Diagnosa COVID-19 Chest X-Ray Dengan Convolution Neural Network Arsitektur Resnet-152

The availability of medical aids in adequate quantities is very much needed to assist the work of the medical staff in dealing with the very large number of Covid patients. Artificial Intelligence (AI) with the Deep Learning (DL) method, especially the Convolution Neural Network (CNN), is able to diagnose Chest X-ray images generated by the Computer Tomography Scanner (C.T. Scan) against certain diseases (Covid). Resnet Version-152 architecture was used in this study to train a dataset of 10.300 images, consisting of 4 classifications namely covid, normal, lung opacity with 3,000 images each and viral pneumonia 1,000 images. The results of the study with 50 epoch training obtained very good values for the accuracy of training and validation of 95.5% and 91.8%, respectively. The test with 10.300 image dataset obtained 98% accuracy testing, with the precision of each class being Covid (99%), Lung_Opacity (99%), Normal (98%) and Viral pneumonia (98%).

Diagnosa COVID-19 Chest X-Ray Menggunakan Arsitektur Inception Resnet

The availability of medical aids in adequate quantities is very much needed to assist the work of the medical staff in dealing with the very large number of Covid patients. Artificial Intelligence (AI) with the Deep Learning (DL) method, especially the Convolution Neural Network (CNN), is able to diagnose Chest X-ray images generated by the Computer Tomography Scanner (C.T. Scan) against certain diseases (Covid). Inception Resnet Version 2 architecture was used in this study to train a dataset of 4000 images, consisting of 4 classifications namely covid, normal, lung opacity and viral pneumonia with 1,000 images each. The results of the study with 50 epoch training obtained very good values for the accuracy of training and validation of 95.5% and 91.8%, respectively. The test with 4000 image dataset obtained 98% accuracy testing, with the precision of each class being Covid (99%), Lung_Opacity (97%), Normal (99%) and Viral pneumonia (99%).

Drone: The Solution to Delivery Problems

This proposed drone focuses on providing essential medical aids in rural or hilly regions where it is difficult to reach fast. This drone can be used during natural calamities like earthquake, flood and landslide. It will help to deliver medical supplies and lab samples. Moreover, blood samples will also become unusable after travelling long distances from hilly areas to the laboratories. It can be overcome by using this drone. It can give the real time video of the location. In India, due to heavy traffic the emergency need of blood and medicines are delayed, but this problem can be overcome by our drone. This drone can automatically travel the given path without any control from user. It can be also controlled manually during some obstacles or dangers at any time.

Dental Care of Patients With Dementia: A Survey on Practice Equipment, Training, and Dental Treatment

For patients with dementia, dental care can pose a considerable challenge due to cognitive impairment, behavioral, and psychological symptoms, and (often subsequently) limited autonomous oral care. In this study, we aimed to assess the proficiency of dentists in general practice in the outpatient dental care of these patients. A total of 119 dentists from private practices in Lower Saxony, Germany, participated in this study. Concerning treatment of patients with dementia, they provided details about (1) practice equipment/consultation, (2) training/expertise, and (3) special circumstances of dental treatment. Participating dentists predominantly reported to use medical aids (e.g., positioning cushions) to improve the treatment situation for patients with dementia. Over two thirds (68.6%) offered consultations in nursing homes, and at the patients' homes (47.0%). The training rate was remarkably low in the field of gerodontology for dentists and their practice staff (<10%), however, 54.5% expressed interest in such training. The majority of dentists reportedly adapted their treatment strategy to the needs of patients with dementia (e.g., communication, inclusion of caregivers, time management). Furthermore, most participants adapted dental treatment adequately (e.g., strict indication for tooth extraction, simple design of dental prostheses). In summary, even though training in the field of gerodontology must be considered insufficient, most dentists in this study showed an adequate adaptation of their treatment strategy as well as consideration of dental characteristics in patients with dementia, along with interest in trainings. We conclude that dementia-specific training should be expanded in the field of dentistry, preferably already at university level.

Kualitas Standar Pelayanan Publik Di Ruang Cempaka (Nifas Ponek) RSUD dr. Doris Sylvanus Palangka Raya

This study aims to determine the Quality of Public Service Standards in Cempaka Room (Postpartum Ponek) RSUD dr. Doris Sylvanus. This research is a qualitative research with a naturalistic descriptive approach. Data collection is done by using interviews, observation, and documentation. Researchers Want to Describe How the Quality of Public Service Standards in Cempaka Room (Postpartum Ponek) RSUD dr. Doris Sylvanus, can work well with the community. The author uses 6 (Six) Public Service Standards, 1) Service Procedures, 2) Completion Time, 3) Service Costs, 4) Service Products, 5) Facilities and Infrastructure, 6) Competency of Service Providers. The results of research and interviews that have been conducted can be concluded that the Quality of Public Service Standards in Cempaka Room (Postpartum Ponek) RSUD dr. Doris Sylvanus still found several people who complained about the existing services, namely: (a) The completion time was not good enough in providing inpatient guarantee completion time, because the time of 3x24 hours was still felt to be too short for the recipient of services and the service flow was not yet one door so it needed long time in administrative management, (b) Facilities and service infrastructure contained in Cempaka Room (Postpartum Ponek) dr. Doris Sylvanus Palangka Raya which is still lack of medical aids so it is very difficult in providing health services. The author's suggestion to improve the quality and service in order to increase community satisfaction can be done by improving in terms of the existence of information boards on administrative service flow on the wall. The Hospital must procure new medical devices to support the quality of hospital health, increase maintenance of Hospital goods facilities and inadequate public facilities.

Dental care of patients with dementia: A survey on practice equipment, training, and dental treatment

For patients with dementia, dental care can pose a considerable challenge due to cognitive impairment, behavioral, and psychological symptoms, and (often subsequently) limited autonomous oral care. In this study, we aimed to assess the proficiency of dentists in general practice in the outpatient dental care of these patients. A total of 119 dentists from private practices in Lower Saxony, Germany, participated in this study. Concerning treatment of patients with dementia, they provided details about (1) practice equipment/consultation, (2) training/ expertise, and (3) special circumstances of dental treatment.Participating dentists predominantly reported to use medical aids (e.g., positioning cushions) to improve the treatment situation for patients with dementia. Over two thirds (68.6%) offered consultations in nursing homes, and at the patients’ homes (47.0%). The training rate was remarkably low in the field of gerodontology for dentists and their practice staff (< 10%), however, 54.5% expressed interest in such training. The majority of dentists reportedly adapted their treatment strategy to the needs of patients with dementia (e.g., communication, inclusion of caregivers, time management). Furthermore, most participants adapted dental treatment adequately (e.g., strict indication for tooth extraction, simple design of dental prostheses).In summary, even though training in the field of gerodontology must be considered insufficient, most dentists in this study showed an adequate adaptation of their treatment strategy as well as consideration of dental characteristics in patients with dementia, along with interest in trainings. We conclude that dementia-specific training should be expanded in the field of dentistry, preferably already at university level.

Medical Problems Among Rohingya Refugees and Medications Prescribed During IMARET Clinic Visits in Kelantan

Introduction: For years, thousands of the Rohingya have fled Myanmar to reside in different states in Malaysia. Without any legal status, they have limited access to government medical and healthcare facilities. This is because Malaysia is not a State party to the 1951 Refugee Convention and its 1967 Protocol. IMAM Response and Relief Team (IMARET), a medical NGO, has organized charity clinics for this minority group to provide basic medical aids. Objectives: To identify common medical problems and medications prescribed during IMARET charity clinics in Kelantan. Methods: This was a cross-sectional study among Rohingya refugees attending IMARET charity clinics in Kelantan from June 2017 until May 2018. Data was collected from a medical clerking sheet. Medical problems were classified using ICD-10 classification, while medications prescribed were classified according to the first level of ATC code. Data were analysed using SPSS Version 24.0. Results: From 315 patients attended the clinic, most of the patients are of male gender (n=232, 73.1%). Mean age of the patients was 21.9 + 13.6 years (range: 1 – 75). Patients attended either one of the clinic locations; Tanah Merah (n=153, 48.5%), PengkalanChepa (n=78, 24.8%), and Kok Lanas (n=84, 26.6%). Most common medical problems observed were related to musculoskeletal system (n=104, 19.9%), mostly involving myalgia (n=96, 30.5%). Other common problems involved respiratory system (n=94, 18.0%), digestive system (n=68, 13.0%), and skin problems (n=57, 10.9%). Medications used for gastrointestinal disorders were mostly being prescribed in the clinics (n=179, 56.8%), followed by medications used for nervous system (n=114, 36.2%) and respiratory system (n=97, 30.8%). Most frequently prescribed medications include paracetamol, diclofenac, chlorpheniramine and multivitamins. Conclusion: Common medical problems observed among Rohingya refugees include myalgia, respiratory diseases and gastrointestinal problems. Therefore, medications used to treat these problems were shown to be frequently prescribed during clinics.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S26

Intertwining Christian Mission, Theology, and History: A Case Study of the Basel Mission among the Thiyyas and Badagas of Kerala, 1870–1913

For centuries, various denominations of Christian missionaries have contributed in a larger way towards the spread of Christianity among the people of Indian sub-continent. Each Church had its own principles of preaching the word of God and undertook welfare activities in and around the mission-stations. From establishing schools to providing medical aids, the Christian missionaries were involved in constant perseverance to improve the ‘indigenous’ societies not only in terms of amenities and opportunities, but also in spiritual aspects. Despite conversion being the prime motive, every Mission prepared ground on which their undertakings found meanings and made an impact over people’s lives. These endeavours, combining missiological and theological discourses, brought hope and success to the missionaries, and in our case study, the Basel Mission added to the history of the Christian Mission while operating in the coastal and hilly districts of Kerala during the 19th and the 20th centuries. Predominantly following the trait of Pietism, the Basel Mission emphasised practical matters more than doctrine, which was evident in the Mission activities among the Thiyyas and the Badagas of Malabar and Nilgiris, respectively. Along with addressing issues like the caste system and spreading education in the ‘backward’ regions, the most remarkable contribution of the Basel Mission established the ‘prototype’ of industries which was part of the ‘praxis practice’ model. It aimed at self-sufficiency and provided a livelihood for a number of people who otherwise had no honourable means of subsistence. Moreover, conversion in Kerala was a combination of ‘self-transformation’ and active participation which resulted in ‘enculturation’ and inception of ‘modernity’ in the region. Finally, this article shows that works of the Basel Mission weaved together its theological and missiological ideologies which determined its exclusivity as a Church denomination.

Expectations and Perceptions of Dutch Pharmacy Staff Regarding a New Framework for Continence Care: A Focus Group Study

Based on complaints that patients with urinary incontinence were not receiving the correct medical aids, the Dutch Ministry of Health, Wellbeing, and Sports requested further exploration. This resulted in a new framework based on considering individual activities of daily living when providing continence products. We aimed to explore the expectations of pharmacy staff regarding this new framework for continence care in the Netherlands and to establish the facilitators and barriers associated with that care. In total, 15 participants from 7 different pharmacies participated in 2 focus groups. Data analysis was by thematic content analysis. Pharmacy employees were positive about the idea of considering individual daily activities when providing continence products in the new framework, but they did have some reservations about the feasibility of implementation in daily practice. Barriers to optimal continence care included low reimbursement for patients with incontinence, especially with non-standard needs, and poor communication between the various stakeholders in continence care. Efforts must be extended to review the current reimbursement system and to change the policies and information provided by stakeholders in continence care, before the new framework will make a real impact in clinical practice.