Antihypertensive medications: The objective of treating acute hypertension is to prevent potential cerebrovascular and cardiovascular complications which are the most common cause of maternal mortality and morbidity in developed countries. Although the use of antihypertensive agents in women with preeclampsia and severe elevations in blood pressure has been shown to prevent cerebrovascular accident, such treatment does not prevent preeclampsia or alter the natural course of the disease in women with mild preeclampsia. The most recent Cochrane review concluded that it remains unclear whether antihypertensive drug therapy for mild-moderate hypertension during pregnancy is worthwhile. A meta-regression of antihypertensive drugs in pregnancy also suggested that lowering blood pressure in women with mild disease may increase the risk of a small for gestational age baby. Antihypertensive therapy is recommended by some for sustained systolic BP values of at least 160 mm Hg and for sustained diastolic values of at least 110 mm Hg. Parenteral hydralazine, labetalol, and short acting oral nifedipine are the most commonly used medications to control acute severe hypertension in women with preeclampsia. However, intravenous hydralazine is considered the first drug of choice for this purpose by several groups. Magee and colleagues performed a meta-analysis of 21 trials (893 women); eight trials compared hydralazine with nifedipine, and five compared hydralazine to labetalol. This meta-analysis showed that hydralazine was associated with significantly higher maternal side effects and worse maternal and perinatal outcomes than either labetalol or nifedipine. They also concluded that adequately powered clinical trials are needed to compare labetalol versus nifedipine for treating severe hypertension in women with preeclampsia. If antihypertensive treatment is chosen, there is no clear choice of drugs. By subgroup analysis (in the most recent meta-analysis), blockers could be less effective than calcium channel blockers.
Innovation is a new idea which is more effective than the previous system, product, service, technology. In economic approach, with innovation a person or company can improve their economies. Innovation can occur in all areas, not just products and services. Innovation of goods may be in the form of additional features or new forms of existing products or services, or any new invention. Although the relationship between Total Quality Management with Innovation can be positive or negative, there is a relationship. But it was found that not all principles of total quality management play a major role in innovation (Abrunhosa and Sá 2008). What is the relationship of innovation with ISO 9000? One concept of ISO 9000 is continual improvement. Therefore, the impact of continual improvement is innovation to fulfill customer satisfaction.
The existence of state-owned banks in Indonesia, local governments, the private sector can be categorized national domestic and foreign-owned and joint venture banks is quite interesting to highlight. It is with regard to its existence that much come into contact with the real sector activities. So the conditions are felt by the banking sector greatly affect other sectors of the economy.The entry of joint venture banks to encourage domestic banks to improve efficiency and increase the diversity of this nation and the qualityof financial services in order to maintain market share. Further, the entry of joint venture banks associated with the costs, profit margins and interest as well as on a higher economic development (Astohar2009)
Directorate General of taxes in modernizing the internal aspects such as reform of laws and tax regulations in order to improve the qualityof tax service. The steps in reform of law and tax regulation are includes the reform of tax policy and tax administration. The implementation of taxation policy reform is through a revision of the Income Tax Act, VAT (Value Added Tax) Act, Luxury Goods Sales Act, the United Nations Act, Stamp Duty Act and Customs and Excise Act.
methodology that incorporates the proposed guidelines Qualityof service can be identified as the ability to for conducting QoE studies in e-Health, user involvement submit the client`s needs (constraints) with the best and other dimensions of QoE, are required to be criteria (preferences) established by the client. It is considered and their relation with QoS should be calculated depending on the non-functional identified. To sum-up . characteristics of the service, Telemedicine and relates Uses of Broadband for ImproveQualityof Service in effective medical care remotely. It should promote the Telemedicine: Salatian et al. (2011) Broadband is a patients health conditions and help needy people to popular way of telecommunication used for Intensive consult medical expertise at a lower cost at the appropriate Care Unit (ICU) telemedicine. However, in rural areas, time. Telemedicine has various potential uses including bandwidth demand can easily outstrip the revenue clinical, educational and administrative. It can, for realizable that is needed to pay for the network instance, afford high quality healthcare service to under- infrastructure investment so lower bandwidth is served locations. Perspectives prove that telemedicine normal. A consequence of restricted bandwidth on can bring solutions to a great deal of difficulties including: access pipes is service contention at the customer site. allowing access to medical care to the mass population, Moreover,handling these challenges needs to consider reducing medical fees, bringing experience and expertise Qualityof Service issues before a successful ICU closer to patients and solving uneven geographic telemedicine system can be effeciently deployed. Quality distribution of service quality. It can enhance qualityof Service refers to the set of technologies and techniques resulting from providing coordinated and continuous care for managing network traffic that aims at affording a for
Moreover, this study tries to present a current review on wireless communication tech- nologies applied in e-health networks and the emerging situations in future which involves latest requirements and networking procedures. Currently, a study on e-health networks and prerequisites demands the need to define a more personalised and pervasive answers. It tends to improve the qualityof life and care for the patients’ daily routine and also maximising the productivity of the healthcare staff and workflow. They mainly examine the goals and e-health networking system applications and suggest a patient-entered and hospital centred system framework which can detect the flow of information, their needs and the best inter- actions that they can carry out. Their research and the practical solutions discussed in the literature review emphasize on the recent study done in this area and also brings out the open issues that have not been settled yet. Currently, solutions are primarily depending on gadgets in the market. Even though using the same communication technology, this leads to a huge need of interoperability among various e-health networking systems and services. Together with industrial partners, the research community works together to set standards and profiles designed for e-health networking systems in order to overcome this obstacle. In conclusion, the outcomes obtained are the general definition for Pervasive Healthcare, collecting data about individual needs, technological inventions and the latest improvements in achieving efficient answers to maximise the present medical services.
Regulaion is the legal means of governing or controlling health service provision, including laboratories, laboratory staf, equipment, test kits and reagents, and reporing of essenial informaion to meet the required standards. Regulaion is a tool for ensuring competent performance as well as conidence in the laboratory services. It is important for the country to idenify or establish a regulatory authority and mechanism, and to formulate appropriate laws or regulaions to govern its health laboratory services, addressing both the public and private sectors. Regulaions incorporate a code of ethics that deines appropriate and proper conduct.. They are also responsible for licensing providers, seing naional standards, monitoring performance and compliance with those standards, and intervening, including taking disciplinary acion for non-compliance.
Regulaon is the legal means of governing or controlling health service provision, including laboratories, laboratory staﬀ, equipment, test kits and reagents, and reporng of essenal informaon to meet the required standards. Regulaon is a tool for ensuring competent performance as well as conﬁdence in the laboratory services. It is important for the country to idenfy or establish a regulatory authority and mechanism, and to formulate appropriate laws or regulaons to govern its health laboratory services, addressing both the public and private sectors. Regulaons incorporate a code of ethics that deﬁnes appropriate and proper conduct.. They are also responsible for licensing providers, se$ng naonal standards, monitoring performance and compliance with those standards, and intervening, including taking disciplinary acon for non-compliance.
When talking about quality, it’s not only happen in Malaysia, but it was a worldwide problem in industrial organizations. Quality problems always occur when something is not right with the process. It also happens when the machine breakdown occurs. Usually the qualityof the company is depending to the performance of the operator and the satisfactions of the customer. If the operator performance is good, so, the goods will be produce without many problems and the customer will not make the complaint to the products.
One of the duties of TIC officers is giving information to the tourists about objects or events in Yogyakarta. They are very helpful in giving information to tourists about who are visiting Yogyakarta at the first time. It can be seen from their willingness to help tourists and their efforts to give prompt service, for example there are always officers in TIC front office desk even though it is in the break hour. Therefore, tourists or guests can get information immediately without waiting too long.
One of the biggest human necessities is food, and that demands catering and restaurant businesses. Most of the restaurants offer almost the same menu, and that causes tight competition perceived by consumers. Besides business competition as something that cannot be avoided, we also have to pay a ttention of how to bring satisfaction to the consumers through the qualityofservices and products.
Community-based service delivery can reach key populations where state- based facilities may not be able to. It can support health systems where capacity has been maximized and can provide services that respond to the needs of their own communities. Moreover, community-based service delivery can extend services into areas that have previously been difficult to reach. Programmes to sensitize and reduce stigma among service providers result in increased satisfaction with services and improved outcomes. Parallel to removing systemic barriers to access, efforts are needed to put into place measures to reduce stigma and discrimination. This includes training health- care providers, dialogue between community leaders and people living with HIV, protective workplace policies and psychosocial support.
Universities stakeholders include students and their families, teaching staff, university faculties and departments management, the community and local authorities, national agencies and international organizations and, last but not least, current and prospective employers (Aldridge and Rowley, 1998). Due to this wide variety of stakeholders, it is self-evident that their prospects and interests vary according to the different groups they belong to (Appleton-Knapp and Krentler, 2006). Gruber et al. (2010) states that the stakeholders interested in the activity of universities have their own criteria for assessing the quality, depending on their specific requirements. In addition, quality means different things to different people, depending on the various circumstance (Lovelock and Wirtz, 2011), and hence the need to highlight the importance of recognition different stakeholder groups.
As pointed out by H. Yang et al (2009), there is an increasing importance of matching and discovering WSs. Thus, using the domain ontology in describing the semantics of WSs and matching them on the semantic level is becoming a promising area of research. In this study, matching WSs which is considered a problem is transformed to the computation of semantic similarity between concepts in the domain ontology. This semantic similarity is proposed to be measured by from the semantic distance and the factors of Path Length, Depth, Local Density and Number of Down Direction in the algorithm are all taken into consideration. Such a measure is affirmed as an effective means of discriminating services at a level of granularity as it has paved the way to the tremendous progress of the matching process in semantic web services. Due to the speedy increase in the number of the currently existing WSs, the process of discovering more accurate WSs for our needs from numerous WSs becomes the key problem of WS systems. The WSDL provides a description of how to invoke operations mainly, but this still lacks the capability to provide an explicit representation. The UDDI provides a web wide registry of WSs but its syntax-based search granted generates results that are coarse in nature. Thus, its levels of precision and recall do not meet our requirements. This is why the challenge in how to provide accurate semantic information of WSs and how to match semantic WSs become the major focus of the research.
In the modern society, sports has been recognized as a strategic tool for peace and education, thus, since 1978 the United Nations Educational Scientific and Cultural Organization (UNESCO) has facilitated the publication and proclaimed the International Charter of Physical Education and Sport. Instead of charter aims driving the development of physical education and sports for servicesof human advancement, promoting development, and urged the government agencies, non-governmental organizations in which competent, educators, families, and individuals themselves are eager to be guided, and given a referral to disseminate and insert the programs and activities of sport into practical level. Keep abreast of changing times and needs, this charter has been renewed from time to time.
Participation can be indicated by the degree of involvement by the community in supporting the additional fund set outside the budget by the government. This system works in RSDK projects in certain locations such as in Prawirodirjan (Code river basin) and Gedongkiwo (Winongo river basin). The government did not directly build the houses in these two kampongs. Instead, the officials built some kind of pilot project in the area and gave the fund directly to the local cooperatives. The owners of the pilot project housings are obliged to return the fund through an amortization mechanism to the local cooperatives. These local institutions were obviously able to manage the fund on their own. After the pilot project has been successfully implemented, the community will then resolve and regenerate the fund through local savings and borrowing cooperatives. From the initial 16 houses built in 1988, the community was able to build 44 houses in 1991 (Local Agency for Public Works, 1993). It may be true that the increasing capability of the community is simply because of the incr ease in their income or economic capability. However, it also appears that the RSDK project has contributed to initialize more concern among the people about the necessity of building better environment and housings.
In Indonesia recently, there have been many reports of plagiarism and scientifi c fraud. This problem has been discussed in several seminars and discussions arranged by The Director General of Higher Education of The Ministry of National Education. At these seminars, recent instances of fraud among academicians and students were discussed. It seems that the more people are gaining access to higher education, the more this problem is occurring. Scientifi c fraud can take many forms, from cheating on an exam to plagiarizing whole articles; manipulating data or using fi ctitious data; hiding ‘unfavorable’ data; putting one’s name on an article that one didn’t contribute to; and other forms. A major concern is that there have been no serious efforts to prevent and sanction this form of crime. Obviously, this problem is a signifi cant blemish on the Indonesian academic community. Therefore, we cannot afford to permit or tolerate this behavior, for the sake of our country’s dignity in the international scientifi c world. We have to be undaunted and serious in implementing the measures needed to prevent and eradicate this malignant behavior.
There are dozens of parents from outside the region who protest against the implementation of Information System Application of Education-Acceptance of New Learners Online (SIAP-PPDB Online) Yogyakarta. This protest concerns the selection requirements to be met by the regions, as well as the smoothness of service connectivity. So, it is necessary to do research on the evaluation of the application of SIAP-PPDB online in improving the qualityof service in the Education Department of Yogyakarta City in 2013-2015. This study aims to find out the evaluation of SIAP-PPDB online application program in improving the qualityof Education service in Yogyakarta Education Office. The research method is qualitative description, by observation, interview, and documentation. Research respondents are the online PPDB providers at the same time in charge of online PPDB activities, online PPDB committees, online PPDB users. The result of the research shows that the evaluation result related to the unpublished original SKHUN protest has been completed with the stipulation through the decision letter of the coordination meeting of the District Education Office / City of Yogyakarta Special Region in DIY Dikpora Department.