bluuebunny/crossref_metadata_2025 huggingface dataset:
Ecological assessment of water resources of the Khabarovsk city
Authors: Shevtsov Mikhail , Mishkin Denis
Published: March 2022

Актуальность темы определяется наличием проблемы экологической безопасности поверхностных водных объектов города Хабаровск и необходимостью обеспечения нормативного качества питьевой воды. Быстрые темпы индустриализации, высокая плотность населения и ветхая инфраструктура города приводят к серьёзному загрязнению окружающей среды. Загрязнение водной среды в пределах Хабаровска вызвано сбросами неочищенных сточных вод, в том числе и тем, что на р. Амур в последние годы увеличилось количество паводков и наводнений. Рассмотрено экологическое состояние р. Амур как одного из основных источников водных ресурсов Хабаровска. Авторами был проведен экологический мониторинг качества водных источников в пределах города. Для проверки результатов мониторинга использовались натурные данные отборов проб и их анализ в лабораториях Хабаровска. В ходе исследования была выявлена зависимость качества водных источников в пределах города Хабаровск от разности условий и степени загрязнения воды р. Амур. Таким образом, были выявлены основные проблемы в сфере водопользования Хабаровска, такие как сохранение прямого сброса сточных вод отдельными потребителями в поверхностные водные объекты без очистки.
НОВЕ ВИДАННЯ ДО ІСТОРІЇ КАРПАТСЬКОЇ УКРАЇНИ (1938 – 1939) Рецензія на монографію: Ярнецкі Міхал, Колаковскі Пьотр. “Український П’ємонт” на політичній шахівниці. Закарпаття в період автономії 1938 – 1939 / Переклад із польської Івана Зимомрі. Ужгород: Поліграфцентр “Ліра”, 2022. 384 с.
Authors: БІЛА Світлана , ЗИМОМРЯ Мирослава
Published: March 2022

Рецензія на монографію: Ярнецкі Міхал, Колаковскі Пьотр. “Український П’ємонт” на політичній шахівниці. Закарпаття в період автономії 1938 – 1939 / Переклад із польської Івана Зимомрі. Ужгород: Поліграфцентр “Ліра”, 2022. 384 с.
ПРАВОСЛАВНА ЦЕРКВА В КОНТЕКСТІ ДЕРЖАВНО-ЦЕРКОВНИХ ПРОЦЕСІВ У ВЕЛИКОМУ КНЯЗІВСТВІ ЛИТОВСЬКОМУ, РУСЬКОМУ, ЖЕМАЙТІЙСЬКОМУ ТА КОРОЛІВСТВІ ПОЛЬСЬКОМУ (1458 – 1509)
Authors: ЦЕБЕНКО Андрій
Published: March 2022

Мета дослідження – аналіз державно-правових процесів, які вплинули на організаційний розвиток Православної Церкви у Великому князівстві Литовському, Руському, Жемайтійському та Короні королівства Польського і як наслідок – на трансформацію суспільства. Методологія дослідження спирається на принципи історизму, системності, науковості, верифікації, авторської об’єктивності, поміркованого наративного конструктивізму, а також на використання загальнонаукових (аналіз, синтез, узагальнення) та спеціально-історичних (історико-генетичний, історико-типологічний, історико-системний) методів. Наукова новизна одержаних результатів визначається тим, що комплексно проаналізовано державно-церковні відносини на українських землях у другій половині XV – початку XVI ст. для осмислення досвіду. Висновки. Ослаблена Київська митрополія в середині XV ст. стала об’єктом активних зацікавлень двох релігійних центрів – Риму і Москви. Релігійна політика литовських і польських правителів другої пол. XV – поч. XVI ст. визначалася тиском папського престолу на приєднання православних до Римської Церкви (у тому числі за посередництвом унії) та особистим ставленням того чи іншого володаря. Релігійна нетерпимість з боку католицької церковної і світської влади змушувала православне населення шукати захисту у правителів Князівства Московського. Київському митрополиту залишились у підпорядкуванні єпархії, які були розташовані на території двох держав: Великому князівстві Литовському та Королівстві Польському. Важке становище Православної Церкви в католицькій державі, призначення королем на вищі церковні посади сумнівних людей, висували на порядок денний необхідність церковних реформ. Спробою Церкви, в особі митрополита Йосифа, соборно реагувати на трансформоване право патронату та пропонувати модель церковно-державних відносин стали ухвали Віленського собору. Вони відобразили боротьбу проти втручання світської влади у справи Київської митрополії.

Ключові слова: Київська митрополія, Велике князівство Литовське, Королівство Польське, українські землі, унія, релігійна політика, державно-церковні відносини.
Analisis Aspek Kompetensi Individu dalam Duplikasi Nomor Rekam Medis di Puskesmas
Authors: Nurmawati Ida , Arofah Kurnia
Published: March 2022

Duplication of medical record number is one of the problems in medical record section. Duplication that occurred in the Labruk Kidul Public Health Center was 10,3% consist of 7,6% duplicate one medical record number owned by some head of families, and 2,7% duplicated one head of family with some medical record numbers. The purpose of this research is to analyze the priority causes of duplication medical record of numbers in the Labruk Kidul Public Health Center Lumajang. It was a qualitative research and the data collection techniques used interviews,and observations. The subject of this research was registration officer, head of the medical record and head of the public health center. The results showed that the cause of duplication from individual competency factors was that the officer could not make KIUP, the officer did not write the. The solution is to socialize the system of numbering and additional time and labor in finding duplicate medical record number and merging files.
Analisis Risiko Kerja Petugas Filling Rawat Inap Dengan Menggunakan Severity Assessment di RSUP Dr. Hasan Sadikin Bandung
Authors: De Crystal Inggil , Tri Ardianto Efri , Farlinda Sustin
Published: March 2022

Risk is the possibilities of an unwanted, or unexpected, adverse loss in an activity. Risk can occur as a form of thepossibility of something bad happening in the future which can not be predicted when it comes. These risks can beresulted as negative impacts for the existing officers in several activities. We have observed the examples of risks thatoccur in the filling room of Dr. Hasan Sadikin General Hospital, Bandung. There are several risks of occupationalaccidents experienced by officers such as fingers affected by stapler attached to the medical record files, officers feelaches and pain in their hands and back when retrieving files, and the possibility of officers being hit by files. Thisresearch was aimed to analyze the risks that occur in filling inpatients. This risk assessment uses severity assessmentand a hierarchy of risk control to overcome the risks that occur. The type of research uses qualitative research with 4respondents. The results of this study produced 7 risks with 4 high injury risks and 3 moderate injury risks. Handling inrisk prevention is needed by making work safety SOPs, mandatory of Personal Protective Equipment (PPE) usage, theuse of tools to lift heavy loads, the use of chairs and stairs with strong materials, giving warning signs, paying attentionto ventilation to regulate proper lighting, and installing thermometers in inpatient filling rooms.
Analisis Penyebab tidak Ditemukannya Dokumen Rekam Medik Bagian Riset RSUPN dr. Cipto Mangunkusumo Jakarta
Authors: Widiyanto Widiyanto , Alfiansyah Gamasiano , Mudiono Demiawan Rachmatta Putro
Published: March 2022

Provision of medical record documents in the medical record research center Dr. Hospital CiptoMangunkusumo is still not in accordance with the number of requests needed, in October there were 4,836requests, 3,953 documents were available, in November there were 3,823 requests and 2,977 documentswere available, in December there were 4,151 requests and 3,143 documents were available. The purpose ofthis study was to analyze the absence of medical record documents in the research section. This type ofresearch is a qualitative study using interview, observation and documentation data collection techniquesinvolving 3 respondents. The results of the study showed that the cause of the absence of medical recorddocuments was that the officers' knowledge was still low, the attitude of the officers who were still lacking indiscipline, supporting facilities and infrastructure were lacking and there was no motivation. Improvementefforts to overcome these problems are providing training, disciplinary officers need to be improved, do systemdesign, provide awards and conduct monitoring and evaluation.
Evaluasi Penerapan Sistem Informasi Pendaftaran Umum dengan Menggunakan Metode Pieces di RSUD Kabupaten Sidoarjo
Authors: Nirwana Dara Ayu , Rachmawati Ervina
Published: March 2022

The development information technology has a major influence on health services in meeting community'sneed for speed and accuracy of health services provided by hospitals. General registration counters areone place \ service for visitors who do not use state health insurance or from government as initial sourceservices provided by hospitals. Problems arising from general registration performance aspect is the timerequired while the service is in operation in operating the information system causes loading problems thatresult in the continuation of service.The aspect of general registration information system can not bridge orrun with other application systems such as applications provided by the Sidoarjo District Health Office. Inaspect of system control, differences in access for each user, but officers sometimes still lend users toother officers because each user has different access rights security still not guaranteed. Efficiency andService aspects, where features in general registration information system have made it easier for officersto operate easily but provide new features that must be learned by self-taught officers. As Service, thereare no modules or guidelines for operating a general patient registration information system. Datacollection methods with interview techniques and arragements. Data analysis by drawing conclusions thenanalyzing and giving advice. The purpose of this study to study general registration information system.Type of qualitative research. Respondents used 1 general registration officer. Results of this study notethat Service, Efficiency, Control, Economic, Information and Performance factors are related to use of ageneral registration information system.
Analisis Pelaksanaan Layanan Perawatan Dukungan dan Pengobatan (PDP) HIVâ€“AIDS di Rumah Sakit Daerah Balung
Authors: Wahyu Rintan Illahi , Hikmah Faiqatul , Wijayanti Rossalina Adi , Muna Niyalatul
Published: March 2022

The implementation of HIV - AIDS Support and Treatment (PDP) Care Services at Balung Regional General Hospital is not yet in line with the target. This is evidenced by the number of PLHIV fulfilling the requirements to start treatment, not all of them are taking ARV treatment, so an analysis of these services is needed. The purpose of this study was to analyze the implementation of HIV - AIDS support and treatment (PDP) care services at Balung Regional Hospital. This type of research is qualitative, using interview, observation and documentation data collection methods. Informants in this study were 1 doctor, 1 counselor and 1 nurse and 8 ODHA This type of research is qualitative, the result of this study is an analysis of the implementation of HIV-AIDS support and treatment care services using 4M indicators (man, method, material and mechine). The results of the study were obtained that the analysis of PDP services based on the aspects of man, namely the availability of resources in the service is lacking and knowledge of HIV â€“ AIDSÂ  related to HIV - AIDS is still low, aspects of the method that there are SOP but there is no clear jobdesc, material aspects there is a medical record used for know the development of ODHA, but the officers in filling it are still incomplete, aspects of the mechine are available tools that are used to assist the process of conducting maintenance services such as general inspection tools and SIHA. Efforts to resolve the problem above so that the Balung Regional General Hospital for submitting letters to the Health Office regarding job analysis, the role of the medical recorder for checking the filing of ODHA medical record files and for problems of low knowledge of HIV â€“ AIDS can be done by counseling in privacy.
Identifikasi Penyebab Keterlambatan Penyediaan Dokumen Rekam Medis Rawat Jalan di Rumah Sakit Husada Utama Surabaya Tahun 2020
Authors: Aprilia Astrid Kartika Dewi , Nurmawati Ida , Wijayanti Rossalina Adi
Published: March 2022

Fast and precise services are the desire of consumers. The speed of document provision of medical records to the PDS can be an indicator in measuring satisfaction. Based on the SPM of the hospital when providing outpatient medical records is â‰¤ 10 minutes. Husada Utama Surabaya Hospital has implemented medical records management, but there are problems in the implementation, in the provision of medical record documents less than the maximum and delayed. The aim of this research is to determine the factors causing delays in the provision of patient medical record documents in outpatient services based on 7M (man, money, method, material, machine, motivation, and media). This type of research is qualitative. Data collection used observation sheets and interview guidelines to 4 respondents. The results showed that the education, knowledge, and training of employee about the science of medical records is still lacking, the budget was managed by the financial management and there were no details for the needs of the medical record unit, there is no SOP about the provision of outpatient medical record documents, the medical record file is only a thin sheet of HVS paper, the folder used is easily damaged, outpatient medical records employee never get a reward from the leadership, room and rack filling cannot store medical records medical records properly. In conclusion, the factors that caused the delay in providing medical record documents are man, money, method, material, motivation, and media. The results of this study can be an evaluation material for Husada Utama Hospital to improve the service provision of medical records for outpatients.
Analisis Faktor Penyebab Pending Klaim Akibat Koding Berkas Rekam Medis Pasien Rawat Inap di RSUPN Dr. Cipto Mangunkusumo
Authors: Nabila Salma Firyal , Santi Maya Weka , Tabrani Yusirwan , Deharja Atma
Published: March 2022

Klaim BPJS Kesehatan adalah pengajuan biaya perawatan pasien peserta BPJS oleh pihak rumah sakit kepada pihak BPJS Kesehatan yang dilakukan secara kolektif dan ditagihkan kepada pihak BPJS Kesehatan setiap bulannya. Setelah itu BPJS Kesehatan akan melakukan persetujuan klaim dan melakukan pembayaran untuk berkas yang layak, namun untuk berkas yang tidak layak klaim atau pending (unclaimed) harus dikembalikan ke rumah sakit untuk diperiksa kembali. Kejadian pending klaim di RSUPN Dr. Cipto Mangunkusumo disebabkan oleh beberapa hal diantaranya administrasi, medis, koding, tidak layak dan lainnya. Berdasarkan studi pendahuluan ditemukan berkas pending klaim pada bulan januari 2020 sebanyak 788 dari 2539 pasien rawat inap yang menggunakan Jaminan Kesehatan Nasional. Dari permasalahan tersebut maka dilakukan analisis terkait faktor penyebab pending klaim akibat koding melalui pendekatan fenomenologi yang meliputi input dan proses pada bagian Koding di RSUPN dr. Cipto Mangunkusumo. Hasil penelitian terkait SDM diperlukan penambahan jumlah sumber daya manusia serta sosialisasi pembaharuan dari aturan koding. Terkait Sarana dan Prasarana yaitu keterbatasan ruangan petugas koding diperlukan pertemuan secara rutin. Terkait Teknologi yaitu mendukung proses klaim berkas rekam medis pasien diintegrasikan dengan proses manajemen lain yang terdapat di SIMRS. Berdasarkan analisis proses terkait Perencanaan yaitu telah memiliki SOP penyelesaian permasalahan pending klaim. Terkait Pengorganisasian yaitu perlu dibuat job description khususnya pada petugas bagian coding. Terkait Pelaksanaan yaitu proses pengklaiman dilihat dari alur yang ada telah sesuai dengan SOP yang berlaku serta pada analisis proses terkait Evaluasi yaitu mengadakan pertemuan rutin atau rapat bulanan.
Evaluasi Rekam Medis Elektronik Bagian Coding Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang
Authors: Indrawati Septina Dwi , Nurmawati Ida , Muflihatin Indah , Syaifuddin Syaifuddin
Published: March 2022

RSUD K.R.M. T Wongsonegoro The city of Semarang became one of the type B hospitals in the city of Semarang, which have applied the electronic medical record gradually the application of electronic medical records assessed as an effort to improve the quality of services increasing patient satisfaction improves the documentation accuracy reduces clinical error and speeds up patient data access. (Billy Maria in Andriani DKK 2017). One of the service units that require the speed, accuracy and accuracy of access to patient data is the coding part of the hospitalization of the person who handled the medical record and coding (PJRM). In its implementation, there were constraints that made the officers less satisfied with RME. The purpose of this research is to evaluate RME implementation using the PIECES method (performance, information, economic, control, efficiency, service). This type of research is qualitative research, by conducting observation methods and interviews to PJRM officers. The results of RME evaluation conducted using the PIECES method on the performance/performance aspect, RME has already produced a good performance. Based on information/information aspect, RME can provide accurate information quality, according to user needs, and easy to understand. Based on Economy/economy, RME has the value to be integrated with one hospital and have qualified resource. Based on Control/control aspect, RME has good integrity and security because it comes with username and password, has different permissions. Based on the Efficiency/data efficiency aspects of RME can be easily learned, operated, and processed. Based on the Service/service aspect: RME users feel that RME provides convenience for RME users. In conclusion, RME in the coding part of inpatient is good enough in terms of Performance, Information, Economy, Control, Efficiency and Control. The advice that can be given is to make improvements and development on RME to avoid errors, regulatory or regulation regarding steps when errors occur, as well as conducting socialization or training to RME users.
Evaluasi Sistem Informasi Manajemen Dokumen Akreditasi (SISMADAK) Dengan Menggunakan Metode PIECES di Rumah Sakit Bhayangkara Lumajang
Authors: Pradanthi Ines Meiyola , Erawantini Feby , Farlinda Sustin , Putra Dony Setiawan Hendyca
Published: March 2022

Bhayangkara Hospital Lumajang is one of SNARS accredited health agencies and SISMADAK is used in the reporting process to KARS. The problems is still found in its application, which resulted in staff being less satisfied with SISMADAK. The aims of this study was to evaluate SISMADAK in terms of user satisfaction using the PIECES method. The study was quantitative descriptive study, which is described as a descriptive evaluation by comparing user satisfaction with information systems. The result of description evaluate of SISMADAK using PIECES method in Bhayangkara Hospital Lumajang about satisfaction percentage found 81% of performance variable was showed very good, 81% of information variable was stated very good, 69% of economic variable was good, 76% control variable was stated very good, 70% of efficiency variable was stated very good, and 80% of service variable was responded very good. For further advices were the planned of SISMADAK users need related information that is not yet available, beside the staff should increase the confidentiality of data on SISMADAK. The conclusion of this study is SISMADAK able to facilitate users in the hospital accreditation process of KARS.
ANALISIS KUANTITATIF KELENGKAPAN PENGISIAN RESUME MEDIS DI RUMKITAL DR. RAMELAN SURABAYA
Authors: Sawondari Nofitalia , Alfiansyah Gamasiano , Muflihatin Indah
Published: March 2022

Formulir resume medis adalah ringkasan seluruh perawatan dan pengobatan pasien yang telah dilakukan oleh tenaga kesehatan yang ditandatangani oleh dokter yang merawat. Kelengkapan pengisian resume medis di RUMKITAL Dr. Ramelan Surabaya hanya mencapai 82.5%. Tujuan penelitian ini untuk menganalisis kuantitatif kelengkapan pengisian resume medis di RUMKITAL Dr. Ramelan Surabaya. Penelitian ini bersifat deskriptif kualitatif. Teknik pengumpulan data menggunakan obsevasi. Sampel sebanyak 20 lembar resume medis bulan februari tahun 2020. Hasil penelitian menunjukan persentase ketidaklengkapan tertinggi review identifikasi pasien sebesar 45% yaitu item pangkat atau golongan.Â  Pada review laporan penting ketidaklengkapan tertinggi sebesar 55% yaitu pada item lama dirawat.Â  Persentase ketidaklengkapan tertinggi autentifikasi yaitu pada item tanggal pasien, waktu pengisian, nama terang pasien atau keluarga serta tanda tangan pasien atau keluarga. Persentase ketidaklengkapan tertinggi pada review pendokumentasian yang benar pada item pencatatn jelas dan terbaca sebanyak 20 %. Simpulan bahwa ketidaklengkapan tertinggi pada review identifikasi dan pendokumentasian yang benar. Saran dari peneliti yaitu membuat SPO resume medis, sosialisasi SPO dan penandatanganan komitmen terkait konsistensi pengisian resume medis.
ANALISIS KUANTITATIF KELENGKAPAN PENGISIAN FORMULIR INFORMED CONSENT RUMKITAL DR. RAMELAN SURABAYA
Authors: Arimbi Aditya Dwi , Muflihatin Indah , Muna Niyalatul
Published: March 2022

Completeness informed consent form of RUMKITAL Dr. Ramelan SurabayaÂ  is still not good and is less than the Hospital Minimum Service Standards of 100%. The incompleteness of filling out the informed consent form is due to lack of discipline of the relevant officers, limited time, lack of awareness of medical personnel, lack of assembling officers, and lack of socialization. The purpose of this study was to conduct a quantitative analysis informed consent form of RUMKITAL Dr. Ramelan Surabaya . This study uses a descriptive study with a cross-sectional approach to identify the completeness informed consent form of RUMKITAL Dr. Ramelan SurabayaÂ  and compiled efforts to fix the problem in the form of recommendations for RUMKITAL Dr. Ramelan Surabaya. The results of this study obtained the results of quantitative analysis of medical record documents on the components of identification, important reports, authentication, and correct recording of 20 samples of informed consent forms, resulting in the percentage of completeness and incompleteness of filling informed consent forms, as well as compiling remedial efforts namely by raising commitments with making a Statement of Commitment that must be filled out and signed by a health worker, making the SPO the implementation of evaluation and monitoring the filling of medical record documents, as well as the improvement of the SPO Informed Consent and SPO Completeness of Medical Records by adding standards related to the completeness of filling the informed consent form that must be achieved by RUMKITAL Dr. Ramelan Surabaya is 100%.Suggestions were given by raising commitments, making SPO related to the evaluation and monitoring of filling out the record documents, as well as repairing or revising the SPO Informed Consent and SPO Completion of Medical Record File Filling by adding standards that must be achieved by RUMKITAL Dr. Ramelan Surabaya.
ANALISIS FAKTOR PENYEBAB KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP RUMAH SAKIT PUSAT PERTAMINA
Authors: Rohmawati Anggia Lutfi , Erawantini Feby , Roziqin Mochammad Choirur
Published: March 2022

Proses penyelenggaraan rekam medis melalui beberapa rangkaian kegiatan diantaranya ialah pendaftaran, pengolahan data rekam medis, audit isi rekam medis, pengarsipan dan penyajian informasi. Salah satu faktor yang mendukung dalam kegiatan pengolahan berkas rekam medis yaitu pengembalian berkas rekam medis pasien yang telah selesai mendapat pelayanan kesehatan dari unit rawat inap. Terdapat keterlambatan pengembalian sebesar 323 berkas dari 1276 berkas di RS Pusat Pertamina. Tujuan penelitian ini adalah untuk menganalisis faktor penyebab keterlambatan pengembalian berkas rekam medis rawat inap di Rumah Sakit Pusat Pertamina dengan teori perilaku yang terdiri dari predisposing factor, enabling factor, dan reinforcing factor. Jenis penelitian ini adalah penelitian kualitatif dengan metode pengumpulan data yaitu wawancara dan observasi. Subjek penelitian ini adalah perawat, petugas distributor dan petugas monitoring file pulang rawat inap. Hasil penelitian menunjukkan bahwa Motivasi diri dari petugas pengisi rekam medis baik dokter maupun perawat dan motivasi diri dari petugas distributor yang kurang dapat menjadi penyebab keterlambatan pengembalian berkas rekam medis pasien rawat inap, jumlah petugas distributor yang kurang dan jarak ruang rawat inap dengan ruang rekam medis yang cukup jauh dapat menyebabkan keterlambatan pengembalian berkas rekam medis pasien rawat inap, Sikap dan perilaku petugas monitoring file pulang rawat yang tidak meminta berkas rekam medis yang belum kembali untuk segera dikembalikan dapat menyebabkan keterlambatan pengembalian. Solusi yang didapat dari permasalahan yaitu meningkatkan motivasi diri dengan meningkatkan kesadaran akan tanggungjawab dalam melakukan pekerjaan, serta melakukan perhitungan ulang untuk petugas distributor
Evaluasi Pelepasan Informasi Medis Berdasarkan Aspek Hukum Keamanan dan Kerahasiaan Rekam Medis di Rumah Sakit Umum Daerah Sleman
Authors: Yumna 'Athiyyah , Erawantini Feby , Nurjayanti Wiwin Ida
Published: March 2022

The release of medical information is a notification/provision of information about the health condition/illnes suffered by the patient and the risks that occur to the patient. There are several problems that exist in the process of releasing medical information to Jasa Raharja insurance in Sleman District Hospital including the absence of a power of attorney written by the patient or the patientâ€™s guardian (if the patient is unable to make a power of attorney) and incomplete information contained in the Standard Operating Procedures (SOP). The purpose of this research is to evaluate the release of medical information for Jasa Raharja insurance based on legal aspects of the security and confidentiality of medical records in PERMENKES No. 269 of 2008. This research is descriptive qualitative, with data collection techniques carried out by observing the implementation of the release of medical information for jasa raharjaâ€™s insurance claims, interviews with officers responsible for releasing medical information in RSUD Sleman, and documentation of SOP information release. The result of this research are new Standard Operating Procedures (SOP) recommendations related to the process of releasing medical information for Jasa Raharja insurance and new Standard Operating Procedures (SOP) socialization related to releasing medical information for Jasa Raharja insurance. SOP update is very important because it can maintain the security and confidentialityÂ  of medical record files so that it cannot be misused by irresponsible parties.
ANALISIS FAKTOR PENYEBAB TERJADINYA MISSFILE DI BAGIAN FILING PUSKESMAS DRINGU KABUPATEN PROBOLINGGO
Authors: Sawondari Nofitalia , Ardianto Efri Tri , Deharja Atma , Alfiansyah Gamasiano
Published: March 2022

Kegiatan penyelenggaraan rekam medis di Puskesmas Dringu masih belum optimal. Hal ini dapat dilihat dari belum adanya ruang filing, kurangnya rak rekam medis, serta proses penyimpanan yang belum sesuai dengan SOP sehingga dapat menyebakan terjadinya missfile. Tingkat kejadian missfile di Puskesmas Dringu sebesar 11% pada bulan Juni 2019. Missfile dokumen rekam medis dapat menyebabkan data rekam medis tidak berkesinambungan. Penelitian ini bertujuan untuk menganalisis faktor penyebab terjadinya missfile di Puskesmas Dringu Kabupaten Probolinggo. Jenis penelitian adalah penelitian kualitatif. Pengumpulan data menggunakan wawancara, observasi, dokumentasi dan kuesioner. Subyek penelitian berjumlah 4 orang yang terdiri dari 2 petugas rekam medis, kepala rekam medis serta kepala Puskesmas Dringu. Penentuan prioritas penyebab masalah terjadinya missfile menggunakan USG (Urgency, Seriousness, Growth) dan penentuan solusi menggunakan brainstorming. Hasil penelitian menunjukan bahwa faktor penyebab missfile yaitu ketidakpatuhan petugas dalam menjalankan SOP, kurangnya pengetahuan, tidak adanya tracer dan buku ekspedisi, pendidikan petugas belum sesuai kualifikasi, petugas tidak melakukan penyortiran DRM yang akan disimpan dan petugas tidak melakukan audit penyimpanan secara periodik. Hasil prioritas utama penyebab missfile menggunakan USG yaitu petugas yang tidak patuh terhadap SOP (Standart Operasional Procedure). Upaya penyelesaian masalah tersebut yaitu adanya sosialisasi SOP, pengawasan kinerja petugas, mengadakan evaluasi kinerja danÂ  adanya punishment dan reward.
Restructuring algorithms of work in eye surgery clinic during pandemic of the novel coronavirus disease (COVID-19)
Authors:   Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch, Russian Federation, Kolenko Oleg V. ,   Postgraduate Institute for Public Health Specialists, Khabarovsk, Russian Federation, Pshenichnov Maxim V. ,   Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch, Russian Federation, Sorokin Evgenii L. ,   Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch, Russian Federation,   Far-Eastern State Medical University, Khabarovsk, Russian Federation
Published: March 2022

Purpose. To analyze changes in work of the Khabarovsk branch of the Fyodorov Eye Microsurgery Federal State Institution (Khabarovsk branch) caused by combination of elective and emergency ophthalmic care in the context of a pandemic of the novel coronavirus disease (COVID-19). Material and methods. The article presents the organizational restructuring of activities medical units of the Khabarovsk branch, due to need for additional performance of functions emergency ophthalmological service in connection with closure of the regional ophthalmological center of the City Clinical Hospital no. 10, which previously performed this function. Complex of organizational anti-epidemic measures taken to prevent the spread of COVID-19 in pandemic is presented, their feasibility is analyzed, the results of the clinic‘s activities in new conditions of the COVID-19 pandemic are reflected. Results. The COVID-19 epidemic required a significant organizational restructuring of the Khabarovsk branch. In addition to large volumes of elective surgery, emergency ophthalmosurgical care was added, performed in a round-the-clock hospital. All this was superimposed on the organizational restructuring of patient flows, created to minimize their interpersonal contacts. Conclusion. The Khabarovsk branch fully coped with the tasks set, stable work was organized in the new pandemic conditions, effectively combining planned and emergency algorithms of ophthalmic surgical care. The measures taken made it possible to provide emergency ophthalmic care in full throughout the entire period of the epidemic, to resume the provision of planned ophthalmic care in full, without compromising the safety of patients‘ stay in the clinic. Key words: COVID-19, SARS-CoV-2, pandemic, emergency care, eye emergency department, Eye casualty, coronavirus disease, organization of medical care
Improvement of the Chemical Properties and Nutritional Content Values of Nata de coco using Super Red Dragon Fruit (Hylocereus costaricensis) Juice
Authors: Maulina Julia , Lubis Adilah Wirdhani , Zulfajri Muhammad
Published: March 2022

Hylocereus costaricensis (HC) fruit juice was used as an additive nutrient for Nata de coco food. The improvement in the chemical properties and nutritional values of Nata de coco including the contents of moisture, ash, fiber, vitamin C and reducing sugar was evaluated. The addition of HC fruit juice could increase the nutritional values of Nata de coco. The contents of moisture, ash, fiber, vitamin C and reducing sugar were 84.32%, 0.88%, 56.86%, 0.889% and 25.93% respectively. After adding HC fruit juice, the -OH groups with a high abundance were observed via FITR measurement without changing the functional groups of Nata de coco. The nutritional contents did not show any chemical reactions after adding HC fruit juice.
Synthesis and characterization of some novel complexes of Pd(II) and Pt(II) with bidentate Schiff base ligand
Authors: Khan Shamshad Ahmad , Singh Kamlesh Kumar , Verma Aniket
Published: March 2022

A novel series of Pd(II) and Pt(II) complexes with Schiff base ligand 2-(pyridine-2′-carbaldehydeimino) pyrazine have been synthesized and characterized by micro elemental analysis, molar conductivity, magnetic susceptibility, FTIR, NMR and electronic absorption spectra. General molecular formula of the complexes has been found to be [M(L)(B)2] where M= Pd(II) and Pt(II) cations L=Schiff base and B= bases such as water, ammonia, pyridine and ɑ-picoline. All the bases contain nitrogen and oxygen as their donor sites. The molar conductance values of metal complexes suggest their electrolytic nature. On the basis of elemental analysis, molar conductance, magnetic moment measurements and spectral data complexes were proposed to be square planar.
Preparation and characterization of cellulose based methacrylic acid resin for the purpose of wastewater treatment
Authors: . Dinesh , Sankhla Manisha , Singh A.V.
Published: March 2022

In raising substantial concerns, micropollutants occur in water resources worldwide due to many causes. As a result, this has adverse impact on ecosystem especially aquatic life and in turn on humans. Ion exchange method is the best method as polymeric resin which has effective alternative adsorbent. This adsorbent has high porosity and accessibility, significant adsorption sites and stable chemical properties. Unmodified cellulose incorporated with the methacrylic acid to make it modified cellulose increases efficiency for the adsorption of heavy metal ions. In turn, modified methacrylic acid (CMAA) resin has good adsorption capability specially for environmentally toxic metal ions: lead(Pb2+), copper(Cu2+), chromium(Cr3+) and cadmium(Cd2+). Prepared resin showed higher retention of heavy metal ions by batch and column method respectively. Sorption equilibrium is found when there is effect of temperature on capacity of a cation exchanger. This study contains the preparation or adsorption of methacrylic acid on cellulose to treat the industrial effluent. Characterization of adsorbent was performed by FTIR and thermogravimetric analysis. Experiments were performed at different pH, concentration of metal ion, contact time etc.
A novel HPLC method developed for the estimation of bempedoic acid and ezetimibe in bempedoic acid and ezetimibe pharmaceutical dosage forms of tablets
Authors: Raghunatha Reddy C. , Sreeramulu Jadi
Published: March 2022

A simple, accurate, precise method was developed for the estimation of Bempedoic acid and Ezetimibe in the tablet dosage form of Bempedoic acid and Ezetimibe. Optimized separation was achieved on an Ascentis C18 150x 4.6mm, 5 using mobile phase composition of phosphate buffer pH 4.0 and acetonitrile in the ratio of 700 mL:300 mL (v/v) at a flow rate of 1.0 mL/min; the injection volume is 10 μL and run time 6 minutes in isocratic elution. UV detection was carried out at a wavelength of 230 nm. The temperature was maintained at 30°C. Wellresolved peaks were observed with high numbers of theoretical plates, lower tailing factor and reproducible relative retention time. The method was validated and all the validation parameters were found to be within the acceptable limits.
Abdichtungssystem einer Reststoffdeponie, Entscheidungskriterien und Nutzwertanalyse
Authors: Vouillamoz Raymond , Bartek Paul , Bossong Jürg , Ledergerber Othmar , Steinmann Beat , Kahoun Tomas
Published: March 2022

Within the framework of the restructuring of a dump, an interdisciplinary group was given the task of evaluating various insulation systems such as mineral, bituminous, plastic sheeting and combined mineral/bituminous. They then had to decide upon a system according to the results of
their study. The list of criteria and the results of the Economic Value analysis have been more exactly defined and discussed. The combination of mineral insulation (below) and bituminous (above) was recommended and realised.
Modelization of a Bipolar Electrochemical Reactor
Authors: Froidevaux Hubert , Mitha Eric , Salamin Jean-Yves
Published: March 2022

We explain the principles of a software able to compute electrical potentials and currents in electrochemical plane systems, composed of electrodes, electrolytes, and insulators. At interfaces electrodes-electrolytes, the relationship between the potential jump and the crossing current is modeled by any nondecreasing function (called generalized Butler-Volmer function, Eqn. 1.2). This takes in account the thermodynamical barriers, oxydations, reductions, and diffusion limitations.The conductivity of the different environments can be constant or variable. We give three formulations of the problem to solve (Eqns. 2 and 3), then (Eqn. 4), we show the finite element discretization. This yields to a nonlinear equations system that we discuss. Furthermore, we describe an original method to determine floating potentials of electrodes (Eqn. 8). Examples are choosen to show the possibilities of softwares and methods. These examples are relatively simple, but we are able to compute more complex configurations.
THE OPTICAL CORRELATOR AS A PART OF THE ON-BOARD COMPLEX FOR GUIDANCE AND LANDING OF A SPACE PROBE ON SMALL BODIES OF THE SOLAR SYSTEM
Authors: Раев В.К. , Лобанов А.А.
Published: March 2022

Традиционные методы автономного наведения и посадки космического зонда на малых телах Солнечной системы во многих случаях и по многим причинам не отвечают высоким требованиям современных миссий. Предложен оригинальный подход к построению многофункциональных комплексов наведения и посадки. Подход основан на использовании оптического устройства визуального наведения при посадке космического аппарата на малые тела Солнечной системы.

Traditional methods of an autonomous guidance and landing of a space probe on small bodies of the Solar system in many cases and for many reasons do not meet high requirements of the modern missions. An original approach to the construction of multifunctional complexes for guidance and landing is suggested. The approach is based on using special directionfi nding devices of a visual guidance landing of space probe on small bodies of the Solar system.
PECULIARITIES OF COMPOSITION OF NEUTRAL AND WEAKLY ACID HETEROATOMIC COMPOUNDS IN PRODUCTS OF THERMOHYDROLYSIS OF SAPROPELITES
Authors: Рокосов Ю.В. , Горюнова П.В. , Рокосова Н.Н. , Рокосова В.Ю.
Published: March 2022

С применением методов хроматомассспектрометрии выявлены особенности состава нейтральных и слабокислых гетероатомных соединений, образующихся при термогидролизе казахстанских сапропелитовых углей Кушмурунского месторождения Тургайского угольного бассейна и китайских горючих сланцев месторождения Майоминг. Обнаружено, что в составе фракций нейтральных и слабокислых гетероатомных соединений доминируют налкилкетоны, алкилфенолы, арилалкилкетоны, инданолы и азотсодержащие соединения. Кроме этих групп соединений, хроматомассспектрометрически зарегистрировано присутствие простых эфиров тетрагидронафталина, насыщенных и мононенасыщенных алкилальдегидов, бифункциональных карбонилсодержащих алифатических соединений сложного строения. Термогидролиз сапропелитов привел к образованию с высокими выходами смесей кислых, нейтральных и слабокислых кислородсодержащих соединений, которые представляют собой либо готовые к применению поверхностноактивные вещества (жирные кислоты), либо полупродукты (алкилкетоны, арилалкилкетоны, алкилфенолы) для их синтеза.

Using the methods of chromatographymass spectrometry the peculiarities of the composition of neutral and weakly acid heteroatomic compounds formed during the thermohydrolysis of Kazakhstan sapropelite coals of the Kushmurun deposit of the Turgai coal basin and Chinese oil shale of the Maoming deposit were revealed. It was found that nalkyl ketones, alkylphenols, aryl alkyl ketones, indanols, and nitrogencontaining compounds dominate in the fractions of neutral and weakly acid heteroatomic compounds. In addition to these groups of compounds, the presence of ethers of tetrahydronaphthalene, saturated and monounsaturated alkyl aldehydes, bifunctional carbonylcontaining aliphatic compounds of complex structure was detected by chromatographymass spectrometry. The thermohydrolysis of sapropelites led to the formation, with high yields, of mixtures of acidic, neutral and weakly acidic oxygencontaining compounds, which are either readytouse surfactants (fatty acids) or intermediates (alkyl ketones, aryl alkyl ketones, alkylphenols) for their synthesis.
Three-Dimensional Fully pi-Conjugated Macrocycles: When 3D-Aromatic and when 2D-Aromatic-in-3D?
Authors: El Bakouri Ouissam , Szczepanik Dariusz , Jorner Kjell , Ayub Rabia , Bultinck Patrick , Solà Miquel , Ottosson Henrik
Published: March 2022

Several fully pi-conjugated macrocycles with puckered or cage-type structures were recently found to exhibit aromatic character according to both experiments and computations. We examine their electronic structures and put them in relation to 3D-aromatic molecules (e.g., closo-boranes) and to 2D-aromatic polycyclic aromatic hydrocarbons. Using qualitative theory combined with quantum chemical calculations, we find that the macrocycles explored thus far should be described as 2D-aromatic with three-dimensional molecular structures (abbr. 2D-aromatic-in-3D) and not as truly 3D-aromatic. 3D-aromatic molecules have highly symmetric structures (or nearly so), leading to (at least) triply degenerate molecular orbitals, and for molecules with tetrahedral or octahedral structures an aromatic closed-shell electronic structure results with 6n + 2 electrons. On the other hand, 2D-aromatic-in-3D structures exhibit aromaticity that results from the fulfillment of Hückel’s 4n + 2 rule for each individual macrocyclic path, yet, their pi-electron counts are coincidentally 6n + 2 numbers for macrocycles with three tethers of equal lengths. The 3D-macrocyclic molecules, suggested to be 3D-aromatic, are instead similar to naphthalene. It is notable that 2D-aromatic-in-3D macrocyclic cages can be aromatic with tethers of different lengths, i.e., when their pi-electron counts differ from 6n + 2. Finally, we identify tetrahedral and cubic pi-conjugated molecules that fulfill the 6n + 2 rule and exhibit significant electron delocalization. Yet, their properties resemble those of analogous compounds with electron counts that differ from 6n + 2. Thus, despite that these tetrahedral and cubic molecules show substantial pi-electron delocalization they cannot be classified as true 3D-aromatics.
Carbon Dioxide Capture at Nucleophilic Hydroxide Sites in Oxidation-Resistant Cyclodextrin-Based Metal-Organic Frameworks
Authors: Zick Mary , Pugh Suzi , Lee Jung-Hoon , Forse Alexander , Milner Phillip
Published: March 2022

Carbon capture and utilization or sequestration (CCUS) from industrial point sources and direct air capture (DAC) are like-ly necessary to combat global climate change. Reducing the costs of CCUS and DAC requires next-generation sorbents ca-pable of reversible CO2 capture under realistic conditions. A particular challenge faced by amine-based sorbents—the current leading technology for carbon capture—is poor stability towards O2, which is present in high partial pressures in most emission streams of interest as well as in air. Sorbents containing oxygen-based nucleophiles, such as hydroxide (OH−), can reversibly react with CO2 to form (bi)carbonate (HCO3−) species and should display improved oxidative stabil-ities compared to amine-based materials. Here, we provide gas sorption, spectroscopic, and computational studies sup-porting that CO2 chemisorption in γ-cylodextrin-based metal-organic frameworks (CD-MOFs) occurs via HCO3− formation at nucleophilic OH− sites within the framework pores, rather than via previously proposed pathways involving carbonic acid or alkyl carbonate formation. Of the CD-MOFs studied herein, the new framework KHCO3 CD-MOF possesses rapid and high-capacity CO2 uptake, good thermal, oxidative, and cycling stabilities compared to previously reported materials, and selective CO2 capture under mixed gas conditions in dynamic breakthrough experiments. Because of its low cost and performance under realistic conditions, KHCO3 CD-MOF is a promising new platform for CCUS. More broadly, our work demonstrates that the encapsulation of reactive OH− sites within a porous framework represents a potentially general strategy for the design of oxidation-resistant adsorbents for carbon dioxide capture.
Mechanochemical Synthesis of Phosphonate-based Proton Conducting Metal Organic Frameworks
Authors: Bhattacharya Biswajit , Rautenberg Max , Das Chayanika , Emmerling Franziska
Published: March 2022

The rational design of new type of water stable metal–organic frameworks (MOFs) as promising proton-conductors has attracted great attention owing to their applications in proton-exchange membrane fuel cells (PEMFC). Herein, we report the mechanochemical gram scale synthesis of three new mixed ligand phosphonate-based MOFs, {Co(H2PhDPA)(4,4ʹ-Bipy)(H2O)·2H2O}n (BAM-1), {Fe(H2PhDPA)(4,4ʹ-Bipy)(H2O)·2H2O}n (BAM-2) and {Cu(H2PhDPA)(Dpe)2(H2O)2·2H2O}n (BAM-3) [where H2PhDPA = Phenylenediphosphonate 4,4ʹ-Bipy = 4,4ʹ-Bipyridine, and Dpe = 1,2-Di(4-pyridyl)ethylene]. Single crystal X-ray diffraction measurements revealed that BAM-1 and BAM-2 are isostructural and possess a three-dimensional (3D) network structure comprising1D channels filled with guest water molecules. Whereas BAM-3 displays a one-dimensional (1D) network structure extended to 3D supramolecular structure by hydrogen-bonding bridging and π-π interactions. In all three structures, guest water molecules are interconnected with uncoordinated acidic hydroxylgroups of the phosphonate moieties and coordinated water molecules by means of extended hydrogen-bonding interactions. BAM-1 and BAM-2 showed gradual increase of proton conductivities with increasing temperature and reached to 4.9 × 10–5 and 4.4 × 10–5 S cm–1 at 90 C and 98% RH. In case of BAM-3, the highest proton conductivity recorded was 1.4 × 10–5 S cm–1 at 50 C and 98% RH. Upon further heating, BAM-3 undergoes dehydration followed by phase transition to another crystalline form which largely effects the performance. All compounds exhibited a proton hopping (Grotthuss model) mechanism as suggested by their low activation energy.
Molecular Design of Redox Carriers for Electrochemical CO2 Capture and Concentration
Authors: Barlow Jeffrey , Clarke Lauren , Zhang Zisheng , Bim Daniel , Ripley Katelyn , Zito Alessandra , Brushett Fikile , Alexandrova Anastassia , Yang Jenny
Published: March 2022

Developing improved methods for CO2 capture and concentration (CCC) is essential to mitigating the impact of our current emissions and can lead to carbon net negative technologies. Electrochemical approaches for CCC can achieve much higher theoretical efficiencies compared to the thermal methods that have been more commonly pursued. The use of redox carriers, or molecular species that can bind and release CO2 depending on their oxidation state, is an increasingly popular approach as carrier properties can be tailored for different applications. They key requirements for stable and efficient redox carriers are discussed in the context of chemical scaling relationships and operational conditions. Computational and experimental approaches towards developing redox carriers with optimized properties is also described.