Study Of Lemang Kancung Beruk At Dusun Baru Lempur Village Kerinci Regency

This research to learn and gain deeper knowledge about lemang kancung beruk at Dusun Baru Lempur village, Kerinci Regency. This Lemang is liked by the public because of its different taste and unique shape where the packaging is wrapped in a kantong semar(nepenthes). The purpose of this study was to identify materials, equipment, study processing techniques, describe variants and utility of lemang kancung beruk at  Dusun Baru Lempur village. This type of research is qualitative research. The research data were obtained from local community women who are experts in making lemang kancung beruk at traditional events and local community women who are proficient and have made lemang kancung beruk for various events. Data analysis that is data reduction, data presentation, conclusions and verification. The results of the study concluded that the ingredients used included white glutinous rice, black sticky rice, red sticky rice, coconut milk, salt and kantong semar(nepenthes). The tools used are a small bowl, large bowl, spoon, steamer and gas stove. The processing technique are use steaming

Variable Dynamic Force Vector Rocket Test Apparatus

Design and performance characteristics of variable dynamic force vector rocket test apparatu

Individual and Structural Environmental Influences on Utilization of IRON and Folic Acid Supplementation Among Pregnant Women in Harare, Zimbabwe

Micronutrient deficiencies are prevalent among Zimbabweans with serious health and social implications. Due to alack of a national micronutrient food fortification policy, the Zimbabwe Ministry of Health and Child Careestablished a policy for the prevention of maternal micronutrient deficiencies, which centres on pregnant womenreceiving daily iron and folic acid (IFA) at theirfirst antenatal care visit and throughout pregnancy. Despite theseefforts, utilization of IFA supplementation in pregnancy in Zimbabwe is low. This study aimed to understand theexperiences and knowledge of IFA supplementation among pregnant women and healthcare workers in Harare,Zimbabwe, and the influence of health-service and social environments on utilization. Semi-structured in-depthinterviews were conducted in Shona and English, with pregnant women (n= 24) and healthcare workers (n=14)providing direct antenatal care services to pregnant women in two high-density community clinics. Data wereanalysed thematically using NVivo 10. Influences on utilization were at the individual and structural environmentallevels. Reasons for low utilization of IFA supplementation included forgetting to take IFA, side effects, misconcep-tions about IFA, limited access to nutrition information, delayed entry or non-uptake of antenatal care and socialnorms of pregnant women for IFA supplementation. Utilization was enhanced by knowledge of risks and benefitsof supplementation, fear of negative health complications with non-utilization, family support and healthcareworker recommendation for supplementation. Studyfindings can inform approaches to strengthen micronutrientsupplementation utilization to improve the micronutrient status of pregnant women to decrease maternal mortalityand improve overall maternal and child health in Zimbabwe

Audit of head injury management in Accident and Emergency at two hospitals: implications for NICE CT guidelines

BACKGROUND: The National Institute for Clinical Excellence (NICE) has produced guidelines on the early management of head injury. This study audits the process of the management of patients with head injury presenting at Accident and Emergency (A&E) departments and examines the impact upon resources of introducing NICE guidelines for eligibility of a CT scan. METHODS: A retrospective audit of consecutive patients of any age, presenting at A&E with a complaint of head injury during one month in two northern District General Hospitals forming part of a single NHS Trust. RESULTS: 419 patients presented with a median age of 15.5 years, and 61% were male. 58% had a Glasgow Coma Score (GCS) recorded and 33 (8%) were admitted. Only four of the ten indicators for a CT scan were routinely assessed, but data were complete for only one (age), and largely absent for another (vomiting). Using just three (incomplete) indicators showed a likely 4 fold increase in the need for a CT scan. CONCLUSIONS: The majority of patients who present with a head injury to Accident and Emergency departments are discharged home. Current assessment processes and associated data collection routines do not provide the information necessary to implement NICE guidelines for CT brain scans. The development of such clinical audit systems in a busy A&E department is likely to require considerable investment in technology and/or staff. The resource implications for radiology are likely to be substantial