Pediatric quality of life multidimensional fatigue scale (PedsQL-MFS) detects the effects of a 3-week Inpatient body weight reduction program for children and adolescents with obesity

Background Fatigue is a frequent complaint amongst children and adolescents with obesity, and it interferes with adherence to dietary and exercise regimes that could reduce obesity. The present study evaluated the effect of an inpatient 3-week body weight reduction program on body weight and fatigue. Method One hundred children and adolescents with obesity (64% female; aged 11–18 years) undertook an inpatient program of personalized diet, daily exercise, education, and counselling. Results The sample evidenced a mean reduction in body mass (females: ΔM = 4.3 (sd = 2.1) kg, p < .001), males: ΔM = 6.2 (sd = 2.6) kg, p < .001), BMI standard deviation score (females: ΔM = 0.17 (sd = 0.07), males: ΔM = 0.24 (sd = 0.08), p < .001) and fatigue (females: ΔM = 7.8 (sd = 9.7), males: ΔM = 5.0 (sd = 6.9), p < .001) as measured by the Pediatric Quality of Life Multidimensional Fatigue Scale (PedsQL-MFS) and improvements on the Attention problems subscale of the Youth Self Report (total sample: ΔM = 0.89 (sd = 2.44), p < .001). Reliable change analyses revealed fatigue changes were achieved by up to 34% females and 17% males, but the majority did not achieve reliable change and changes in fatigue were not correlated with changes in body mass. Conclusions The program achieved clinically significant improvements in some children and adolescents. Future studies should explore predictors of treatment responsiveness. Trial registration Observational study. Not registered.

Bentuk dan Peran Kapital Sosial dalam Percepatan Penurunan Stunting di Desa Pandawangi, Lombok Timur

The Poor nutritional status of children under five years of age remains a major concern in Indonesia. Based on RISKESDAS (Basic Health Survey) 2018, NTB province was listed as one of the 10 provinces with the highest stunting rates in Indonesia with 33,49 children are stunted, and Lombok Timur district was the highest stunting in NTB with prevalence reached 43, 5 %. Considering the long-lasting effects of child malnutrition, the district government of Lombok Timur put stunting reduction program as a priority. In 2017, Pandanwangi village was selected as one pilot village for implementing the national strategy to accelerate stunting prevention and reduction. Pandanwangi village successfully implemented integrated approach dealing with stunting reduction through specific and sensitive nutrition intervention. The aim of the study was to identify the form and role of social capital on stunting reduction program activities in Pandanwangi village. This was a qualitative study on collecting information from informants the health and non-health sector. Data were collected through in-depth interviews, observation and focus group discussion. The results showed that several forms of social capital included in social bonding, bridging, linking and played a role in the acceleration of the decline in stunting. Based on the research results, each type of social capital plays an important role in creating a enabling environment in stunting reduction efforts. The results of the study also showed a synergy between various forms of social capital that allowed the community to accelerate stunting reduction in Pandawangi Village.

High Impact Employee Stress Reduction and Wellness Promotion Delivered via Digital Mobile Technology in the Construction and Aviation Industries

To evaluate the impact of an on demand, digital mobile application deployed via smartphone on subjectively perceived and objectively measured stress levels of employee participants in a mobile digital stress reduction program within two corporate enterprises, as well as on self-reported wellness indicators.

Did the Hospital Readmissions Reduction Program Reduce Readmissions? An Assessment of Prior Evidence and New Estimates

In this article, we provide a comprehensive, empirical assessment of the hypothesis that the Hospital Readmissions Reduction Program (HRRP) affected hospital readmissions. In doing so, we provide evidence as to the validity of prior empirical approaches used to evaluate the HRRP and we present results from a previously unused approach to study this research question—a regression-kink design. Results of our analysis document that the empirical approaches used in most prior research assessing the efficacy of the HRRP often lack internal validity. Therefore, results from these studies may not be informative about the causal consequences of the HRRP. Results from our regression-kink analysis, which we validate, suggest that the HRRP had little effect on hospital readmissions. This finding contrasts with the results of most prior studies, which report that the HRRP significantly reduced readmissions. Our finding is consistent with conceptual considerations related to the assumptions underlying HRRP penalty: in particular, the difficulty of identifying preventable readmissions, the highly imperfect risk adjustment that affects the penalty determination, and the absence of proven tools to reduce readmissions.

The Influence of Leadership, Motivation and Work Culture on the Performance of Poverty Reduction Program in the Administrative City of North Jakarta

This study aims to analyze how much the influence of leadership, motivation and work culture on the performance of the Poverty Reduction Program in the Administrative City of North Jakarta. The research location is in North Jakarta City, DKI Jakarta Province. The selection of location is based on the assumption that the difference in status has an impact on the leadership under it vertically.The research method uses a quantitative approach with a total population of 1,724,161 people. The sampling technique was proportional stratified random sampling using the Slovin formula, with a total of 95 samples. The data analysis technique in the research that will be carried out is simple linear regression and multiple linear regression to analyze the variables studied. The results of the study prove that leadership has an effect on 14.1%, motivation has an effect on 50.2%, work culture has an effect on 48.8%, leadership, motivation and work culture have an effect on 50.4% of poverty in North Jakarta simultaneously. Recommendations from this research, (1) the importance of transformational leadership supported by managerial progress, education and commitment, (2) the importance of motivation both internally and externally, supported by rewards and punishments, (3) the need for a commitment so that the work culture is stronger so that it will have a positive impact on the implementation of the program to become more optimal, (4) the importance of commitment, management and availability of human resources potential, according to the needs and placements in accordance with their fields.

Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program

Introduction: Between 2006 and 2012 the Dutch government funded a nationwide program for reducing the use of seclusion. Although an initial first trend study showed that the reported number of seclusions declined during the program, the objective of a 10% annual decrease was not met. We wished to establish whether the decline had continued after funding ended in 2012.Method: Using quasi Poisson time series modeling, we retrospectively analyzed the nationally reported numbers of seclusion and involuntary medication between 1998 and 2019, i.e., before, during and after the end of the nationwide program, with and without correction for the number of involuntary admissions.Results: With and without correction for the number of involuntary admissions, there were more seclusions in the seven years after the nationwide program than during the nationwide program. Although the reported number of involuntary medications also increased, the rate of increase was slower after the end of the nationwide program than before.Conclusions: Rather than continuing to decrease after the end of the nationwide program, the number of seclusions rose. This may mean that interventions intended to reduce the use of seclusion within this program are not properly sustained in daily clinical care without an ongoing national program.

Estimating Opportunity Cost as A Tool to Evaluate Water Loss Management of Non-Revenue Water at PDAM Tirta Khatulistiwa

Water loss or Non-Revenue Water (NRW) is a national problem PDAMs, including PDAM Tirta Khatulistiwa. In fact, with a high level of water loss, there is a significant potential loss of income. This study aims to implement opportunity cost calculation as a managerial tool for PDAM Tirta Khatulistiwa in making investment decisions to improve water loss management. This research was conducted by collecting information from financial, managerial, and local government equity participation reports. Then the data reduction is carried out and calculated based on the gross margin, net profit margin, and the opportunity cost. This study indicates that the capital investment provided by the Pontianak City’s government has increased, followed by an increase in the number of consumers. However, it was not followed by an increase in the company’s profit. This is due to the opportunity cost or lost income during the business process amounting to Rp31,218,673,384.64 in 2019 with a potential income to Rp222,663,258,365.00 if it manages to suppress distribution leakage to the level of 20%. This potential income is worthy of consideration for PDAM Tirta Khatulistiwa to start water loss management in the NRW reduction program.

Estimating economic value of household municipal solid waste reduction program: A willingness-to-accept (WTA) approach

This study is aimed at estimating economic value of municipal solid waste (MSW) reduction program in the Mekong Delta by employing the willingness-to-accept (WTA) approach. This research will address two important issues in current growing literature about MSW management. First, this is the first research to evaluate economic value of the MSW reduction program in Mekong Delta. The second major contribution is the approach employed - supply curve through the WTA. This program requires community participation and provision incentives to them, therefore the requirement of public acceptance through WTA is estimated. Findings reveal that people are willing to accept an average of 30,000 VND/month for the MSW reduction program. Assume that household's MSW management fee subsidy policy is canceled, and the household is facing a full fee for the MSW collection (about 150,000 VND/month), they are willing to classify MSW at source to get a reduction of 30,000 VND or they are willing to accept a fee of 120,000 VND/month. In addition, it is interesting that more than 70 percent of people are willing to participate in this program. The determinants of WTA identified include the type of MSW at the source, education level, type of urban areas. This research then proposes that MSW management implementation policy should be focused on motivating households and improving people's perception of MSW. In case of government budget deficit, community participation would be more appropriate to manage MSW.