The Identification of Electrical Properties of Acupuncture Points for Asthma Diagnosis

The aim of this research is to identify the electrical potential profile on the acupoint betwen healthy people and the patient of asthma. The raw data has taken by recording the electrical potential profile on the acupoints: Feishu, Pishu, and Shenshu from 10 healthy women and the 10 women with asthma attain the age of 20-30 years old based on the second data observation at the Local Government Clinic Kalijudan, Surabaya. Potential profile of the organs were the electrical signals form. It was achieved by the result of electrical potential which was based time recording. Recording time was done for 180 second. The results couldn't be differentiated significantly, so it needs the other signals processing with FFT analyze method with cutting as the data frames. It was done every 5 second. Based on the result of analyzing the amplitude of each frequency group, the significant differences are on the acupoint Shenshu : 0-5 Hz with p= 0.001, on the acupoint Phishu 148-152 Hz with p= 0.010, on the acupoint Feishu for frequency 198-203 Hz with p= 0.004 and on the acuponit Phishu p=0.011, for frequency 348-352 Hz on the acupoint Feishu and Shenshu have both value is p= 0,004 and 398-402 Hz with p=0,009 on the acupoint Phishu. According to the preference, it was found that the electrical potential profile on the acupoints of the healthy people has lower amplitude than the people with asthma. Then, the analyze of electrical potential profile on the acupoints can be used for asthma diagnose.

Leveraging mobile phone surveys during the COVID-19 pandemic in Ecuador and Sri Lanka: Methods, timeline and findings

Effective and rapid decision making during a pandemic requires data not only about infections, but also about human behavior. Mobile phone surveys (MPS) offer the opportunity to collect real-time data on behavior, exposure, knowledge, and perception, as well as care and treatment to inform decision making. The surveys aimed to collect coronavirus disease 2019 (COVID-19) related information in Ecuador and Sri Lanka using mobile phones. In Ecuador, a Knowledge, Attitudes and Practices (KAP) survey was conducted. In Sri Lanka, an evaluation of a novel medicine delivery system was conducted. Using the established mobile network operator channels and technical assistance provided through The Bloomberg Philanthropies Data for Health Initiative (D4H), Ministries of Health fielded a population-based COVID-19-specific MPS using Surveda, the open source data collection tool developed as part of the initiative. A total of 1,185 adults in Ecuador completed the MPS in 14 days. A total of 5,001 adults over the age of 35 in Sri Lanka completed the MPS in 44 days. Both samples were adjusted to the 2019 United Nations Population Estimates to produce population-based estimates by age and sex. The Ecuador COVID-19 MPS found that there was compliance with the mitigation strategies implemented in that country. Overall, 96.5% of Ecuadorians reported wearing a face mask or face covering when leaving home. Overall, 3.8% of Sri Lankans used the service to receive medicines from a government clinic. Among those who used the medicine delivery service in Sri Lanka, 95.8% of those who used a private pharmacy received their medications within one week, and 69.9% of those using a government clinic reported the same. These studies demonstrate that MPS can be conducted quickly and gather essential data. MPS can help monitor the impact of interventions and programs, and rapidly identify what works in mitigating the impact of COVID-19.

Pengetahuan Ibu Menyusui Pasca Edukasi Tentang Asi Eksklusif

Background: Exclusive breastfeeding has important role in ensuring adequate nutrition, stunting prevention, and child development. The success rate of exclusive breastfeeding in the World is only (38%), Indonesia (65.1%), Central Java (78.5%) and the working area of ​​ Sibela Local Government Clinic of Surakarta (85.4%). Maternal's knowledge level is part of the determinants of success rates in exclusive breastfeeding. Health education is efforts used to increase maternal knowledge about exclusive breastfeeding. Methods: This research is Pre Experiment with One Group Pre-Post Test. The methode of collecting of data is accidental sampling with questionnaire who containing 20 questions. The comparative hypothesis test used Wilcoxon test. Results: from 42 respondents, 22 (52.4%) had high school education, 21 (50%) were housewives, 24 (57.1%) according to the range of early adulthood (26-35 years) and 31 (73.8%) had got education about exclusive breastfeeding from health workers. The comparative hypothesis test results show a significance 0,00 (p value <0.05). Conclusion: There is an effect of health education about exclusive breastfeeding on the knowledge of breastfeeding maternal in the Sibela Local Government Clinic of Surakarta.

The Utilization Of Counseling Flipchart At Integrated Health Post

Integrated health post is one form of community-based health efforts, which empowers and facilitates the community in obtaining basic health services, to accelerate the reduction in maternal and infant mortality. The Integrated health post is ideally carried out with a five table system and five basic activities. Integrated health post in local government clinic kota Ruteng has conducted registration, weighing and filling the Health Towards Card (KMS) well, but the extension activity was never carried out by kader. Kader often find it difficult, because there is a lack of confidence and are not sure they are able to do counseling, especially for kader who have not attended extension training. In addition, the unavailability of standardized aids to be used when counseling at the Integrated health post . This research was conducted with an observational method with a cross sectional approach followed by 54 kader. Sampling using purposive sampling. The research instruments used were questionnaire and observation sheet. The results showed that the characteristics of respondents based on age were mostly more than 35 years old (51.9%), most had high school education background (70.4%), most of them had been kader for 1-5 years (53.7% ) and most of them have never attended counseling training (63%).The use of flipcharts by the kader at the time of counseling in Integrated health post at the table four was good (51.8%). There is no relationship of age (0.022) and counseling training that has ever been followed (0.285) with the use of Integrated health post training flipcharts. There is an educational relationship (0,000) and a long time as a kader (0.001) with the use of counseling flipchart at Integrated health post . It can be concluded that flipchart can help kader in conducting extension activities at table four Integrated health post balita in accordance with the problems and needs of participants.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN PESERTA BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) TERHADAP PELAYANAN PROGRAM BPJS KESEHATAN

Berdasarkan hasil laporan Indeks Kepuasan Msyarakat (IKM) tahun 2013 di UPTD Puskesmas Astanagarib Kota Cirebon, dilaporkan bahwa Puskesmas Astanagarib berada di peringkat 4 terbawah dengan persentase tingkat kepuasan secara keseluruhan 73,54% dengan jumlah peserta Badan Penyelenggara Jaminan Sosial (BPJS) selama 5 bulan terakhir sebanyak 2.577 peserta dari 5.983 penduduk, rendahnya persentase dalam IKM dan jumlah peserta BPJS tersebut dipengaruhi oleh berbagai macam faktor seperti kemudahan dalam prosedur pelayanan, informasi, ketepatan waktu pelayanan, kehandalan, kecepatan dalam pelayanan, kenyamanan lingkungan, serta kesopanan dan keramahan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara faktor-fakto yang berhubungan dengan kepuasan peserta Badan Penyelenggara Jaminan Sosial (BPJS) terhadap pelayanan program Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di UPTD Puskesmas Astanagarib Kota Cirebon tahun 2014. Jenis penelitian deskriptif analitik dengan desain studi Cross Sectional. Populasi dalam penelitian ini adalah seluruh peserta BPJS di Kelurahan Pekalipan (wilayah kerja UPTD Puskesmas Astanagarib) Kota Cirebon tahun 2014 sebanyak 2.577 peserta. Jumlah sampel sebanyak 97 peserta yang diambil secara Accidental Sampling. Data dianalisis secara statistik menggunakan uji Chi Square pada tingkat kemaknaan 5% (0,05). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara ketepatan waktu dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan yang bermakna antara informasi dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan yang bermakna antara kompetensi teknis dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00) dan tidak ada hubungan yang bermakna antara hubungan antar manusia dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,39).Kata Kunci : Tingkat Kepuasan, peserta BPJS ABSTRACTBased on report result of Indeks Kepuasan Masyarakat (IKM) 2013 in UPTD local government clinic of Astanagrip Cirebon, reviewed that Astanagrip local government clinic was in bottom 4 through overall of satisfaction percentage is 73,54% with participants of Badan Penyelenggara Jaminan Sosial (BPJS) as long as 5 months are 2.577 of 5.983 inhabitants, the low of percentage on IKM and the number of BPJS participants is influenced on kind of factors like easy of service procedure, information, punctuality of service, professionalism, speed, comfortable, polite behavior and friendly. Aim of this research is to know the relation of that related factors with Badan Penyelenggara Jaminan Sosial (BPJS) participants satisfaction on Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan program service in UPTD local government clinic of Astanagrip Cirebon 2014. Analytical Descriptive research with Cross Sectional design. Population in this research is all of district Pekalipan (UPTD local government clinic work area) Cirebon BPJS participants 2014 are 2.577 participants. The writer has taken 97 participants by Accidental Sampling for the sample of research. The data was analyzed by statistical accounting used Chi Square test on sense level 5% (0, 05). Result of this research shows that there was a means relation between punctuality of service with BPJS Kesehatan program service satisfaction (p = 0,00), information with BPJS Kesehatan program service satisfaction (p = 0,00), technical competence with BPJS Kesehatan program service satisfaction (p = 0,00), and there wasn’t a means relation between people relation with BPJS Kesehatan program service satisfaction (p = 0,39).Key Words : Level of Satisfaction, participants BPJS

Evaluation of a multi-level intervention to improve postpartum intrauterine device services in Rwanda

Background. The copper intrauterine device is one of the most safe, effective, and cost-effective methods for preventing unintended pregnancy. It can be used postpartum irrespective of breastfeeding to improve birth spacing and reduce unintended pregnancy and maternal-child mortality. However, this method remains highly underutilized. Methods. We developed a multi-level intervention to increase uptake of the postpartum intrauterine device (PPIUD, defined as insertion up to six weeks post-delivery) in Kigali, Rwanda. High-volume hospitals and health centers were selected for implementation of PPIUD counseling and service delivery. Formative work informed development of a PPIUD counseling flipchart to be delivered during antenatal care, labor and delivery, infant vaccination visits, or in the community. Two-day didactic counseling, insertion/removal, and follow-up trainings were provided to labor and delivery and family planning nurses followed by a mentored practicum certification process. Counseling data were collected in government clinic logbooks. Insertions and follow-up data were collected in logbooks created for the implementation. Data were collected by trained government clinic staff and abstracted/managed by study staff. Stakeholders were involved from intervention development through dissemination of results. Results. Two hospitals (and their two associated health centers) and two additional health centers were selected. In 6-months prior to our intervention, 7.7 PPIUDs/month were inserted on average at the selected facilities. From August 2017-July 2018, we trained 83 counselors and 39 providers to provide PPIUD services. N=9,020 women received one-on-one PPIUD counseling after expressing interest in family planning who later delivered at a selected health facility. Of those, n=2,575 had PPIUDs inserted (average of 214.6 insertions/month), a 29% uptake. Most PPIUDs (62%) were inserted within 10 minutes of delivery of the placenta. Conclusions. This successful, comprehensive intervention has the potential to make a significant impact on PPIUD uptake in Rwanda. The intervention is scalable and adaptable to other sub-Saharan African countries.

FAKTOR-FAKTOR YANG BERHUBUNGAN TERHADAP KEJADIAN INFEKSI SALURAN PERNAPASAN AKUT (ISPA)

Sanitation of public locations is a rather urgent health issue because public places are the meeting paces of people with various diseases, similar to local government clinic. This study was aimed to analyze attitudes on ARI incidences in Wiyung Local Government Clinic of Surabaya.This study was an observational analytic study with case control approach. Population and sample of the study were suferer’s in Wiyung Local Government Clinic of Surabaya, with total sample 38 suferer’s and 38 control. Analysis using statistical test, the test used is the chi square test.Based on chi square test for environmental factors, there are results that ventilation, lighting intensity, temperature, humidity, and density bedroom are relate with Acute Respiratory Infections (ARI) event because p is less than α (0,05). While for behavioral factors there are results that knowledge, attitude, and practice are relate with Acute Respiratory Infections (ARI) event because p is less than α (0,05).Suggestion sufferer Acute Respiratory Infections (ARI) constant keep environmental sanitation room, with keep sanitation outside room please escaped from contaminate disease, while to Local Government Clinic please optimize character personnel environmental health as educator inside give information about environmental factors and behavioral factors about event Acute Respiratory Infections (ARI). Keywords: Acute Respiratory Infections, environmental factors

Evaluation of a multi-level intervention to improve postpartum intrauterine device services in Rwanda

Background. The copper intrauterine device is one of the most safe, effective, and cost-effective methods for preventing unintended pregnancy. It can be used postpartum irrespective of breastfeeding to improve birth spacing and reduce unintended pregnancy and maternal-child mortality. However, this method remains highly underutilized. Methods. We developed a multi-level intervention to increase uptake of the postpartum intrauterine device (PPIUD, defined as insertion up to six weeks post-delivery) in Kigali, Rwanda. High-volume hospitals and health centers were selected for implementation of PPIUD counseling and service delivery. Formative work informed development of a PPIUD counseling flipchart to be delivered during antenatal care, labor and delivery, infant vaccination visits, or in the community. Two-day didactic counseling, insertion/removal, and follow-up trainings were provided to labor and delivery and family planning nurses followed by a mentored practicum certification process. Counseling data were collected in government clinic logbooks. Insertions and follow-up data were collected in logbooks created for the implementation. Data were collected by trained government clinic staff and abstracted/managed by study staff. Stakeholders were involved from intervention development through dissemination of results. Results. Two hospitals (and their two associated health centers) and two additional health centers were selected. In 6-months prior to our intervention, 7.7 PPIUDs/month were inserted on average at the selected facilities. From August 2017-July 2018, we trained 83 counselors and 39 providers to provide PPIUD services. N=9,020 women received one-on-one PPIUD counseling after expressing interest in family planning who later delivered at a selected health facility. Of those, n=2,575 had PPIUDs inserted (average of 214.6 insertions/month), a 29% uptake. Most PPIUDs (62%) were inserted within 10 minutes of delivery of the placenta. Conclusions. This successful, comprehensive intervention has the potential to make a significant impact on PPIUD uptake in Rwanda. The intervention is scalable and adaptable to other sub-Saharan African countries.

PENGARUH KEPEMIMPINAN KEPALA UPT PUSKESMAS TERHADAP KINERJA PEGAWAI PUSKESMAS CIAWI KECAMATAN CIAWI KABUPATEN BOGOR

The main objective of this research is to know the impact of leadership and employees performance at Ciawi Local Government Clinic of Bogor Municipality.Associative method is research method used to know the relationship or impact between two or more variables. The population of this research is 37 employees. To determine the number of minimum sample, Slovin formula is used. Based on the formula, 27 employees taken as sample. To analyze data, Weight Mean Score and Rank Spearman Correlation are used for hypothetical testing purpose. In this context, H0:ρ = 0, means that there is no positive correlation between leadership and employees performance, and Ha: ρ ≠ 0, means that there is positive correlation between leadership and employees performance.The result of this research show that leadership function by Head of Local Government Clinic is in “pretty good” criteria with mean score of 2,916 (out of 5) and “pretty good” criteria in all of indicator in this variable. Meanwhile, the variable of employees performance is also categorized as “good” criteria with mean score of 3,000 (out of 5). Futhermore, based on Rank Spearman analysis with significance test for n=27 and standar error of 10%, show that Rho 0,368 with “low” criteria. And the significance test t=2,042 > 1,70814, thus, conclusion can be taken that Ho is rejected and Ha is accepted. This mean that there is positive correlation between leadership and employees performance with coefficient of determination 13,5%. In the other words, the research conclusion is the influence of leadership efforts by head of Local Government Clinic is 13,5% and the remaining 86,5% is determined by other factors (epsilon). Key word : Leadership, Performance, employees