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    524 research outputs found

    Associated factors to attitudes and perceptions toward HIV/AIDS: a study of ethnic minorities in Buon Ma Thuot City, Dak Lak Province, Vietnam

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    Background: In Central Highland of Vietnam, number of HIV infected people in the Highlands region was 2,869, with 654 cases of AIDS. There are very few researches on HIV/AIDS, especially, research in community [14]. The ethnic minority populations are the source of differences from other regions of in the country. Negative attitude and misperception toward HIV/AIDS are remaining among this group. To improve the perception and attitude towards HIV/AIDS among Ethnic minorities. This study aims to illustrate attitude and perception towards HIV/AIDS among ethnic minority in Buon Ma Thuot City and determine factors related to attitude and perception towards HIV/AIDS in this population. Methods: We performed a cross-sectional survey of collected from 810 ethnic minority aged 15-49 in Buon Ma Thuot city, Vietnam in 2012.  Face-to-face interviews were conducted to collect information regarding HIV knowledge, HIV perception and attitude towards people living with HIV/AIDS (PLWHA).  The mean score was calculated. Multivariate analysis performed to analyze the influence of socio-demographic, HIV information sources and HIV knowledge on attitudes and perception towards HIV/AIDS. Results: We identified the mass media channel is common HIV information resource (92.8%), but the respondents received HIV information through mass media channels had lower perception and attitude towards HIV/AIDS. The multivariate analysis showed that the socioeconomic-demographic characteristic, HIV information, and HIV knowledge significantly associated with perception and attitude towards HIV/AIDS. But the HIV information provided by health officers, who are ethnic minorities had more effectiveness of improving attitude towards PLWHA in community (p<0.05). Conclusion: Based on these data, we recommend improving quality of HIV massage through mass media channel with adequate HIV information combine with social messages. Besides, the role of multichannel mass media and the role of health officers is need to combine together.  Submitted: 9 October 2017, Accepted: 28 October 2017

    FACTORS AFFECTING EMPLOYEE PERFORMANCE: CASE STUDY AT PERMATA HATI HOSPITAL RIAU, INDONESIA

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    Background: Employees are important factors in the organization to achieve the goal. The employee's performance will affect the quality of service. As we know that patient expectations are getting the best service. From the preliminary survey, we discovered some patient complaints; attitudes, communication and undisciplined by employees. Since last 3 years, the hospital quality service indicator has decreased, BOR (Bed Occupancy Rate) <60-80% (Ministries of health Standard). Aims: To determine the factors affect the employees' performance in Permata Hati Hospital Riau Indonesia Methods: This research used the analytical quantitative study design with cross sectional study. The study was carried out in Mei-June 2014 in Permata Hati Hospital. We used questionnaires for collecting data, The sample of the research are employees in the provision of services to patients directly, totally 154 respondents. Consists of: health workers (nurses, midwives, laboratory,pharmacy, radiology, doctor) and administrative and finance personnel. The dependent variable is employees'performance and the independent variables are: leadership, salary, supervision, and training. Processing data using statistical calculation: univariate, bivariate and multivariate with multiple logistic regression test. Results: There was a significantly strong correlation between independent variables toward the performance of employees (pvalue <0.05). Leadership exerted a significant effect on performance (exp (B) 2.025), salary significant effect on performance (exp (B) 2.029), supervision significant effect on performance exp (B) 1.525) and training significant effect on performance (exp (B) 2.991). Conclusion: Training is the dominant factor affecting the performance of employees in Permata Hati Hospital. It is a necessary to build a roadmap of continuous training in enhancing the competence and quality of service, monitoring and evaluation of performance and performancebased finance system. &nbsp

    THE RELATIONSHIP BETWEEN AGE AND PARITY WITH MYOMA UTERI IN DR. H. SOEWONDO HOSPITAL KENDAL

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    Background: Myoma uteri is one of benign gynecological tumors are the most common, found one in four women of reproductive age. The incidence of uterine myoma approximately 20-30% of all women. Myoma uteri was not found in children who have not menstruating, in women aged 35-45 years was found about 25% and in menopausal women is only about 10%. Just a little possibility of developing uterine myomas in women often give birth than those who were never pregnant or just had a single pregnancy. Aims: The purpose of this study was to determine the relationship between age and parity of women with myoma uteri. Methods: This research is analytic survey with case control method. The study was conducted at Dr. H. Soewondo Hospitals in Kendal Regency in July 2011. The population of this study were all patients with gynecological diseases are treated in March to July, 2011. Samples taken are saturated sample with accidental sampling method, which is 59 people. Data analysis using Chi- Square test. Results: The analysis showed no relationship between age and uterine myoma (p value> α (0.05)) and there is a relationship between parity with the incidence of uterine myoma (p value <α (0.05)). Conclusion: Further research is needed with the bigger number of samples than this study and the cohort studies may be better for this study.  &nbsp

    A QUALITATIVE STUDY: EVALUATION OF WAITING TIME IN REGISTRATION FROM HUMAN RESOURCES WITH MALCOM BALDRIGE APPROACH

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    Backgound: Building a health system is one of the SDG targets – universal health coverage (UHC). Strong primary health care system needs to be in place (4). The critical issue is the quality of health by improving patient safety, effectiveness, focus on patients, timely, efficient and fair (4, 10). Long waiting times decreased utilization of national health insurance, decreased use by the public and the rising cost of health. (5,7,8,9). The aim of this paper is to investigate how the human resources can lead to long waiting times in the registration by using Malcolm Baldrige approach (6). Method: This study used qualitative design to describe waiting time problem and it's causes. Informants were appropriately and adequately selected in relation to waiting time including patients clinic, staff and management so the information were triangulated by resources,by methods and by data itself. The results were write as transcription and content analysis carefully done to identify themes and problem. This study held at Public Health Center, Cariu, Bogor, Indonesia in December 2016. Results: All the informants expressed their concern related to waiting time and need to formulate effective solutions. The solutions were proposed related to causes to the waiting time ; no monitoring and evaluation effort to control waiting time and it's impact, clinical safety procedures, unsatisfied patients and ineffective clinical outcomes ; low priority to human resources management; no supervision ; no on the job training; no evaluation of patients need and expectation, the public health center never had services design ; network instability and inflexibility in the provision of facilites. Conclusion: Monitoring and evaluation, human resources management, supervision, on the job training, strategic planning, patients focus , commitment and the leadership itself are needed to decrease waiting time. &nbsp

    THORAX MULTI-SLICE COMPUTER TOMOGRAPHY (MSCT) EXAMINATION TECHNIQUE IN THE CASE OF MEDIASTINUM TUMOR AT RADIOLOGY INSTALATION OF SEMARANG DISTRICT GENERAL HOSPITAL

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    Background: Thorax Multi-slice computer tomography (MSCT) scan examination requires contrast medium to image the difference in density with the surrounding tissue. The contrast images is largely determined by the volume of contrast, injection rate and injection methods. Thorax CT scan is performed by slice thickness of 5-10 mm. Meanwhile, it should use the routine slice thickness of 10 mm. Slice thickness of 8-10 mm of coronal and sagittal images require reconstruction by thin slices of 1-1.5 mm and subsequently by applying 3D. Aims: This is to analyse the volume of contrast and slice thickness used in the examination of tumor mediastinum by thorax MSCT examination. Methods: This research used descriptive qualitative design with case study approach, described and explained systematically, related to the procedure of Thorax MSCT examination technique in the case of mediastinum tumor with 3 samples of 3 patient and assessment performed by three radiologist as respondents. Results: This study indicates the success of the use of proper contrast of 80 cc and slice thickness of 2-3 mm to observe lesions of mediastinal tumor. Conclusion: Thorax MSCT examination in the case of mediastinum tumor should use contrast 80 cc and slice thickness of 2-3 mm to observe lesions of mediastinal tumor and coronal and sagittal axial slices, because the sagittal slice can show the lymphadenopathy enlargement so that the mediastinum tumor is clearly visible. The print out or filming results should be included the MPR or 3D to show the presence or absence of bone destruction and metastases. &nbsp

    SCOURING-RUSH HORSETAIL'S (Equisetum hyemale) CAPABILITY TO REDUCE DETERGENT, COD AND PHOSPHAT (PO4) LEVELS OF LAUNDRY WASTEWATERIN PURWOKERTO IN 2016

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    Background: There will be an increasing demand for goods and services as a result of rapid economic growth and development, increasing activities in the society, and also with the establishment of universities. This has caused the emergence of some laundry business that aims to alleviate the burden on society. The emergence of the laundry business may cause environmentalpollution, especially in the levels of detergent, if the waste generated is not treated before it is discharged. Therefore, it is necessary to find a method to treat waste efficiently. One of the ways is to employ phytoremediation using scouring-rush horsetail (Equisetum hyemale). Aims: The purpose of this study is to analyze the scouring-rush horsetail media's ability in decreasing the levels of detergent, Phosphate (PO4), and COD of laundry waste. Methods: This type of research is called true experiment with design randomized control group pretest-posttest. The data is analyzed using Analysis of Covariance (ANCOVA) statistical test. Results: The results of the analysis showed that there are influences from the residence time, the scouring-rush horsetail's (Equisetum hyemale) ability and the continuous process by reducing the levels of detergent (88.9%), COD (99.5%), and PO 4 (63.4%). Scouring-rush horsetail media has an average efficiency of COD reduction (90%), PO 4 (51%), and Detergents (86%). The value of Detergents, COD, and PO4 level in laundry wastewater after treatment by using scouring-rush horsetail (Equisetum hyemale) with a residence time (0 day, 1 day, 3 days and 7 days) based on Government Regulation No. 82 of 2001 on the Management of Water Quality and Water Pollution Control has been under NAB. Conclusion: It is necessary to make additional acclimatization time in the study using a scouringrush horsetail to reduce the levels of COD, phosphate and detergent. It is advisable to plant the scouring-rush horsetail in the tub as high as 30 cm, thus the water can be pooled. &nbsp

    RELATIONSHIP BETWEEN LEARNING MOTIVATION TO LEARNING ACHIEVEMENT AMONG MIDWIFERY STUDENTS IN IN ‘AISYIYAH UNIVERSITY YOGYAKARTA, INDONESIA

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    Background: Teaching and learning is a process of conscious purpose. Goals can be informed an attempt to give students the formulation of the expected results after implementing a learning. High-performance students have a good indication to their knowledge. One of the factors that affect student achievement is motivation. The motivation will make students study harder,tenacious, diligent and have full of concentration in teaching and learning. Encouragement in education is one thing that needs to inform to learning in school. Aims: The purpose of this study was to seek the relationship between learning motivation to learning achievement among midwifery students in Universitas 'Aisyiyah Yogyakarta. Methods: It was an analytical study with cross-regional approach. A total of 122 students, invited from the two classes of Diploma IV Program of Universitas 'Aisyiyah Yogyakarta, was selected using proportional random sampling. A questionnaire related to students' motivation and performance was used. The collected data was then analyzed by Spearman test. Results: By the data analysis, we highlight a significant relationship between learning motivation and academic performance in the subjected population (p value < 0.001). Conclusion: The finding alarms a need to pay attention to what can motivate the students to be involved in learning activity. Motivation is one of the key factors to reach high academic performance in Diploma IV Program of Universitas 'Aisyiyah Yogyakarta, Indonesia

    THE IMPACT OF COMPLEMENTARY FEEDING TYPE ON THE NUTRITION STATUS OF INFANTS 6 TO 12 MONTHS OF AGE IN SUBURBAN SEMARANG INDONESIA

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    Background: After 6 months, baby must be given complementary feeding. Many considerations behind the choice of the family on both types of weaning food, one of which is related to the impact of these foods on nutritional status and infant's healthy. Malnutrition increases as a result of complementary feeding are given to infants is not right, either type or quantity. Aims: The research objective was to determine the commercial and local food practices in suburban areas, and determine the reason and analyze the impact of both types of weaning food on the nutritional status of infants 6-12 months. Methods: This study was an observational study with a cross-sectional design. Location of research was in the work area of Kedungmundu Health Center, Semarang City Indonesia. The research samples were families with babies aged 6-12 months. A number of samples 94, selected by random. This type of analysis used was a different test. Results: The results showed 55.3% of infants were fed with local weaning food, the rest were kind of commercial food. Almost all babies had been given a weaning food in less than 6 months, both derived from the type of local or commercial food. Families closed the type of commercial food, because this type was more practical, while the local food (homemade) chosen because it wasmore natural, safer and more economical. There were no differences in nutritional status among infants 6-12 months who had complementary feeding practices with commercial and local food.  Conclusion: It was concluded, infant complementary feeding practice with infant commercial and local food did not have a different impact on the nutritional status in infants 6-12 months. &nbsp

    APPROACH OF HEALTH BENEFIT ASSESSMENT DUE TO AIR POLLUTION IN THAILAND

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    Recent studies have clearly demonstrated adverse health impacts related to pollutants such as ozone (O3), particulate matter (PM), carbon monoxide (CO), nitrogen oxides (NOX) and sulfur dioxide (SO2). Relative high concentration of such pollutants have certain link to degraded human health, for example cardiovascular and respiratory (Guo et al. 2014; Wong et al. 2008). The consequent rising mortality and hospitalization rate will also bring about economic burdens to the society. According to annual report of Pollution Control Deparment year 2015 (Pollution Control Department (PCD) 2017)(PM10) and PM that ae Bangkok Metropolitan Region - Thailand (BMR), one of the major metropolitan areas in the world, is an upper-middle class megacity composed of Bangkok city proper and five surrounding provinces. With an actual population of approximately 15 million, it is the central hub for commerce and tourism in the Southeast Asian (SEA) region. In the past decades, the BMR has experienced extraordinary economic development and urban expansion, which displaying notable concern regarding the ambient air pollution and its adverse effects on human health. In the BMR, relatively high emission are located inside Bangkok, due to on-road transport activity as well as relatively high emissions in industrial combustion and processes are located in vicinity provinces of Bangkok.  Objectives of this study include 1) To assess mortality health burden using with Bangkok ambient data of PM10 and 2) To assess air benefit and health benefit due to emission reduction in transport sector from advanced environmental policy, case study for BMR, focusing on PM2.5 long-term mortality. Results indicated that there is health benefit to comply ambient air with standard. This is possible message to our policy maker "Just to enforce ambient air to Thailand standard of PM10, avoided mortality of respiratory and cardiovascular disease in Bangkok is up to 40%. And if the country reaches that, we can move forward to set higher target, of course, the benefit can be higher (up to 85%) if we successfully enforce ambient air to World Health Organization (WHO) standard. In addition, implementation of more stringent environmental policy in transport sector in the BMR indicated good example of health benefit associated to the PM2.5 reduction associated with current legislation. However, approaches to provide mitigation options for multiple sources sectors and regions should be considered to obtain better benefit”.&nbsp

    THE EFFECT OF PROBLEM-BASED LEARNING WITH EXPERIMENT ON STUDENTS' RESPONSES AND LEARNING OUTCOME IN THE REFLECTION AND REFRACTION CONCEPT LEARNING

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    Background: In some previous studies, an inappropriate teaching and learning was one of the factors that caused many students' misconception in the concept of reflection and refraction. Moreover, the students' response was known as a factor that lead students to have a misconception, and lead to have a low learning outcome. Aims: This study aimed to study the effect of using of Problem-Based Learning on the students' responses and learning outcome in learning the concept of light (reflection and refraction). Methods: The posttest only control design was applied in this study. The MCQs test and questionnaires of response were implemented to 27 students of grade 8th after the learning activity by using Problem-Based Learning with experiment. The data gained by both MCQs test and questionnaire were statistically analyzed. Results: About 74.07 % students had passed the minimum completeness criteria (KKM). Most of the students' responses agreed that learning via Problem-Based Learning with experiment was helpful to understand the learning concept and to gain a new idea to solve the problem. In addition, the percentage of influencing of students' response to the students' learning outcome was 11 %. Conclusion: Teaching and learning via Problem-Based Learning with experiment had helped the students to get high learning outcome and good response. The results were also revealed that the students' response was one of affecting factors on the students' learning outcome

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