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Regional anesthesia blok subarachnoid is the most common anesthesia techniqueafter general anesthesia endotracheal tube at RSUP Sanglah. Regional anesthesiablok subarachnoid can replaced the general anesthesia endotracheal tube forminilaparatomy (appendisectomy & laparotomy ectopic pregnancy) patient. Noneof report on cost effectiveness analysis for regional anesthesia blok subarachnoidat RSUP Sanglah. Cost were calculated from anesthesia record paper at theoperating room and recovery room. Outcome were taken from side effect afteroperation (acute pain, post operative nausea vomiting and shivering). The result,anesthesia regional blok subarachnoid were more cost effective than generalanesthesia endotracheal tube for mini laparotomy (appendisectomy andlaparotomy ectopic pregnancy) at RSUP Sanglah Bali.
Problems resulting product legislation legislators, both concerning the quality, aswell as the involvement of community participation in the process of drafting anddesigning a regulation was a concern. Policy efforts to improve nutritiondeveloped and directed to improve the nutritional status of public, especially inthe province of Bengkulu, The aim of this study was to obtain information aboutpublic participation in the formulation of Local Regulation uses a qualitativeapproach, with in-depth interviews and literature studies in Bengkulu ProvincialParliament. Based on the analysis concludes that the stages in lawmakingRegulation No. 12 of 2013 on Improving Nutrition, have done all therecommended stages ranging from stage Definition, Aggregation, Organitation,Representation, Agenda Setting, Formulation and Legitimation last stage. Overallthe process of drafting Regulation No. 12 of 2013 do not yet reflect recentlegislation participatory because the community has not been involved in anydrafting process. The level of community participation that occurs in formalcontexts are at the level of damping that is public can provide input / advice on thedetermination of the policy but the final decision remains in the hands of theauthorities. Not optimal utilization of space paritsipasi in the decision-makingprocess because of the lack of information available to the public .existenceacademic text is a starting material containing ideas of urgency, approach, scopeand substance of a Regional Regulation, as consideration used in the licenseapplication initiative of drafting the proposed regulation. It is advisable to increasecommunity participation in every process of drafting local regulations to do withadvocacy or assistance to community groups conducted by universities,community organizations and the regional government of Bengkulu provincealone, have local regulations that regulate and ensure community participation inevery law making process, as well as the need support adequate human resources,adequate funding and a lot more time so that the resulting academic paper worthyof reference in the process of drafting a regional regulation.Keywords: Public Participation, Academic Manuscript, Regional Regulation.
Compliance of TB patients with anti TB drugs treatment is a universally recognized problem specially in asian developing countries which results at the consequences of the TB treatment compliances, today there are TB cases defaulters,relapses and MDRTB which is mostly occurring in all over the world due to deferent reasons of the compliances, and Afghanistan is one of the 22nd highest TB burden country in the world. The main problem of TB treatment compliance in Afghanistan can be explain at two aspects: First there would be a high prevalence of TB positivity in country level because of inaccessibility to the health services In the rural areas due to war and low security, second behavioral changes and lack of knowledge of the community about the disease and wrong beliefs and perceptions, socioeconomic factors, socio demographic factors and socio psychological factors, all these factors could be determined and influence the compliance of TB patients among the TB patients in the country. Objective To determine what factors associated and influenced the compliance of TB patients with anti TB Anti TB drugs treatment in Kandahar Afghanistan. Materials and methods It was descriptive study, the study was including 243 TB patients participated 79 TB patients interviewed with well structured questionnaire. Results TB patients as much as 58.23 % was not good compliance of their anti TB treatment and 41.77% was good compliance of their anti TB treatment, and the compliance rate was higher among those patients who were not good compaliance, how ever from small sample size statistic could not detect any significant association. Conclussion The high prevalence of TB cases in the country and high level of compliance of TB patients among the TB confirm patients with the factors influencing the compliance of the treatment is essential to control and take measure immediately, the evidence strengthen the need of collaboration to change the behavior of the community properly for ten agers and activate the education and the result attract to focus more and pay attention on the factors influencing the compliance specially for those who have no any access to the health services to satisfy and encourage them for their regular anti TB treatment therapy.
Berat badan lahir rendah berkontribusi terhadap morbiditas dan mortalitas neonatal, menjadikannya indikator penting kesehatan ibu dan anak. Data Riskesdas 2018 dan SKI 2023 menunjukkan prevalensi BBLR di Indonesia belum mengalami penurunan signifikan, dengan variasi antarwilayah, sehingga perlu penelitian tentang determinan BBLR berdasarkan regional. Penelitian ini menggunakan desain cross-sectional dengan data sekunder SKI 2023, dianalisis berdasarkan lima regional Indonesia menggunakan uji chi-square dan regresi logistik. Hasil menunjukkan variasi proporsi BBLR antarregional, dengan Sulawesi tertinggi dan Sumatera terendah. Di Sumatera, faktor terkait BBLR adalah anemia, plasenta previa, kehamilan kembar, kelahiran prematur, dan interaksi kehamilan kembar dengan komplikasi. Di Jawa-Bali, faktor yang berhubungan adalah paritas, komplikasi kehamilan, kehamilan kembar, jenis kelamin, kelahiran prematur, dan kelahiran prematur yang berinteraksi dengan kehamilan kembar. Di Kalimantan, faktor terkait adalah usia ibu, paritas, komplikasi, serta interaksi kehamilan kembar dengan jenis kelamin dan kelahiran prematur. Di Sulawesi, faktor yang berhubungan adalah status ekonomi, pendidikan ibu, paritas, konsumsi tablet tambah darah, komplikasi, plasenta previa, kehamilan kembar, jenis kelamin, dan kelahiran prematur. Di Papua, Maluku, Nusa Tenggara, faktor terkait adalah status ekonomi, paritas, komplikasi, dan interaksi kehamilan kembar dengan kelahiran prematur. Diperlukan intervensi berbasis wilayah untuk meningkatkan pelayanan kesehatan ibu hamil, terutama di Sulawesi, dengan fokus pada faktor risiko utama seperti kehamilan kembar, kelahiran prematur, dan anemia.
Low Birth Weight (LBW) contributes to neonatal morbidity and mortality, making it an important indicator of maternal and child health. The 2018 Riskesdas data and the 2023 SKI reveal that the LBW prevalence in Indonesia has not significantly decreased, with regional variations, indicating the need for research on the regional determinants of LBW. This cross-sectional study uses secondary data from SKI 2023, analyzed across five regions in Indonesia using chi-square tests and logistic regression. The results show regional variations in LBW proportions, with Sulawesi having the highest and Sumatra the lowest prevalence. In Sumatra, factors associated with LBW include anemia, placenta previa, multiple pregnancies, prematurity, and interactions between multiple pregnancies and complications. In Java-Bali, factors associated with LBW include parity, pregnancy complications, multiple pregnancies, gender, prematurity, and the interaction between prematurity and multiple pregnancies. Kalimantan's related factors are maternal age, parity, complications, and interactions between multiple pregnancies, gender, and prematurity. In Sulawesi, factors related to LBW include maternal socioeconomic status, education, parity, iron supplement consumption, complications, placenta previa, multiple pregnancies, gender, and prematurity. Papua, Maluku, and Nusa Tenggara show associations with socioeconomic status, parity, complications, and interactions between multiple pregnancies and prematurity. Regional-based interventions are needed to improve maternal health services, especially in Sulawesi, with a focus on key risk factors such as multiple pregnancies, prematurity, and anemia.
