Nursing Care Knowledge Management Based Training Decrease Nosocomial Infection Inciden in Post Sectio Cesarea Patients

Introduction: Model of nursing care based on knowledge management can reduce the incidence of nosocomial infections through the performance of nurses in the prevention of infection. Nursing care based on knowledge management is established from identi fi cation knowledge which is required, prevention performance of nosocomial infections post caesarean section. Nosocomial infections component consists of wound culture result. Method: This study was an observational study with a quasy experimental design. The population were all of nursing staff who working in obstetrics installation and a number of patients who is treated in hospitals A and B post sectio caesarea. Sample is comparised a total population all the nursing staff who worked in obstetrics installation according to criteria of the sample, and most of patients were taken care by nursing staff post caesarean section which is taken by random sampling 15 patients. Data was collected through observation sheets and examination of the wound culture. Data analysis which is used the t test. Result: The result was showed that there was signi fi cant difference in the incidence of nosocomial infection in patients with post sesctio caesarea in hospital before and after nursing care training based on knowledge management (tvalue = 2.316 and p = 0.028 < α = 0.05 level), and the incidence of nosocomial infection was lower after training than before training. Discussion: It can be concluded that training knowledge management based on nursing care effectives to reduce Incidence of Nosocomial Infections in Patients after Sectio Caesarea

The Factors Associated with the Triage Implementation in Emergency Department

Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B). Methode: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR. Result: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017). Discussion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course

Human growth hormone alters carbohydrate storage in blood and liver in both genders of an Indian bird, Acridotheres tristis (Linn.)

Background: Growth hormone (GH) is a peptide hormone that plays vital roles in cell growth and metabolism. Aim: The study investigates the effect of GH on carbohydrate metabolism using Indian bird, Acridotheres tristis. Methods: Three different doses (0.4, 0.6, and 0.8mg/100g body weight) of human growth hormone (HGH) given once to both genders of a bird Acridotheres tristis to observe the effect on blood glucose and hepatic glycogen content in the body. Glucose and glycogen were quantitatively assayed. Results: Their effect was recorded for different time intervals (1, 4, 12, 24, 72, 96, and 144 h). Hypoglycaemic condition was recorded within an hour of hormone treatment in male and female birds. The lowest dose (0.4mg/100g body weight) was more effective than other two doses. Simultaneous depletion of hepatic glycogen was also recorded, although initially increase in glycogen level was also noticed in both genders. It was noticed that the highest dose (0.8mg/100g body weight) was most responsive. Conclusion: The effect of human growth hormone was not dose and time dependent in both male and female birds. HGH is thus hypoglycaemic and hepatic glycogenolytic in nature in A. tristis.Key words: Human growth hormone, blood glucose, hepatic glycogen, hypoglycaemia, glycogenolysis, bir

Tunneling of a composite particle: Effects of intrinsic structure

We consider simple models of tunneling of an object with intrinsic degrees of freedom. This important problem was not extensively studied until now, in spite of numerous applications in various areas of physics and astrophysics. We show possibilities of enhancement for the probability of tunneling due to the presence of intrinsic degrees of freedom split by weak external fields or by polarizability of the slow composite object.Comment: 6 pages, 3 figures, version to be published in Journal of Physics

Complementarity between Formal and Informal Manufacturing in India: The Role of Policies and Institutions

In this paper, we have investigated the relationship between the formal and informal manufacturing sectors in India. We find that the employment, output and the value added of the informal part of each of the manufacturing industries in the various Indian states are strongly positively correlated with the same variables for the formal part of the respective industry in these states. Our results provide support for complementarities between formal and informal manufacturing arising possibly from both agglomeration and outsourcing. We also find fairly strong support for the role of labor market flexibility in enabling this complementarity. Trade liberalization also turns out to have an important role

Is exposure to social media advertising and promotion associated with e-cigarette use? evidence from Indonesia.

BACKGROUND: E-cigarette use is a growing public health concern globally, including in Indonesia. OBJECTIVE: Our study aimed to assess whether exposure to advertising and promotion in social media is associated with e-cigarette use in Indonesia, an upper-middle-income country. METHODS: We conducted mixed-method research including quantitative and qualitative methods. For the quantitative methods, we did an online survey in the five largest cities in the country with 1,239 participants during September-October 2020. For the qualitative method, we conducted an in-person focused group discussion during November 2020 (while complying to the COVID-19 protocols). RESULTS: We found high rates of e-cigarette ever use (29%) and current use (13%) among study participants. There was high exposure to e-cigarette advertising and promotion in social media, with a majority of participants (84%) reported ever seeing e-cigarette adverts or promotions on Facebook, Instagram, YouTube, and others. Both high rates of e-cigarette use and exposure to social media advertising are associated. Participants reported ever seeing adverts and promotions were 2.91 times and 2.82 times more likely ever to use and currently use e-cigarettes, respectively, after controlling for socioeconomic factors, region, and cigarette smoking status. CONCLUSION: Exposure to social media advertising and promotion is associated with e-cigarette use in Indonesia

Syzygium Cumini Leaf Extract Showed Vibriocidal Activity on Selected Diarrhea Causing Bacteria

The objective of the study was to investigate the effect of ethanolic leaf extract (ELE) of Syzygium cumini against Vibrio cholerae particularly two serogroups Ogawa and Inaba. The phenolic content of the ELE was found high which is comparable to ascorbic acid. Brine shrimp lethality bioassay was then performed to check the cytotoxic effects of ELE. The lower LC50 value of ELE obtained indicated its less cytotoxic properties. The antimicrobial activity of the extract was then evaluated by the disc diffusion method against multi-drug resistant Vibrio serogroups Ogawa and Inaba. The extract effectively inhibited the growth of both serogroups. Altogether, the results demonstrated that the ELE of S. cumini has a significant vibriocidal activity that might be useful as a drug for the treatment of cholera

Clustering Data Mahasiswa Menggunakan Metode Self Organizing Maps untuk Menentukan Strategi Promosi Universitas Kanjuruhan Malang

Student academic data is data collected from the results of the teaching and learning activities during studies at a college. Based on data obtained from the database of higher education (PDDIKTI), Kanjuruhan University of Malang on last 2 years the amount of new students decreased. To attract the candidate of students, so the staff analyze from the data history by processing the data.Self Organizing Maps (SOM) is one of the methods in Neural Networks that use learning without direction (unsupervised learning). Input from this research is original data school students based on majors namely MA, SMA, and SMK, while his output was grouped into 2 clusters. This research aims to create a web-based application system in determining the reference promotion strategy, by performing clustering of a number of student data based on the origin of the school ( SMA, SMK &amp; MA ) using SOM clustering algorithm.Keywords : Student Data, Web Applications, Neural Network, Self Organizing Maps (SOM)

Cigarette consumption and nutrient intake in Indonesia: study of cigarette-consuming households.

OBJECTIVE: This study aims to investigate the impact of cigarette consumption on household's nutrition adequacy (NA). This study also examines the opportunity cost of cigarette expenditure to children's nutritional adequacy. METHODS: We used an Indonesian cross-sectional household level nationwide data of 2018 National Socio-Economic Survey (SUSENAS). Using multivariate Ordinary Least Square (OLS) regression, we estimated the impact of cigarette consumption on household's NA as defined by household protein and energy intakes. With the same specification, we further ran a segregated OLS regression by household quintile expenditure. While the opportunity cost of cigarette consumption to children's nutrition adequacy defined the estimated forgone nutrition due to cigarette consumption by following the Ministry of Health (MOH) definition of Recommended Dietary Allowance (RDA) for children aged 4 - 6. RESULTS: Cigarette consumption decreases household's protein and energy intakes. We found statistically significant correlation between household's cigarette consumption and household's per capita protein intake while no statistically significant correlation on energy intake. Furthermore, the segregated estimate is significant for both protein and energy intakes among 60% lowest household quintile expenditure groups. The lower the quintile expenditure, the higher the decline in household NA due to cigarette consumption. With the average cigarette expenditure of IDR12,956 per household per day, giving up daily cigarette spending could meet children's energy intake by 27% - 85,4% of RDA and protein intake by 180.12% - 300.48% of RDA. CONCLUSION: Household cigarette consumption has negative impact on household's daily energy and protein intakes. The poorest group is most vulnerable to nutrition inadequacy due to cigarette consumption. Giving up household's cigarette expenditure daily could result in a substantial nutrition gain for children at their critical growth stages