Latar belakang. Hipotiroid kongenital (HK) adalah penyebab disabilitas intelektual yang bisa dicegah dengan diagnosis dini diikuti dengan pemberian terapi pengganti levo-tiroksin (L-T4). Deteksi dini melalui skrining hipotiroid kongenital (SHK) belum menjadi program rutin pemerintah sehingga kasus HK belum banyak dapat dikelola secara tepat dan berkesinambungan. Tujuan.Mengetahuigambaran pencapaian tumbuh kembang anak dengan HK yang mendapat terapi dengan L-T4 pada usia balita. Metode.Penelitian studi kasus (case study). Pasien HK usia balita yang menjalani terapi LT4 di Poliklinik Endokrin Anak RS Sanglah, RSUD Wangaya Denpasar dan RSUD Karangasem sejak tahun 2006 berdasarkan catatan medik, dianalisis perjalanan penyakit dan terapinya. Dilakukan penilaian tumbuh kembang pada usia balita dengan skala mental dan motor dari Bayley II (BSID II), pertumbuhan dinilai parameter antropometrik berdasarkan WHO Anthro-2005, maturitas tulang dengan bone age. Hasil. Duabelas kasus dianalisis, terdiri dari 4 laki-laki dan 8 perempuan, usia diagnosis antara 3-18 bulan. Lima subyek dengan HK berat, 4 tidak berat, dan 3 disertai sindrom Down secara klinis. Saat diagnosis ditegakkan, rerata TSH awal adalah 130,73 (SB 194,89) uIU/mL dan rerata FT4 0,54 (SB 0,54) ng/dL, dan dengan rerata BBL 2862,50 (SB 487,16) gram. Lima kasus mendapatkan terapi dini dan 7 kasus dengan terapi tidak dini.Kesimpulan.Luaran indeks perkembangan psikomotor lebih baik pada HK permanen yang menggunakan dosis awal tinggi dibandingkan dosis standar. Luaran pertumbuhan mengalami perbaikan setelah pemberian terapi L-T4 berdasarkan parameter antropometri. Percepatan pertumbuhan pada usia balita akan tercapai apabila diterapi sejak dini.

Incidents related to patient safety indicators for patients in hospitals. Monitoring incidents have done through analysis of incident reports. This article describes incidents based on 6 patient safety goals.Type of descriptive quantitative research with cross-sectional design. The research location is a one of Type B teaching hospital in the Special Region of Yogyakarta. The study population is a report on incidents in 2017.The number of incidents reported in 2017 was 138 incidents consisting of incidents related to SKP.1 to SKP.6 and facilityrelated incidents were 31.88%; 7.97%; 41.30%; 2.90%; 1.45%; 13.04%; and 1.45% of facilities related incidents. Conclusion: Regular monitoring of incident rates and timely reporting feedback processes are good learning to avoid second incidents.

Background: Stunting is a common malnutrition problem among children in the world. The Care for Children Development (CCD) intervention is a strategy to reduce stunting. Objective: This study aimed to identify the effect of culturally modified CCD training on the knowledge, attitude, and efficacy (KAE) of cadres about stunting in the community.Methods: We conducted a community-based study with a quasi-experimental research design using a comparison group. The study was conducted from March 2018 to February 2019 at three Public Health Centers in Yogyakarta, Indonesia. The total participants were 69 in the intervention group and 53 in the comparison group. Cadres in the intervention group received two days of training on a culturally modified CCD guideline. In contrast, cadres in the comparison group received a brief explanation (a one-day training) on that program. The nurses from three public health centers were facilitators in this training. Knowledge and self-efficacy were assessed using a modified Caregiver Knowledge of Child Development Inventory and General Self-efficacy Scale, respectively. Data were analyzed using Mann-Whitney U tests and Wilcoxon tests.Results: All 122 cadres completed the training. In the intervention group, CCD training significantly increased cadres’ knowledge (median score 14 vs. 11), attitude (58 vs. 55), and efficacy (30 vs. 28), all with p <0.001. In the comparison group, the short explanation of CCD significantly improved cadres’ knowledge (median score 12 vs. 10) and efficacy (29 vs. 27) but not their attitude. The delta or change in score before and after CCD training for cadres’ attitude in the intervention group was significantly higher than that of the comparison group (3.78 vs. 0.72; p = 0.050). Conclusion: A culturally modified CCD training significantly improves cadres’ KAE in the intervention group and cadres’ knowledge in the comparison group. The learning delivery methods with demonstrations and role-plays significantly improved the cadres’ attitudes as health educators for stunted mothers in the community. For sustainability, community health nurses should regularly collaborate with cadres to improve the nutritional status of children in their area.

Background: World's current health systems are in a crisis, causing public health needs are not being met. Mother Mortality Rate in Indonesia was still high. It indicated that  maternity care was not optimal yet.  One of solution is an  implementation of interprofessional collaborative practice. Currently, in Indonesian’s hospitals have not seen an equal team collaboration. The objective of this study was to explore the perceptions and acceptance of health workers maternity’s interprofessional collaborative practice in Dr. Sardjito Yogyakarta’s Hospital. Methods: This study was a qualitative  with a phenomenology design. Subjects were nurses, midwives, obstetrics and gynecologist, pharmacists, and nutritionists who had  collaboration experience in obstetrics gynecology department in Dr. Sardjito Yogyakarta’s Hospital, included 10 respondents. Sampling technique used a purposive sampling, while data collection used a Focus Group Discussion and in-depth interviews. Data’s credibility and reliability obtained by triangulation, debriefing, member checking and rich data. Research ethics included an informed consent and ethics committee’s approval. This study was conducted in February-July 2014. Result: Most respondents had a wrong perception of  interprofessional collaboration’s definition. All of respondents accepted if  interprofesional collaboration implemented properly. Data analysis resulted in six categories: perception of health workers about interprofessional collaboration, implementation of interprofessional collaboration in hospital, application of collaboration’s elements in interprofessional collaboration, health workers’s expectations for better collaboration, health workers’s motivation in doing interprofessional collaboration and variation of health workers’s acceptance of interprofessional collaboration. Conclusion: Most of health workers  have not had a correct perception of interprofessional collaborative practice. All health workers accepted if interprofessional collaborative practice applied properly in maternity area in Dr. Sardjito Yogyakarta’s Hospital.