Personal Visits Research Articles

Investigating the Involvement of Parents in Their Children’s Education at Primary School Level

The involvement of parents in their children’s education affects the quality of their learning. The purpose of this study was to investigate the involvement of parents in the education of primary school children. The quantitative descriptive research method was employed to conduct the study. The population of the study was 3,297 children studying at the primary school level and their parents. A proportionate stratified random sampling technique was used to select 348 students and their parents for data collection. The data were collected from children and their parents through a five-point scale. The research instrument consisted of six factors: parenting, communicating, decision-making, learning at home, volunteering, and collaboration with the community. The data were collected through personal visits by the researchers. Data were analyzed through mean, standard deviation, Kruskal Wallis, and Mann-Whitney U test. The research study concluded that primary school students and their parents hold the same perspective regarding parental involvement in their children's education. However, there was a significant difference in parental involvement in their children’s education, as the students reported, based on their demographic characteristics and the educational institutions they were attending. It is suggested to adapt the involvement of parents according to the needs of students of different age groups and grades by developing a strong and continuous connection between school and home.

Relationship Between Test Anxiety and Personality Traits Among College Students

Test anxiety is a psychological problem, which is commonly prevail among students. Test anxiety can decrease students’ academic performance. The current study was aimed to explore the relationship of test anxiety and personality traits among college students and their academic performance. As the research was quantitative, the survey design study was employed. The sample of the study consists of 70 female college students and 70 male college students to address the study variables, as of total sample was 140. Sample carefully chosen through the simple random sampling technique. To measure the test anxiety through anxiety scale of Fried Ben (Friedman et al., 1997) was utilized, which have 23 items and to measure the traits of personality Big five scale was used, which consists of 25 items with features of self-report (Howard et al., 1996). Data were collected through personal visit the colleges. Data were analyzed through descriptive and inferential statistics. Results of the study shows that female students had higher test anxiety than male students, and student’s personality likewise have significant test anxiety. Students' personalities and exam anxiety are favorably associated to negative emotionality and negatively related to openness to experience, agreeableness, and conscientiousness variables. According to the conclusions of this study, female students had higher test anxiety than male students, and student’s personality likewise have significant test anxiety. Study recommended that academic institutions must develop personality development program with a focus on reducing test anxiety among college students.

An Ensemble Classification Method Based on Deep Neural Networks for Breast Cancer Diagnosis

Advances in technology have led to advances in breast cancer screening by detecting symptoms that doctors have overlooked. In this paper, an automatic detection system for breast cancer cases based on Internet of Things (IoT) is proposed. First, using IoT technology, direct medical images are sent to the data repository after the suspicious person's visit through medical equipment equipped with IoT. Then, in order to help radiologists, interpret medical images as best as possible, we use four pre-trained convolutional neural network models including InceptionResNetV2, InceptionV3, VGG19 and ResNet152. These models are combined by an ensemble classifier. Also, these models are used to accurately predict cases with breast cancer, healthy people, and cases with pneumonia by using two datasets of X-RAY and CT-scan in a three-class classification. Finally, the best result obtained for CT-scan images belongs to InceptionResNetV2 architecture with 99.36% accuracy and for X-RAY images belongs to InceptionV3 architecture with 96.94% accuracy. The results show that this method leads to a reduction in daily visits to medical centers and thus reduces the pressure on the medical care system. It also helps radiologists and medical staff to detect breast cancer in its early stages.

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women.

The intersection of race, gender, and age puts older African American women at high risk of experiencing comorbid pain and depressive symptoms. The purpose of this study was to assess the feasibility and acceptability of a 12-week behavioral activation intervention to target self-selected goals related to pain and depressive symptoms in middle-aged and older African American women. This randomized waitlist control study included 34 self-identified African American women, 50 years of age or older, with moderate-to-severe chronic pain and depressive symptoms. The intervention consisted of 8 in-person or virtual 1-hour visits with a nurse. Follow-up acceptability assessments were conducted with 10 participants. The average age of the participants was 64.8 (standard deviation [SD] 10.5). They reported an average pain intensity score of 7.0 (SD 1.9) out of 10 and an average Patient Health Questionnaire-9 depressive symptoms score of 11.9 (SD 4.0) at baseline. Of the 34 participants who consented, 28 (82.4%) women started the intervention and 23 (82.1%) completed the intervention. Participants described the study as useful and beneficial. Participants recommended including a group component in future iterations. Effect sizes at 12 weeks were -0.95 for depressive symptoms indicating a substantial decrease in experienced depressive symptoms, but pain intensity was virtually unchanged (+0.09). The findings of this study demonstrate that the intervention is acceptable among middle-aged and older African American women and their personal goals were met. Including a group component and identifying effective ways to decrease attrition rates will be key in the next steps of development for this intervention. It is crucial to provide tailored, nonpharmacological approaches to pain, and depression symptom management in older adult populations who experience inequities in pain and mental health outcomes. This study emphasizes the importance of participant-driven goal-setting interventions.

Study on Promotional Strategy of Syngenta Product Amistar in Hoshiarpur District of Punjab, India

Bases on information gathered from 176 respondents, a study carried out in the Hoshiarpur area of Punjab state discovered numerous Amistar fungicide promotional methods. The study's main goal was to determine how best to market fungicide to farmers. It is revealed that out of total respondent’s major number falls under the age group of 30- 50 years that is 94 respondents, and it was found land holding has a direction relation between the income level of the respondents and also the education level. The study showed that respondents gave the primary preference to Amistar Fungicide of by Syngenta Market potential is the maximum amount of sales that might be available to all the firms in a pesticide industry during a given period, under a given level of pesticide industry marketing efforts and environmental conditions. Grain crops is the major crop in Mukerian Block in which Amistar is used for use, so the market potential is calculated considering Maize crop acreage.
 when it comes the preferred promotional tools, the response was in the favour of farmer meeting. Demonstration, company’s person visit, wall postering, literature display, phone call, van campaign were ranked second, third, fourth, fifth, sixth and seventh respectively. The response was in the favour of billboards with a total number of 57(32.40%) followed by the television, radio and social media. Other sources were television, radio, newspaper and social media.

Implementation and early outcomes of a telehealth visit model to deliver tecovirimat for mpox infection in New York City.

The 2022 mpox outbreak in New York City posed challenges to rapidly scaling up treatment capacity. We describe a telehealth treatment model launched during this outbreak that facilitated healthcare provider treatment capacity, and was able to adhere to a Centers for Disease Control and Prevention (CDC)-sponsored expanded access investigational new drug (EA-IND) protocol for tecovirimat. Sixty-nine patients were evaluated and prescribed tecovirimat for mpox through telehealth visits at NYC Health + Hospitals/Bellevue and NYU Langone Health from June to August 2022. Thirty-two (46.4%) were previously diagnosed with HIV. Forty-four (63.8%) reported full recovery, with the remainder lost to follow-up. Most patients (n = 60, 87.0%) attended at least one follow-up visit (either in person or through telehealth) after starting treatment. We observed favorable treatment outcomes, with no serious adverse events, hospitalizations, or deaths related to mpox. While equitable access to telehealth remains a limitation that needs to be addressed, this telehealth model enabled a rapid scale-up of tecovirimat prescription during the mpox outbreak, and should be considered as an important tool used to respond to future infectious disease outbreaks.

Occurrence and tentative population status of the Balkan Terrapin (Mauremys rivulata, Valenciennes, 1833) on Greek islands

The distribution of Mauremys rivulata on Aegean islands was summarized by Broggi in 2012. Here, the study area encompasses all Greek islands, including the Ionian Islands, and the two Turkish islands of Gökceada and Bozcaada. For the first time, I attempt to estimate the status and size of the populations on the islands. This is a subjective assessment based on my personal visits to most islands and not on IUCN criteria. Mauremys rivulata was found on 29 Greek islands, plus two Turkish islands in the Aegean Sea. Five previously mentioned sites are doubtful, and on the three islands of Sifnos, Syros and Ithaca the species appears to be extinct. On 12 islands I assess its status as “threatened with extinction”. On seven, mostly larger, islands its populations are probably less vulnerable. Efforts must be made for the long-term protection of M. rivulata on the Greek islands.

A STUDY TO ASSESS THE EFFECTIVENESS OF BENSON’S RELAXATION THERAPY IN ANXIETY BETWEEN PRE-TEST TO POST-TEST AMONG EXPERIMENTAL AND CONTROL GROUPS WITH HIGH-RISK ANTENATAL MOTHERS AT SELECTED HOSPITALS IN WARANGAL, TELANGANA

In 2017, every day approximately 808 women died due to pregnancy complications. Most of the deaths occurred in low-resource countries. The primary causes of maternal deaths are hemorrhage, hypertension, infections, and indirect causes like accidental or incidental causes. Mostly due to interactions between medical conditions and pregnancy complications. A quantitative research approach was adopted for this study. The research design used for the present study was quasi experimental, non-equivalent group design. The population included in this study was high-risk antenatal mothers with anxiety at selected hospitals, in Warangal, Telangana. Government Maternity Hospital at Warangal, Telangana. Kalyani Nursing Home at Warangal, Telangana. Sri Laxmi Maternity Hospital, Warangal, Telangana. had been selected for undertaking this look at. Hospitals have nicely prepared and established specialized separate Obstetrics and Gynaecological department with close to 100 Outpatient go to in line with day, nearly general a hundred of inpatient bed satisfy through ordinary admission and nearly greater than 100 affected persons visit hospital for regular consultancy in OPD in line with day. The sample size consist of 500 high risk antenatal mothers with anxiety at selected hospitals, Warangal, Telangana. Non probability Convenience sampling technique was used for this study.

Museums without Visitors? Crisis of the Polish Museums during the COVID-19 Pandemic and Their Revival under the Digital Experience Offer

Museums, as many other organisations, froze during the lockdown. Museums offer insights into varying cultures and since no forms of culture can sustain without the engagement of audiences, participants, or visitors, the lockdown forced by the pandemic compelled museum authorities to look for new ways to reach audiences and establish relationships with them, thereby facilitating previously untapped forms of cultural participation. This worldwide experience of the pandemic undoubtedly accelerated the digital transformation of the entire cultural sector. To what extent these new opportunities have changed the forms of participation in the cultural realm remains an open question. This current research carried out in some of the largest Polish museums allowed us to conclude that the pandemic period saw a significant leap forward in terms of the involvement of digital technologies in popularising museum collections, as well as in seeking contact with audiences at various levels. At the same time, the reopening of museums resulted in increased attendances on an unprecedented scale. It could be said that the pandemic made us realise how global threats can, in a short span of time, take away the possibility of enjoying traditional forms of cultural participation, but at the same time enable the development of digital technologies that can significantly contribute to the popularisation of museum collections or exhibitions. This research was designed to find out whether museum audiences wanted a change in the way they experience the collections and exhibitions held in museums, and whether the digital experience created during the pandemic was attractive enough to compete with a personal visit to an art gallery. The results of the research clearly indicated that despite the rich digital experience offered in Polish museums, viewers still stated a desire to return to a “real museum”. The pandemic allowed the museum authorities to learn novel administration techniques and numerous technological solutions that were previously never used have now become a permanent feature of regular museum operations. However, the reaction of the audiences after the lockdown was clear: they still wanted to enjoy traditional forms of cultural participation, valuing above all the possibility of personal contact with an original work of art in a museum gallery.

Rapid implementation of Veterans Health Administration telehealth creative arts therapies: survey evaluation of adoption and adaptation

BackgroundCreative arts therapies (CAT) are employed throughout the Veterans Health Administration (VHA) and are predominantly delivered in-person. Though telehealth delivery of CAT was used at several VHA facilities to increase services to rural Veterans, due to guidance from the Center for Disease Control and VHA that temporarily suspended or reduced in-person services, there was a large increase of CAT therapists enterprise-wide who adopted telehealth delivery. The aims of this study were to evaluate adoption and adaptation of CAT telehealth delivery and identify related barriers and facilitators.MethodsWe deployed a survey guided by the Consolidated Framework for Implementation Research and administered it via email to all VHA CAT therapists (N = 120). Descriptive statistics were used to summarize data and responses were compared based on therapists’ age, years of experience and CAT discipline. Open survey field responses were summarized, qualitatively coded, and analyzed thematically.ResultsMost therapists (76%) reported adopting telehealth with 74% each delivering > 50 CAT sessions in the prior year. Therapists adapted interventions or created new ones to be delivered through telehealth. Barriers included: technical challenges, control of the virtual space, and building rapport. Facilitators included added equipment, software, and infrastructure. CAT therapists adapted their session preparation, session content, outcome expectations, and equipment. CAT therapists reported being able to reach more patients and improved access to care with telehealth compared to in person visits. Additional benefits were patient therapeutic effects from attending sessions from home, therapist convenience, and clinician growth.ConclusionsVHA CAT therapists used their inherent creativity to problem solve difficulties and make adaptations for CAT telehealth adoption. Future studies may explore CAT telehealth sustainment and its effectiveness on clinical processes and outcomes.

A Quality Improvement Project to Improve Hospital-to-Home Transitions Using Discharge Televisits.

Resident-led discharge "televisits" can improve the safety of hospital-to-home transitions by increasing completed follow-up and providing patients access to their inpatient providers to troubleshoot issues. This single-center quality improvement study was set in a pediatric unit within an academically affiliated public safety-net hospital. By August 2021, the aim was to use resident-led phone call televisits within 72 hours of discharge to increase completed follow-up from 67% to 85% among patients discharged from the general pediatric unit and compare this to patients scheduled for in person visits. Patients were preferentially scheduled for televisits based on investigator-defined criteria to maximize benefit (eg, prescribed new medications). The process measure was the proportion of televisit slots filled. The balancing measures were 7-day emergency department visits and readmissions. Topics addressed during televisits were categorized to qualitatively assess potential benefits. Three hundred and fifteen (44.5%) patients had televisits, 234 (33.1%) in person visits, and 159 (22.5%) unconfirmed follow-up. The available televisit appointments scheduled were 315 of 434 (72.5%). Completed follow-up was 88.3% for televisits and 63.3% for in person visits, compared with 67% during the baseline period. Completed follow-up was 4.4 (95% confidence interval 2.9 to 6.8) times more likely for televisits compared with in person visits after controlling for confounding variables. Common topics addressed during televisits were test results, medication issues, and appointment issues. Emergency department revisits and readmissions were similar between groups. Resident-led discharge televisits are an innovative way to increase completeness of discharge follow-up.

Effects of Teachers’ Interpersonal Conflicts on Their Motivation at Sec-ondary Level in Gilgit

The study was aimed to explore the teachers’ interpersonal conflicts and their motivation level. It also intended to determine the relationship and effects of teachers’ interpersonal conflicts on their motivation. The study was descriptive type of research and carried out in a quantitative manner. Population of the study encompasses all the teachers of the public sector lower secondary schools in Gilgit. There were 150 teachers appointed in 12 secondary schools. Random sampling technique was used and 100 teachers were randomly selected from the population for the study. A comprehensive questionnaire was developed for the teachers to explore the teachers’ interpersonal conflicts, motivation and their relationship. The questionnaire comprised two scales, one was conflict assessment scale and the second was motivation assessment scale. The data was collected by the personal visit of researcher and finally analyzed and tabulated by using SPSS 16th edition. Statistical operations like Cronbach’s Alpha Reliability, Correlation, and Regression analysis were used to analyze the data and find the results of intended objectives. The interpreted data shows that the majority of respondents which is 64% of total sample population were found in an average level. The collected teachers’ opinions explored that there are interpersonal conflicts which they are facing with their fellow workers, supervisors, students, and parents of teachers. The second finding of study was the motivation of teachers. The opinion given on the questionnaire by the teachers show that the majority of respondents have high motivation level. The last and main finding of the study explores the effects of teachers’ interpersonal conflicts on the motivation of teachers. The statistical measurements determine that there is a relationship among the interpersonal conflict and motivation of teachers and these conflicts affect their motivation level. The effects of conflicts on the motivation measured through regression were 8.1%. While this effect was significant at 0.01 level of significance (β= -0.26, t= -2.93). So, to decimate this effect it’s quite necessary for the organizations and institutions to take precautionary steps prior to the occurrence of conflicts and overcome the communication gaps. Awareness sessions and seminars may have positive indicators for the prevention of conflicts

117-OR: Provider Perspectives on Diabetes Education for Emerging Adults (EAs)

Emerging adulthood, the developmental stage between 18 to 25 years, is a critical time when individuals with type 1 diabetes mellitus (T1DM) assume self-care responsibility and transfer to adult care. Current diabetes self-management education and support (DSMES) has been cited for not meeting the needs of EAs. Models addressing this problem need to be explored. This study was designed to gain perspectives on current DSMES delivery from DM providers. Methods: Health care professionals (HCPs, n=52, 40% endocrinologists, 34% diabetes care and education specialists) who provide adult care to EAs with T1DM completed an online survey designed to gain insights on the provision of DSMES to EAs. Results: Most HCPs (60%) were unsure or disagreed that EAs with T1DM received sufficient DSMES while in pediatric care. 74% felt strongly that their patients had not received adequate education to successfully transfer to adult care. In terms of frequency of DSMES, when asked 52% HCPs answered at every visit, 35% said annually, and 13% when a change in care was identified. Most HCPs (80%) agreed that one-to-one, in person visits are the best format for DSMES, but also agreed that telehealth (73%) could be used to augment DSMES delivery. Interestingly, 93% HCPS agreed that there was a role for a peer support. In considering use of CGM data and self-management, uniformly HCPs (99%) felt confident in their ability to interpret CGM data and reported reviewing downloads with EA at every visit (98%), however HCPs (92%) were not confident that EAs can self-manage diabetes in response to their CGM data. Conclusion: Efforts to engage EAs for improved participation in DSMES need to be explored for effective self-management. Disclosure N. Mehrotra: None. J.S. Krall: Research Support; Sanofi, Becton, Dickinson and Company. J. Ng: Research Support; Sanofi-Aventis U.S. L.M. Siminerio: Advisory Panel; Abbott. Research Support; Becton, Dickinson and Company, Sanofi.

Study on Brand Promotion Strategy of Pre-emergence (Herbicide) in Hoshiarpur District of Punjab, India

Based on information gathered from 120 respondents, a study carried out in the Hoshiarpur area of the Punjab state discovered numerous Rifit Plus herbicide promotional methods. Henry Garrett's ranking test was employed in the study's analysis. The study's main goal was to determine how best to market herbicides to farmers. According to the study, the first, second, third, fourth, fifth, sixth, and seventh-ranked methods were farmer meetings, demonstrations, company person visits, wall posters, literature displays, phone calls, and van campaigns. Which shows that the respondents' preferred major advertising technique is farmers' meetings.

Peruvian Workshop on Solar Energy 2022 (JOPES 2022)

Preface On this occasion, the Peruvian Workshop on Solar Energy 2022 (JOPES 2022) was held for the 5th consecutive year despite the difficulties caused by the aftermath of the pandemic and the economic and political crisis in Peru. For this reason, the organizers feel satisfied to be able to contribute year after year with the dissemination of research related to renewable energies and environmental management and, mainly, grateful to all the exhibitors, speakers, attendees, as well as the authorities of the National University of Engineering (UNI), which have made it possible to carry out this event successfully. Special thanks to the Peruvian Association of Solar Energy and the Environment (APES), the Renewable Energy Center of the National University of Engineering (CER-UNI), and the Peruvian government’s National Council of Science, Technology and Technological Innovation (CONCYTEC) for financial support.The JOPES was held from May 11 to 13, 2022, in the virtual classrooms provided by the UNI. The keynote presentations were given by nine specialists from Peru, Brazil, Cuba, Mexico, Spain, England, and Uruguay. Finally, on the last day, there was a visit (in person) to the facilities of the CER-UNI.In this edition of JOPES, papers were presented on different theoretical and experimental topics related to solar energy, such as thermal comfort in homes, photovoltaic energy and hybrid systems, solar resource prediction models, use of satellite technologies, light comfort and LED lighting, desalination, use of IoT, etc. The presentation of works related to wind and geothermal energy is also worth noting.The organizers are committed to the continuity of the JOPES. The conference facilitates showing our advances in solar energy research and creating cooperation ties between universities, companies, and national and international research groups. We are confident that it will continue attracting the attention of national authorities to continue betting on the use of renewable energies and take advantage of our country’s significant renewable energy potential.List of Organizing Committee is available in this pdf.

The Investiture Contest in the margins: popes and peace in a manuscript from Augsburg cathedral

ABSTRACT The article is an analysis of a dispute between the canons of Augsburg cathedral chapter and their bishop, Hermann II (1096–1133). It concentrates on a series of short texts collected in the margins of an older patristic manuscript and argues that most of these texts can be said to form a kind of dossier, likely assembled by the canons in the aftermath of a cancelled personal visit by Pope Paschal II (1099–1118) to Augsburg in 1107. In the conclusion, the case is situated in the broader context of papal communication at the time of the Investiture Contest.

Problems of Working Women in Islamabad: A Case of Four Public Organizations

Working women face many problems at the work place. Women workers face more challenges than male workers. For instance, being a working woman they are also house hold women and they have many responsibilities as well as professional responsibilities. They have to maintain balance between her home and career. Different problems such as attitude of society members and prejudice adversely affect the utilization of their talent and working abilities. The objectives of the study were to:(a) Find out the problems faced by the working women (b) Find out the attitude of their families towards working women (c)Check the existing status and security of the women. The study was a survey research type. Design of the study was a quantitative research. All the working women of Islamabad was population of the research study. The simple random sampling technique was used to select working women from various professions. Questionnaire was designed in order to collect data that was comprised of open ended and close ended questions. Population of the study was working women of Islamabad. Data were collected by personal visits. Questionnaires were distributed to a sample of 54 working women in Islamabad and thus data were collected. Data analysis were done through calculating mean score, percentage and frequencies. Result of the study shows that working women face multiple problems at workplace including, harassment, gender discrimination, work family adjustment and lack of support from the family. Study recommended that work organizations should provide a gender discrimination free environment and families might help and support working women to bring productivity and creativity in their work as this will help the families to lessen the financial burden.

People and places: the potential of city events to facilitate the inclusion of people with disabilities in the community life

PurposeThis paper aims to explore the symbolic meanings of physical places and social spaces for community members with and without disabilities in the process of relocation of people with disabilities into the communities. It particularly focuses on the potential of city events to become places for interacting with each other.Design/methodology/approachThe data was gathered using two methods: drawing ecological maps (indicating places a person visits) and conducting interviews with people with disabilities and other community members. The ecological map is based on the theory of Bronfenbrenner (1979, 1986). Empirical data was gathered in four Lithuanian communities by drawing ecological maps and conducting interviews with community members with disabilities (35) and without disabilities (24).FindingsData shows that two groups occasionally overlap in physical locations but seldom interact socially. However, city events which are rare, but provide a clearer structure for persons with disabilities and are attractive to other community members as well, offer a good starting point for inclusion.Research limitations/implicationsFurther research of community places where people with disabilities live and act could focus on, first, the gender differences in people with disabilities participation; second, on the challenging versus nonchallenging community environments and their role in the people with disabilities learning to live and act as community members and citizens. It is also essential to explore the meaning of privacy in the participation of people with disabilities, and the potential of private and less private places to facilitate their inclusion.Practical implicationsIn the context of the ongoing deinstitutionalization, it is essential to identify the means of and desirable support for people with disabilities for their interaction in cafés, markets, bus stops and street corners, which encompass fewer preconditions for preparation. This implies, that practitioners should consider developing the abilities of people with disabilities to cope with the “chaotic order” of social gatherings. However, community-based citizenship implies not only festive city events but participation in decision-making. Thus, social policy actors should consider including people with disabilities in the community councils, increasing information accessibility and thus implementing the vision of an inclusive community.Originality/valueThe originality and value of the research lies in revealing the “framed” nature of people with disabilities participation. This type of participation is determined by their institutional experience, financial means and whose appearance (“coming in groups”) is frequently noticed by the community members.

ASUHAN KEBIDANAN MASA NIFAS DI PRAKTIK MANDIRI BIDAN SALABIAH KECAMATAN BANDA SAKTI KOTA LHOKSEUMAWE

From the Registration of the Family Health Program at the Ministry of Health in 2020 it shows 4,6257 deaths in Indonesia. This number shows an increase compared to 2019 of 4,221 deaths. Based on the causes, most of the maternal deaths in 2020 were caused by 1,330 cases of bleeding, 1,110 cases of hypertension during pregnancy and 230 cases of circulatory system disorders. Objective ; Able to provide midwifery care for postpartum mothers at PMB Salabiah, Banda Sakti District, Lhokseumawe City according to midwifery service standards using varney midwifery management and documented with the SOAP method. Type of report in the form of a case, carried out at PMB Salabiah, Banda Sakti District, Lhokseumawe City from 19 December 2021 to 2 January 2022. Subject is Mrs. Z aged 26 years with P2A1, HPHT March 02, 2021, TTP December 29, 2021 . Postpartum care visits for Mrs. Z were carried out 3 times, namely visit 1 carried out on December 19, 2021 and found results with patients with grade II perineal rupture lacerations, midwives treated heactin wounds. Visit II was carried out on December 25, 2021, the results of the laceration wound were starting to dry. The care given was counseling about personal hygiene and visit III on December 31, 2021, the heacting wound was starting to dry, the care given was personal hygiene, all care given was according to midwifery care standards . It is expected that patients will always have awareness that the importance of health during the puerperium is to prevent maternal death.

Land Diversification and Its Contribution to Farms’ Income

Management and utilization of factors of production, in addition to diversification of land use, affect the performance of farms. In this article, it is identified whether the diversification of land use through its disposal to tourism infrastructure has a positive impact on the farms’ income. This identification was conducted by processing technical and economic data and applying bootstrap regression analysis. The research was conducted using a sample of 56 farms active in hospitality alongside agriculture, utilizing possibly uncultivated areas of land. Data collection was carried out by personal visits to the examined farms. The results showed that the performance of the farms is enhanced by tourism activity. At the same time, the results showed that land used for tourism activities has a positive impact on farms’ income. Paid labor also appears to have a positive influence. Although this investigation was executed in the Region of Central Macedonia (Greece), it contributes to strengthening the existing literature on rural tourism and land use. At the same time, it gives alternatives to policy-makers and owner-managers of farms regarding the utilization of the available factors of production with an emphasis on the land one.