45 research outputs found

    Comparison of official food control results in Finland between food establishments with and without a certified food safety management system

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    Funding Information: The authors wish to acknowledge the Finnish Food Authority, which provided the inspection data for this research. This work was supported by the Finnish Ministry of Agriculture and Forestry (grant number 1821/03.01.01/2018 ). Funding Information: The authors wish to acknowledge the Finnish Food Authority, which provided the inspection data for this research. This work was supported by the Finnish Ministry of Agriculture and Forestry (grant number 1821/03.01.01/2018). Publisher Copyright: © 2021 The Author(s)Certified food safety management systems (FSMSs), such as ISO 22000 and BRC, along with official food control, focus on food safety. European Union regulation 2017/625 requires to take FSMSs and their audits into account in official food control. To assess the possibility to decrease official food control frequency due to certified FSMSs the association of certified FSMSs on food business operators' (FBO) compliance was examined. The results of 1484 official inspections of 110 Finnish food establishments representing slaughterhouses, other meat establishments, fish and milk establishments, and bakeries with (n = 59) and without (n = 51) certified FSMS were studied over the period of 2016–2018. Altogether, 14 356 scores were given to 87 different items during the inspections. The comparison of scores between food establishments with and without certified FSMS discovered minor differences: 98.3% and 98.0% of inspected items in food establishments with and without a certified FSMS, respectively, did not impair food safety. The association between certified FSMSs and food establishments’ compliance was inconsistent in different establishment types and among inspected items. Therefore, the results do not support a decrease in the frequency of official food control inspections merely based on the existence of a certified FSMS. Instead, the results advocate for an individual assessment of the FBO's inspection frequency, based on the history of compliance.Peer reviewe

    FAKTOR YANG BERHUBUNGAN DENGAN MOTIVASI KELUARGA DALAM MERAWAT PASIEN GANGGUANJIWA DI WILAYAH KERJA PUSKESMAS TANJUNG GADANG KABUPATEN SIJUNJUNG

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    PROGRAM STUDI S1 KEPERAWATAN FAKULTAS KEPERAWATAN UNIVERSITAS KEPERAWATAN JANUARI 2019 Nama : Yosi Novita No BP : 1711316007 Faktor yang Berhubungan dengan Motivasi Keluarga Dalam Merawat PasienGangguan Jiwa Di Wilayah Kerja Puskesmas TanjungGadang ABSTRAK Gangguan jiwa masih menjadi masalah serius pada kesehatan mental. Meningkatnya penderita gangguan jiwa di wilayah Tanjung Gadang perlu mendapatkan perhatian lebih untuk mengurangi dampak dari masalah gangguan jiwa, terutama peran serta dari keluarga dalam merawat anggota keluarga yang mengalami gangguan jiwa. Rendahnya peran serta keluarga dalam merawat pasien yang mengalami gangguan jiwa dipicu oleh rendahnya motivasi. Motivasirendahmenyebabkan pemberian asuhan keperawatan pada keluarga tidak terlaksana dengan baik.Motivasi ini berhubungan dengan umur, pendidikan, pengalaman, spritual, dukungan keluarga dan sosial ekonomi. Tujuan penelitianuntuk mengetahui faktor yang berhubungan dengan motivasi keluarga dalam merawat pasien gangguan jiwa. Penelitian ini menggunakan metode deskriptif analitik dengan desaincrosssectionalstudy, dilaksanakan dari Oktober sampai Januari 2019.Sampel pada penelitian ini berjumlah 96 keluarga (caregiver) dengan menggunakan teknik pengambilan sampel purposive samplingdengan analisa data menggunakan uji chi square. Hasil uji statistik menunjukkan adanya hubungan antara motivasi dengan pengalaman (p=0,025), spritual (p=0,000), dukungan keluarga (p=0,008), dan sosial ekonomi (p=0,012). Tidak terdapat hubungan antara motivasi dengan umur (p=0,197), dan tingkat pendidikan (p=0,911) dalam merawat pasien gangguan jiwa. Diharapkan kepada perawat komunitas untuklebih meningkatkan sarana informasi guna menambah wawasan keluarga perihal penanganan pasien gangguan jiwa yang dapat meningkatkan motivasikeluarga dalam merawat anggota keluarga yang mengalami gangguan jiwa. Kata Kunci : faktor motivasi, perawatan keluarga, gangguan jiwa Daftar Pustaka : 102 (2001-2018

    Pediatric Procedural Pain

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    Reviews the various settings in which infants, children, and adolescents experience pain during acute medical procedures, and issues related to referral of children to pain management teams. In addition, self-report, reports by others, physiological monitoring, and direct observation methods of assessment of pain and related constructs are discussed and recommendations provided. Pharmacological, other medical approaches, and empirically supported cognitive behavioral interventions are reviewed. Salient features of the interventions are discussed and recommendations are made for necessary components of effective treatment interventions

    CITYkeys Smart city performance measurement system

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    Cities are tackling their economic, social and environmental challenges through smart city solutions. To demonstrate that these solutions achieve the desired impact, an indicator-based assessment system is needed. This paper presents the process of developing CITYkeys performance measurement system for target setting and monitoring. This European smart city indicator framework was developed by analyzing cities’ needs, existing indicators and gaps
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