Prevalence of multi-drug resistant tuberculosis and factors associated with treatment outcome in three districts of Himachal Pradesh, India

Background: Tuberculosis (TB) is a leading cause of morbidity and mortality in the world and especially in India. MDR TB has emerged as a major challenge in TB control in India. The prevalence of MDR TB is on the rise in India. We did this study to see the prevalence of MDR TB in 3 districts of Himachal Pradesh and to study the factors affecting treatment outcomes.Methods: The period of the study was from January 2019 to December 2019. We collected data of MDR TB patients from district TB offices of Solan, Bilaspur and Hamirpur. Information from patients was collected through questionnaires while interviews were conducted with district project officer and other health officials and documents, brochures, etc. were collected from Solan, Hamirpur and Bilaspur.Results: Overall prevalence rate of MDR TB in our study was 3.14%. Among new TB cases, the prevalence rate of MDR TB was 2.42% (81/3345), and among old treated cases was 9% (37/411). 31% MDR TB patients were old treated while 69% patients had no previous treatment history. The default rate was low in our study (0.84%) while 8 (6.4%) patients had treatment interruption but for less than 15 days.Conclusions: The prevalence in our study is comparable to the national drug resistance survey. Early detection, timely treatment and contact tracing is vital in decreasing the MDR TB cases. Better supervision, constant monitoring, proper counselling and timely identification and management of adverse effects of the drugs will improve the treatment outcome among MDR TB patients.

College Students Training Law Enforcement Officers: The Officer Charlie Get Fit Project

While most law enforcement agencies recognize the importance of physical fitness for their officers and encourage them to maintain an adequate level of fitness, many find it difficult to implement a fitness program successfully. Prior studies and literature support the implementation of community-centered fitness initiatives. The purpose of this study was to (1) describe participant outcomes from the service- learning project Officer Charlie Get Fit Project and (2) delineate Kolb’s experiential learning model implemented by undergraduate kinesiology majors when applied in an exercise setting. Students were charged with working directly with police officers over an 8-week program with the goal of lowering health-risk factors for the participants. Additionally, the project provided an opportunity for students to assess their own learning style and infuse it in a real-world professional application. Participants included 16 police officers (M = 44.6, SD = 10.7 years of age) and one elected city administrative official. Paired sample t tests revealed nonsignificant differences between the pretest and posttest scores on the 10 fitness measures. Descriptive statistics revealed improvements in categories of body weight, BMI, waist circumference, hip circumference, resting heart rate, systolic blood pressure, diastolic blood pressure, sum of skinfolds, and overall body fat percentage. Participant exit interviews indicated positive qualitative results. The student reflection piece indicated that the frequent writing helped with (1) the myriad of planning and preparation issues, (2) selecting a community partner and recruiting participants, and (3) data collection and analysis. This study was an important assessment of immersive learning opportunities provided through classroom lecture and development of community partnerships.

The chief project officer: a new executive role for turbulent times

Purpose While it is common for most C-suite executives to have substantial project responsibilities, many do not have a strong understanding of project management leading to significant failures. As projects are the main mechanisms for implementing changes, project performance has disproportional impact on the competitiveness and viability of organizations. This paper aims to attempt to raise awareness of the Chief Project Officer (CPO) role and lay out important skills and capabilities that are needed for managers to ascend to this role as well as key topics of concern when preparing the mindset to be a successful CPO. Design/methodology/approach The authors have based this research on reviewing publications from the project management journals and publications, interviews of project management professionals and drawing from our industry experience in the field of project management. Findings Most organizations have project managers, either formal or informal, to lead projects. As project environment intensifies across industries, larger organizations rely on a project executives and project management office to oversee projects and performance of C-suite tasks. However, these projects and project management office (PMO) managers often lacks the authority and legitimacy to fully carry out the expected function. This is a clear gap in organizational management, and the gap is growing as more resources are dedicated to projects. Many organizations are equipped with the human resource to develop a CPO, the authors identify five main skills and 20 key topics that are crucial to the success of this vital role. Originality/value While the awareness of the CPO is still in its infancy, most organizations have equivalent or emerging senior project executive roles that may evolve and become CPOs. Today, organizations are increasingly pushed to pursue project-oriented structures to a rapidly changing environment, global market and fast-paced technological advances. It is likely that the CPO role will grow and become a crucial component in top management teams in the coming years to help organizations in moving forward to achieve their strategic goals and objectives.

Pola Aliran Informasi antara Pekerja Lepas dengan Pimpinan di PT. Idea Creative Convex (Analisis Kasus Kirab Obor Asian Games 2018)

Penelitian yang penulis teliti mengenai pola aliran informasi. Pola aliran informasi memiliki lima pola dasar. Pola aliran inforamasinya adalah pola rantai, roda, y, lingkaran, semua saluran. Subjek yang diteliti oleh penulis adalah tenaga kerja lepas dengan pimpinan pada PT. Idea Creative Convex yang menjalankan acara kirab obor Asian Games 2018. Penggunaan pekerja lepas yang banyak dan hasil kerja yang baik merupakan hal yang menjadi fokus pada penelitian ini. Metode penelitian yang digunakan adalah kualitatif deskriptif. Peneliti melakukan pengumpulan data dengan observasi, wawancara, dokumen. Narasumber yang dipilih mewakilan 2 pihak antara project manager dan project officer selaku pimpinan pada perusahaan tersebut dengan kepala divisi torch technical,logistik selaku pekerja lepas pada perusahaan ini. Kesimpulan yang didapatkan oleh peneliti adalah penggunaan pola aliran informasi pada perusahaan ini menggunakan 2 pola gabungan antara pola aliran informasi rantai dengan pola aliran informasi roda. Gambaran pola dari pola gabungan tersebut mirip dengan batang akar pohon. Perubahan pola aliran informasi tersebut dikondisikan dengan gangguan atau halangan pada saat pelaksanaan acara kirab obor berlangsung.

Implementation of speech pathology telepractice services for clinical swallowing assessment: An evaluation of service outcomes, costs and consumer satisfaction

Introduction Timely assessment of swallowing disorders (dysphagia) by speech pathologists helps minimise patient risk, optimise quality of life, and limit healthcare costs. This study involved a multi-site implementation of a validated model for conducting adult clinical swallowing assessments via telepractice and examined its service outcomes, costs and consumer satisfaction. Methods Five hub-spoke telepractice services, encompassing 18 facilities were established across a public health service. Service implementation support, including training of the telepractice speech pathologists (T-SP) and healthcare support workers in each site, was facilitated by an experienced project officer. New referrals from spoke sites were managed by the hub T-SP as per published protocols for dysphagia assessments via telepractice. Data was collected on existing service models prior to implementation, and then patient demographics, referral information, session outcomes, costs and patient and T-SP satisfaction when using telepractice. Results The first 50 sessions were analysed. Referrals were predominantly for inpatients at spoke sites. Telepractice assessments were completed successfully, with only minor technical issues. Changes to patient management (i.e. food/fluid changes post assessment) to optimise safety or progress oral intake, was required for 64% of patients. Service and cost efficiencies were achieved with an average 2-day reduction in waiting time and an average cost benefit of $218 per session when using the telepractice service over standard care. High clinician and patient satisfaction was reported. Conclusion Telepractice services were successfully introduced across multiple sites, and achieved service and cost benefits with high consumer satisfaction.

MANAJEMEN DATA PADA ASEAN YOUTH FRIENDSHIP NETWORK (AYFN): PRAKTEK KERANGKA OPERASIONAL MANAJEMEN DATA DALAM KNOWLEDGE MANAGEMENT

Manajemen Data mencakup semua kegiatan yang berhubungan dengan data selain penggunaan langsung dari data, termasuk organisasi data; back up data; pengarsipan data; berbagi data dan penerbitan; menjamin keamanan data rahasia dan sinkronisasi data. Kegiatan manajemen data adalah suatu kegiatan penting yang dilakukan oleh individu ataupun organisasi terhadap data agar mudah di akses, aman dan tersedia bagi user/ pemakainya. Kegiatan manajemen data di ASEAN Youth Friendship Network dilakukan oleh Project officer karena berkenaan dan berhubungan langsung dalam proses manajerial data, penyimpanan, dan pengolahan data untuk mendapatkan metadata. Proses manajemen data yang dilakukan AYFN terdiri atas lima tahapan yakni perencanaan (planning), pengumpulan (collecting), pengolahan (processing), organisasi data (organizing), penyajian dan penyampaian (presentation). ABSTRACTData Management covers all activities related to data other than direct use of data, including data organization; back up data; data archiving; data sharing and publishing; ensure confidential data security and data synchronization. Data management activities are an important activity carried out by individuals or organizations on data so that they are easy to access, secure and available to the user / user. Data management activities in the ASEAN Youth Friendship Network are carried out by Project officers because they pertain to and relate directly to data managerial processes, data storage and processing to obtain metadata. The data management process carried out by AYFN consists of five stages, namely planning, collecting, processing, data organization, presentation and presentation.

Building Leadership Capacity and Enacting School Improvement Policy: Voices from the Field

Education contexts engaging in reform, operate in complex environments that require the coherent implementation of education policies. Research highlights that systems that support shared leadership, strong communication practices and a sharp focus on the articulation of shared beliefs, are positioned to support strong policy interpretation though the enactment of school improvement strategies. This paper explores the inter-connected roles of a system middle leader (regional Project Officer) and a school leader (Principal) in interpreting and enacting systemic policy and direction in a state primary school within a regional context in Queensland, Australia. The case study utilised the regional Project Officer and Principal participants as co-researchers and captured their experiences through recorded narratives and narrative inquiry conversations. The thematic data analysis provides useful information about how school leaders can work with system middle leaders and their own school’s teaching teams to proactively grow the capacity, credibility and strength of teachers to translate policy into enacted school improvement strategies.

SISTEM INFORMASI MONITORING PERKEMBANGAN PROYEK BERBASIS WEB PADA PT. WAHANA REKA TEKINDO JAKARTA

Wahana Reka Tekindo, Jakarta adalahperusahaan yang bergerak pada bidang penyediaan jasakonsultansi yang mencakup dua sub bidang jasa usaha antaralain jasa konsultansi bidang konstruksi dan non konstruksi.Sebagai perusahaan yang berkaitan dengan pelaksanaanproyek, maka perlu adanya pemantauan dan pengawasanterhadap perkembangan proyek. Seiring denganperkembangan dunia teknologi dan informasi dewasa ini yangtelah mengalami kemajuan yang sangat pesat sehinggamemunculkan gagasan untuk pemanfaatannya untukmembantu Manager dan project officer terkait pengelolaanproyek serta dapat menjalankan fungsi manajerial perusahaandengan baik seperti fungsi monitoring dan evaluasi padaproyek-proyek yang dijalankan. Sistem Informasi yangterintegrasi dengan baik akan memudahkan dan mempercepatpenyampaian informasi kepada pemilik proyek. Sistemmonitoring proyek ini menggunakan metode waterfall modelyang paling umum digunakan. Pembuatan aplikasi berbasiswebsite pemrogramannya menggunakan HTML, CSS danPHP dengan MYSQL digunakan sebagai database servernya.Hasil dari penelitian ini adalah sebuah sistem informasimonitoring dalam sebuah website yang menampilkaninformasi perkembangan proyek dari mulai terkontrak hinggaproyek selesai.