PERAN MEDIASI KEPUASAN PASIEN RAWAT JALAN PADA PENGARUH KUALITAS LAYANAN TERHADAP LOYALITAS PASIEN KEFARMASIAN DI INSTALASI FARMASI RS. FMC BOGOR

Meningkatnya kesadaran di bidang perawatan kesehatan telah mendorong berkembangnya berbagai layanan perawatan kesehatan yang berfokus pada pasien dan memberikan perawatan kesehatan yang optimal. Loyalitas pasien merupakan faktor terpenting dalam memastikan keberhasilan setiap fasilitas perawatan kesehatan. Penelitian ini berfokus pada pentingnya memberikan layanan pelanggan yang berkualitas tinggi dalam membangun loyalitas pasien di apotek Rumah Sakit FMC Bogor. Penelitian ini menggunakan metode deskriptif kuantitatif untuk menunjukkan bahwa kualitas layanan memiliki dampak positif pada loyalitas dan kepuasan pelanggan, dan berhasil menyeimbangkan loyalitas pelanggan dengan kualitas layanan yang positif

South–South cooperation and the geographies of Latin America–Caribbean integration and development: a socio-spatial approach

Structured around the case of South–South cooperation in the construction of “complementary economic zones” among the member states of the ALBA-TCP, Petrocaribe, CARICOM and MERCOSUR, this article argues for a socio-spatial approach to the study of the Latin America–Caribbean integration and development. Two interrelated arguments are developed: first, in contrast to methodologically nationalist approaches, which typically view the regionalisms that are to form the complementary economic zones as ideologically separate, incompatible or conflicting projects, a sociospatial approach in conjunction with a South–South cooperation analytical lens explains their commonality and, subsequently, their interrelatedness and convergence. Second, while this South–South cooperation space is not per se non-capitalist, a socio-spatial analysis also facilitates “seeing” the production of a socialist “counter-space” within this South–South cooperation structure

Increasing the Incidence of Perinatal Depression Screening among Women Who Are Pregnant

Purpose: The purpose of this quality improvement project was to educate obstetric healthcare providers and medical assistants at the Providence Santa Monica OB/GYN outpatient clinic on the benefits of increasing the incidences of screening for perinatal depression for pregnant women using the EPDS screening tool. Background: Evidence estimates that approximately one in seven women encounter perinatal depression during pregnancy. Increasing the screening incidence for perinatal depression during pregnancy may help identify more women at risk throughout the pregnancy, decrease the risk of adverse outcomes including psychotic symptoms, suicidal ideation, neonaticide, developmental delays, and behavioral issues in the child because of a lack of bonding marital discord and improve patient outcomes. Methods: A project design was created using the Model for Improvements Plan Do Study Act Model that aims to evaluate providers current perinatal screening practices, educate voluntary providers and medical assistants on the importance of increasing of incidence of screening for perinatal depression during pregnancy using the EPDS screening tool, implement a one week trial of the proposed perinatal screening protocol with providers at a local obstetric clinic, and evaluate the intent of providers at the local clinic to adopt the newly proposed perinatal screening protocol into practice. Results: Seven participants attended the quality improvement educational presentation. Seven completed the pretest and six completed the posttest. Key findings illustrated that an educational intervention enhanced providers' knowledge and comfort level in screening with the EPDS, interpreting, and treating patients with perinatal depression. Conclusions: Perinatal depression is a mood disorder that is undiagnosed and continues to have a high prevalence rate amongst pregnant women worldwide. The educational intervention maintained the number of participants who were willing to screen for perinatal depression twice during pregnancy in the future. Increasing the incidence of perinatal depression screenings during pregnancy would be beneficial because it will identify patients with a positive screening to start early treatment to improve patient outcomes

Popularity and Academic Adjustment in the United States and China: a Meta-Analysis

This meta-analysis compares effect sizes for links between popularity and academic adjustment in China and the United States. We will also compare the effects of potential moderators across the two settings, including gender and developmental stages

Resurfacing Versus Non-resurfacing the Patella in Total Knee Arthroplasty: An Appraisal of Available Evidences

The decision whether to resurface or not the patella in total knee arthroplasty (TKA) is highly controversial and surgeons show a wide variety of attitudes in Europe and in the USA. Surgeons favouring patellar resurfacing advocate that post-operative knee pain following TKA is significantly diminished, which would improve patient-based outcome. On the other hand, patellar replacement carries a number of potential complications which may outweigh the benefit of reduced anterior knee pain. A systematic search of available evidences comparing the outcome of unresurfaced versus resurfaced patellae in TKA was therefore conducted. The purpose of the present paper is providing orthopaedic surgeons with an updated appraisal of relevant evidences that may assist them in their decisionmaking process. Material and Method: A bibliographic search was conducted through the most representative databases. We searched for meta-analyses (MA), systematic reviews (SR) and randomized controlled trials (RCT) comparing outcome between resurfaced and unresurfaced patellae in TKA. The following databases were used: Cochrane Muskuloskeletal Injuries Group Specialized Register, the Cochrane Register of Controlled Trials, Health Technology Assessment (HTA), PEDro, Medline, EMBASE, CINAHL, AMED, DARE, TRIP, The National Research Register (UK). The search was ended on February 2008. The search term selected from The National Library of Medicine’s medical subject heading (MESH) database were: patella; resurfacing; total knee arthroplasty; TKA; total knee replacement; TKR. Additionally, the rate of reduced post-operative anterior knee pain in patients undergoing patellar resurfacing was compared with the current rate of complications associated with patellar replacement. Results: Five MAs, 1 SR and 6 RCTs not included in the published evidence syntheses were retrieved. All evidence syntheses would warrant patellar resurfacing in order to reduce anterior knee pain and the related risk of re-operation. Conversely, 4 RCTs failed to detect significant differences using accepted clinical scores at mid- and long-term follow-up while 2 RCTs did not report significant variations of the biomechanical performance in vivo between replaced and un-replaced patellae. Conclusion: Current evidences would support the decision to resurface the patella when anterior knee pain and the related risk of re-operation are used as end-points of outcome at mid-term follow-up. However, no clinical differences would be detectable between resurfaced and unresurfaced patellae at long-term follow-up. In addition, both patella-replaced and patella-unreplaced TKA exhibit similar biomechanical behaviour in vivo. The rate of anterior knee pain improvement in patients undergoing patellar replacement should be contrasted with the rate of potential complications related to patellar resurfacing

Attributes and Friendships of Youths Who Have Not Dated by Mid-Adolescence

Adolescence is a critical period for the onset of romantic relationships, but not all youths begin dating by mid-adolescence. We followed 566 high school students across one year to examine individual and friendship correlates of non-dating (reporting no prior romantic experience), and test moderation by gender and ethnicity using logistic regression models. Non-daters were likely to be Asian American, and most remained non-dating. Non-daters had low popularity, high GPAs, and their friends had low popularity, high social acceptance and high GPA. Asian American boys with predominantly same-ethnic friends were especially likely to be non-dating, whereas non-dating Latina girls with high social acceptance were likely to begin dating. Findings suggest that non-dating reflects adult-aligned values and is embedded in cultural ecologies