HUBUNGAN POLA ASUH IBU DENGAN KEJADIAN STUNTING PADA ANAK USIA 12-35 BULAN DI WILAYAH KERJA PUSKESMAS AIR DINGIN PADANG TAHUN 2018

Latar belakang dan Tujuan Penelitian Stunting adalah hasil jangka panjang dari kekurangan nutrisi dengan tinggi badan menurut umur kurang dari -2SD di bawah median panjang yang berdampak pada penurunan kemampuan kognitif dan fisik anak. Tujuan penelitian ini adalah untuk mengetahui hubungan pola asuh ibu dengan kejadian stunting pada anak usia 12-35 bulan di wilayah kerja Puskesmas Air Dingin Padang tahun 2018. Metode Penelitian kuantitatif dengan desain cross sectional, dilakukan di wilayah kerja Puskesmas Air Dingin dari bulan April 2018 sampai bulan Mei 2018. Sampel dalam penelitian ini adalah ibu yang memiliki anak usia 12-35 bulan sebanyak 77 orang. Ibu sebagai responden diwawancarai secara langsung dengan menggunakan kuesioner. Kejadian stunting pada anak diukur dengan indikator TB/U dan diinterpretasikan dengan software WHO-anthro. Analisis data secara univariat dan bivariat dengan menggunakan analisis chi-square (p<0,05). Hasil Hasil penelitian menunjukkan persantase stunting adalah sebesar 46,8%. Hasil analisis chi-square didapatkan nilai p antara kejadian stunting dan pola asuh makan (p=0,000), pola asuh kebersihan (p=0,000), pola asuh kesehatan (p=0,000) dan pola asuh stimulasi psikososial (p=0,000). Kesimpulan Terdapat hubungan yang bermakna antara pola asuh makan, pola asuh kebersihan, pola asuh kesehatan dan pola asuh stimulasi psikososial dengan kejadian stunting. Diharapkan ibu agar lebih memperhatikan pola asuh yang diberikan kepada anak sehingga dapat mencegah stunting pada anak. Daftar Pustaka : 89 (1984-2018) Kata Kunci : stunting, pola asuh makan, pola asuh kebersihan, pola asuh kesehatan dan pola asuh stimulasi psikososia

Area Analysis of Commodity and Contribution of Coffee to Regional Development in Central Aceh Regency

Coffee is one of commodities that has important role in the national economy in generating foreign exchange, providing employment and industrial raw materials. This study aims to identify the base areas for coffee production and the role of coffee in supporting regional development in Central Aceh Regency. The data used are secondary data for the time period 2015-2019. The data analysis method used are the location quotient analysis, locality, specialization, basic service ratio analysis and regional multiplier. The results showed that the coffee base areas based on production indicators in Central Aceh Regency were all district in Central Aceh Regency except Silih Nara District. Arabica coffee commodity farming is not localized and concentrated in one particular district but spreads in several districts and does not specialize in coffee commodity farming. Coffee farming is able to support regional development activities in Central Aceh Regency.Keywords: Coffee, Location quotient, Localization, Specialization

Point Prevalence Survey Of Antimicrobial Use And Determinants Of Antimicrobial Resistance In Selected Healthcare Settings In Punjab, Pakistan

The threat of antimicrobial resistance (AMR) has appeared as a global health crisis. World Health Organization (WHO) has launched a Global Action Plan (GAP) to tackle AMR, which was endorsed by all countries, including Pakistan. Despite the National Action Plan (NAP) on AMR, no significant measures have been taken so far in Pakistan. Thus, this study aims to address this by assessing patterns of antimicrobial prescribing and susceptibility, healthcare-associated infection (HAI) rates, extent of antimicrobial stewardship programs (ASPs), determinants of AMR and patterns of antimicrobial prescribing and dispensing among physicians and pharmacists. In line with the recent NAP on AMR, the first time such a comprehensive study has been undertaken in Pakistan. Mixed methods research was used, including point prevalence surveys (PPS) and extensive face-to-face interviews. Out of 1954 patients analyzed in PPS, 1516 (77.6%, range 50.9%-100%) were treated with antimicrobials, with the most commonly prescribed antimicrobial was ceftriaxone (35.0%)

KETAKUTAN TERHADAP KEGAGALAN, KINERJA FINANSIAL USAHA RINTISAN, DAN KESEJAHTERAAN WIRAUSAHAWAN PADA KONTEKS SUMATERA BARAT

Penelitian ini bertujuan untuk mengetahui pengaruh ketakutan terhadap kegagalan yang dimediasi oleh kinerja terhadap kesejahteraan pengusaha di Sumatera Barat. Pengumpulan data dilakukan dengan cara menyebarkan kuesioner secara online kepada 85 Startup yang merupakan usaha yang baru berdiri 0-6 tahun di Sumatera Barat. Teknik pengambilan sampel dalam penelitian ini yaitu sampling acak sederhana dengan metode deskriptif, kemudian data diolah dan diuji menggunakan smartPLS 3.3.9. Hasil dari penelitian ini menunjukkan bahwa variabel ketakutan terhadap kegagalan berpengaruh negatif dan tidak signifikan terhadap kesejahteraan. Ketakutan terhadap kegagalan berpengaruh negatif dan signifikan terhadap kinerja, sementara itu kinerja berpengaruh positif dan signifikan terhadap kesejahteraan dan ketakutan terhadap kegagalan yang dimediasi oleh kinerja berpengaruh negatif dan tidak signifikan terhadap kesejahteraa

Ongoing efforts to improve antimicrobial utilization in hospitals among African countries and implications for the future.

There are serious concerns with rising antimicrobial resistance (AMR) across countries increasing morbidity, mortality and costs. These concerns have resulted in a plethora of initiatives globally and nationally including national action plans (NAPs) to reduce AMR. Africa is no exception, especially with the highest rates of AMR globally. Key activities in NAPs include gaining a greater understanding of current antimicrobial utilization patterns through point prevalence surveys (PPS) and subsequently instigating antimicrobial stewardship programs (ASPs). Consequently, there is a need to comprehensively document current utilization patterns among hospitals across Africa coupled with ASP studies. In total, 33 PPS studies ranging from single up to 18 hospitals were documented from a narrative review with typically over 50% of in-patients prescribed antimicrobials, up to 97.6% in Nigeria. The penicillins, ceftriaxone and metronidazole, were the most prescribed antibiotics. Appreciable extended prescribing of antibiotics up to 6 days or more post-operatively was seen across Africa to prevent surgical site infections. At least 19 ASPs have been instigated across Africa in recent years to improve future prescribing utilizing a range of prescribing indicators. The various findings resulted in a range of suggested activities that key stakeholders, including governments and healthcare professionals, should undertake in the short, medium and long term to improve future antimicrobial prescribing and reduce AMR across Africa

The Effect of Sheep Dung on the Growth of Odot Grass (Pennisetum purpureum cv. Mott)

Forage plays a vital role because it contains substances needed by livestock that can be used for energy metabolism and to support reproduction. Odot grass is very potent and is one of the varieties of elephant grass that grows not too high so that it can be used as shepherd grass. This study aims to see the effect of sheep dung fertilizer application on plant height, number of leaves and leaf area of Odot grass. This study was an experimental trial designed based on a completely randomized design (RAL), with five treatments and four replications: P0 (without sheep dung), P1 (125 gr/hole), P2 (250 gr/hole), P3 (375 gr/hole), and P4 (500 gr/hole). The results showed that the number of sheep dung did not have a significant effect on all research parameters (height, leaves, and leaf area on Odot grass plants); this was most likely caused by the nutrient conditions of the soil where the research was still relatively extensive and met the needs for the growth of Odot grass, so it was not seen the effect of sheep dung on the growth phase of Odot grass (age 0-60 days)

Multiphase segmentation based on new signed pressure force functions and one level set function

In this paper we propose a new model to detect multiple objects of various intensities in images having maximum, minimum, or middle-intensity background by evolving only one level set function. In this model, a new signed pressure force function based on novel generalized averages is used for segmentation of images with maximum or minimum intensity background. For images with middle-intensity backgrounds, which are indeed challenging for 2-phase models, we propose a new product generalized signed pressure force function. Finally, to give experimental and qualitative evidence, our model is tested on both synthetic and real images with the Jaccard similarity index. The experimental and qualitative results reveal that the proposed method is efficient in both global and selective segmentation. Our new model is also tested on color images and the results are compared with the state-of-the-art models

Comparison of clinico-pathological characteristics and survival of recurrent ovarian cancer patients on seven different chemo-protocols

Despite the growing prevalence of ovarian cancer (OC) in Pakistan, no literature evidence exists regarding its clinic-pathological characteristics, survival and compliance of patients with recurrent ovarian cancer and various chemo-protocols. An observational study was conducted by enrolling 251 recurrent OC patients on 7 different chemo-protocols, from a specialized cancer care hospital, Lahore, Pakistan, using convenient judgmental sampling. The study was conducted for a period of 6 months. Most of the patients were between 18 and 70 years of age, with IIIC FIGO stage and papillary serous histological grade. As per RECIST, improved partial response (PR) (63.3 %) and complete response (CR) (52.1 %) was observed in the CP (carboplatin + paclitaxel) arm, substantiated by improved median progression free survival (PFS) and overall survival (OS) in CP and CD (carboplatin + docetaxel) arms, respectively, yet with no significant differences in survival curves, PFS (p = 0.12) and OS (p = 0.22). Interestingly, the highest and the lowest patient non-compliance were observed in CG (carboplatin + gemcitabine) (81.6 %) and paclitaxel (4.5 %) arms, resp. As per the hazard model for survival, topotecan showed significant association with the therapy related events/deaths compared to other protocols. These data suggest that CP regimen exhibited improved clinical efficacy and decreased toxicity related non-compliance in recurrent ovarian cancer patients of Lahore