The aim of this scoping review was to explore the evidence related to breastfeeding education in postpartum mothers from relevant databases (PubMed, Science Direct, and Wiley). There were nine eligible studies in which all of them used quantitative design. The data was organized into seven themes including targets, materials, methods, media, officers and places, time, and the effect or influence of breastfeeding education. Almost all (8/9) articles informed breastfeeding education targets. There were 5/9 articles that reported the methods, 6/9 articles discussed the media, 8/9 articles talked about the officers and places, 7/9 articles concerned about the time of implementation, and all studies reported the effect of breastfeeding education. Breastfeeding education included at least 5 existing components. Breastfeeding education must be planned properly and must be carried out continuously from the antenatal until the postnatal period.

No abstract

Noise is the presence of unwanted loud noises by workers that can be harmful and cause emotional stress and affect hormone production, resulting in increased blood pressure. Increased blood pressure can be reduced by wearing ear protection for workers who are exposed to noise. This study aims to analyze the use of ear protective equipment in an effort to reduce the blood pressure of workers who are exposed to noise.  The method used in this research is a field experiment with the same subject (labor) as the unit of analysis, namely the process of comparing the blood pressure of workers before and after work and wearing ear protection. This study used Wilcoxon to analyze the difference in the blood pressure of workers before and after wearing ear protection, and the chi-square test was used with the aim of seing the effect of labor characteristics on increasing blood pressure.  The results of this study showed changes in blood pressure, these changes can be seen by the difference between blood pressure before work and after work by wearing ear protection with a value of p= 0,000. and the results of the chi-square test obtained a value of p = 0.401 (p>0.05) which means that age has no effect on blood pressure, smoking habits (p= 0.693) which means that smoking has no effect on blood pressure and years of service (p=0,590) which means that years of service do not affect the blood pressure of workers.  After the workers were treated by wearing ear protective equipment their blood pressure decreased, thus there was a difference in the blood pressure of the workers before and after treatment. But on the characteristics of the workforce there is no effect on the increase in blood pressure. Suggestions that can be given to the industry are socialization about the application of proper use of ear protective equipment and providing ear protection equipment (earmuffs) in the workplace. Keywords: Noise, Ear Protection, Blood Pressure  

Background: : Indonesia has implemented National Health Insurance since 2014 through quality improvement and cost efficiency strategy. In the early implementation, many hospitals suffered a loss due to the absence of efficiency in operational health services. In the other hand, few hospitals have implemented lean as an attempt of quality improvement and cost efficiency in National Health Insurance era. There is not enough evidence in Indonesia to support management tools implementation such as Lean for improving efficiency. Aims: This study aims to develop scientific knowledge and goodwill of Lean implementation in healthcare services in many countries. This study also becomes evidence-based to implement lean in Indonesia. Methods: This study used a systematic literature review and searched PubMed, Scopus, Clinical key, Sciencedirect, EBSCO, and other related journals from 2009 to 2018 with syntax keywords for each database. Twenty-two articles were included in the reviewed. Results: The result showed that most journals discussed Lean reducing lead time and ALOS to improve the patient value and patient safety, as well as the amount of journal discussed about Lean made cost reduction in healthcare operational to improve efficiency. Conclusion: Lean implementation should be adopted by Indonesian hospitals as quality improvement and cost containment strategy and enhance patient safety under National Health Insurance era.

The incidence of premature rupture of membranes (PRM) ranges from 8-10% at term pregnancy and 1% in preterm pregnancy. The incidence of PRM at RSUD dr. SoegiriLamongan in 2017 amounted to 16,43%. The purpose of this study was to analyze risk factors of the occurrence of premature rupture membranes in RSUD Dr. SoegiriLamongan. The research used descriptive analytical method with cross sectional approach. The sample is 268 maternity mothers, divided into 134 mothers giving birth with PRM  and 134 normal maternity mothers at Dr. Soegiri Lamongan on 2018. Sampling is done by simple random sampling. Data collection uses patient medical record and with multivariate multiple logistic regression analysis.The results showed that presentation abnormalities with a p value of 0.045 <0.05 and CPD with a p value of 0.002 <0.05. Based on the Odds Ratio (OR) values ​​as follows: Maternal age OR 1,141, OR parity 0.933, OR fetal presentation 2,779, OR Twins 1,394, OR CPD 6. and OR Large infants 0.783.Meaning that there was a significant influence between fetal presentation and CPD on PRM.