Preventing Medication Error Based on Knowledge Management Against Adverse Event

Introductions: Medication error is one of many types of errors that could decrease the quality and safety of healthcare. Increasing number of adverse events (AE) reflects the number of medication errors. This study aimed to develop a model of medication error prevention based on knowledge management. This model is expected to improve knowledge and skill of nurses to prevent medication error which is characterized by the decrease of adverse events (AE). Methods: This study consisted of two stages. The first stage of research was an explanative survey using cross-sectional approach involving 15 respondents selected by purposive sampling. The second stage was a pre-test experiment involving 29 respondents selected with cluster sampling. Partial Leas square (PLS) was used to examine the factors affecting medication error prevention model while the Wilcoxon Signed Rank Test was used to test the effect of medication error prevention model against adverse events (AE). Results: Individual factors (path coefficient 12:56, t = 4,761) play an important role in nurse behavioral changes about medication error prevention based in knowledge management, organizational factor (path coefficient = 0276, t = 2.504) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. Work characteristic factor (path coefficient = 0309, t = 1.98) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. The medication error prevention model based on knowledge management was also significantly decreased adverse event (p = 0.000, α <0.05). Discussion: Factors of individuals, organizations and work characteristics were important in the development of medication error prevention models based on knowledge management

Development of Self Regulated Learning Model in Studying Nursing (Srlsn) to Improve Student Learning Competence

Introduction: New students at the college have to adjust to the learning process in a way more independent, not dependent on the lecturer, and self-regulation in learning. The purpose of this study is to develop a model of competence SRLSN to increased achievement among undergraduate students in the fourth semester of nursing STIKES Pemkab Jombang. Methods: The design used is explanatory and quasi-experimental pre-post test with control group. The population in this study were 71 nursing students of 4th semester of the academic year 2012–2013. The sample used 60 students with simple random sampling. Data was collected using focus group discussions, observation and questionnaires, then analyzed using regression results. Results: The results showed that the correlation between SRLSN preparation phase and implementation phase of 0.976, the correlation between the phase and the implementation phase has a self-reflection of 0.374, the relationship between the phase of preparation and reflection phase of 0.576. There are significant differences between treatment and control groups on aspects of cognitive competence achievement, competence affective, and psychomotor competencies. Discussion: SRLSN models are systematically formed by the preparation, implementation and reflection phase. The application of the model SRLSN will enhance student learning in the cognitive, affective, and psychomotor in achieving competence. Psychomotor competency has a value greater signi fi cance than other competencies. SRLSN models should be generalized to all learning processes, especially in nursing students

Short range ferromagnetism and spin glass state in Y0.7Ca0.3MnO3\mathrm{Y_{0.7}Ca_{0.3}MnO_{3}}

Dynamic magnetic properties of $\mathrm{Y_{0.7}Ca_{0.3}MnO_{3}}$ are reported. The system appears to attain local ferromagnetic order at $T_{\mathrm{SRF}} \approx 70$ K. Below this temperature the low field magnetization becomes history dependent, i.e. the zero field cooled (ZFC) and field cooled (FC) magnetization deviate from each other and closely logarithmic relaxation appears at our experimental time scales (0.3-$10^{4}$ sec). The zero field cooled magnetization has a maximum at $T_{\mathrm{f}}\approx 30$ K, whereas the field cooled magnetization continues to increase, although less sharply, also below this temperature. Surprisingly, the dynamics of the system shows non-equilibrium spin glass (SG) features not only below the maximum in the ZFC magnetization, but also in the temperature region between this maximum and $T_{\mathrm{SRF}}$. The aging and temperature cycling experiments show only quantitative differences in the dynamic behavior above and below the maximum in the ZFC-magnetization; similarly, memory effects are observed in both temperature regions. We attribute the high temperature behavior to the existence of clusters of short range ferromagnetic order below $T_{\mathrm{SRF}}$; the configuration evolves into a conventional spin glass state at temperatures below $T_{\mathrm{f}}$.Comment: REVTeX style; 8 pages, 8 figure

Antenatal Care Services Standart Compliance of Village Midwife in East Java Province

Introduction: The high Maternal Mortality Rate (MMR) require attention to implementing improvement programs and improving maternal health. According to data from East Java Health Offi ce AKI during 2009 were 260/100,000 live births. Indicators of maternal monitoring imple can be seen from figure K1 coverage (visit pregnant women in the first pregnancy) and K4 (contact at least 4 times during pregnancy for antenatal care). Methods: This study was conducted with the observational design of the “cross-sectional”, is a study to learn the dynamics of the correlation between risk factors with effects, with the approach, observation or data collection at once at some point (time point approach). Result: Variable associated with compliance standards of village midwives in implementing the ANC in the province of East Java is the level of knowledge (p) = 0.014 and the infrastructure required to ANC (p) = 0.000. Other variables did not show a significant relationship such as: age (p) = 0.121, status (p) = 0.831, period of employment (p) = 0.147, education (p) = 0.153, training (p) = 0.664, motivation (p) = 0.525, supervision (p) = 0.887, and rewards (p) = 0.663. Discussion: District Health Office/City should do a refresher on antenatal care in midwife needs to be done, since there are those who have a suffi cient level of knowledge and less. Facilities and infrastructure that support the implementation of Antenatal Care (ANC) should be facilitated effectively, to support midwives performance in implementing standards of care Antenatal Care

Universal bifurcation property of two- or higher-dimensional dissipative systems in parameter space: Why does 1D symbolic dynamics work so well?

The universal bifurcation property of the H\'enon map in parameter space is studied with symbolic dynamics. The universal-$L$ region is defined to characterize the bifurcation universality. It is found that the universal-$L$ region for relative small $L$ is not restricted to very small $b$ values. These results show that it is also a universal phenomenon that universal sequences with short period can be found in many nonlinear dissipative systems.Comment: 10 pages, figures can be obtained from the author, will appeared in J. Phys.

Studying stellar binary systems with the Laser Interferometer Space Antenna using Delayed Rejection Markov chain Monte Carlo methods

Bayesian analysis of LISA data sets based on Markov chain Monte Carlo methods has been shown to be a challenging problem, in part due to the complicated structure of the likelihood function consisting of several isolated local maxima that dramatically reduces the efficiency of the sampling techniques. Here we introduce a new fully Markovian algorithm, a Delayed Rejection Metropolis-Hastings Markov chain Monte Carlo method, to efficiently explore these kind of structures and we demonstrate its performance on selected LISA data sets containing a known number of stellar-mass binary signals embedded in Gaussian stationary noise.Comment: 12 pages, 4 figures, accepted in CQG (GWDAW-13 proceedings

Urban deciduous tree leaves as biomonitors of trace element (As, V and Cd) atmospheric pollution in Belgrade, Serbia

Leaves of common deciduous trees: horse chestnut (Aesculus hippocastanum) and linden (Tilia spp.) from three parks within the urban area of Belgrade were studied as biomonitors of trace element (As, V, and Cd) atmospheric pollution. The May–September trace element accumulation in the leaves, and their temporal trends, were assayed in a multi-year period (2002–2006). Significant accumulation in the leaves was evident for As and V, but not so regularly for Cd. Slightly decreasing temporal trends of V and As ac-cumulated in the leaf tissues were observed over the years. During the time span, the concentrations of Cd remained approximately on the same level, except in May 2002 and September 2005, when a rapid increase was observed. The May–September accumulations of As and V were higher in horse chestnut than in linden, although both may be used as biomonitors for these elements, and optionally for Cd in conditions of its high atmospheric loadings

Pengaruh Cat Stretch Exercise Terhadap Penurunan Intensitas Nyeri Menstruasi (Dysmenorrhea) Dan Tanda-tanda Vital Pada Remaja

Menstruation is a period of uterine fluid discharge to endometrial detachment, often accompanied with pain called dysmenorrhea. The objective of this study was to analyze the effect of cat stretch exercise on the relief of menstrual pain and characteristics of vital sign in adolescence. Pre experimental design (one group pre-post test) was used in this study, 12 samples were recruited by purposive sampling. Observation and questionnaire were applied to measure patient\u27s pain scale. Data were analyzed by using Wilcoxon signed rank test (p<0.05). Conclusion: the cat stretch exercise has effect on relieve of menstrual pain (dysmenorrhea) and normalized of vital sign: blood pressure, hearth rate and respiratory rate