Exploring predictors in the receipt of patient/family-centered care

Study 1 OBJECTIVES: The research aim of this study was to identify predictors associated with the receipt of PFCC among U.S. children/families METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the National Survey of Children’s Health (NSCH) 2018–20019. Patient/family-centered care (PFCC) was measured using five components of health care delivery that were answered on a 4-point Likert scale. Logistic regression models were analyzed for the overall receipt of PFCC and each component of PFCC, with survey weighting added to adjust for complex sampling design. RESULTS: Many predictors were associated with the receipt of PFCC. Those with lower odds of receiving higher levels of PFCC included children with special health care needs (CSHCN) or children with less than excellent health (CLEH), the uninsured, those whose usual place of sick care was the hospital outpatient department, clinic or health center, or retail store clinic or minute clinic, those without a personal doctor or nurse, those in households whose primary language in the home is non-English, those who do not agree that they live in safe neighborhoods or attend safe schools, those below the 400% FPL, those with mother’s who have a physical or mental health concern, and those with parents who were born outside of the country. The five states with the lowest receipt of higher levels of PFCC were Wyoming, Alabama, Oklahoma, Mississippi, and Virginia. Conversely, the five states with the highest levels of PFCC were Minnesota, Connecticut, New York, Ohio, and Colorado. Results by component were mostly consistent with the final overall model but somewhat varied. CONCLUSION: Many predictors were significantly associated with PFCC and require further exploration. Future research should utilize a mixed-methods design to better understand the quantitative results of the NSCH as well as the barriers and mechanisms for disparities that are present at the provider and systems level to deliver PFCC. Study 2 OBJECTIVES: The aims of this study were to determine the extent to which variability in PFCC exists within states vs. between states, identify the highest and lowest performing states, and understand PFCC’s relationship to child health utilizing the National Survey of Children’s Health (NSCH). METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the NSCH 2018–2019. A continuous composite variable for PFCC was defined by five questions that were answered on a Likert scale from always to never. Questions included if the provider spent enough time with the family, showed cultural sensitivity, provided specific information, made the family feel like a partner in their child’s care, and listened carefully to the family. Multilevel modeling and linear regressions were analyzed and results were mapped. RESULTS: Ninety-one percent of the sample population received PFCC. Children with special health care needs (CSHCN), children with less than excellent health (CLEH), the uninsured, those who received sick care from somewhere other than a doctor’s office, were from households with less than 400% FPLs, were from unsafe neighborhoods or unsafe schools, or had mothers with health concerns had significantly lower amounts PFCC. PFCC varied by state but receipt of PFCC was mostly explained by within-state differences. In an unadjusted MLM, those who identified as Hispanic, Black, American Native/ Pacific Islander, or Multiracial had significantly lower amounts of PFCC; however, after adjustments, no race/ethnicity had significant results. Additionally, many states, particularly in the southeastern region, showed disparities for receiving PFCC. The lowest-performing states were Wyoming, Alabama, Mississippi, Virginia, and Nevada. In contrast, New York, Ohio, Colorado, Minnesota, and Hawaii were the highest-performing states. CONCLUSION: The final PFCC model was only able to explain 6% of the variability in receipt of PFCC for the full sample population. Further exploration by geography and for specific populations is needed. Future research should consider smaller geographic regions, health systems, state policies and programs, and include the patient, provider, and health system voice via a mixed-methods design

Improving activity recognition using a wearable barometric pressure sensor in mobility-impaired stroke patients.

© 2015 Massé et al.Background: Stroke survivors often suffer from mobility deficits. Current clinical evaluation methods, including questionnaires and motor function tests, cannot provide an objective measure of the patients mobility in daily life. Physical activity performance in daily-life can be assessed using unobtrusive monitoring, for example with a single sensor module fixed on the trunk. Existing approaches based on inertial sensors have limited performance, particularly in detecting transitions between different activities and postures, due to the inherent inter-patient variability of kinematic patterns. To overcome these limitations, one possibility is to use additional information from a barometric pressure (BP) sensor. Methods: Our study aims at integrating BP and inertial sensor data into an activity classifier in order to improve the activity (sitting, standing, walking, lying) recognition and the corresponding body elevation (during climbing stairs or when taking an elevator). Taking into account the trunk elevation changes during postural transitions (sit-to-stand, stand-to-sit), we devised an event-driven activity classifier based on fuzzy-logic. Data were acquired from 12 stroke patients with impaired mobility, using a trunk-worn inertial and BP sensor. Events, including walking and lying periods and potential postural transitions, were first extracted. These events were then fed into a double-stage hierarchical Fuzzy Inference System (H-FIS). The first stage processed the events to infer activities and the second stage improved activity recognition by applying behavioral constraints. Finally, the body elevation was estimated using a pattern-enhancing algorithm applied on BP. The patients were videotaped for reference. The performance of the algorithm was estimated using the Correct Classification Rate (CCR) and F-score. The BP-based classification approach was benchmarked against a previously-published fuzzy-logic classifier (FIS-IMU) and a conventional epoch-based classifier (EPOCH). Results: The algorithm performance for posture/activity detection, in terms of CCR was 90.4 %, with 3.3 % and 5.6 % improvements against FIS-IMU and EPOCH, respectively. The proposed classifier essentially benefits from a better recognition of standing activity (70.3 % versus 61.5 % [FIS-IMU] and 42.5 % [EPOCH]) with 98.2 % CCR for body elevation estimation. Conclusion: The monitoring and recognition of daily activities in mobility-impaired stoke patients can be significantly improved using a trunk-fixed sensor that integrates BP, inertial sensors, and an event-based activity classifier

Hubungan Pengetahuan Orang Tua Dengan Pemberian Pendidikan Tentang Pubertas Pada Remaja Putri

Pengetahuan yang rendah tentang pubertas dapat mengakibatkan perilaku menyimpang dan risiko kesehatan bagi remaja putri. Hal ini perlu menjadi perhatian semua pihak terutama orang tua. Penelitian ini bertujuan untuk mengetahui apakah ada hubungan antara pengetahuan orang tua dengan pemberian pendidikan tentang pubertas pada remaja putri di SMA Muhammadiyah Takengon. Jenis penelitian ini adalah analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh orang tua siswa SMA Muhammadiyah Takengon, dengan jumlah sampel sebanyak 72 sampel yang ditentukan dengan menggunakan total sampling. Pengumpulan data dilakukan pada tanggal 12-16 Juni 2023 dengan menggunakan kuesioner. Hasil uji statistik Chi-Square dan pada derajat kepercayaan 95% dilakukan untuk mengetahui hubungan antara pengetahuan orang tua dengan pemberian pendidikan tentang pubertas pada remaja putri, diperoleh P-Value sebesar 0,008 (P ≤ 0,05). Disimpulkan bahwa ada hubungan yang signifikan antara pengetahuan orang tua dengan pemberian pendidikan tentang pubertas pada remaja putri. Disarankan kepada orang tua agar dapat menambah pengetahuan dan mau memberikan pendidikan tentang pubertas kepada anak perempuannya yang masih kecil

PEMBERIAN MAKANAN TAMBAHAN BERBASIS PANGAN LOKAL PUDING SULOR(SUSU DAUN KELOR) SEBAGAI UPAYA PENCEGAHAN STUNTING DI DESA MESJID TUHA

Kejadian Stunting menjadi isu yang signifikan dari banyak negara, termasuk Indonesia. Asupan makanan bergizi yang kurang dapat menghambat proses perkembangan pada anak. Karena anak sangat peka oleh penyakit terutama stunting yang menjadi ancaman. Kondisi stunting juga merupakan kondisi dimana tubuh anak tidak sesuai dengan teman seusianya, stunting dapat memberikan dampak yang buruk pada motorik anak. Selain itu penyebab langsung dari stunting yaitu salah satunya pola asuh orang tua, beberapa keluarga minim mengetahui bagaimana menyediakan asupan yang baik pada anak kemudian faktor ekonomi lainnyatidak mendukung untuk orang tua memenuhi kebutuhan anak oleh sebab itu gizi anak tidak terpenuhi dengan baik program ini bermaksud guna menyediakan pemahaman bagi ibu-ibu terkait olahan pembuatan makanan tambahan bagi balita dengan memanfaatkan bahan-bahan lokal yang tersedia di desa, seperti daun kelor yang dapat dibuat puding. Metode yang digunakan pada program ini melncakup tahap persiapan, perencanaan kegiatan, tahap pelaksanaan, metode pelaksanaan, dan relevansi kegiatan. Hasil dari kegiatan ini adalah antusias masyarakat yang tinggi didukung oleh relawan posyandu lainnya untuk turut mensukseskan kegiatan program yang dilaksanakan. Masyarakat, khususnya ibu-ibu balita, dapat mengetahui produk-produk tersebut. Kata Kunci: Stunting; PMT; Pangan Loka

Investigation on the relationship between diabetes mellitus type 2 and cognitive impairment.

Objective: The incidence of cognitive impairment is increasing with age; however, little is known about the role of hyperglycemia in cognitive impairment. This study focuses on investigating the relationship between diabetes mellitus type 2 and cognitive impairment. Methods: 60 diabetic patients, amongst whom, 30 had a well-controlled diabetes status and the other 30 had not. These patients were compared to 60 non-diabetic controls whose age, sex and educational class matched with the individuals of the first group. Patients with important risk factors for cognitive disorders (renal failure, major depressive disorders and psychoactive drug users, cerebrovascular accident history, etc.) were not included in the study. Modified Mini Mental Status examination (mMMSE) was done for all patients by a blinded expert examiner. Results: Subjects with diabetes (n = 60) had lower MMSE score than those without diabetes (P < .01). Diabetes was also associated with increased odds of cognitive decline as determined by MMSE scores (odds ratio = 1.9; CI = 95%, 1.01–3.6). A significant correlation between duration of disease and cognitive dysfunction was observed, P = 0.001. Also, the same correlation was found for quality of diabetes control, P = 0.002. Conclusion: Diabetes mellitus is associated with lower levels of cognitive functio

Rasheed Al-Arami Honors Portfolio

Rasheed Al-Arami\u27s honors portfolio captured in November 2017

Hubungan Pengetahuan dan Sikap Ibu Hamil Dengan Rendahnya Kunjungan (K-4) Pada Ibu Hamil

Kunjungan antenatal empat kali (K4) adalah bentuk pelayanan selama masa kehamilan untuk mendapatkan pelayanan antenatal, yang terdiri atas minimal satu kali kontak pada trimester pertama, satu kali pada trimester kedua, dan dua kali pada trimester ketiga. Cakupan K4 di bawah 60% (dibandingkan jumlah sasaran ibu hamil dalam kurun waktu satu tahun) menunjukkan kualitas pelayanan antenatal yang belum memadai. Penelitian ini bertujuan untuk mengetahui ada hubungan pengetahuan dan sikap ibu hamil dengan rendahnya kunjungan K-4. Jenis penelitian ini bersifat analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berada di Desa Kung Kecamatan Pegasing sebanyak 31 ibu hamil. Besarnya sampel diambil menggunakan total sampling yaitu berjumlah 31 ibu hamil. Hasil uji statistik Chi Square diperoleh nilai P Value 0,004 (P ≤ 0,05) untuk pengetahuan ibu hamil dan nilai P Value 0,006 (P ≤ 0,05) untuk sikap ibu hamil. Disimpulkan bahwa terdapat hubungan yang bermakna antara pengetahuan dan sikap ibu hamil dengan rendahnya kunjungan K-4. Disarankan kepada ibu hamil untuk meningkatkan pengetahuannya dan menerapkan sikap positif untuk memberikan hasil yang optimal pada kunjungan antenatal care

IMPLIKASI PERUBAHAN NARATIF DAN SINEMATIK DARI EKRANISASI BLOG “KAMBING JANTAN”

ABSTRACTFilm as manifestation of concrete ideas in its development can not be separated from the adaptation phenomenon of ecranisation. The ecranisation that most widely carried out so far is from a novel form. Adaptation from others media both as research and creation is still rare. Therefore, the ecranisation from a blog form that generaly known as online diary can be considered an odd phenomenon. This research describes about the adaptation process of blog “Kambing Jantan” from posts collection in book “Kambing Jantan – Sebuah Catatan Harian Pelajar Bodoh” to film “Kambing Jantan – Sebuah Film Pelajar Bodoh”.In the process of adaptation found narrative and cinematic changes caused by the differences of media characteristics. The signification of changes in this case is dominate by reduction form. On the next level, the changes can be appears in a continuous implications pattern both in narrative and cinematic area. The changes also can have an impact on story orientation. Keywords : ecranisation, blog, film, narrative, cinematic ABSTRAKFilm sebagai manifestasi gagasan yang kongkrit pada perkembangannya tidak lepas dari fenomena alih wahana ekranisasi. Ekranisasi yang banyak dilakukan sejauh ini adalah pengangkatan dari bentuk novel. Pengangkatan bentuk media lain baik sebagai kajian maupun penciptaan masih terbilang jarang. Oleh sebab itu, ekranisasi dari bentuk blog yang secara umum dikenal sebagai buku harian merupakan fenomena tidak biasa. Penelitian ini membahas proses pengangkatan blog “Kambing Jantan” dari buku kumpulan postingan “Kambing Jantan – Sebuah Catatan Harian Pelajar Bodoh” menjadi film “Kambing Jantan – Sebuah Film Pelajar Bodoh”.Pada proses pengangkatan tersebut ditemukan perubahan naratif dan sinematik yang disebabkan oleh perbedaan karakteristik media. Perubahan dalam hal ini terjadi secara signifikan dengan didominasi oleh bentuk pengurangan. Pada tahap lebih lanjut, perubahan tersebut kemudian membentuk pola implikasi berkesinambungan dalam wilayah naratif dan sinematik. Perubahan yang terjadi dalam proses ekranisasi juga berimplikasi terhadap perubahan orientasi cerita. Kata kunci : ekranisasi, blog, film, naratif, sinemati

User Acceptance of Multifunctional Smart Cards

The introduction of smart cards in the Austrian public sector has been discussed since the late 1980s. Public organisations including the national health insurance institute and the national citizen registration office are in the conceptual phase of the introduction. One of the pilot projects was the roll-out of the multifunctional student ID card to the students of the Vienna University of Economics and Business Administration (WU Vienna) in autumn 2000. To assess the pilot and to gain insight into further projects, it is necessary to investigate the students’ point of view and their acceptance of the WU smart card. Furthermore it would be interesting to gain knowledge about the integration of further functionalities such as payment services or health insurance data. In this paper, which is a co-operation of three departments at the WU Vienna, we want to give a report on the current status of the research project focused on investigating the issues affecting the introduction of new functionalities of the multifunctional student ID card at the WU Vienna. While the research reported here is still at an early stage of analysis, we have already gained significant findings on students’ attitude towards usage of current as well as of potential extended functionalities of the student ID card. The main focus of our research is to gain knowledge about the general students’ acceptance. The data collection was carried out through an online questionnaire and the data analysis was based on a sample of 417 students. Evaluating the findings of the first phase of our research project, we have been able to draw implications for the next stage of our investigation