How the health-seeking behaviour of pregnant women affects neonatal outcomes: findings of system dynamics modelling in Pakistan

Background: Limited studies have explored how health-seeking behaviour during pregnancy through to delivery affect neonatal outcomes. We modelled health-seeking behaviour across urban and rural settings in Pakistan, where poor neonatal outcomes persist with wide disparities. Methods and findings: A system dynamics model was developed and parameterised. Following validation tests, the model was used to determine neonatal mortality for pregnant women considering their decisions to access, refuse and switch antenatal care services in four provider sectors: public, private, traditional and charitable. Four health-seeking scenarios were tested across different pregnancy trimesters. Health-seeking behaviour in different subgroups by geographical locations and social network effect was modelled. The largest reduction in neonatal mortality was achieved with antenatal care provided by skilled providers in public, private or charitable sectors, combined with the use of institutional delivery. Women’s social networks had strong influences on if, when and where to seek care. Interventions by Lady Health Workers had a minimal impact on health-seeking behaviour and neonatal outcomes after trimester 1. Optimal benefits were achieved for urban women when antenatal care was accessed within trimester 2, but for rural women within trimester 1. Antenatal care access delayed to trimester 3 had no protective impact on neonatal mortality. Conclusions: System dynamics modelling enables capturing the complexity of health-seeking behaviours and impact on outcomes, informing intervention design, implementation of targeted policies and uptake of services specific to urban/rural settings considering structural enablers/barriers to access, cultural contexts and strong social network influences

Information System Ordering Online Restaurant Menu at Hover Cafe

The rapid development of technology requires every business person to upgrade his technology to more sophisticated. Many business people have upgraded their systems to be computerized and even online, one of the business people is in the culinary field. The culinary field which is meant for example is the cafe One thing that can support the quality of ordering in a cafe is the ordering process. In the hover cafe the menu ordering system is still conventional, using a menu book. This of course can be a problem because the menu book used can be damaged or lost so that it can slow down the ordering process, not to mention if the customer requests additional orders, the waiter must come to the customer's table to record additional orders again. The method used in this research is the method of data collection, the method of observation, the method of interviewing, and the method of literature study conducted to obtain accurate data. Then the data are analyzed with SWOT to find out the company's weaknesses and strengths. In describing the flow of the system using UML (Unified Modeling Language) and PHP (Hypertext Preprocessor) as a programming language with a MySQL database as a database. Therefore we need a ordering media that utilizes information technology as a medium for selecting food and beverage (E-Menu) which can provide information about order menu details to facilitate customers in making and ordering food or beverage menus

Mapping of Landslide Hazard Distribution in Alo Watershed Gorontalo Regency

Landslide occurrence can be influenced by physical factors and human activities. Thus, research related to the provision of information about landslide distribution in Alo watershed is needed as a basis in enhancing community preparedness in dealing with disasters. The method used in this study is the scoring method based on the Minister of Public Works Regulation No.22 / PRT / M / 2017 which is processed through a geographical information system through the overlay of all physical parameters. The result shows that the Alo watershed area is divided into three vulnerability categories. "Low" category covers 7171.8 ha, "medium" category covers 12008.7 ha, and "high" category covers 5039.5 ha out of 24.221 ha the total area of Alo watershed. Information provided in this research is expected to be able to help the local government in making policies in managing the Alo watershed area and enhancing the understanding of the local community in Alo watershed in dealing with disasters

Effect of non-solvent additives on the structure and performance of PVDF hollow fiber membrane contactor for CO2 stripping

Microporous polyvinylidene fluoride (PVDF) hollow fiber membranes with various non-solvent additives, i.e. lithium chloride, glycerol, polyethylene glycol (PEG-400), methanol and phosphoric acid, were fabricated for CO2 stripping via membrane contactors. The membranes were characterized in terms of liquid entry pressure, contact angle, gas permeation and morphology analysis. CO2 stripping performance was investigated by using an in-house made stainless steel module with CO2-preloaded aqueous diethanolamine as the liquid absorbent. Hydrophobicity and gas permeability of the membranes reduced with the addition of a non-solvent additive in the polymer dope but increase in liquid entry pressure was observed as more sponge-like structures developed in the inner layer of the fibers. It was found that PVDF/PEG-400 membrane produced the highest stripping flux of 4.03×10-2 mol m-2 s-1 which can be correlated to its high gas permeation and high effective surface porosity. The result of long-term stripping operation indicated an approximatly 80% stripping flux reduction which can be related to the interaction of polymer membrane and amine solution at high temperature

Korelasi Motivasi Belajar Menggunakan Media Berbasis Video Dengan Hasil Belajar Kognitif Siswa Pada Materi Gejala Alam Di Kelas V SD Negeri 1 Peusangan

Penelitian ini dilatarbelakangi oleh adanya temuan selama ini pembelajaran IPS berorientasi buku teks pembelajaran berpusat pada guru mengakibatkan siswa menjadi pasif yang menyebabkan motivasi belajar IPS menjadi rendah. Perlu adanya kajian melihat ada tidaknya peranan media berbasis video mempengaruhi motivasi belajar siswa. Penelitian ini bertujuan untuk mengetahui hubungan motivasi belajar siswa menggunakan media berbasis video dengan hasil belajar koqnitif siswa pada materi gejala alam. Penelitian ini tergolong jenis penelitian asosiatif, dengan populasi penelitian seluruh siswa kelas V SD Negeri 1 Peusangan. Sampel yang digunakan adalah seluruh siswa kelas V, teknik pengambilannya Purposive Sampling. Analisis data yang digunakan dalam penelitian ini menggunakan uji statistik korelasi untuk melihat pengaruh motivasi dengan hasil belajar siswa. Berdasarkan perhitungan data diperoleh nilai koefisien korelasi yaitu 0,616 nilai rtabel product momentsebesar 0,553 rhitung > rtabel. Sedangkan thitung > ttabel yaitu (2,814 >1,771 ). Sehingga Ha diterima Ho ditolak. Jadi dapat disimpulkan bahwa terdapat hubungan yang signifikan antara motivasi belajar siswa menggunakan media berbasis video dengan hasil belajar koqnitif siswa pada materi gelaja alam di kelas V SD Negeri 1 Peusangan

On topological charged braneworld black holes

We study a class of topological black hole solutions in RSII braneworld scenario in the presence of a localized Maxwell field on the brane. Such a black hole can carry two types of charge, one arising from the extra dimension, the tidal charge, and the other one from a localized gauge field confined to the brane. We find that the localized charge on the brane modifies the bulk geometry and in particular the bulk Weyl tensor. The bulk geometry does not depend on different topologies of the horizons. We present the temperature and entropy expressions associated with the event horizon of the braneworld black hole and by using the first law of black hole thermodynamics we calculate the mass of the black hole.Comment: 9 pages, references added, to appear in MPL

A modified kohonen self-organizing map (KSOM) clustering for four categorical data

The Kohonen Self-Organizing Map (KSOM) is one of the Neural Network unsupervised learning algorithms. This algorithm is used in solving problems in various areas, especially in clustering complex data sets. Despite its advantages, the KSOM algorithm has a few drawbacks; such as overlapped cluster and non-linear separable problems. Therefore, this paper proposes a modified KSOM that inspired from pheromone approach in Ant Colony Optimization. The modification is focusing on the distance calculation amongst objects. The proposed algorithm has been tested on four real categorical data that are obtained from UCI machine learning repository; Iris, Seeds, Glass and Wisconsin Breast Cancer Database. From the results, it shows that the modified KSOM has produced accurate clustering result and all clusters can clearly be identified

Pelaksanaan Program Larasita Dalam Penertiban Administrasi Pertanahan

: The Implementation of LARASITA Program In The Restructuring Of Land Administration. (Study at National Land Agency of Malang District) Many lands are uncertified in the region of Malang District. Great distance to afford BPN Office of Malang District makes the community to hesitate themselves from administering their land. The objective of research is to describe the implementation of LARASITA program in the restructuring of land administration at BPN in delivering the service to the community and to analyze the supporting and constraining factors. Research type is descriptive with qualitative approach. The description of the implementation of LARASITA Program in this research is focused on the matters related to land certification service which include: the regulation, the authority and responsibility of the implementing organization, the procedure of certificate making service, the document of administration, and the factors supporting and constraining the implementation of program. Result of research indicates that LARASITA Program is a progressive step by BPN of Malang District to facilitate the administration of land certificate for the community in the remote area