe1 and ruminating at Fe2; while the highest percentage of wethers with ocular discharge and lameness was on the vessel. For QBA, PC1 explained 30.5% of the variability, with agitated and nervous loaded to one end of the axis and calm and relaxed loaded to the opposing end. PC2 explained 24.5% of the variability, with interested, alert and sociable loaded to one end of the axis and lethargic loaded to the opposing end. Spearman's rank correlations between behavior, health and PC scores indicated that wethers eating, ruminating and resting were scored as more calm/relaxed, while those scored as more agitated/nervous or/ lethargic were also likely to vocalize. Determining how wethers respond to the different environments in the immediate pre-export phase of the journey informs on their welfare and the practicality of using a behavior tool to assess animal welfare.