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"Kepatuhan kunjungan ulang pasien rujukan persalinan merupakan salah satu upaya menurun AKI. AKI di RSUP Fatmawati 100% berasal dari kasus rujukan, dan pada bulan Januari, Februari dan Maret 2004 pasien rujukan persalinan yang patuh melakukan kontrol hanya 25%. Kasus rujukan persalinan 95,7% mempunyai penyulit sehingga perlu kunjungan ulang, mengingat asuhan masa nifas sangat penting dimana perlu memberikan konseling KB sedini mungkin, bahaya kehamilan yang akan datang, serta untuk mengetahui dampak intervensi sebelumnya, maka perlu identifikasi faktor-faktor penyebabnya.Tujuan penelitian ini adalah diketahuinya gambaran kepatuhan kunjungan ulang pasien rujukan persalinan dan faktor-faktor yang mempengaruhinya di RSUP Fatmawati Jakarta tahun 2003-2004. Penelitian menggunakan desain cross sectional. Responden dalam penelitian ini, adalah ibu hamil trimester ke III yang dirujuk untuk bersalin dari tanggal 1 juni 2003 sampai dengan 31 Mei 2004, menggunakan data sekunder, pengambilan sampel secara simpel random sampling sebanyak 212 orang.Hasil penelitian ini menunjukan tingkat kepatuhan sebesar 18,9%. Penelitian ini dari 12 variabel yang diteliti yang ada hubungan bermakna adalah 5 variabel yaitu umur, paritas, jarak kelahiran, pendidikan ibu, pengalaman berobat, dengan kepatuhan kunjungan ulang. Untuk variabel pekerjaan ibu, pekerjaan kepala keluarga, penanggung biaya, jarak tempuh, riwayat persalinan yang lalu, penyulit kehamilan, dan penyakit yang diderita ibu tidak hubungan. Dalam hal ini lima dari dua betas hipotesa yang berhasil dibuktikan kebenarannya.Dan hanya 2 variabel yang secara signifikan berhubungan yaitu jarak kehamilan dan pengalaman berobat. Dimana setiap kenaikan 1 tahun jarak kelahiran berpeluang untuk melakukan kunjungan ulang sebesar 1,21 kali dengan (95% CI: 1.03-1,43) setelah dikontrol pengalaman berobat. Responden yang berpengalaman berobat berpeluang untuk patuh sebesar 6.61 kali dengan ( 95% CI:3,07-14,20) setelah dikontrol variabel jarak kelahiran responden.Dari 12 variabel independen yang dapat diintervensi untuk meningkatkan kepatuhan di rumah sakit hanya I variabel adalah pengalaman berobat dan 11 variabel Iainnya yang berasal dari iuar rumah sakitldiluar kontrol RSUP Fatmawati, intervensinya harus dilakukan dengan koordinasi lintas sektoral baik DepKes, Depag, Depdiknas, Departemen Pemberdayaan Wanita, Depdagri dan LSM.

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Factors Related To Compliance Of Revisit Among Referred Delivery Patients In Fatmawati General Hospital, Jakarta 2003-2004Revisit compliance among referred delivery patients is one of important effort to reduce Maternal Mortality Rate. In the Fatmawati General Hospital all maternal death was caused by referred delivery cases. During January, February and March 2004 the revisit compliance of the referred delivery cases was only 25%. Revisit during post partum period is absolutely important since during this time it is timely appropriate to early introduce family planning methods for preventing future problems of maternal and newborn health_ Therefore, it is quite important to identify factors related with the revisit compliance of the referred delivery patients in the hospital.

The objective of this study was to assess factors related to revisit compliance among referred delivery patients in the Fatmawati General Hospital 2003-2004. The design of the study was a cross-sectional design. Population of the study was 3'1 quarter pregnant women who were referred to the delivery room and had a referral letter. The referral took place between June 1 2003 to May 31, 2004. A total of 212 sample of the study was selected using a simple random sampling method.

Results of the study indicated that the revisit compliance of the referred delivery patients in the Fatmawati General Hospital was 18,9%. In addition, it showed that there was a significant correlation between revisit compliance of the patients with the following independent variables namely age, parity, birth space, education of mothers, and previous experience of using the hospital services. There was no significant relationship between revisit compliance with the following variables: work status of the mother, occupation of the head of household, person respoiisible for cost of care in the hospital, distance of home to hospital, obstetric history, problems of pregnancy and diseases affecting the mothers. In this study, 5 out of 12 hypotheses was accepted.

There were significant relationship between birth space and the experience of utilization of hospital services of the pregnant women. After being controlled with the previous experience of the pregnant women in using hospital service, for each year increase of birth space provides a chance of revisit compliance 1.21 times (95% confidence interval 1,03-1,43). After being control with variable of birth space, those pregnant women who had experience in using previous hospital service had a chance 6,61 times (95% confidence interval 3,07-14,20).

Out of 12 variables that are amenable to intervention only previous experience of using hospital service which could be intervened by the hospital. Some other variables such as birth space, occupation of the husband, obstetric history etc could only be intervened by inter-sectoral cooperation among different institutions. Therefore, it is strongly recommended that the improvement of women status and their empowerment should become a priority of the government and non-government intervention."

"Cancer is one of the leading killers in the world and the incidence is increasing, but most cancer patients and cancer survivors suffer much from the disease and its conventional treatments side effects. In the past, clinical data showed that some complementary and alternative medicine (CAM) possessed anticancer abilities, but some clinicians and scientists have queried about the scientific validity of CAM due to the lack of scientific evidence. There is great demand in the knowledge gap to explore the scientific and evidence-based knowledge of CAM in the anticancer field. With this aim, a book series is needed to structurally deliver the knowledge to readers. There have been a number of publications on materia medica for various cancers in recent years, the scientific and medical community are thrust for up-to-date information that are supported by concrete laboratory evidences or clinical trials. This volume is a specialised book presenting the experimental and clinical evidences of anticancer materia medica for various cancers. This book consists of sixteen chapters, providing concise reviews and expert opinions on the recent progress of materia medica research in fourteen particular cancers from bench to bedside application. In addition, the book also includes a chapter with an overview of evidence-based materia medica for cancer chemoprevention, as well as a chapter discussing on the pharmacokinetics of anticancer materia medica. Gathering international opinion leaders views, this volume will contribute great to the cancer, academic, and clinical community by providing evidence-based information on the anticancer effects of materia medica for various cancers. Readership Oncologists, cancer researchers, pharmacologists, pharmaceutical specialists, Chinese medicine practitioners, medical educators, postgraduates and advanced undergraduates in biomedical disciplines, cancer caregivers, cancer patients."

"David S. Riley’s interest in the history, methodology, and results of homeopathic drug provings came from his study of homeopathy at the Hahnemann College of Homeopathy in Albany, California. The 69 drug homeopathic drug provings published here are the result of his investigation of the research methods of homeopathic drug provings that form part of the basis for prescribing in homeopathy. In Dr. Hahnemann’s time the method by which the treatment profiles of homeopathic remedies were determined was called provings, after the original German word Prüfung, which means "test." Scientific research methods have evolved from the early days of homeopathy and Dr. Riley, in an attempt to improve transparency and reduce bias, has incorporated elements of contemporary research methods such as randomization, blinding, and formal good clinical practice guidelines (GCP) into homeopathic drug provings, while adhering to the general guidelines suggested by Dr. Hahnemann and used by homeopathic practitioners and researchers around the world."

"This book consists of sixteen chapters, providing concise reviews and expert opinions on the recent progress of materia medica research in fourteen particular cancers from bench to bedside application. In addition, the book also includes a chapter with an overview of evidence-based materia medica for cancer chemoprevention, as well as a chapter discussing on the pharmacokinetics of anticancer materia medica. Gathering international opinion leaders’ views, this volume will contribute great to the cancer, academic, and clinical community by providing evidence-based information on the anticancer effects of materia medica for various cancers."

"In this scenario, a guide to recent and current international research in the field is more necessary than ever. Especially functional imaging methods such as single-photon emission tomography, positron emission tomography, functional MRI, and hybrid techniques have demonstrated a variety of significant brain alterations. This book accordingly offers a critical approach to the challenging interpretation of the new research data obtained using functional neuroimaging in whiplash injury. It covers all aspects, including the imaging tools themselves and the different methods of image analysis. "