Turnitin Originality Report

Report by K.b.surwade . Similarity by Source

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From Assingments 2019-2020 Internet Sources: 6%

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Processed on 30-Dec-2019 11:47 IST

ID: 1238725937
Word Count: 1620

sources:

5% match (Internet from 13-Aug-2019)

1
http://slideplayer.com/slide/4223026/

1% match (Internet from 08-May-2012)

2
http://delhiplanning.nic.in/Write-up/2003-04/Volume-II/medical.pdf

paper text:
Q1 Ans:- Process Mapping Process Mapping is a diagrammatic presentation of a chain of different action for
a given activity. Different steps are indicated by various shapes like rectangle describes actions, ovals shows
starting points and end points, rectangle indicates actions, invert triangle shows waiting and diamonds
indicates decision points. These symbols are connected by arrows to indicate interactions as well as
directions of the process flow Process mapping is an important tool to achieve institutes stated goals This
method is as carried out to map the activities at KMC & KFV (kangaroo Mother case and kangaroo Father
care) at SNCU in district women’s Hospital Akola. The SNCU had 48 beds capacity while MNCU having 20
beds capacity established in year 2018. The District Women Hospital had daily around 40-50 pediatric OPD.
The KMC & KFC criteria for admission of neonates is having weight of < 2.5 kg stable new born. The stay
period varies from 7-8 days to 1 to 1/1 month depending on the weight of neonates. The discharge criteria is
1.8 Kg weight of neonates. The Flow chart of process is as follows: Admission of mothers having new born
stable baby <2.5 kg wt Training of KMC to mother relative & Counseling Waiting period Mother’s activities At
KMC wwwww Sickness of Mother Breast feeding Self & baby care Relative visit Treatment of Mother
Counseling Rest period Yes No Progression in new born wt Wt gain (1.8kg) Treatment Sufficient level of
action Confidence level of mother Relatives to maintain KMC at Home Discharge from KMC This Flow Chart
helps to explain at visualized sequence of actions for KMC activity. Process mapping improve a process by
finding sources of undesirable out comes. The above flow chart clearly indicates that the achievement of
weight gain of new borne is mainly concerned with mother and neonatal good health. The Stay period can
be shorten by effective treatment of mother & new born. Counseling also plays an important role in babies
progressive weight gain . -------------------------------------------------- ----------------------------- Q2 Ans:- The
Process Analysis is shown as belows: The sample size is of 36 Admissions. The average 6 days data for
each sample is taken for study sample no. Age Time of Gravida Type of delivery wt.of Baby Breast feeding
time work in Hr Counsellig time final wt.of baby 1 25 2 LSCS 1300 6 3 3 1330 2 25 2 LSCS 1600 6 4 3 1710
3 30 2 LSCS 1800 5 5 3 1820 4 30 2 LSCS 1800 4 2 3 1840 5 27 1 ND 1700 6 4 3 1760 6 26 2 LSCS 1812
3 4 3 1860 7 25 2 ND 1330 3 5 2 1400 8 20 1 ND 2200 5 2 5 2240 9 24 2 ND 1460 4 3 3 1450 10 19 1 ND
2000 2 2 3 2060 11 25 2 ND 1500 4 4 5 1600 12 22 2 ND 1660 7 2 3 1700 13 22 1 ND 1600 12 2 2 1650 14
25 1 LSCS 2000 9 3 4 2020 15 25 1 ND 1880 10 3 4 1900 16 25 2 LSCS 2000 8 2 2 2030 17 20 1 ND 1450
10 3 5 1590 18 25 2 ND 1200 8 2 3 1220 19 20 1 ND 1550 7 4 3 1560 20 26 2 FTND 2200 11 3 3 2210 21
32 3 FTND 1690 8 4 3 1700 22 32 3 FTND 1835 8 5 3 1850 23 25 1 FTND 1640 6 5 3 1660 24 24 3 FTND
2200 6 2 3 2210 25 23 2 LSCS 1800 6 2 3 1860 26 28 3 FTND 2150 8 3 3 2170 27 27 4 LSCS 1730 10 3 3
1810 28 27 3 LSCS 2000 8 2 3 2020 29 20 1 LSCS 1860 10 2 3 1870 30 28 2 FTND 2000 8 3 3 2050 31 22
1 LSCS 1700 3 3 3 1780 32 24 1 LSCS 1840 6 5 3 1860 33 26 3 ND 1970 12 5 3 1920 34 25 2 FTND 1835
8 2 3 1830 35 20 1 FTND 1870 6 2 3 2030 36 20 1 LSCS 2000 7 2 3 2300 Type of delivery No.of cases
Normal Delivery 13 LSCS 14 FTND 9 Pie-chart X- Breast feeding time Y-Weight gain in baby Here, we have
to check between mother breast day & weight gain Normal Delivery LSCS FTND 25% 36% 39% No.of
delivery 16 14 12 10 8 6 4 2 0 Bar-diagram 13 14 9 Series1 Normal LSCS FTND Delivery Type of delivery
Correlation = 0.134298599 per day the relation feeding time per baby. Conclusion: We observe that value of
correlation is 0.13 and which is greater than zero. Therefore, the correlation between mother breast feeding
time per day (x) & weight gain baby (y) is positively correlated. Conclusion : From the above pie-chrt we
observed that, 39% deliveries are ceaser in section. Conclusion : We observe that, above bar diagram
shows that,type of delivery & number of delivery. ----------------------------------------------------- Q-3 Capacity
Planning KMC is

1special way of caring for low birth weight (LBW) Babies it promotes
effective thermal control, Brest feeding, prevention of infection, parental
bonding Components of KMC ? Skin – to Skin contact Early, continuous &
Prolonged skin to skin contact ? Exclusive Brest Feeding Promotes lactation
& facilitates feeding Benefits of KMC
? Increased Brest feeding rates ? Increased duration of Brest feeding ?

1Less stress to the infont ? Stronger bonding ? Deep Satisfaction for mother,
more confident parents

1Thermal control ? Effective thermal control ? Equivalent to conventional

incubator care Capacity Building of KMC

There are 3 Main components of Capacity building of KMC. ? Training : Training of physicians, nurses and
other staff is compulsory. It enhances the confidence of staff to provide effective services. ?

1Educational Material : Information Sheets, Posters & Video Film on KMC

will educate the parents ?

1Furniture : Semi – reclining easy chairs, buds with adjustable back rest

are must essential at KMC Q-4 Ans : Time & machine study as very useful in determining the amount of time
required for a septic activity, work function, or mechanical process. The “ time and motion study” is on
effective tool for measuring the performance of various activities disturbing the quality of services. The basic
principle of this practice is that there are number of methods to perform any activity but the one which is
superior can be determined by observing and analyzing the time consumed to carry out each task or activity
A time and motion study is useful to analyze & interpretation of work efficiency by taking the observations
and time of work Here we study time and motion we take mother is Breast feeding time (x) and find of Wt
.baby (de creased weight) Here ,Value of Correlation Breast feeding time & find wt. of baby (y) is 0.1342 The
value of correlation (r) which is greater than zero Correlation value is positive In time & motion language her
is +ve correlation Value of one variable is increase (time of Breast feeding of mother) then other variable is
also increases (find wt. of baby) Conclusion:- In time & motion language when time of Breast feeding of
mother is increases then wt. of baby is also increase Breast feeding Weight of Time of mother baby
Increases Increases For observing the data, Breast feeding and counseling time of mother is the effect of
find weight gain of baby. A time and motion study is useful to analyze & interpretation of work efficiency by
taking the observations and time of work Here we study time and motion we take mother is Breast feeding
time (x) and find of Wt .baby (de creased weight) Here ,Value of Correlation Breast feeding time & find wt. of
baby (y) is 0.1342 The value of correlation (r) which is greater than zero Correlation value is positive In time
& motion language her is +ve correlation Value of one variable is increase (time of Breast feeding of mother)
then other variable is also increases (find wt. of baby) Conclusion:- In time & motion language when time of
Breast feeding of mother is increases then wt. of baby is also increase Breast feeding Weight of Time of
mother baby Increases Increases For observing the data, Breast feeding and counseling time of mother is
the effect of find weight gain of baby. ------------------------------------------------------------------------ Q-5 Ans : Chat
of Time and Motion Study Patient Arrival By vehicle/ Govt. Ambulance/ Walk in Waiting -15 minutes
Counseling by staff -15-20 minutes Staying Period at KMC - An Week to month Activities like Breast feeding
& baby care 2hr Resting Period 2hr Personal Activities of Mother 2hr Baby care 3hr Wait 2 Improve in Wt of
baby Improvement in baby health Discharge Q-6 Ans : The SNCU DHW Akola is the biggest SNCU in
Maharashtra having bed strength of 48 beds and 20 bed MNCU . The Staffing position of NSCU is as
follows: Sr.No Posts Sanction Posts Filled Posts 1 Medical Officer 9 5 2 Pediatrician 3 3

23 Sister Incharge 1 1 4 Staff Nurse 32 32 5

Staff Nurse (KMC) 4 4 6 Staff Nurse (NRC) 2 2 7 Data Operator 1 0 There are 4 Staff Nurses at KMC. There
Were minimum 5 & maximum 10 new born admitted in NRC. Although the no of staff is less, the incharge
medical officer efficiently managing the duties of staff at KMC. As per the ratio, 3:1 of staff nurses are
essentials at 48 bad SNCU. Also at NRC 5 more staff nurses are required. One Medical social worker is also
necessary for counseling of mother. Also 3 pediatrician are looking at SNCU Babies but two Gynecologists
are necessary look after KMC Mothers. Fifteen supportive staff is required Six Security guards are also
essential for security purpose. -------------------------------------------------------------------------------------------------------
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