Service System Research Articles

North Carolina Caregiver Listening Study: Caregiver Experiences and Perspectives on Services and Supports in an Aging U.S. State

ABSTRACT Family caregivers experience health, financial, and social burdens related to caregiving responsibilities. North Carolina has an estimated 1.3 million caregivers, equating to a value of $13.1 billion per year. Caregiving demands warrant additional understanding of the caregiver lived experiences. Our objective was to document these North Carolina caregiver experiences during the era of COVID-19 through focus groups. Participants were recruited through diverse community organizations. All 44 caregivers who completed interest solicitation surveys were invited to participate; 29 caregivers participated across 11 groups. Thematic analysis was used to code and synthesize transcripts from each participant using Dedoose software and guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ). Caregiver routines (caregiving as an all-encompassing role; dimensions of support); most challenging parts (exhaustion and defeat; lacking support; evolving relationships); most rewarding parts (care recipient resilience; quality time; sense of purpose); social service and healthcare system interactions (positive interactions; negative interactions; inaccessible services); COVID-19 impacts on caregiving (opportunities; challenges); and caregiver suggestions for system improvements (increasing financial support; improved coordination; ideological shifts). Caregivers shared unmet needs, challenges, and opportunities for improvement. Examining these needs and experience-informed recommendations can help advance additional caregiving research, policy-making, and program development.

Optimalisasi Layanan Nazhir Berbasis Digital pada Perwakilan Badan Wakaf Indonesia (BWI) Kabupaten Bantul

This community service aims to increase the role of BWI and Nazhir representatives in efforts to make waqf land assets productive by building a digital-based waqf land asset information service system for BWI representatives in Bantul Regency. The method of implementing this service uses training and counseling with a participatory approach which includes needs analysis and Focus Group Discussion, development, implementation, evaluation, and follow-up based on predetermined success indicators. The result of this community service activity is the formation of a website-based Nazhir service information system for BWI and Nazhir representatives in Bantul Regency, which can help and provide convenience to BWI and Nazhir representatives in monitoring the development and process of mapping waqf land assets and provide convenience for prospective waqf partners to establish cooperation to produce waqf land assets.

Association between social capital and utilization of essential public health services among elderly migrants: a multilevel logistic study based on the 2017 China migrant dynamic survey (CMDS)

BackgroundAs the number of elderly migrants in China continues to grow, it is necessary to pay closer attention to their health and health services. Some studies have confirmed that social capital plays a significant role in the utilization of health services. Therefore, an in-depth exploration of the relationship between social capital and the utilization of essential public health services (EPHS) by elderly migrants will not only contribute to improving their overall health but also facilitate a more balanced development of public health service system in China.MethodsBased on the cross-sectional data from the 2017 China Migrants Dynamic Survey (CMDS), this study examined the impact of social capital on the utilization of EPHS among elderly migrants. We evaluated social capital at two distinct levels: the individual and the community, and considered two dimensions of social capital: structural social capital (SSC) and cognitive social capital (CSC). The study aimed to delve into the impact of these forms of social capital on the utilization of EPHS among elderly migrants, and whether the migration range moderates this impact by multilevel logistic regression analysis.ResultsA total of 5,728 migrant elderly individuals were selected. The health records establishment rate and health education acceptance rate were approximately 33.0% and 58.6%, respectively. Social capital influenceed the utilization of EPHS among elderly migrants. Specifically, individual-level SSC and CSC have impacts on both the establishment of health records (OR = 1.598, 95%CI 1.366–1.869; OR = 1.705, 95%CI 1.433–2.028) and the acceptance of health education (OR = 1.345, 95%CI 1.154–1.567; OR = 2.297, 95%CI 1.906–2.768) among elderly migrants, while community-level SSC only affected the acceptance of health education (OR = 3.838, 95%CI 1.328–11.097). There were significant differences in individual-level SSC, health records, and health education among different migration range subgroups among elderly migrants. Migration range moderated the effect of social capital on the utilization of EPHS, crossing provinces could weaken the relationship between SSC and health education.ConclusionsSocial capital is associated with a higher utilization rate of EPHS among elderly migrants. It is necessary to encourage them to actively participate in social activities, strengthen public services and infrastructure construction in the area, and improve their sense of belonging and identity.

Logistics distribution route optimization of electric vehicles based on distributed intelligent system

Abstract The data management system of health cloud authentication plays an important role in the optimization of logistics vehicle routing. It can not only help logistics vehicles choose the best distribution path, but also save time and cost and improve economic efficiency. At present, logistics has not yet formed a complete service system. High distribution costs and low distribution efficiency limit the development of the entire logistics. The reduction of logistics costs and the improvement of distribution efficiency have become the top priorities of the society. The optimization of the distribution route is the key to cost saving and distribution logistics. It is particularly important to study and optimize the distribution route, because the distribution route affects the logistics transportation efficiency and the loss cost during transportation. Therefore, this paper adjusted the scheduling system of logistics vehicles through a distributed intelligent system, and optimized the path of logistics vehicles according to the improved genetic algorithm, thereby reducing the transportation cost of logistics and improving the efficiency of logistics distribution. This article first explains the definition, classification, and main components of the delivery vehicle routing problem. Then, using cloud authentication path optimization, a distributed intelligent system is constructed. Finally, an improved ant colony algorithm is used to analyze and study the distance constraints of vehicles. By improving the ant colony algorithm, it can be seen that the optimized path pheromone concentration and the optimized sub-function have gradually increased with time. The mean pheromone concentration was 40 %, and the seventh day was 15 % higher than the first. The mean value of the optimized subfunction was 0.34 %, and the seventh day was 20 % higher than the first. The distribution cost and distribution efficiency of the optimized logistics vehicle distribution path were much higher than those of the traditional logistics distribution path. Moreover, the distribution cost of the logistics distribution path was 9 % lower than the traditional one, and the distribution efficiency was 13 % higher. The average smoothness of the optimized logistics path is about 90 %, and the seventh day is 11 % higher than the first day. The average fitness of the optimized logistics path is 88 %, and the seventh day is 14 % higher than the first day. In a word, the data management system can uniformly schedule logistics vehicles and improve the efficiency of distribution.

Strengthening the role of innovation brokers in the livestock advisory services system of Pakistan

Context This article assesses development and implementation of a non-traditional training ‘whole-family extension approach’ (WFEA) that contributes to the innovation-brokering capacity of farm advisors within the current livestock advisory services system of Pakistan. Aims The primary objectives of the research were to explore how the WFEA training leads to improved capacity and knowledge of farm advisors and then examine these through the lens of innovation brokers and the difference they can make within the extension system, including (1) articulation of problems and possibilities, (2) network building and (3) supporting negotiation and learning in networks. Methods A qualitative investigation was conducted during four facilitated discussions and three field follow-up visits following project interventions to build the capacity of 50 farm advisors from across a network of 22 organisations that are part of the Pakistani’s livestock extension system. Data were collected by using the following two qualitative approaches: (1) facilitated discussions, during each of the four separate training workshops; and (2) field follow-up visits, where farm advisors were interviewed following a set of semi-structured questions. The data were analysed to assess the changes observed across the different farm advisors during the training interventions and subsequent mentoring provided by the project team. Key results Gaps in innovation-brokering capacity from WFEA were identified and include co-designing and more institutional support of various collaborating organisations, use of visioning tools, scenario analysis to predict possible future for the farm-advisor training and training of farm advisors on analytical skills to capture the household impacts; these should be incorporated in WFEA training. Conclusions A holistic extension training intervention approach (the WFEA) can positively influence the innovation-brokering capacity of farm advisors within the current livestock advisory services system of Pakistan. Implications This article has contributed to the literature on innovation-brokering roles in the livestock advisory systems by highlighting key additional functions of innovation-brokering in a developing-country context. Furthermore, examples from Pakistan can be used to show how farm advisors can develop skills in articulating problems and possibilities, network building and supporting negotiation and learning in networks.

STUDI KUALITATIF PENGALAMAN IBU DROP OUT ALAT KONTRASEPSI DI MASA PANDEMI COVID-19

Background: The COVID-19 pandemic has caused disruptions in the health care system, particularly in reproductive health services that focus on family planning services. The emergence of the policy of limiting social behavior and physical distancing has led to behavioral changes in female family planning acceptors during the pandemic. The disruption of the family planning service system has caused an increase in the incidence of drop out of contraceptives during the COVID-19 pandemic. The purpose of this research to identify about the experience and reasons for mothers to drop out of contraceptives during the COVID-19 pandemic. This method of research is qualitative research used a phenomenological approach. Result: The experience of mothers dropping out of contraceptives during the COVID-19 pandemic varied, and the reasons for mothers to drop out of contraceptives included being worried and afraid of contracting COVID-19, low knowledge of mothers about contraceptives. Conclusion: Feelings of worry and fear of contracting COVID-19 are the main reasons for mothers to drop out of contraceptives during the COVID-19 pandemic. Therefore, providing comprehensive family planning services and monitoring for repeat visits to family planning acceptors are the main focus and special attention.

The Experiences of Practical Nurse Students in Promoting the Rehabilitation of the Elderly Through Nursing Care and Its Education – A Secondary Publication

The significance of rehabilitation-promoting nursing care is emphasized in aging Finland. According to studies, rehabilitation-promoting nursing care enhances the functional capacity of the elderly. The Elderly Services Act obliges municipalities to create a plan to support the elderly population, emphasizing living at home and rehabilitative measures. A large portion of graduated practical nurses will be working with the elderly, so the education of practical nurses must meet the needs of the workforce. The study aimed to produce new information on the implementation of rehabilitation-promoting nursing care in the elderly services system and on the education of rehabilitation-promoting nursing care for the elderly in vocational institutions. The research data was collected in the fall of 2020 through individual theme interviews with practical nurse students (n = 8). The data was analyzed using inductive content analysis. The experiences of practical nurse students regarding rehabilitation-promoting nursing care for the elderly were related to nurses’ time management, organizational practices, nurses’ competence, nurses’ attitudes, nurses’ methods of operation, organizational development, implementation and development of practical teaching, factors affecting the use of aids, and the technology of aids in the future. In conclusion, it can be stated that the content of education and practical work life do not align. It is essential to increase competence in rehabilitation-promoting nursing care and develop organizational practices.

Retrospective analysis of diagnosis and treatment of tuberculosis in designated medical institutions in China from 2017 to 2022

Objective: To understand the status of tuberculosis diagnosis and treatment capacity and the development and changes of tuberculosis diagnosis and treatment in provincial and municipal designated medical institutions in China from 2017 to 2022, so as to provide a basis for the formulation of relevant policies for the improvement and development of designated medical institutions for tuberculosis and the tuberculosis prevention and treatment service system, and to provide reasonable support for further strengthening the capacity of designated medical institutions for tuberculosis. Methods: This study was initiated and carried out by Beijing Chest Hospital affiliated to Capital Medical University/Clinical Center for Tuberculosis Prevention and Control of China CDC (hereinafter referred to as "Clinical Center") by means of questionnaire survey, and the investigation was carried out from March to November 2023. During this period, the clinical center distributed questionnaires to the hospital member units of "Beijing Tuberculosis Diagnosis and Treatment Technology Innovation Alliance", retrospectively collected their tuberculosis-related diagnosis and treatment data from 2017 to 2022, and used descriptive statistical methods to analyze the number of tuberculosis beds, outpatients and hospitalizations in medical institutions. The results were expressed in absolute numbers (percentages), and three-line tables, bar charts and line charts were drawn to describe the analysis results and changing trends. Results: The 54 medical institutions surveyed in this survey included 21 provincial-level designated medical institutions and 33 prefecture-level designated medical institutions. Most medical institutions have set up clinical departments, auxiliary departments and functional departments to undertake public health tasks of infectious diseases. The tuberculosis laboratory in the hospital has a comprehensive ability and has the detection technology needed for most tuberculosis diagnosis; The number of tuberculosis beds, children's tuberculosis beds and ICU beds all showed an increasing trend from 2017 to 2022. The proportion of tuberculosis beds in the hospital decreased slightly, from 39.31% in 2017 to 34.76% in 2022, showing a slight downward trend. Compared with the hospital surveyed, the number of tuberculosis outpatients in 2019 was 562 029, and the number of outpatients in 2020-2022 was 462 328, 519 630 and 424 069 respectively, which was significantly lower than that in 2019. The number of tuberculosis outpatients in medical institutions decreased significantly from 2020 to 2022. By analyzing the proportion of patients with different types of tuberculosis, the proportion of sensitive tuberculosis outpatients in 2017-2022 decreased from 84.49% in 2017 to 78.05% in 2022, showing a downward trend year by year. The proportion of patients with multidrug-resistant/ rifampin-resistant tuberculosis increased from 2.03% in 2017 to 7.18% in 2022. From 2017 to 2019, the total number of inpatients with tuberculosis showed an upward trend. Compared with 2019, the number of inpatients in 2020, 2021 and 2022 showed a downward trend, and the decline in 2020 was large (down 14.94% compared with 2019). Among the inpatients, the absolute number and proportion of patients with sensitive pulmonary tuberculosis remained relatively stable, and the number and proportion of inpatients with multidrug-resistant/rifampin-resistant pulmonary tuberculosis increased year by year. Conclusions: Most medical institutions have the capacity to carry out routine diagnosis and treatment of tuberculosis, but the public health function needs to be strengthened. The transformation of medical institutions requires proper guidance and adequate support. During 2019-2022, most medical institutions were affected by the COVID-19 epidemic, and their tuberculosis diagnosis and treatment work also changed to varying degrees. During this period, hospitals took various measures to overcome difficulties and tried their best to maintain the normal development of tuberculosis diagnosis and treatment, and the tuberculosis diagnosis and treatment work of various institutions gradually resumed in 2022.

Evaluation of Blood Transfusion Request form: The Experience in a Tertiary Health Facility in Jos, Nigeria

Background: There is a thin line between a safe blood transfusion and transfusion-related fatality hence the need to be diligent in every aspect of the blood transfusion process. Appropriate and complete documentation on a blood transfusion request form is one of the most important preanalytic activities serving as a communication tool between the clinician and the blood transfusion laboratory personnel. Aims: To evaluate compliance with appropriate and complete documentation of information on our blood transfusion request forms for a reliable preanalytic process towards an efficient blood transfusion service. Study Design: It is a retrospective study. Place and Duration of Study: Blood Bank of the Jos University Teaching Hospital between January to December 2023. Methodology: Six thousand, three hundred and sixty (6360) blood transfusion request forms from the Jos University Teaching Hospital Blood bank were evaluated for complete or incomplete documentation retrospectively and results were presented in frequencies and percentages. Results: There was 100% compliance in filling in the patients' surnames and other names as well as the laboratory number and blood groups of the patients while only 4779 (75.14%) filled in the patients' ages with 1416(22.26%) using the prefix of adult(ad) while 165(2.59%) fail to document the patients' age. There were 2829 (44.48%) males with 3522 (55.38%) females while no sex was indicated in 9 of the reviewed forms. Obstetrics history has the least cumulated documented response of 0.38% while a significant 1008 (15.85%) did not indicate either blood grouping or blood grouping with cross-match request. Conclusion: Appropriate and complete documentation of information on blood transfusion request forms is a problem among clinicians and will require continuous education on its importance, periodic auditing, provision of electronic data system and attitudinal change for a better blood transfusion compatibility service.

Technical efficiency and its convergence among village clinics in rural China: evidence from Shanxi Province

IntroductionVillage clinics (VCs) are the foundation of the three-tiered health service system in China, delivering basic and routine outpatient services to citizens in rural China. VC technical efficiency and its convergence play a critical role in policy decisions regarding the distribution of health service resources in rural China.MethodsThis study measured VC technical efficiency (using the slacks-based measure model), its convergence (using the convergence model), and the factors that influence the convergence in Shanxi Province, China. Data were obtained from the Shanxi Rural Health Institute 2014–2018 Health Statistics Report, which involved 3,543 VCs.ResultsThe results showed that VC technical efficiency was low and differed by region. There was no α convergence in VC technical efficiency, but evidence of β convergence was found in Shanxi. The main factors that influence convergence were the building area of each VC (BA), proportion of government subsidies (PGS), and ratio of total expenditure to total income of each VC (RTETI).ConclusionThe government should increase investments in VCs and improve VC technical efficiency. Meanwhile, the government should be aware of and take measures to curb the inequity in VC technical efficiency among different regions and take suitable measures to curb this disparity.

Courier Service System

The demand for efficient courier services is growing rapidly, and traditional systems often struggle to meet these demands. This project introduces an Enhanced Courier Service System Application, utilizing cutting-edge technologies such as ReactJS for the frontend, Java Spring Boot for the backend, and MongoDB for the database. The primary objective is to develop a robust and scalable courier service system that offers enhanced features and functionalities to meet the evolving needs of users. The system architecture facilitates seamless communication between frontend, backend, and database components, ensuring smooth data flow and efficient processing. ReactJS for the frontend enhances user experience, while Java Spring Boot provides scalability, security, and performance. MongoDB, a NoSQL database, offers flexibility and scalability for large data storage and retrieval. The modular design allows for easy maintenance and future enhancements, adapting to changing requirements and technologies. By incorporating industry-standard practices like UML diagrams, data flow diagrams, and sample test cases, the project aims to deliver a high-quality, reliable, and user-friendly courier service system application.

Diagnostic performance of acoustic radiation force impulse for acute pancreatitis: A meta-analysis.

The objective of this meta-analysis is to evaluate the diagnostic performance of acoustic radiation force impulse (ARFI) in acute pancreatitis (AP) patients. PubMed, Web of Science, Embase, Wanfang, Chinese Biological Medicine databases, and Chinese Biomedical Literature Service System were searched for relevant studies to explore the potential diagnostic performance of ARFI in AP from inception to November 2023. STATA 14.0 was used to analyze the standardized mean difference (SMD) with 95% confidence interval (CI), pooled sensitivity, specificity, area under the curve, meta-regression analysis, sensitivity analysis, and publication bias. Nine studies, involving 533 AP patients and 585 healthy controls, were included. AP patients had significantly higher ARFI levels than healthy controls (SMD: 3.13, 95% CI: 1.88-4.39, P = .001). The area under the curve of ARFI for diagnosing AP was 0.99 (95% CI: 0.98-1.00), with 98% sensitivity and 94% specificity. Meta-regression identified the study region and study period as the sources of heterogeneity. Sensitivity analysis showed that the exclusion of any single study did not materially alter the overall combined effect. No evidence of publication bias was observed in the included studies. This meta-analysis demonstrated that ARFI exerted satisfactory diagnostic performance in AP.

Research on China's End-of-Life Care Policy from the Perspective of Aging Population: A Textual Analysis of 30 Policies from 2017 to 2022

As the proportion of elderly population increases and the level of social development continues to rise, the issue of end-of-life care for the elderly has gradually gained societal attention. End-of-life care, as an emerging field, relies crucially on optimizing top-level policy design for its healthy development. This study focuses on 30 national-level end-of-life care policy texts from 2017 to 2022. Utilizing analysis tools such as ROST CM 6 software, NLPIR Chinese word segmentation system, and SPSS, the research employs a three-dimensional framework of keyword frequency analysis, semantic network analysis, and "policy tools-policy time-policy intensity" to comprehensively explore the current state of China's end-of-life care policy. The study reveals existing issues in the policy's practical operability, uneven application of policy tools, neglected funding and information technology support, and weak regulatory aspects. It emphasizes the need to prioritize a people-centered approach, enhance the overall balance in policy tools, promote the standardization of end-of-life care, and improve a diversified service system. These findings broaden the research perspective in the field of end-of-life care, providing insights for optimizing policy design and advancing nationwide end-of-life care efforts.

Assessing the resilience of HIV healthcare services provided to adolescents and young adults after the COVID-19 pandemic in the city of Beira (Mozambique): an interrupted time series analysis

BackgroundThe COVID-19 pandemic has put the provision of health services globally at risk. In Sub-Saharan Africa, it had a major impact on HIV services. However, there is a lack of data on the post-pandemic period. This study aims to evaluate the resumption of HIV services and retention in care for adolescents and young people in the period following the COVID-19 pandemic.MethodsA retrospective cohort study was conducted using interrupted time series analysis. Three periods were considered: pre-pandemic (form June 2019 to March 2020), pandemic (form April 2020 to March 2022) post-pandemic (from April 2022 to March 2023). Six outcome measures were considered: number of outpatient visits, HIV tests, HIV positivity ratio, the antiretroviral treatment (ART) non-adherence ratio, recall ratio, and the return ratio for adolescent and young adults on ART.ResultsDuring the study period, 447,515 outpatient visits and 126,096 HIV tests were recorded. After a reduction at the beginning of the pandemic period, both visits and tests increased during the pandemic (p < 0.05) and decreased in the post-pandemic (p < 0.05), recovering the pre-pandemic trends. The HIV positivity ratio slightly decreased from 3.3% to 1.7% during the study period (p < 0.05). The ART non-adherence ratio decreased from 23.4% to 2.4% throughout the study period (p < 0.05), with a drop at the beginning of the post-pandemic period (p < 0.05). The recall ratio increased during the study period (p < 0.05) with a drop at the beginning of the pandemic and post-pandemic periods (p < 0.05). The return ratio decreased at the beginning of the pandemic (p < 0.05) but returned to the pre-pandemic ratio in the post-pandemic period.ConclusionsThe post-pandemic values of the investigated outcomes were comparable to pre-pandemic period, or even improved. Differently from other services, such as the community activities, that have been severely affected by COVID-19 pandemic, the HIV service system has shown resilience following emergency situation.

Ecosystem services of irrigated and controlled drainage agricultural systems: A contemporary global perspective

AbstractIrrigated agriculture provides 40% of the world's crop‐based foods but often with a negative impact on the environment. It is important to recognize that in addition to providing food and fibre, irrigation and controlled drainage systems can be optimized to provide additional ecosystem services and mitigate climate change by using resources in a more efficient way. Contemporary case studies were identified from around the world, including flood control by paddy fields in Japan, water quality enhancement and wastewater reuse in South Africa and Taiwan, micro‐/meso‐climate regulation in Ethiopia and Japan, controlled drainage and sub‐irrigation to maximize carbon sequestration and minimize leaching in Finland, and groundwater table management to reduce irrigation water and pumping requirements in Turkey. Irrigation infrastructure, such as rice paddy terraced landscapes (Japan) and large dams and canals (Australia), have also achieved notable additional ecotourism job creation. Case studies were analysed in terms of funding opportunities and compared using the Common International Classification of Ecosystem Services system. It is recommended that planning frameworks be developed that seek to optimize ecosystem services such as the ones discussed above. Policy should be updated to recognize these services and provide incentives to irrigators and water management entities accordingly.

Variation in the Quality of Teacher–Child Interactions in Chinese Toddler Classrooms

Variation in the Quality of Teacher–Child Interactions in Chinese Toddler Classrooms

Digital carbon neutrality: evidence of carbon emission reduction based on digital inclusive finance.

As a powerful engine for economic reform and curbing carbon emissions, digital inclusive finance provides solid support for achieving the goal of digital carbon neutrality. This study reveals the positive effect of digital inclusive finance on carbon emission reduction and the deeper reasons behind it by digging deeper into the panel data of 213 cities in China. The study adopts advanced empirical analysis methods to rigorously test the association between digital inclusive finance and carbon emissions. The results show that there is a strong positive correlation between the booming development of digital inclusive finance and the significant decline in carbon emissions. This finding remains solid after several rounds of robustness tests, which fully proves the reliability of the research results. Further mechanism analysis reveals the multiple paths of digital financial inclusion on carbon emission reduction. First, it promotes the optimization and upgrading of industrial structure by optimizing the allocation of financial resources, thus reducing the proportion of high-carbon emission industries. Second, digital inclusive finance attracts more foreign capital inflows and introduces advanced low-carbon technologies and management experience, further promoting the development of low-carbon economy. In addition, the study also found that the differences between different cities in terms of geographic location and city size have a significant impact on the carbon emission reduction effect of digital inclusive finance. In particular, the carbon emission reduction effect of digital inclusive finance is particularly significant in western regions, central cities, and first-tier cities. In response to these findings, this paper proposes a series of targeted policy recommendations. First, the financial service system should be further optimized to increase the coverage and penetration of digital inclusive finance, especially in less developed regions and small- and medium-sized cities. Second, regional policy synergies should be strengthened to form a strong synergy to promote the development of a low-carbon economy. In addition, it should guide capital flows to low-carbon industries and encourage enterprises to increase green technology research and development and application, while actively promoting low-carbon consumption concepts and guiding consumers to form green consumption habits. Through the implementation of these measures, it is expected that the potential of digital inclusive finance in the development of a low-carbon economy will be further stimulated, making a greater contribution to the realization of the goals of carbon peaking and carbon neutrality.

EFEKTIVITAS SISTEM PELAYANAN RAKYAT SIDOARJO (SIPRAJA) SEBAGAI PELAYANAN PUBLIK DI DESA GEMPOLSARI KABUPATEN SIDOARJO

The Sidoarjo Regency Government presents innovative public service products based on electronic technology in the form of applications, namely the Sidoarjo People's Service System (SIPRAJA). This research aims to measure the effectiveness of SIPRAJA as a public service in Gempolsari Village, Sidoarjo Regency. The quantitative research method used is one variable in a descriptive approach based on the theory of innovation characteristics according to Rogers which requires a sample of 100 respondents. This research has the results that the indicators of relative superiority, compatibility, complexity, testability and observability are very effective. So, the overall conclusion is that the effectiveness of SIPRAJA in Gempolsari Village, Sidoarjo Regency with a final result of a percentage value of 69% is included in the very effective category.

Effects of olfactory and/or gustatory stimuli on feeding of preterm infants: A systematic review and meta-analysis.

To evaluate the effect of olfactory and/or gustatory stimulation interventions on feeding outcomes in preterm infants. We conducted systematic searches across various academic databases, including PubMed, Embase, Web of Science, the Cochrane Library, the Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, the Wanfang Database, and the Wipu Database. These searches aimed to identify randomized controlled trials investigating the impact of olfactory and/or gustatory stimulation on preterm infants. The search period spanned from the inception of the databases until December 2022. Two independent evaluators autonomously reviewed the literature, extracted pertinent data, assessed the quality of the included studies, and conducted a meta-analysis using RevMan 5.3 software. A total of 7 randomized controlled trials or quasi-experimental studies were included, with a total of 871 participants. Olfactory and gustatory stimulation demonstrated a reduction in the time to full enteral feeds in preterm infants when compared to usual care (MD = -1.60 days; 95% CI = -2.31, -0.89; p<0.0001). No substantial evidence was identified regarding the influence of olfactory and gustatory stimulation on the duration of gastric tube placement, length of hospitalization, incidence of necrotizing enterocolitis, or occurrence of spontaneous bowel perforation in preterm infants. Olfactory and gustatory stimulation show potential benefits for preterm infants. However, due to the low to very low level of certainty associated with the available data, our ability to assess the effects is limited. Further trials and studies are essential to enhance our understanding of the mechanisms and effectiveness of olfactory and gustatory stimulation therapies.

Incidence and risk factors of PICC-related thrombosis in breast cancer: a meta-analysis.

The incidence and risk factors of peripherally inserted central catheter-related thrombosis in patients with breast cancer have not been fully elucidated. Meta-analysis was performed by searching all studies on the incidence of peripherally inserted central catheter-associated thrombosis and risk factors for its formation in breast cancer patients from the establishment of the database to May 2023, including PubMed, Embase, Web of Science, China Knowledge Network, China Biomedical Literature Service System (SinoMed) and Wanfang databases. Then the incidence of peripherally inserted central catheter-related thrombosis and risk factors for its formation were analyzed in breast cancer patients. A total of 15 articles were included, involving 8635 patients. The total incidence of peripherally inserted central catheter-related thrombosis in breast cancer patients was 7.0% (95% confidence interval: 4.0-13.0%) and 12.9% (95% confidence interval: 7.0-22.5%) after correction. Thirty-two risk factors were included, and eight risk factors could be combined. Among these risk factors, there were statistically significant differences (P<0.05) in body mass index≥25 (odds ratio=6.319, 95% confidence interval: 2.733-14.613; P<0.001), D-dimer >500ng/ml (odds ratio=1.436, 95% confidence interval: 1.113-1.854; P=0.005), increased fibrinogen (odds ratio=4.733, 95% confidence interval: 1.562-14.346; P=0.006), elevated platelet count (odds ratio=4.134, 95% confidence interval: 2.694-6.346; P<0.001) and catheter malposition (odds ratio=8.475, 95% confidence interval: 2.761-26.011; P<0.001). The incidence rate of peripherally inserted central catheter-related thrombosis in breast cancer patients was 7.0% (95% confidence interval: 4.0-13.0%). Body mass index≥25, D-dimer >500ng/ml, elevated fibrinogen, elevated platelet count and catheter malposition were risk factors for peripherally inserted central catheter-related thrombosis in breast cancer patients.