ஜர்னல் ஆஃப் ஹெல்த் & மெடிக்கல் இன்பர்மேட்டிக்ஸ்

Objective: The objective of this article is to introduce the e-PBL application experience of a medical faculty in undergraduate medical education program. Materials and methods: The special software for e-PBL application was developed and experienced. The application of e-PBL was carried out in the last two blocks of the Phase 3 program. During the last two blocks, third year students participated in the synchronized e-PBL sessions in small groups. After two years’ pilot studies, E-PBL was applied to all third-year students during the Multisystem and Life Cycle blocks in the years, 2015 and 2016. Students engaged in the phases of PBL steps, orally and in written forms. Sessions were student-centered and tutors only undertook the duty of assessment by monitoring the groups externally and making use of the session records and reports. Results: During the first year application, in light of students’ and tutors’ feedbacks, external motivation sources were identified to be crucial for effective sessions. During the second year application, performance of the groups increased compared to the first year through the implementation of summative assessment criteria and there was a decrease in technical problems. Conclusion: Considering the advantages and restrictions of e-PBL application, a plan was made to carry out the same synthesis blocks at the end of the third year program for consecutive years.

Background: It is widely recognized that the Electronic Medical Record (EMR) has the potential to become the core electronic information and communication system in the health care sector. Implementation of an EMR system increases efficiency and quality of health services, and Users satisfaction. Successful implementation depends on many factors, one of which is how users respond to the new system. Yet no evaluation studies have been on EMR implementation effectiveness at in Ethiopia. To evaluate the EMR implementation effectiveness in Ayder Referral Hospital. Methods: A cross sectional study design was used to assess the availability, use, and usability performance and users satisfaction level of an EMR system implemented at Ayder Referral Hospital. A sample size of 271 was calculated and simple random sampling technique was employed. Data was collected using structured, self-administered questionnaire. The Collected data was entering to SPSS version 20 and clean. Result: The majority of the participants were nurses (64%) and physicians (27%). Availability of computer with EMR installed was (91.8%), and 90.2% of respondents having good typing ability and they were inputting patient data easily. Regarding utilization of the system (94.9%) of respondents use the system daily. The usefulness of the system to obtain the result from clinical laboratory and Follow the result of particular Test was (87.5% and 86.3% respectively). The overall level of utilization dimension was 87.6%. The user satisfactions with four sub-dimension of the system like with context (66.8%), with usefulness (65.6%), with ease of learn (62.6%) and with ease of use (67.4%) of the system. Then, (65.6%) of the total respondents satisfied with overall of the system. The results of overall EMR implementation effectiveness were 73.5% which is rated as good. Conclusion: Utilization rate was high and more than half of the respondents were satisfied with the overall of using the system. At the end the overall effectiveness of EMR implementation was good. There should be improving the lower dimensions such as available more computers in all sites, users support and arrange refreshment training.

Evidence shows that psychic disturbances among women during pregnancy and postnatal period causes depression syndrome. Risk factor of postnatal depression includes depression and anxiety and stressful life experience during that risky period. Statistic from the city of Sukabumi indicated the unavailability of data on post natal depression among women. The study question is to evaluate the outcome of exercise among depressed post natal women in Sukabumi city in 2014, during six to sixteen weeks after delivery. The study design is pre-and post-outcome evaluation of post natal exercise intervention. Out of 120 target population obtained from the main Cross Sectional Survey, it was selected study sample of 14 depressed women. A regime of post natal exercise was given to the sample, consisted of postnatal exercises for 10 weeks @ 3 sessions per week or 30 sessions with 30-50 min exercise per session done in the morning before 10 O’clock and in the afternoon after 3 p.m. The outcome variable is EPDS score before and after intervention of post natal exercise. The cut-off point to determine possible depression is EPDS score of ≥10. Univariate analysis was conducted on socio-demographic characteristics of the sample. Bivariate analysis was done to test a null hypothesis that EPDS is the same pre-and post-exercise, assuming that no other variables confound the intervention. The paired t-test results indicated that the EPDS decreased significantly 7.6 points (p<0.05) after 10 weeks from 13.15 (10.66, 15.64) down to 5.55 (4.20, 6.90). After 10 weeks of postnatal exercise conducted, out of 14 subjects there was one subject who remained depressed, but the other 13 women were normal (p<0.05). Software used was SPSS v17 trial version. The study infers that postnatal exercise routinely and regularly may be promoted to be conducted by local health services.