bluuebunny/crossref_metadata_2025 huggingface dataset:
Digitalization Of Document Management System In Medical Organizations: Theoretical Aspect
Authors: Baranova Tamara V.
Published: March 2024

Introduction. Modern medical organizations, multifunctional medical centers, public and private medical institutions actively use digital technologies such as document management systems to optimize internal business processes and increase the efficiency. Proper document management and easy access improve the workflow. Thus, integration and development of advanced digital products allow medical organizations to ensure efficient time management which, in turn, reduces costs and saves time.
The purpose of the study was to present theoretical aspects of digitalization of document management system in medical organizations as a modern organizational and managerial process that ensures the effectiveness of healthcare development.
Materials and methods. Content analysis of scientific literature on the development and implementation of document management systems, transfer of documents to electronic version, introduction of digital technologies upon the specifics of medical organizations was used.
Results. The study showed that document management systems currently run up document-based information lifecycle management. Their active implementation began in the 2000s, and it is expected that the market volume of document management systems will grow from 6.57 billion US dollars in 2023 to 12.94 billion US dollars by 2028, on average by 14.50% during the forecast period (2023-2028). Significant amounts of health data are collected manually using various internal IT-systems and numerous collections of documents, databases and forms. The introduction of document management systems allows healthcare actors to create electronic patient records, thereby minimizing the risk of documentation loss and increasing security. It is assumed that in the near future all the system will be based on digital solutions aimed at solving routine tasks such as document management, storage and use. These trends provide solutions to the problems that medical organizations may face and ensure effective strategies based on the digitalization of document management systems.
Adherence To Healthy Lifestyle Among Medical Workers In Routine Practice And During The COVID-19 Pandemic Abroad
Authors: Aksenova Elena I. , Kamynina Natalya N. , Turzin Peter S.
Published: March 2024

Introduction. A healthy lifestyle is a lifestyle aimed at preventing emergence and development of non-communicable diseases characterized by exclusion or reduction of behavioral risk factors. Adherence to the principles of healthy lifestyle among medical workers abroad is of great importance. Therefore, it is relevant to study foreign experience related to adherence to healthy lifestyle among medical professionals (doctors and nursing staff), both in routine practice and during the COVID-19 pandemic.
Materials and methods. During a search for the keywords “healthy lifestyle”, “medical workers” and “pandemic” in the period from 2014 to 2023 conducted in the PubMed international database, more than a thousand of systematic reviews, meta-analyses and articles on relevant scientific and practical topics were found. Results of interest included occupational health and health behavior of medical workers. After the final selection and exclusion of the results that are scientifically and practically insignificant, 30 sources from 27 countries were included in the analysis. The authors assessed the quality of these reviews, meta-analyses and articles and obtained new summarized data on the topic.
Results and discussion. The article presents analysis and summary of 30 systematic reviews, meta-analyses and articles published from 2014 to 2023 by authors from 27 countries. For this purpose, the results of an analysis of adherence to healthy lifestyle among medical workers, the relationship of lifestyle and health-related behavior; lifestyle, shift work and health; lifestyle and disease development in routine practice as well as during the COVID-19 pandemic were presented.
Conclusion. The correlation of lifestyle and health-related behavior of medical workers; lifestyle, shift work and health; lifestyle and disease development in routine practice as well as during the COVID-19 pandemic were revealed. Optimizing recommendations suggesting necessary and appropriate measures to improve the adherence to healthy lifestyle among medical workers were elaborated.
The Role of Effective Leadership Strategy in Enhancing Employee Performance: Analysing the Hospitality Sector for Economic Growth in UAE
Authors: Dhaheri Dhaher Ahmed Al
Published: March 2024

Purpose: The purpose of this study was to understand the challenges and opportunities related to effective leadership within the UAE's hospitality sector.

Materials and Methods: The research uses qualitative methods, including interviews, to explore the relationship between leadership techniques and employee performance. A case study from the UAE hotel industry provided an engaging case study for analysing leadership tactics and their effects on staff performance.

Findings: Transformational leadership styles, fostering a shared vision, are effective in boosting employee motivation, job satisfaction, and performance, while autocratic leadership can lead to decreased satisfaction. Cultural diversity challenges highlight the need for cultural sensitivity, cross-cultural training, and inclusive work environments. Hospitality leaders in the UAE should cater to diverse backgrounds for exceptional guest experiences.

Implications to Theory, Practice and Policy: This study is significant as it fills a gap in scholarly literature by analysing the relationship between leadership strategies and worker performance in the UAE hotel industry, thereby significantly impacting both academic and practical aspects of the industry.
Tibbiyot tarixi fanini o‘qitish orqali xorijiy talabalar tarixiy tafakkurini rivojlantirish aspektlari
Authors: Komilov Nodirbek
Published: March 2024

Ushbu maqolada tibbiyot tarixi fanini o‘qitish orqali xorijiy talabalarning tarixiy tafakkurini rivojlantirish masalalari yoritilgan va tahlil qilingan.
ABORDAGENS MULTIDISCIPLINARES NO TRATAMENTO DA DOR CRÔNICA EM IDOSOS: UMA REVISÃO BIBLIOGRÁFICA
Authors: Mainardo Rodrigues Bezerra Lucas , Mendes dos Santos Cátia , Felipe Venancio Wesley , Ferreira da Ponte Cyntya Halynne , Veras Bogea Cardoso Alexandre Bruno , Pinheiro Passos Igor Thiago , Ferreira Meneses Lara Fátima , Da Silva Paiva Lucas Zaidan
Published: March 2024

A dor crônica em idosos é prevalente e debilitante, exigindo abordagens terapêuticas multidisciplinares. A complexidade dessa condição é agravada por fatores como comorbidades, alterações fisiológicas e polifarmácia. Objetivo: Explorar abordagens multidisciplinares para o manejo da dor crônica em idosos, destacando benefícios, desafios e perspectivas futuras. Métodos: Uma revisão bibliográfica foi realizada, abrangendo estudos publicados nos últimos 15 anos sobre o tratamento multidisciplinar da dor crônica em idosos. Resultados e Discussão: A prevalência da dor crônica em idosos varia, afetando até 80% da população em alguns países. Impacta negativamente a qualidade de vida, sendo associada a limitações funcionais e emocionais. A avaliação diagnóstica requer uma abordagem abrangente, considerando comorbidades e escalas de avaliação validadas. O manejo terapêutico envolve intervenções farmacológicas e não farmacológicas, com ênfase na reabilitação, promoção do bem-estar e educação do paciente.Conclusão: A abordagem multidisciplinar é crucial no manejo da dor crônica em idosos, visando uma assistência integral e personalizada. Educação do paciente, estratégias de autogestão e promoção do bem-estar emocional são fundamentais para melhorar a qualidade de vida nessa população. Espera-se que este resumo contribua para a prática clínica e para uma melhor qualidade de vida dos idosos com dor crônica.
ENVIRONMENTAL CRIMES IN THE BRAZILIAN NATIVE CHARCOAL PRODUCTION CHAIN
Authors: Dittmar Herbert
Published: March 2024

The charcoal production chain in Brazil over the last century has always been linked to labour analogous to slavery. After actions by the Ministry of Labour and Employment, this crime has diminished, but it is still part of a system of illegalities that range from land grabbing, to the waste of raw materials, the approval of fraudulent forest management projects, to poor supervision and a high level of corruption on the part of environmental management institutions. With the Complementary Law 140/2011, the competence to manage forests comes under the federation states, which has meant that local political interference has made environmental management bodies nothing more than caretakers for the illegal production of timber and native charcoal. The charcoal makers as the weakest actors in the production chain and without proper protection from the state, since their profession is not even recognized and they wear PPE that makes it difficult to carry out their work, continue to produce native charcoal independently as a means of survival. This work is part of the doctoral thesis defended by the author at the Open University (UAb), Lisbon, on 19/01/2022 and sought, by searching of semi-structured interviews with 23 charcoal burners (their names have been omitted), to understand a little more about how they are involved in the illegal exploitation of Brazilian forests, in the Amazon, in the Cerrado and Pantanal.
Gastroparesia severa asociada al uso de agonistas del receptor GLP-1 para bajar de peso
Authors: Chávez-Sánchez Siomara Aransuzú , Cedrón-Cheng Hugo Guillermo
Published: March 2024

Inicialmente desarrollados como medicamentos para la diabetes mellitus, los agonistas GLP-1 han ganado mucha popularidad en el tratamiento de la obesidad y la pérdida de peso. El presente caso describe a una mujer de 69 años con antecedente de úlcera péptica y consumo de AINES, quien cursó con dolor abdominal e intolerancia oral refractaria al manejo convencional, por lo que se realizó una endoscopía digestiva alta, diagnosticándose gastroparesia severa. Al ampliar la anamnesis, se reveló el uso subrepticio de semaglutida. Se continuó con terapia de soporte y los síntomas remitieron espontáneamente. El presente reporte de caso tiene como objetivo advertir los riesgos potenciales del uso de análogos de GLP-1 en el contexto de una endoscopía con sedación.
Íleo biliar como causa de obstrucción intestinal mecánica: reporte de un caso
Authors: Acevedo Forero Ana María , Prada Rey Adriana , Parra-Izquierdo Viviana , Frías-Ordoñez Juan Sebastián , Ardila-Báez Manuel Alonso , Flórez-Sarmiento Cristian
Published: March 2024

El íleo biliar es una causa obstrucción mecánica intestinal caracterizada por presentar síntomas como dolor abdominal, ictericia y fiebre. El tratamiento de elección en estos casos está asociado al abordaje quirúrgico acorde al estado clínico del paciente. Es importante estudiar esta patología ya que su diagnóstico y tratamiento oportunos son fundamentales para evitar complicaciones graves asociadas a una gran morbilidad y mortalidad. El presente artículo describe un caso relacionado al íleo biliar.
Recorriendo el camino hacia el éxito en cirugía bariátrica: el rol fundamental de la endoscopia bariátrica
Authors: Dorelo Rodrigo , Rodríguez Gustavo , Tchekmedyian Asadur J. , Cedrón-Cheng Hugo
Published: March 2024

La obesidad se ha convertido en una creciente epidemia de alcance global, exigiendo soluciones efectivas para su manejo. Actualmente, la cirugía bariátrica-metabólica es la mejor opción terapéutica en los pacientes con obesidad mórbida y comorbilidades asociadas. Este artículo de revisión aborda la importancia de la endoscopia en la evaluación pre y post operatoria, así como en la detección y manejo de las complicaciones asociadas a la cirugía bariátrica.
Eigen-Chain : A unique retinopathy detecting medical image retrieval blockchain
Authors: Yadav Abhay Kumar , Vishwakarma Virendra P.
Published: March 2024

Securing medical images is an essential requirement in healthcare industry. Managing medical image for storing patient sensitive information has remained a challenging task for researchers across the globe. Different technologies are struggling to provide a solution to the problem. Blockchain can possibly solve the security aspect problem of medical images. However, images sizes possess a difficulty in safely storing them on blockchain due to associated costs. It also creates scalability problem in blockchain. The proposed Eigen-Chain is a novel framework for creating a secure Hard Exudates detecting mechanism and storing images on blockchain using Principal Component Analysis (PCA) eigen vectors. These eigen vector can significantly reduce the images size which reduces the energy required for storage making it a sustainable model. Eigen-chain can retrieve image from blockchain efficiently. The experimental result on benchmark databases proved the superiority of proposed approach. Moreover, the Eigen-chain has been made capable of detecting exudates in the stored images making it useful in medical sector.
Doğu Kültür Tarihinin Unutulmaz Bilim Adamı – Nasireddin Tusi
Authors: Memmedova Aytek
Published: March 2024

Makalede, ansiklopedik bilim adamı Nasireddin Muhammed Tusi’nin (1201–1274) bilimsel mirasıyla dünya bilim ve kültür tarihinde önemli bir yer tuttuğuna dikkat çekiliyor. Bilim adamının kurduğu Meraga Rasathanesi, sadece Azerbaycan için değil, tüm Müslüman Doğu ülkeleri için önemli bir bilimsel ve kültürel olaydır. Meraga Rasathanesi bünyesinde kurulan okul bilim tarihinde önemli bir yer edinmiştir. Makalede, Nasireddin Tusi’nin yaratıcı yolunun hem öğrencileri hem de evlatları Sadreddin Ali, Asileddin Hasan ve Fahreddin Ahmed tarafından sürdürüldüğü bildirilmiştir. Bununla birlikte Azerbaycanlı filozofun Meraga Rasathanesi temelinde bir okul kurduğu ve bunları rasathane çalışanlarının çoğuna öğrettiği belirtilmektedir. Bunlar arasında Nasireddin Tusi’nin felsefi okulunun temsilcileri Necmeddin Kazvini, Kutbeddin Şirazi ve Cemaleddin Hilli matematik, doğa tarihi, tıp, felsefe teorisi ve pratiği üzerine incelemeler yapmış bilim adamlarıdır. Necmeddin Kazvini, felsefi bakışlarında seleflerinin, öncel düşünürlerin fikirlerinden faydalanmış, felsefi meselelere peripatetik bir mevkiden yaklaşmış, özgün bir felsefi öğreti oluşturmuş ve müsbet bilimlerin gelişmesinde önemli hizmetlerde bulunmuştur. Nasireddin Tusi’nin öğrencilerinden biri olan Kutbeddin Şirazi, daha çok nüfuzlu bilim adamı olarak şöhret kazanmıştır. Kutbeddin Şirazi, kapsamlı bilimsel yaratıcılığı ve devlet işlerindeki önemli hizmetleri nedeniyle seçilmiştir. Cemaleddin Hilli’nin bilimsel faaliyetinde din ile ilgili birçok eser bulunmakla birlikte felsefe ile ilgili eserler de önemli bir yer tutmaktadır.
External validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary management of post-treatment gliomas
Authors: Trivedi Kamaxi Hitendrakumar , Guha Amrita , Thakur Meenakshi , Mahajan Abhishek , Bhole Pallavi , Gupta Tejpal
Published: March 2024

Introduction

To independently and externally validate the Brain Tumour Reporting and Data System (BT-RADS) for post-treatment gliomas and assess interobserver variability.

Material and methods

In this retrospective observational study, consecutive MRIs of 100 post-treatment glioma patients were reviewed by two independent radiologists (RD1 and RD2) and assigned a BT-RADS score. Inter-observer agreement statistics were determined by kappa statistics. The BT-RADS-linked management recommendations per score were compared with the multidisciplinary meeting (MDM) decisions.

Results

The overall agreement rate between RD1 and RD2 was 62.7% (κ = 0.67). The agreement rate between RD1 and consensus was 83.3% (κ = 0.85), while the agreement between RD2 and consensus was 69.3% (κ = 0.79). Among the radiologists, agreement was highest for score 2 and lowest for score 3b. There was a 97.9% agreement between BT-RADS-linked management recommendations and MDM decisions.

Conclusions

BT-RADS scoring led to improved consistency, and standardised language in the structured MRI reporting of post-treatment brain tumours. It demonstrated good overall agreement among the reporting radiologists at both extremes; however, variation rates increased in the middle part of the spectrum. The interpretation categories linked to management decisions showed a near-perfect match with MDM decisions.
Preoperative localisation of parathyroid adenomas using ultrasound-guided methylene blue dye injection
Authors: Harraz Mohamed M. , Abouissa Ahmed H. , Tawfik Ahmed Ibrahim , Eltantawy Amir Monir
Published: March 2024

Introduction

Primary hyperparathyroidism is mainly caused by parathyroid adenomas. Preoperative imaging can be performed using different imaging modalities, e.g. ultrasound (US), radionuclide scanning, magnetic resonance imaging, and computed tomography, often used in combination. Currently, US-guided blue dyes, especially methylene blue (MB) injection, are used to identify parathyroid tumours.

Material and methods

This was a retrospective study of 228 patients. Preoperative ultrasound, scintigraphy, and bio­chemistry were performed on all patients, and fine-needle aspiration procedures were performed on suspected patients. Using preoperative US-G injection with MB dye, target tumours were injected in all cases.

Results

A total of 163 patients were female and 65 were male. The mean age was 42.5 years. US was positive in 203 (89%) cases, 25 (11%) were negative, and all had a positive sestamibi scan (100%). US-G needle injections with MB dye of target tumours were successful in all cases. The average diameter of the lesions was 18 mm. All had positive intraoperative identification of parathyroid adenoma and MB staining (100% accuracy, 100% sensitivity, and 100% specificity). Operating time (min ± SD) was 22.7 ± 11.5 minutes, and the success rate was 100%. All were parathyroid adenomas histologically. Intraoperative parathormone hormone decreased in all patients. In postoperative follow-up, all were normocalcaemic with no local or systemic complications.

Conclusions

Localisation of small parathyroid adenomas by US-guided blue dye injection is a safe, simple, and useful tool when performing parathyroidectomy with no complications.
Okul Psikolojik Danışmanlarının Şefkat Yorgunluklarının Duygu Düzenleme Becerileri Ve Ruminasyon Düzeylerine Göre Yordanması
Authors: Er Berk , Ulu Elif
Published: March 2024

u çalışmanın amacı; okul psikolojik danışmanlarının ruminasyon düzeyleri ve duygu düzenlemede yaşadıkları güçlüklerin şefkat yorgunluğunu yordamadaki rolünü incelemektir. Çalışmanın örneklemini 2021-2022 Eğitim öğretim yılında İzmir ilinde çalışmakta olan 180 okul psikolojik danışmanı oluşturmaktadır. Yapılan çalışmada nicel araştırma yöntemlerinden biri olan keşfedici korelasyon araştırma modeli kullanılmıştır. Veri toplama aracı olarak “Kişisel Bilgi Formu”, “Şefkat Yorgunluğu Ölçeği”, “Ruminatif Düşünce Biçimi Ölçeği” ve “Duygu Düzenlemede Zorluklar Ölçeği” kullanılmıştır. Çalışma sonucunda şefkat yorgunluğu ile ruminasyon düzeyleri ve duygu düzenleme beceri arasındaki ilişki istatitiksel olarak pozitif ve anlamlı bulunmuştur. Çoklu regresyon analizi sonuçlarına göre duygu düzenleme güçlüğü alt boyutları ve ruminatif düşünce biçimi okul psikolojik danışmanlarının şefkat yorgunluğundaki değişimin %39’unu açıkladığı saptanmıştır. Duygusal tepkilerin anlaşılmaması, olumsuz duygular deneyimlerken dürtülerin kontrolünde güçlük yaşama, duygusal tepkilerin kabul edilmemesi (açıklık güçlüğü, dürtü kontrolü güçlüğü ve kabulsüzlüğün artması) ve ruminatif düşünce biçimlerinin artması, şefkat yorgunluğunun da artmasına neden olmaktadır.
Ash, Protein And Salinity Analysis Of Integrated Formulation Of Herbs And Spices In Typical Simalungun “Tinuktuk” North Sumatera-Indonesia
Authors: Damanik Marini , Rosmiati Risti , Permatasari Tyas , Aulia Surbakti Tia , Ayuni Syarifah
Published: March 2024

Tinuknuk is a special sauce from Simalungun Regency, North Sumatra Province, tinuktuk warms the body and is believed to be able to cure various internal diseases, especially to help post-natal recovery. This study aims to determine the optimal nutritional value of the main components, namely red ginger with black pepper in the ratio composition: 70:30%, 60:40%, 50:50%, 40:60%, and 30:70% using the method oven at a temperature of 105℃. Then the ash content, protein content, and salt content were tested. The results showed that the ash content was 6.98%, respectively; 6.91%; 6.90%; 6.84%, and 6.73%. The salt content is 0.57%, respectively; 0.57%; 0.57%; 0.57%, and 0.57%. The protein content was 10.43%, respectively; 10.93%; 12.43%; 11.81%, and 10.62%.
Influence Of Consumption Of Katuk Leaves, Spinach And Cassava Against The Prosuction Of Breast Milk In Nursing Mothers In The Working Area Of Puskesmas Cilograng Year 2022
Authors: Siti Nirmalayanti Iis , Wintarsih Wintarsih
Published: March 2024

Based on the Global Breastfeeding Scorecard report which evaluates breastfeeding data from 194 countries, the percentage of infants under 6th month who are exclusively breastfed is only 40%. In addition, only 23 countries have exclusive breastfeeding rates above 60% (United Nations Children's Fund). However, at the Lebak district level, in 2019 there were 2553 babies and in 2020 there were 1.614 babies who were exclusively breastfed.This study aims to determine the Effect of Consumption of Katuk Leaves, Spinach and Cassava on the Production of Breastfeeding Mothers in the Work Area of ​​the Cilograng Health Center in 2022.This research method uses a Quasi Experiment research type with a pre and post test design without control. The population in this study were postpartum mothers and breastfeeding mothers in the period December 2021-August 2022 in the working area of ​​the Cilograng Health Center, a total of 433 people, 39 respondents as a sample, 13 for the katuk leaf consumption group, 13 for spinach leaf consumption and 13 respondents in the cassava leaf consumption group. . Respondents will be taken by accidental sampling technique. Data were analyzed using univariate, bivariate and multivariate analysis.The results of this study showed that most of the respondents were aged 20-35 years (87.2%), more than half of the respondents had multipara/grandemultipara parity status (69.2%) and half of the respondents had secondary education (56.4%). In the katuk leaf group (pvalue 0.003), spinach leaf group (pvalue 0.003) and cassava leaf group (pvalue 0.001) where the pvalue of the three groups was > 0.05, it could be interpreted that these three groups had an effect on milk production in nursing mothers.It can be concluded that katuk, spinach and cassava leaves can help milk production in nursing mothers. It is hoped that this research can educate the public more with the aim of maintaining and increasing the rate of exclusive breastfeeding in the Working Area of ​​the Cilograng Health Center.
Mother's Knowledge And Behavior And Family Support For Doing Baby Massage Independently At Sri Desa Clinic Gonting Malaha Kec. Bandar Pulau Kab. Asahan In 2022
Authors: Sri Maryani Pandiangan Evi , Setya Ningsih Sukarni
Published: March 2024

Mother's massage can be felt as a touch of affection which is very meaningful for the formation of the baby's personality. Through a touch of massage to the muscle tissue, blood circulation can increase to the muscle tissue or the position of the muscles can be restored and repaired, so as to improve the functions of the body's organs. Knowledge, behavior and family support greatly influence the implementation of infant massage independently. To find out the relationship between knowledge and behavior and family support for doing baby massage independently at the Sri Desa Gonting Malaha Clinic, Kec. District Island City. Asahan Year 2022. The research design is a combination of qualitative and quantitative research. The quantitative study in this study was non-experimental in nature using a cross-sectional or cross-sectional approach with the Chi-square test and taking samples using total sampling. Primary data collection was carried out using a questionnaire taking place in November 2022. Statistical test of knowledge of infant massage independently using Chi-Square with a 95% confidence interval, significance limit test α = 0.05, so the hypothesis is 0.01 <0.05. Mother's behavior towards infant massage independently with a hypothesis of 0.006 <0.0. Family support for infant massage independently, the hypothesis is 0.004 <0.05. To the clinic to provide counseling about baby massage so that every mother who participates in counseling can better understand and understand the benefits of baby massage for the growth and development of the baby.
The Effectiveness Of Betel Leaf Boiled Water And Snakehead Fish Consump-tion Against Wound Healing Perineum In Postpartum Mothers
Authors: Herawati Ita , Putri Allawiyana Dita
Published: March 2024

Childbirth often results in birth canal injuries. Perineal injuries are found in about 70% of mothers who give birth due to inability of the muscles and soft tissue of the pelvis during the baby's birth. The process of healing perineal wounds has a healing time that varies, namely 6-7 days, and is influenced by several things such as the characteristics of the mother giving birth, nutritional status, treatment and condition of the wound. One of the effects of delayed perineal wound healing is the occurrence of infection, prevention of infection can be done with pharmacological and non-pharmacological treatment. To find out how the effectiveness of betel leaf decoction and consumption of snakehead fish on the healing of perineal wounds in postpartum mothers.The research design used was a literature review (journal review). Journals used as data include systematic search studies of databases and interventions for respondents.  The results of a journal review of 10 data used as references state that consumption of snakehead fish is proven to be used as a non-pharmacological treatment for postpartum wound healing. Similarly, boiled betel leaf water which is used as a treatment for birth canal injuries has been shown to accelerate the healing of perineal wounds.
Assessing Equality In Hospital Bed Distribution In North Sumatra Of June 2022
Authors: Datitha Alodia Br Kaban Karina , Novalinda Ginting Chrismis , Chiuman Linda
Published: March 2024

At the end of 2019, an outbreak of a respiratory infection occurred in the city of Wuhan, Hubei province, People's Republic of China. The disease was later named Coronavirus disease 19/COVID-19, becoming a global pandemic. The unpreparedness of the government and health facilities in dealing with the presence of this pandemic exposed problems in the health care system in various parts of the world, namely equality of access to health. Problems in the health care system also affect Indonesia. Apart from the COVID-10 pandemic, in Indonesia research on the equivalence of the distribution of hospital beds and the health care system as a whole has never been conducted or at least has not been published. This research oversight does not only occur in Indonesia, not a single ASEAN member country has ever published research on the equality of the distribution of hospital beds. This research is a descriptive study that aims to assess the equivalence of the distribution of hospital beds in the province of North Sumatra. Almost all regencies/cities in North Sumatra have hospitals, except for Gunungsitoli City, with the majority of hospitals being in Medan City.
The Effectiveness of Tuina Massage in Overcoming Feeding Difficulties in Toddlers Aged 1-2 Years at Posyandu Mekar in the Talaga Village Area
Authors: Azizah Laksono Nur , Nursitiyaroh Nursitiyaroh
Published: March 2024

Background : Toddlers are still completely dependent on their parents to perform the necessary tasks such as bathing, urinating, and eating. Purpose of Writing: to determine the effectiveness of tuina massage in overcoming eating difficulties in toddlers aged 1-2 years at TPMB X Talaga Village Region in 2022. Research Methods: This research was an experimental study designed with One – group pre test – post test design. The number of samples in this study were 40 people. The sampling technique was used by accidental sampling. Research Results: Statistical tests using the non-parametric Wilcoxon test obtained the result that the majority of 40 respondents were in positive ranks or the (positive) difference between before and after the Tuina Massage was carried out with the mean ranks being 20.50 and the sum of ranks being 820.00. Asymp research results. Given Sig (2 - Talled) = 0.001 and 0.000 <0.05, the hypothesis can be considered accepted. This shows that the Mekar Posyandu in the Talaga Village area has been successful in using Tuina Massage to help toddlers aged 1-2 years overcome the challenges of eating at the Mekar Posyandu in the Talaga Village Area. Conclusions and Suggestions: it is hoped that the parents of their children can find out a lot about their involvement in doing tuini massage as a form of alternative medicine so that mothers can do the Tuina Massage technique to overcome the problem of difficulty eating in toddlers 1-2 years.
Comparative Analysis Of Service Quality On Patient Satisfaction Levels In Government And Private Hospitals In Medan City In 2022
Authors: Ayura Bebie , Wahyuni Nasution Sri , Ginting Rapael
Published: March 2024

This study compares service quality to patient satisfaction in government and private hospitals in Medan City in 2022. This study used a survey method using a questionnaire as a data collection instrument. The research respondents were patients who used government and private hospital services. The data collected includes service quality dimensions, such as tangibles, reliability, responsiveness, assurance, and empathy. In addition, the data also consists of the level of patient satisfaction with the services provided by the hospital. Comparative analysis of service quality and patient satisfaction levels was carried out using appropriate statistical techniques, such as testing the difference between two groups of hospitals (government vs. private) using appropriate statistical tests. The results of this analysis will provide an understanding of the differences in service quality between government and private hospitals, as well as the related level of patient satisfaction. This research is expected to contribute to the development and improvement of health services in hospitals, especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City.
Analysis Of Nurse Performance Using The Balance Scorecard Method At South Nias Hospital
Authors: Telaumbanua O'ozisokhi , Haicha Pratama Irza , Girsang Ermi
Published: March 2024

Performance measurement is needed to assess the accountability of an organization in producing better and right on target services and performance. The Balanced Score Card was created to overcome a problem in the organization regarding weaknesses in an executive performance measurement system. The purpose of this study was to analyze the performance of nurses using the balanced scorecard method at South Nias Hospital. This type of research is descriptive analytic with a quantitative approach with a cross-sectional design. The sampling technique in this study was Arikunto's formula, based on this formula, the number of samples in this study became 31 people. The results of the study explain that there is a relationship between financial, consumer, innovative and perspective with the performance of nurses in South Nias Hospital. This research can be used as basic information and data for improving the quality of services at South Nias Hospital.
Differences In The Effectiveness Of Giving Tomato Juice And Cucumber Juice In Lowering Blood Pressure In Hypertension In The Review Of Pregnancy
Authors: Rosnawati Iyos , Suara Mahyar
Published: March 2024

Background the content of tomato and cucumber juice both contain potassium which functions as a catalyst so that potassium can play a role in lowering a person's blood pressure. The purpose of writing: to determine the difference in the effectiveness of giving tomato juice and cucumber juice in reducing blood pressure in those who experience hypertension in terms of gestational age. Research Methods: Pre-experimental research with the type of one group pre test – post test design by means of a causal relationship by involving one group of subjects. the subject group was observed before the intervention was carried out and then observed after the intervention was carried out. The sampling technique is non-probability sampling with a purposive method. The study was divided into 2 variables, namely the independent variables, namely the consumption of tomato juice and cucumber juice. Research Results: The results of statistical tests are known Asymp. Sig (2 – Talled) has a value of 0.263, because 0.263 > 0.05, it can be concluded that the hypothesis is rejected. This means that there is no difference in giving tomato juice and cucumber juice in reducing blood pressure in those with hypertension. This means that tomato juice and cucumber juice both have the same efficacy in reducing blood pressure in pregnant women. However, from the Mann –Whitney mean rank between giving tomato juice and cucumber juice, it was found that cucumber juice was more effective than tomato juice in reducing blood pressure. Conclusions and Suggestions: The results of this study are expected to provide information that giving date palm juice and beetroot juice is a type of natural food that can increase Hb levels.
Factors Affecting the Response Time of Radiology Result Reading
Authors: Gozali Juliana , Haicha Pritama Irza , Chiuman Linda
Published: March 2024

Respond time is a common issue in healthcare practice. This problem also occurs in radiology services concerning the reading of radiology results to the expert interpretation process by radiologists. This study analyzes departmental and personal factors influencing the response time of radiology result readings at Murni Teguh General Hospital in Medan in 2021. This quantitative research study has a cross-sectional design and an analytical observational approach. The population includes all radiologists in the Radiology Department. Data is collected through questionnaires and documentation. Logistic regression is used for data analysis. The majority of radiology result readings have a poor response time (56.9%). Multivariate analysis reveals that departmental factors (image results and network) and personal factors (work schedule) significantly influence the response time of radiology result readings. However, there is no significant influence from departmental factors (teaching obligations) and personal factors (educational level and employment status) on the response time of radiology result readings. It is recommended that hospital management cultivate a collaborative and supportive environment among the technology and human resources working in the Radiology Department to improve the response time by the standards set by the ministry.
Factors Influencing the Use of the MPDN Application by Midwives at RSU Boven Digoel Regency, Papua Province in 2023
Authors: G F Ulahayanan Merry , Sri Mulyana Dede
Published: March 2024

Background:Maternal Perinatal Death Notification (MPDN) is a fast and structured maternal death reporting application, utilizing the latest information technology and has been used for 15 years in Indonesia. Purpose of Writing: to determine the factors that influence the use of the MPDN application by midwives. Research Methods: This type of quantitative research uses a cross sectional study design, the sample in this study is 35 people, test the chi square analysis. Research Results: There is a relationship between knowledge (p value=0.012) and training (p value=0.002) with the use of the MPDN application by midwives, there is no relationship between attitude (p value=0.849) and the availability of smart phones and internet connection (p value=0.656) with the use of the MPDN application by midwives. Conclusions and Suggestions: It is hoped that the results of this study will serve as material for consideration and evaluation of improving the quality of human resources and quality of hospital services, one of which is by using the latest informatics technology for reporting maternal and infant mortality / Maternal Perinatal Death Notification.
Analysis Of The Density Of Coliform Bacteria As An Indicator Of Pollutant In The River Aek Katia Labuhan Batu District
Authors: Rosenta Purba Ika , Harahap Arman , Dieudonne Bitondo
Published: March 2024

Coliform bacteria is a one of a kind negative bacteria commonly found in the river aek katia in kabupaten labuhanbatu, the presence of coliform bacteria can be an indicator of biology that is important to know the environmental conditions. This study aims to determine the environmental conditions based on biological indicators in the form of an abundance of coliform bacteria in the river Aek Katia Kabupaten Labuhanbatu. The main ingredient in this study is the river water and sediment. The results obtained are still below the quality standard so that the river aek katia in good condition biologically. The presence of coliform bacteria in the river can affect human and biota. So it needs to be considered in the efforts of the management of the environment of the community , especially in an effort to maintain the sustainability of fisheries resources.
The Use of Artificial Intelligence (AI) In the Management Processes of Communication Between Medical Facility and Patient – Recommendations for Managers of Healthcare Entities
Authors: DRYL Tomasz
Published: March 2024

This research article discusses the growing challenges in the healthcare sector, focusing on the key role of effective communication between medical facilities and patients. The article highlights the limitations of traditional communication methods in the face of increasing demands and expectations. In response to these challenges, the authors explore the potential of using artificial intelligence (Artificial Intelligence (AI)) in medical communication. They highlight Artificial Intelligence (AI)’s ability to process large amounts of data, analyse patterns and learn, which could revolutionise the way information is communicated and interpreted in the health sector.
Treosulfan (Trecondyv)
Authors: CADTH
Published: March 2024

CADTH recommends that Trecondyv in combination with fludarabine should be reimbursed by public drug plans as part of conditioning treatment before allogeneic hematopoietic stem cell transplantation (alloHSCT) in adult patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS) at increased risk for standard conditioning therapies if certain conditions are met.

Trecondyv in combination with fludarabine should only be covered to treat adult patients with AML or MDS who are eligible for alloHSCT, are at least 50 years old at transplant, and/or have a Hematopoietic Cell Transplantation-Comorbidity Index score greater than 2. Patients should have good performance status.

Trecondyv should only be reimbursed in combination with fludarabine if prescribed by clinicians with appropriate training and experience in transplant centres with alloHSCT programs and if the cost of Trecondyv is not more than the least costly alternative conditioning treatment.
TRATAMENTO CIRÚRGICO DE CISTO RADICULAR EM MAXILA: RELATO DE CASO
Authors: Albuquerque Jackson Henrique da Silva , Nascimento Bruna Laryssa Cosmo , Moura Giovanna Marjory Alves de , Lira Vitória Layla Bezerra de Oliveria de , Castro Carla Cecília Lira Pereira de , Araújo Fábio Andrey da Costa
Published: March 2024

Introdução: O Cisto Radicular (CR) é classificado como um cisto odontogênico apical inflamatório e sua causa está associada ao epitélio do ápice de uma unidade dentária com necrose pulpar, desenvolvida por um processo inflamatório. Esta  lesão  não  apresenta  sintomatologia dolorosa e tem seu crescimento lento, podendo atingir grandes proporções, apresentando  características como mobilidade, tumefação e sensibilidade. Objetivo: O objetivo deste trabalho foi relatar um caso clínico de cisto periapical, evidenciando diagnóstico e terapêutica cirúrgica proposta. Relato de caso: Paciente 23 anos, sexo feminino, leucoderma, compareceu ao ao ambulatório de cirurgia e traumatologia bucomaxilofacial do Hospital Universitário Oswaldo Cruz, referindo aumento de volume em região anterior de maxila. Ao exame intrabucal, apresenta aumento de volume e crepitação na região anterior direita de maxila. O exame radiográfico evidenciou área radiolúcida, circunscrita e bem delimitada entre as raízes do incisivo central, lateral e canino direitos, sugestiva de cisto periapical.  O tratamento proposto foi a enucleação e curetagem da lesão sob anestesia local. O material coletado foi enviado para análise anatomopatológica. A paciente retornou após 07 dias, sem sinais flogísticos de infecção, débito ou deiscência da sutura. Conclusão: O presente trabalho abordou o tratamento cirúrgico de um cisto radicular, destarte, torna-se importante a inclusão de exames complementares de diagnóstico, como o exame radiográfico e o histopatológico, na rotina odontológica. O sucesso deste procedimento depende de um correto planejamento do caso, além dos conhecimentos de anatomia de cabeça e pescoço e técnicas cirúrgicas. 
Palavras-chaves: Cisto radicular, Cisto odontogênico, Cisto periapical, Cirurgia bucal.
A EFICÁCIA DO USO DO HILOTHERM EM CIRURGIAS MAXILOFACIAIS: REVISÃO INTEGRATIVA
Authors: Magnata Tiago de Souza Leão Pereira , Medeiros Lucas Wagner Viana de , Silva Bárbara Araújo da , Simões Júlia de Souza , Fonseca Neto André Corsino da , Laureano Filho José Rodrigues , Dourado Ana Claudia Amorim Gomes , Silva Emanuel Dias de Oliveira e , Araújo Fábio Andrey da Costa
Published: March 2024

Introdução: A cirurgia bucomaxilofacial é uma intervenção que pode trazer dor pós-operatória, edema local, hiperemia, hipertermia e pode alterar a função da região. O uso da máscara facial Hilotherm pode reduzir o tempo de recuperação pós procedimento cirúrgico, minimizando estas consequências. Objetivo: Analisar a literatura disponível acerca da eficácia do uso do Hilotherm em cirurgias maxilofaciais. Metodologia: Trata-se de uma revisão integrativa da literatura com objetivo de incorporar um vasto leque de propósitos, tais como definição de conceitos, revisão de teorias e evidências e análise de problemas metodológicos de um tópico particular. Como pergunta norteadora, seguindo a estratégia PICO, População, Intervenção, Comparação e "Resultado”. Dessa forma, a pergunta norteadora utilizada foi "Qual a eficácia da Hiloterapia em cirurgias Maxilofaciais com relação ao edema, dor e satisfação do paciente no pós-operatório?” Resultados: A busca sistemática resultou em 39 estudos, dos quais 24 artigos foram removidos por duplicidade, resultando em 15 estudos. Após a leitura dos títulos e resumos, 15 estudos foram avaliados quanto à elegibilidade, dos quais 4 foram excluídos por resumo e 01 artigo retirado por não atender aos objetivos do estudo. Discussão: A hiloterapia foi associada à redução da dor e edema pós-operatório, além de os pacientes relatarem mais conforto e satisfação, sendo utilizada para o pós-operatório de cirurgia ortognáticas, de terceiro molar e de trauma facial (osso zigomático).  Conclusão: Por mais que sua eficácia clínica tenha tido respaldo pela literatura atual, ainda há divergências com relação à temperatura ideal para utilizar a máscara facial, necessitando assim de um maior aprofundamento acerca de seus parâmetros clínicos.
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ADVOCACIA INOVADORA: COMO O ADVOGADO E SUAS TAREFAS TÊM SIDO AFETADOS PELA INOVAÇÃO
Authors: Tavares Luan de Souza
Published: March 2024

Este artigo aborda as mudanças significativas no mundo jurídico, impulsionadas pela tecnologia e pela necessidade de acessibilidade. Explora-se a Automação de documentos, que busca tornar mais ágil o trabalho do advogado ao redigir contratos, o Legal Operations, focado na eficiência dos departamentos jurídicos, a Jurimetria, que aplica métodos estatísticos ao direito, o Legal Design, que busca tornar os documentos jurídicos mais compreensíveis, e as skills (habilidades) essenciais do advogado do futuro, como pensamento inovador, aptidão tecnológica e liderança. Essas tecnologias emergentes visam transformar a prática jurídica, promovendo eficiência, acessibilidade e transparência no sistema legal. A metodologia empregada envolveu uma revisão sistemática da literatura, com busca e análise de artigos, livros e outras fontes relevantes sobre as tecnologias emergentes no campo jurídico. Os resultados encontrados indicam que essas tecnologias estão desempenhando um papel fundamental na transformação do mundo jurídico, proporcionando maior eficiência no trabalho jurídico, facilitando o acesso à justiça e promovendo uma comunicação mais clara e acessível no âmbito legal. As skills do advogado do futuro, como pensamento inovador, aptidão tecnológica e liderança, estão se tornando cada vez mais importantes para o sucesso na prática jurídica moderna.
A metodologia empregada envolveu uma revisão sistemática da literatura, com busca e análise de artigos, livros e outras fontes relevantes sobre as tecnologias emergentes no campo jurídico. Os resultados encontrados indicam que essas tecnologias estão desempenhando um papel fundamental na transformação do mundo jurídico, proporcionando maior eficiência no trabalho jurídico, facilitando o acesso à justiça e promovendo uma comunicação mais clara e acessível no âmbito legal. As skills do advogado do futuro, como pensamento inovador, aptidão tecnológica e liderança, estão se tornando cada vez mais importantes para o sucesso na prática jurídica moderna.