Assessment of Knowledge of Obstetric Danger Signs During Pregnancy Among Pregnant Mothers in Wolaita Sodo Hospitals and Sodo Town Health Centers in 2017

Background: Pregnancy complications are the major health problems among women in developing countries. Approximately 529,000 women die from pregnancy related causes annually and almost all (99%) of these maternal deaths occur in developing countries. Objective: To assess knowledge of pregnant mothers towards obstetric danger signs during pregnancy in Wolaita Sodo town health centers and hospital, April- May, 2017.Methods: Institutional based cross-sectional quantitative study was conducted in April-May,2017, on a sample of 365 mothers who are at least 4 months pregnant for prim gravid and multpara pregnant mothers  selected from,11  urban  Kebeles of Wolaita sodo town and simple random sampling technique  was employed to select the study participants.Results: A total of 365 pregnant mothers were enrolled in the study giving a response rate of 100%. The study participants from selected urban kebeles constituted 100%. (46%) of the study participants were found to have poor knowledge. Respondents who got obstetric danger signs information from health institution had 2 times good knowledge of obstetrics danger signs than those respondents who didn’t get information from the same source. Participants who had formal education have 2.5 times knowledgeable than a participants who had informal education obstetric danger signs.Conclusion: Knowledge of study participants was assessed that 54% of participants have knowledge about obstetric danger signs during pregnancy and only 34% have knowledge about obstetrics danger signs during labor and child birth. Keywords: Danger signs, Pregnancy, Obstetric care. DOI: 10.7176/JHMN/65-01 Publication date: August 31st 201

Pengaruh Lingkungan Kerja, Kepuasan Kerja, Disiplin Kerja dan Beban Kerja Terhadap Kinerja Pegawai Dinas Kesehatan Kabupaten Labuhanbatu

Penelitian ini bertujuan untuk mengetahui pengaruh lingkungan kerja, kepuasan kerja, disiplin dan beban kerja terhadap kinerja pegawai Dinas Kesehatan Kabupaten Labuhanbatu. Sampel dalam penelitian ini adalah sebanyak 80 orang pegawai di Dinas Kesehatan Kabupaten Labuhanbatu.  Metode yang digunakan dalam penelitian ini adalah metode deskriptif kuantitatif. Hasil penelitian menyatakan bahwa lingkungan kerja, kepuasan kerja, disiplin dan beban kerja berpengaruh terhadap kinerja pegawai Dinas Kesehatan Kabupaten Labuhanbatu

Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis

Background. Use of laryngeal mask airway as an alternative to the endotracheal tube has attracted the attention of several workers with regard to intraocular pressure changes. However, the previous studies have reported different results while comparing intraocular pressure, following insertion of laryngeal mask airway or the endotracheal tube. Therefore, this systematic review and meta-analysis was aimed to generate the best possible evidence on the intraocular pressure response to endotracheal tube intubation and laryngeal mask airway insertion. Methods. Electronic databases like PubMed, CINAHL, EMBASE, Google Scholar, Cochrane library databases, and Mednar were used. All original peer-reviewed papers which reported the mean and standard deviation of IOP before and after airway instrumentation in both groups were included. Two reviewers independently extracted the data using a standardized data extraction format for eligibility and appraised their quality. Data were analyzed using the STATA version 14 software. The pooled standard mean difference was estimated with the random-effect model. Heterogeneity between studies was assessed by the I2 statistics test. A subgroup analysis was done to assess the source of variation between the studies. Result. A total of 47 research papers were reviewed, of which, six studies were finally included in this systematic review and meta-analysis. The overall pooled standard mean difference of intraocular pressure was 1.30 (95% CI, 0.70, 1.90), showing that LMA insertion is better than ETT intubation to maintain stable intraocular pressure. A random-effect model was employed to estimate the pooled standard mean differences due to severe heterogeneity (I2 79.45,  p ≤ 0.001). Conclusion. The available information suggests that the LMA provides lesser intraocular pressure response in comparison with the conventional tracheal tube