bluuebunny/crossref_metadata_2025 huggingface dataset:
Quality in Healthcare Services and quality indexes in the Emergency Department (ED)
Authors: Angeli Emmanouela , Baliozoglou George
Published: March 2022

Introduction: In recent years, the Greek Government and Health Organizations have tried to inspire and promote the improvement of quality, effectiveness and efficiency of hospitals through Total Quality Management (TQM).
Aim: The aim was to define the results of this improvement effort using quality indexes of hospital unit services and focusing on patients coming to hospital’s emergency rooms (ER).
Methods: Firstly, randomized and anonymous questionnaires were used to collect the data. Participants (N = 200), aged 20 to 60 years, came as patients in the Emergency Department of Hippocratio, Thessaloniki’s General Hospital during from 1/10/18 to 31/12/2018. Participants in the survey were asked to answer on a 5-point Likert scale as follows: 1=Not at all, 2=Little, 3=Pretty much, 4=Very much, 5=Very much. Statistical analysis of the survey data was performed with the IBM statistical package - SPSS Statistics v. 24.0 version for Windows.
Results: The results emphasize the importance of evaluating the quality of care provided by assessing patients’ satisfaction through indicators in the Emergency Department of Hippocratio General Hospital in Thessaloniki. In particular, patients' satisfaction as they enter the Emergency Department was found higher concerning the medical-nursing services provided than the interaction with the administrative staff due to lack of staff.
Conclusions: Despite the shortcomings of the hospital, the general level of quality of its services was considered to be sufficient in all areas. Therefore, potential improvements in service quality could be suggested to hospital unit management and lead to a general improvement in the visitor - patient experience.
Batería funcional ARISTO en Gimnasia Rítmica (BFAGR): fiabilidad y aplicabilidad en niñas gimnastas de nivel básico
Authors: Vernetta M , Montosa Isabel , Ariza L , López Bedoya J.
Published: March 2022

Objetivo: Determinar la fiabilidad test-retest de las pruebas que componen la batería así como, determinar los valores normativos de las mismas.

Método: Participaron 56 gimnastas de rítmica de nivel básico con edades entre 7 y 11 años. Para identificar la confiabilidad de las diez pruebas de la batería (dos de ellas bilaterales), se realizaron dos evaluaciones en cada prueba. Después de una semana se realizó de nuevo las pruebas para evaluar la fiabilidad test-retest. Se utilizó el Coeficiente de Correlación Intraclase (CCI) para la confiabilidad test-retest. La capacidad discriminatoria de las pruebas, según las diferentes categorías se estimó mediante un ANOVA. En caso de no cumplirse los supuestos de normalidad y homocedasticidad, se optó por el método de Bland y Altman para la estimación de la confiabilidad y el estadístico U de Mann Whitney para el análisis discriminatorio entre categorías.

Resultados: La fiabilidad inter-evaluadores es alta presentando valores superiores a 0,95 en todas las pruebas excepto en la “zancada”  en relación a la “altura del salto”.El CCI obtenido indicó muy buena reproducibilidad (> 0,75) en las pruebas “Spagat antero posterior a derecha”, “Elevación frontal de pierna derecha e izquierda y mantener”, y “Zancada (flexibilidad dinámica)”. Igualmente, se presumió la presencia de concordancia entre los registros a través del método Bland y Altman, en las pruebas “Lanzamiento de pelota y volteo adelante”, “Spagat antero posterior a izquierda”, “Puente” y “Flexibilidad de hombros”.

Conclusiones: la batería final BFAGR compuesta por seis pruebas para la valoración de la condición física específica es fiable y aplicable para gimnastas de estas edades
Percepción de la imagen corporal de población chilena en situación de pandemia.
Authors: Lavalle-Mellado Paula , Guedda-Muñoz Relmu , Lagos-Hernández Roberto
Published: March 2022

El objetivo fue asociar y correlacionar tiempo de confinamiento y actividad física (AF) con la imagen corporal (IC) en población Chilena en pandemia. Estudio cuantitativo descriptivo, correlacional. Participaron 1.038 personas, 426 hombres, 609 mujeres y 3 personas que no manifestaron género. Se utilizó encuesta con para datos generales y Body Shape Questionnarie (BSQ). Nivel de confinamiento y tiempo de confinamiento, no se correlacionan con nivel de Escala BSQ. El nivel de confinamiento sí se correlaciona, con sumatoria de escala BSQ con baja fuerza estadística. Días de la semana y tiempo de AF, sí presentan correlación (p=< 0,01) con el nivel y sumatoria de Escala BSQ. Se concluye que hay correlación entre el tiempo semanal de AF con el nivel BSQ, quiénes tuvieron mayor preocupación por su IC tienen niveles bajos de AF y quienes tienen un mayor nivel de AF no presentan niveles altos de preocupación por la IC.
Identificación de los alimentos tradicionales de Tabasco para la determinación de su potencial como artesanía alimentaria
Authors: Espinosa-Moreno Judith , Carrera-Lanestosa Areli , Centurión-Hidalgo Dora , Baeza-Mendoza Lourdes , García-Centurión José Alberto , Sánchez-Ruíz Blanca Alicia
Published: March 2022

Objetivo: identificar los alimentos tradicionales comercializados en los mercados municipales de la ciudad de Villahermosa, Tabasco, México, para la determinación de su potencial como artesanía alimentaria. Metodología: fue de carácter cualitativo transversal y el diseño de la investigación siguió un enfoque fenomenológico sistémico. Se realizó en cuatro etapas. En la primera, se realizó un recorrido observacional en cada mercado recorriendo los pasillos para ubicar los giros comerciales. La segunda consistió en el diseño de un instrumento con cuatro secciones: datos generales del mercado; datos personales del comerciante; nombre de los productos artesanales alimentarios, y origen del producto. En la tercera, se registraron los alimentos artesanales ofertados y se tomaron fotografías del producto artesanal para elaborar una ficha con la imagen del producto. En la última, se verificó la información obtenida con la lista de las características que debe cumplir un producto para ser considerado como artesanía alimentaria. Resultados: se identificó un total de 123 productos de los cuales 67 cumplen con algunas de las características para ser considerados como artesanías alimentarias, además de 56 productos que se comercializan a granel y que se podrían considerar como tal cuando cumplan con la imagen del producto. Limitaciones: han aumentado los locales donde se vende comida preparada, tipo fondas, y que los alimentos tradicionales se comercializan principalmente en los locales de abarrotes lo que ha limitado su difusión. Conclusiones: los alimentos artesanales representan la cultura alimentaria de una región que se ha mantenido mediante transmisión oral, lo que se evidenció con la existencia y comercialización, en los mercados municipales de la ciudad de Villahermosa, de alimentos tradicionales que cumplen con las características para ser considerados como una artesanía alimentaria
Features of microclimate parameters’ creating in wet rooms with low temperature
Authors: Pochekunin Petr
Published: March 2022

Статья посвящена вопросу организации микроклимата в помещениях заглубленных сооружений с высокой влажностью и пониженной температурой внутреннего воздуха. В настоящее время вопрос организации микроклимата в таких помещениях недостаточно раскрыт в нормативно-технических документах. Освещен процесс формирования тепло-влажностного режима в помещениях, даны рекомендации по организации и проектированию систем отопления и вентиляции влажных помещений с пониженной температурой внутреннего воздуха.
ПАТРІОТИ I КРИТИКИ: ІСТОРІЯ ПРО ТЕ, ЯК ЗМІНЮВАЛОСЯ СУСПІЛЬНЕ СПРИЙНЯТТЯ ПОДІЙ ПЕРШОЇ СВІТОВОЇ ВІЙНИ В РОСІЙСЬКІЙ ІМПЕРІЇ
Authors: КУЦИК Руслан
Published: March 2022

Мета статті: висвітлити основні особливості реакції суспільства на початок Першої світової війни та подальші трансформаційні зміни настроїв різних груп населення у ході воєнних подій. Методологія дослідження ґрунтується на принципах історизму, об’єктивності, системності і науковості із використанням загальнонаукових (аналіз, синтез) та спеціально-історичних (історико-порівняльний, ретроспективний, проблемний) методів. Наукова новизна: вперше комплексно охарактеризовано особливості настроїв різних груп населення українських земель Російської імперії у 1914 – 1917 рр., з урахуванням не тільки соціального становища людини, але й вікових особливостей та особистих мотивів; чітко окреслено головні етапи зміни сприйняття та розуміння суспільством подій Першої світової війни. Висновки. Отже, початковий етап війни відзначився широким патріотизмом, який, незважаючи на “масовість”, протягом 1914 – 1917 рр. мав диференційований, амбівалентний та перманентний характер. Переважно “ярими” патріотами були або заможні верстви населення, які завдяки привілейованому та фінансовому становищу могли уникнути військового обов’язку і практично не брати участі у військових діях, або представники ультрамонархічних кіл. Для одних війна виступала способом демонстрації власної лояльності до влади, а для інших – можливістю нажитися та збагатитися. Інші групи населення, якщо і пройнялися почуттям патріотизму та визвольної боротьби, то основною причиною цього була не любов до “великої царської Вітчизни”, а розуміння необхідності захисту власної “малої батьківщини”. Подібне бачення та сприйняття війни було характерним і для солдатського середовища, оскільки його основу становили вихідці із села. У перші роки війни поведінка солдат визначалася покірним, терпеливим і самовідважним виконанням військового обов’язку. Затягування термінів війни, поразки на фронті, збільшення кількості жертв, наростання економічної кризи запустили процес дестабілізації всередині країні. У суспільстві поширювалися недовіра та незадоволення. Серед населення розповсюджувалися чутки про зраду у вищих ешелонах влади, про шпигунів та німецьке засилля. Негативні тенденції проявлялися в армії, зокрема, спостерігалися спад патріотизму, зниження морального духу та релігійності. У підсумку, наприкінці 1916 –  початку 1917 рр. заходи російської імперської влади щодо контролю за суспільно-політичною ситуацією вже не могли приховувати справжній стан справ і водночас стримувати серйозні трансформації у масовій суспільній свідомості. Помітним явищем стало значне зростання національної свідомості та політичної активності українців, що було однією із важливих передумов до революційних подій та розбудови власної державності у 1917 –  1920-х рр.

Ключові слова: Перша світова війна, Російська імперія, український народ, суспільна свідомість, суспільні настрої, патріотизм, критика.
ПЕРЕМІЩЕННЯ ВІЙСЬКОВОСЛУЖБОВЦІВ У МЕЖАХ СПІВДРУЖНОСТІ НЕЗАЛЕЖНИХ ДЕРЖАВ (1991 – 1994)
Authors: МАШТАЛІР Вадим , ШЕВЧУК Василь
Published: March 2022

Мета дослідження – розкрити значення міждержавного переміщення військовослужбовців 1991‒1994 рр. у стабілізації військово-політичної ситуації в Україні. З’ясувати політико-правові підстави та заходи державного та військового керівництва України щодо переміщення офіцерів, прапорщиків, які висловили бажання повернутися на батьківщину і продовжити військову службу у Збройних Силах України. Відзначити умови відкомандирування військовослужбовців з України в інші пострадянські державні утворення. Методологія дослідження ґрунтується на низці міждисциплінарних методів пізнання (історії, правознавства, політології), завдяки яким здійснено ретроспективну реконструкцію поповнення офіцерського корпусу на етапі становлення Збройних Сил України. Наукова новизна полягає у висвітленні умов міждержавного переміщення (відкомандирування) військовослужбовців у межах СНД у 1991 ‒ 1994 рр. та з’ясування значення цього явища у становленні Збройних Сил України. Висновки. Переміщення у межах пострадянських державних утворень військовослужбовців, що належали до фрагментів Радянської армії, здійснювалося на добровільних засадах, демократичних принципах і дало можливість використати статус СНД для розв’язання важливої соціальної і військової проблеми, уникнути намагань Російської Федерації скористатися СНД як прямим засобом військового впливу на пострадянські держави. Добровільне переміщення військовослужбовців допомогло українській владі стабілізувати військово-політичну ситуацію у військах і не допустити розколу в офіцерському корпусі; офіцерів, що повернулися в Україну, включити у розбудову збройних сил, завдяки їх переміщенню вдалося завершити комплектування командно-штабних, тилових та технічних посад у середній та вищій ланках на етапі створення основи Збройних Сил України.

Ключові слова: Україна, Співдружність Незалежних Держав, військовослужбовці, офіцери, прапорщики, військові формування, пострадянські держави, політико-правові засади, присяга, переміщення (відкомандирування).
Pneumatic-jet propulsor for Arctic lifeboat: efficiency justification
Authors:   Krylov State Research Centre, St. Petersburg, Russia, Sergeev M. , Tarovik V. ,   Krylov State Research Centre, St. Petersburg, Russia, Valdman N. ,   Krylov State Research Centre, St. Petersburg, Russia, Labuzov A. ,   Krylov State Research Centre, St. Petersburg, Russia
Published: March 2022

Object and purpose of research. This paper reviews the findings of efficiency justification study for pneumatic-jet propulsion of Arctic lifeboat. These results lead to the conclusion that this non-conventional type of propulsion could be a promising solution for fast escape beyond the hazard zone in case of emergency. Materials and methods. The results presented in this paper are based on well-studied and proven methods of solid mechanics, variable-mass mechanics and heat transfer. The relevance of the task of personnel evacuation from marine facilities in ice conditions is confirmed by the summary analysis of publications and patents about this topic, as well as by the experience of KSRC researchers. Main results. The study yielded the data on the lifeboat’s kinematics, as well as the curves of kimematic parameters for various types of the propellant. It also analysed the stability of pneumatic-jet propulsor operation in design conditions under effect of thermal and inertial disturbances. The results obtained for the closed lifeboat’s emergency escape from the hazard zone have shown that this type of lifeboat propulsion surely has practical potential. Conclusion. Pneumatic-jet propulsion might considerably increase the evacuation process efficiency in terms of the fast escape from the hazard zone. Simple design and operation principle reduce the time needed to prepare for the emergency escape. Also, this type of propulsion features robustness against long-term thermal disturbances with respect to its design condi-tions. Pre-defined safety radius may be ensured through variation of the propellant’s thermodynamic properties.
Evaluasi Sistem Informasi Manajemen Rumah Sakit Dengan Metode Technology Acceptance Model (TAM) di Rumah Sakit X
Authors: Putra Dony Setiawan Hendyca , Kurniawati Rizka
Published: March 2022

Hospital has implemented hospital information management system (HIMS) since 2016. one of the factors that currently plays an important role in the successful application and use of information technology is the user factor. The level of readiness of users to receive information technology has a major influence in determining the success and failure of the application of the technology. The purpose of this research is to evaluate user perception of SIMRS based on dimension Technology Acceptance Model (perceived ease of use, perceived usefulness, attitude toward using, behavioral intention, actual usage). The method of this research is quantitative descriptive research. The object of this research is SIMRS user in all unit of hospital and research subjects are all SIMRS users. The results showed that the percentage of group calculation from PEOU 0.602 dimension (60.2%), PU 0.595 (59.5%) and ATU 0.594 (59.4%) were moderate category, dimensions of BI 0.777 (77.7%) and AU 0.694 (69.4%) are in good category. It states that the user perception of SIMRS has been running well and needs to be maintained, but there are still some shortcomings that need to socialize the officers who are less supportive of the SIMRS that is the need for motivation and assistance to users who have difficulty. Because remembering one of the benefits of SIMRS the SIM will accelerate and improve the accuracy of the transaction because everything is recorded and communicated between various units.
Evaluasi Kariadi Information System pada Petugas Koding Rawat Jalan di RSUP dr. Kariadi Semarang
Authors: Nissa' Nabilah Khoirun , Erawantini Feby , Roziqin Mochammad Choirur
Published: March 2022

Based on a preliminary survey that I had done during the Field Work Practice at RSUP Dr. Kariadi Semarang.The output that was there produced the KIS system on the RME menu that was not yet in accordance with thewishes of the outpatient coding officer. In the KIS system, the SIMRS menu entry grouping encoding externalcauses or external causes only have 3 digits of 4 characters. The use of the KIS menu RME systemsometimes occurs errors that are not equipped with guidelines or guidelines if an error occurs. This studyaims to evaluate KIS (Kariadi Information System) users in outpatient coding officers. Use the methoddiscussed, namely the EUCS method to measure the level of satisfaction from using a system. The resultsthat have been obtained from this research in terms of the content (content) of the information obtained isquite helpful for coding officers. The lack of entry grouping coding on the external cause, if complete willbenefit the patient. In terms of accuracy (accuracy) still requires an accuracy process, for example, if the inputerror registers, the data that appears will be different and occasional errors also occur. In terms of format(display) the interface is quite attractive based on user needs. In terms of timeliness, the system is able toprovide up to date information. In terms of ease of use (ease of use) the system is easy to learn only the lackof guidance if there has been an error. This research resulted in several recommendations that IT staff officerscan receive input related to the constraints of the use of the coder officer system, the head of the medicalrecord conducts further evaluation and supervision of the use of the system.
Evaluasi Sistem Informasi Admisi Terpadu Dengan Metode EUCS di RSUD Dr. Saiful Anwar Malang
Authors: Putri Liza Amalia , Santi Maya Weka , Wijayanti Rossalina Adi
Published: March 2022

Integrated Admision Information System (SISMIDU) is a system that serves to conduct bed managementdata in RSUD Dr. Saiful Anwar Malang. This system is a supporting facility to know the availability of bedinformation so that it can provide fast service in patients. The implementation of SISMIDU still has someobstacles that the system often encountered error in conducting patient data search, it takes a long time tosave data and system that is less update related to information availability of room in the inpatient area soas to cause inpatient buildup in the hospitalization of admission patient. The Purpose of this research is toevaluate the SISIMIDU based on user satisfaction. This type of research is qualitative research with datacollection through questionnaires. Method used is the End User Computing Satisfaction the methodconsisting aspects of content,aspects of accuracy, aspects of the format, aspects of timeliness and aspectof ease of use. Result of the research of the five aspects, among others, the aspect of content 67%respondents expressed satisfaction, aspect of accuracy 100% respondents expressed dissatisfied, aspectsof format 67% of respondents expressed dissatisfied, the aspect of timeliness 100% of respondentsexpressed dissatisfied and aspect of ease of use 100% expressed dissatisfied. It is hoped that hospitals canmake improvements and development against SISMIDU in order for SISMIDU to provide information thatsuits the needs of the user.
Analisis Faktor Penyebab Kerusakan Berkas Rekam Medis di Rumah Sakit Universitas Airlangga
Authors: Kholifah Aulia Nurul , Nuraini Novita , Wicaksono Andri Permana
Published: March 2022

Medical records are files that contain records and documents regarding patient identity, examination results,treatment, actions and other services that have been provided to patients. Management of medical records is oneof medical support services. Based on the results of a preliminary study conducted at Airlangga UniversityHospital Surabaya it is known that in February 2020 amount 104 files were damaged so that the forms containedin them could be torn. This research was aimed to analyze the factors that cause damage to medical record filesat Airlangga University Hospital Surabaya. This type of research uses qualitative and data collection withinterviews and observations by using the analysis of 5M management elements is Man, Machine, Method,Material, Money. The population in this study is the medical records officer filing room section of 5 officers. Theresults obtained are that there are still many medical records officers who have a background not DIII medicalrecords, the lack of socialization of SOPs related to the maintenance of medical record files, limited number ofrack filing, and the less used folder material. So the suggestion made by the researchers is to redesign themedical record file folder by using a color code, and calculate the rack filing needs.
Analisis Faktor Penyebab Rendahnya Bed Occupancy Rate (BOR) di Rumah Sakit Mitra Medika Kabupaten Bondowoso
Authors: Widiyanto Widiyanto , Wijayanti Rossalina Adi
Published: March 2022

BOR (Bed Occupancy Rate) di Rumah Sakit Mitra Medika Bondowoso masih rendah dimana pada bulan Oktober sebesar 59%, November sebesar 55% dan Desember sebesar 57%. Kondisi tersebut kemungkinan disebabkan oleh jumlah sumber daya manusia yang kurang, fasilitas atau prasarana yang masih belum lengkap, faktor lingkungan baik itu lingkungan internal dan eksternal maupun sikap petugas dalam memberikan pelayanan kepada pasien. Tujuan dri penelitian ini adalah untuk menganalisis faktor penyebab rendahnya persentase BOR di Rumah Sakit Mitra Medika Bondowoso. Jenis penelitian ini adalah penelitian kualitiatif dengan menggunakan teknik pengumpulan data wawancara, observasi dan dokumentasi yang melibatkan 5 responden meliputi kepala rekam medik, HRD, perawat, petugas rekam medik dan petugas administrasi atau pendaftaran. Penentuan prioritas utama penyebab masalah menggunakan metode USG (Urgency, Seriousnes, Growth) yang dilaksanakan dengan melakukan skoring. Selanjutnya menentukan alternatif solusi melalui diskusi bersama dengan responden. Hasil penelitian menunjukan bahwa penyebab utama rendahnya persentase BOR di Rumah Sakit Mitra Medika Bondowoso adalah fasilitas atau sarana dan pasarana yang masih belum lengkap. Alternatif solusi yang disarankan untuk mengatasi masalah tersebut dengan cara penyediaan fasilitas atau sarana dan prasarana yang masih belum lengkap. Sebagai saran, Rumah Sakit Mitra Medika Bondowoso harus segera berbenah dan melengkapi fasilitas atau sarana dan prasarana yang masih belum tersedia.
Analisis Faktor Penyebab Keterlambatan Pendistribusian Dokumen Rekam Medis ke Poli Bedah di RSUPN Dr. Cipto Mangunkusumo
Authors: Azis Firza , Deharja Atma
Published: March 2022

Based on research at RSUPN Dr. Â Cipto Mangunkusumo, Central Jakarta, there was a delay in the distribution of medical record documents to arrive at the surgical clinic more than 30 minutes. The purpose of this research was to identify the causes of the delayed in the distribution of medical records documents to arrive at the surgical clinic based on 5 management elements, such as man factors, materials factors, machine factors, methods factors, motivation factors and the factors of arrange the recommendations effort for improvements in the supply of medical record documents at RSUPN Dr. Cipto Mangunkusumo. This type of the research uses qualitative analysis. Based on the results and discussion, in the man factor there are filing staffs who still lack discipline such as, often come late, the one of the filing staff often absen. The material factor there is still a medical record document which folder / cover is torn, and therefore the medical record number and the patient's name are not visible or unclear, so that the staffs has trouble when searching for the medical record documents. The machine factor, which is EHR, usually occurs loading or could not be a accessed so the tracer not coming out and when the EHR can be accessed, the tracer will come out with a lot. Ther methods factor is KPI percentage of the speed of providing medical records of patients without agreement arrived at the Â polyclinic in 2019 still has not reached the target of 90%. After an evaluation, in 2020 the time of the document arrived at the polyclinic would be less than 30 minutes by reducing the target to 75%. Motivation factor there is no external motivation provided by the head of the medical recordÂ .The conclusion is the filing staffs did not come on time and did not come, the materials of the cover on medical record documents are easily torn, EHR is often difficult to access, the achievement level has not yet reached the target of providing medical record documents, and there is still no motivation from the head of medical record.
Sistem Informasi Peminjaman dan Pengembalian Rekam Medis Berbasis SMS Gateway
Authors: Apriliani Eltigeka Devi , Farlinda Sustin , Erawantini Feby , Roziqin Mochammad Choirur
Published: March 2022

The process of borrowing and returning medical record at Ambulu Public Health Center still use manual book and make return of medical record documents that are not in accordance with SOP (Standard Operational Procedure). The purpose of this research is to design and create an information system of borrowing and returning the medical records based SMS gateway at Ambulu Public Health Center. The method used in this research is waterfall. The stages of the waterfall is requirements analysis, system design, create system, and system testing. The data collected by interview, observation, and FGD (Focus Group Discussion). The results of this research is the information systems of borrowing and returning the medical records based SMS gateway as message or automatic reminder. The suggestion for Ambulu Public Health Center is use information system of borrowing and returning the medical record based SMS gateway can make simple the reports.
Perancangan Sistem Informasi Peminjaman dan Pengembalian BRM Rawat Jalan di Rumah Sakit Husada Utama
Authors: Zuhro Lidya Nur Fatimatuz , Nurmawati Ida , Wijayanti Rossalina Adi , Permana Gilang Nur
Published: March 2022

Borrow and return outpatient medical records at the Husada Utama Hospital in Surabaya still uses manuals by referring to the date of discharge from the hospital to search for files that have not been returned or for file tracking so that it can cause difficulties for officers in tracking outpatient medical records. Data of delay in the return of outpatient medical records in February-March 2020 counted for 117 (14.88%) of the total files late from the 786 total outgoing files. SOP (Standard Operational Procedure) that applies at Husada Utama Hospital regarding hospital service standards is explained by the medical records of Specialist Practices which are returned within 1X24 hours on the same day. While the medical record file in the inpatient room is submitted no later than 2X24 hours after the date the patient is discharged from the hospital. This researchÂ  was aimed to design a web-based outpatient medical records and loan information system at the Husada Utama Hospital in Surabaya. The type of research is qualitative research with data collection methods of observation and interviews. The subjects of this research were the head of the medical record and the outpatient medical record officer. The method used by researchers is the waterfall method. The results of this research can be seen that the design of information systems for borrowing and returning outpatient medical record files are made according to the needs of users, making the system starts from the needs analysis so it produce a system design that suits your needs.
Analisis Penerapan RME Pada Unit Coding Rawat Jalan RSUD K.R.M.T Wongsonegoro Semarang
Authors: Rohmah Amaliya Nikmatul , Nurmawati Ida , Muflihatin Indah , Syaifuddin Syaifuddin
Published: March 2022

RSUDÂ K.R.M.TÂ WongsonegoroÂ Semarang City is one of the hospitals thatÂ haveÂ implemented an electronic medical record at the end of December 2017. Information systems that support management and service to patients are electronic medical records, especially in outpatient coding units. One factor that plays an important role in the successful application and use of information technology is the user factor. The level of user readiness to accept information technology has a major influence in determining the success or failure of the application of the technology. The purpose of this study was to evaluate the application of electronic medical records in outpatient coding units based on the Technology Acceptance Model (TAM) method. This type of research is qualitative research withÂ the dataÂ collection methods, namely interviews, observation and documentation. The subjects of this study were outpatient coding officers. The results showed that based on the aspects of usefulness in the use of electronic medical records in outpatient coding unitsÂ beÂ very beneficial for officers. Based on the aspect of ease in showing the acceptance of electronic medical records, it is considered easy to understand, flexible enough with the work of officers and easy toÂ used toÂ assist with work. Based on the aspect of interest, it is obtained that outpatient coding officers also show their interest in the system, andÂ plan to use the system in the future, although there are some obstacles.Â TheÂ solution obtained from the problem is making guidelines for the use of electronic medical records, adding electronic signature features to electronic medical records for patient medical resume forms, striving for electricity and electricity networks to remain stable, making updates or updating electronic medical records.
Analisis Beban Kerja Petugas Rekam Medis Dengan Menggunakan Metode Wisn dan Fishbone di Puskesmas Ambulu Tahun 2019
Authors: Ramadhani Raisa Putri , Karimah Rinda Nurul , Wibowo Nugroho Setyo , Wicaksono Andri Permana
Published: March 2022

The existing problem that related to workload of medical records officer in Primary Health Care of Ambulu there are never done the analysis and evaluation, more over since 2018 medical record unit and registration unit splinted into two unit to be on oneâ€™s own. This research that intend to do the analysis workload of medical record officers therfore be discovered the level of workload of officer with WISN (workload indicator staff need) methode. If ther is already known the workload of medical record officers the next is an analysis of causative factors of workload was carried out withÂ  fishbone methode with approach ofÂ  5M (man, money, methode, material, mechine) and then the next with FGD (focus group discusion) to determine the main priority that caused workload so that improvements of workload can be made. The type of this research is a qualitative with collecting data tecnic in the form of observation, interview, documentation, and FGD. The subject of this research are 3 medical record officer, there are 1 medical recorder and 2 medical recorder helper. The based on this research workload analysis the job description is well done because in the job description there is no division of tasks according to posisition so completion of the task have done together. The result of the calculation of workload is knowing the amount of officer needs the results obtined ideal number of officers there are 4,85 there for be rounded to 5 so the conclusion is the workload in the unit medical record is high with rhe total 0,6. The efforts to improve the workload including addition of human resources and the held of training thus increasing the knowledge and skills of officers.
ANALISIS PENYEBAB KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER
Authors: Lutfiah Mila Imamatul , Ardianto Efri tri , Deharja Atma , Swari Selvia Juwita
Published: March 2022

Pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember masih mengalami keterlambatan. Pada triwulan pertama tahun 2019 total berkas rekam medis rawat jalan yang terlambat sebanyakÂ  25,32% berkas dariÂ  25,32% berkas. Keterlambatan pengembalian berkas rekam medis dapat mempengaruhi pelayanan rekam medis dan akan menghambat kegiatan selanjutnya, seperti kegiatan assembling, koding, analisis, indeks. Penelitian ini bertujuan untuk menganalisis penyebab keterlambatan pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember. Jenis penelitian ini menggunakan kualitatif dan pengumpulan data dengan wawancara, observasi, dokumentasi dan brainstorming. Hasil penelitian yang didapatkan oleh peneliti pengetahuan dan sikap yang masih kurang baik, prasarana atau fasilitas yang kurang memadai. Tidak ada motivasi yang diberikan oleh kepala rekam medis, serta belum pernah dilakukannya sosialisasi SOP tentang pengembalian berkas rekam medis rawat jalan. Upaya yang dilakukan adalah, Menginformasikan tentang buku ekspedisi dan kegunaannya dan petugas juga harus mengikuti pelatihan atau seminar agar pengetahuan dan keterampilan petugas mengenai pengelolaan rekam medis, kepala rekam medis memberi teguran kepada pertugas yang terlambat mengembalikan berkas rekam medis, Melakukan perancangan buku ekspedisi, memberikan motivasi kerja dan melakukan sosialisasi SOP terkait pengembalian berkas rekam medis rawat jalan.
CIGARROS ELETRÔNICOS E SUAS CONSEQUÊNCIAS HISTOPATOLÓGICAS RELACIONADAS À DOENÇAS PULMONARES
Authors: Araujo Alisson Costa de , Barbosa Isabelle Canuto Rabelo , Targino Amanda Lídia Dantas , Araújo Maria Clara Medeiros , Reinaldo Paulo Vinícius de Souza , Araújo Renato Silva Medeiros de , Queiroz Sisenando Soares de , Maciel Michelline do Vale , Rodrigues-Neto João Firmino
Published: March 2022

O cigarro eletrônico surgiu como uma tentativa para minimizar a dependência ao uso de tabaco, entretanto, engloba controvérsias e dúvidas acerca das reais implicações para o organismo humano. Diante disso, o presente estudo tem como objetivo realizar uma revisão da literatura a fim de relacionar o uso de cigarro eletrônico com suas consequências para os humanos. Os estudos analisados relatam experimentos in vitro e in vivo em camundongos, demonstrando menor concentração de poluentes e nocividades no cigarro eletrônico comparado ao convencional, porém, seu potencial efeito maléfico está relacionado à composição do e-líquido, à maneira do uso e à variedade de aromas presentes nos produtos. Além disso, foram verificadas lesões celulares, hiperreatividade das vias aéreas, liberação de citocinas – IL-8, IL-10 e TNF, redução da ação antimicrobiana de queratinócitos e potencial apoptose nas células alveolares. Foi observado também um aumento em até cinco vezes da concentração de carboxihemoglobina em comparação ao cigarro comum e um aumento na autorenovação de células de adenocarcinoma pulmonar de células não pequenas, devido à expressão de SOX2. Observa-se também que em casos de DPOC, o cigarro eletrônico não apresenta agravamentos na fisiologia respiratória, contrapondo outras ocorrências como asma, pneumonite, câncer de pulmão e doenças infecciosas que podem ser ocasionadas ou exacerbadas pelo seu uso. Contudo, pelo curto prazo de observação de seus efeitos, não é possível determinar com precisão a segurança dos cigarros eletrônicos, dessa forma, faz-se necessário que mais pesquisas longitudinais sejam desenvolvidas, auxiliando, assim, na construção de evidências sobre a segurança dos cigarros eletrônicos e na regulamentação futura do produto.
CONHECIMENTO ETNOBOTÂNICO SOBRE PLANTAS MEDICINAIS, UTILIZADAS POR MORADORES DE UMA CIDADE RIBEIRINHA NO INTERIOR DO ESTADO DO AMAZONAS, BRASIL
Authors: Silva Zilmara Guedes da , Leone Fernanda Regis , Cella Wilsandrei
Published: March 2022

A utilização de plantas medicinais é uma das práticas mais antigas utilizadas pelo homem e, apesar da evolução do conhecimento científico, este costume ainda é muito frequentemente praticado entre os habitantes de comunidades e municípios do interior, principalmente em regiões com baixo desenvolvimento humano. O objetivo desse trabalho foi realizar um estudo etnobotânico sobre as plantas medicinais utilizadas pelos moradores de um bairro localizado numa cidade ribeirinha no interior do Estado do Amazonas. Participaram do estudo 100 indivíduos, e os dados obtidos pela pesquisa foram compilados por meio de um formulário contendo 14 questões objetivas e discursivas. Os resultados demonstraram que 95,0% dos moradores fazem uso de plantas medicinais. Foram citadas 92 espécies que pertencem a 50 famílias botânicas, com destaque para a Lamiaceae. As plantas mais citadas foram: Vernonia condensata (boldo) 6,1%, Citrus sinensis (laranjeira) 5,8% e Allium sativum (alho) 4,7%. No entanto, quando analisado o índice de concordância (porcentagem de uso principal = CUP) a laranjeira apresenta um CUP de 80,9%, seguida de Vernonia condensata (boldo) e Chenopodium ambrosioides (mastruz) (68,1 e 61,5%, respectivamente). Com relação ao modo de preparo, 61,1% citaram infusão, e a principal enfermidade tratada foi dores de estômago com 13,1%. É importante enfatizar a necessidade de mais estudos acerca dos reais benefícios destas ervas, a fim de que as divulgações dessas informações venham complementar o conhecimento empírico já difundido na população local e, desta forma, ampliar o conhecimento etnobotânico e consequentemente promover saúde e bem-estar. Palavras chaves: Etnobotânica, Plantas Medicinais, Fitoterápicos.
EXAMINATION OF THE EFFECTS OF INTERNAL-TO-FIRM TRANSACTION COSTS AND IMITATION CAPABILITIES ON THE INNOVATION PERFORMANCE AND COMPETITIVENESS OF THE ELECTRIC/ELECTRONIC FIRMS
Authors: Adiguzel Zafer , Çeltekligil Kudret , Sönmez Çakir Fatma
Published: March 2022

The aim of the research is to examine the innovation performance of the electric/electronic firms within the technopark in their sector and the internal-to-firm transaction cost and imitation capability that affect the competitiveness of the firm and the relationships between the variables. The products that firms offer to the market are affected by each other. In this case, the imitation capabilities of firms come to the fore. However, in order to be successful in innovation and competitive environment, it is necessary to manage the internal-to-firm transaction cost well. Within the scope of the study, a survey has been made to the engineers working in the electrical/electronic firms that produce and innovate within the body of technopark in Istanbul. A face-to-face survey study could be conducted, as production was not interrupted in the firms working in Technopark even during the pandemic process and remote working conditions were not possible for the production sector. Randomly selected firms were visited and 501 employees were interviewed. Analyzes were made using the SmartPLS 3.4 Program. A 5-point Likert scale was used in the survey, factor analysis was used to determine the suitability of the scale expressions, reliability/validity analyzes were used to determine the consistency of the scale, and correlation analysis was used to determine the degree of relationship between the variables. Path analysis was used to test the hypotheses. The same program was used to determine the mediation effect. As a result of the analyzes, it can be explained that the cost of intra-firm transaction and imitation capability have positive effects on innovation performance and competitiveness of the firms.
Senescência: percepções sobre este processo e a sua singularidade na vida de idosos que participam de um grupo de convivência
Authors: Silva Deisiane Serrano da , Mota Jéssica Lopes , Silva Eduardo Viana da , Almeida Pollyana Sousa , Caixeta Gabriela Gonçalves , Lima Lana Ferreira de , Pilger Calíope
Published: March 2022

Objetivo: Analisar a percepção de idosos sobre o processo de envelhecimento e a importância do grupo de convivência para a saúde dos participantes. Métodos: Trata-se de um estudo descritivo, exploratório, com abordagem qualitativa, realizado com 8 idosos que participam de um Grupo de Convivência (GC). A coleta de dados ocorreu entre abril e maio de 2020 por meio da técnica de entrevista, de forma remota, utilizando um instrumento semiestruturado. Os dados qualitativos foram analisados pelo método de análise de conteúdo de Bardin. Resultados: Os resultados foram divididos em categorias: Mudanças percebidas na saúde após participação no GC e Envelhecimento: significados e percepções deste processo. Sobre mudanças na qualidade de vida e bem-estar após participação no GC, a maioria afirmou notar melhoras em alguma esfera da vida. Na percepção sobre o envelhecimento, relataram ser um período natural, de alegria e gratidão, mas que apresenta aspectos negativos. Conclusão: Os resultados encontrados demonstram que o envelhecimento é algo intrinsecamente subjetivo e singular. Diversas mudanças comportamentais e benefícios relacionados à saúde foram listados após participação no GC, tais como: sentimentos de aceitação, leveza, tranquilidade para enfrentar situações estressantes do dia-a-dia, fortalecimento de vínculo, construção de laços e união entre os participantes.
Four-step treatment of keratoconus associated with high refractive ametropia
Authors:   Zarifa Aliyeva National Centre of Ophthalmology, Baku, Azerbaijan, Maharramov Polad
Published: March 2022

Relevance. Today, the problem is particularly relevant for cases of keratoconus combined with high refractive ametropia. An extensive review of protocols for the combined use of corneal cross-linking (CXL) in combination with photorefractive keratotomy (PRK), phototherapeutic keratectomy (FTC), IRS, and phakic intraocular lens implantation shows that these protocols require further research to prove the best treatment options. Purpose. To evaluate the effectiveness of the fourstage model of surgical treatment of keratoconus in combination with high refractive ametropia. Material and methods. Between 2016 and 2019, 16 patients (22 eyes) aged 18 to 40 years were operated on using the four-step procedure including intrastromal corneal segments (ICRS) implantation, CXL the next day after the surgery, phakic toric lens implantation (Visian ICL STAAR, implantable collamer lens) 8 months after the surgery, and transepithelial topographic PRK 6 months after the surgery. The study group included patients with keratoconus stage II–III according to the classification of Amsler M. (1961). Patients were examined before, 10 days, 1, 3, 6, 8 and 12 months after the surgery according to a unified program, including determination of visual acuity without (NCVA) and with maximum correction (MCVA), autorefractometry (TOMEY RC-5000), non-contact tonometry (TOMEY FT-1000), Pentacam corneal topography, Wavelight Oculyzer (ALCON), Topolyzer VARIO tomography (ALCON), OCT of the anterior segment Cirrus HD-OCT 5000 (Zeiss, Germany). Results. Indicators of NCVA (M±SD) before and after the 1st operation were 0.02±0.015 and 0.08±0.022 (p=0.05). After the 2nd operation, the NCVA (0.10±0.025) didn‘t change significantly, after the 3rd operation its value increased more than 4 times (0.42±0.11). After the 4th operation, a statistically significant increase in NCVA was observed (0.58±0.12). Conclusion. In patients aged 18 to 40 years with progression of keratoconus, with high myopia, due to the inexpediency of excimer laser operations and where the depth of the anterior chamber isn‘t less than 3 mm, the combined four-stage method of treating keratoconus can be performed as a more effective method. This method allows to avoid keratoplasty, preserving and correcting the irregularity of the own cornea. Key words: keratoconus, refractive surgery, Visian ICL STAAR, topographic PRK, CXL
Synthesis, Characterization and Redox studies of perchlorate-coordinated-Cu(II)N4-macrocyclic complex and its application as potent antibacterial agent
Authors: Mishra Ankit , Singh Prabal Pratap , Vashistha Vinod Kumar
Published: March 2022

Macrocyclic ligands afford a powerful means to manipulate the geometry of metal complexes and ultimately to control their kinetics, electronic structure and reactivity. In this study, two different ring sized Cu(II)N4-macrocyclic complexes have been synthesized using a template method. The analytical techniques such as IR, UV-Vis, mass spectral analysis and cyclic voltammetry were used to investigate the synthesized macrocyclic complexes. Spectral studies of these complexes suggested that both complexes possessed saddle shaped geometry. Redox studies revealed a good electrochemical potential for the synthesized complex with significant ΔEp values. Further, the biological investigations of both complexes were carried out against E. coli, P. aeruginosa, B. cereus and S. aureus as well as antifungal activity against C. albicans and indicated a comparable antimicrobial efficacy to standard Gentamycin. The result is compatible with solvating process of released metal ion and macrocyclic ligands. Additionally, these complexes were also tested for their antibacterial activity against gram +ve and gram –ve bacteria and it was found that Cu(II) complex can be served as potential model for antimicrobial.
Atom Transfer Radical Polymerization of Glycidyl methacrylate triblock copolymer using a Novel Fluorescence Based Bifunctional Initiator
Authors: Neelamegan Haridharan
Published: March 2022

A novel bifunctional initiator containing fluorescein, a fluorescent moiety, was prepared by reacting dihydroxy fluorescein and 2-bromoisobutyl bromide. The structure elucidation of the new initiator was carried out using various spectroscopic tools such as NMR, IR and mass spectrum. Novel, fluorescent triblock copolymers comprising of glycidyl methacrylate namely P(GMA-b-MMA-b-GMA) was successfully synthesized by the atom transfer radical polymerization (ATRP) method using CuBr as the catalyst and N, N, N1, N11, N111 – pentamethyldiethylenetriamine as a complexing agent. The polymers were characterized both by 1H NMR and GPC measurements. It was observed that as the polymerization time increased, both the conversion and the molecular weight increased linearly with time. Well controlled soluble PGMA and triblock copolymers were successfully synthesized by utilizing the controlled radical polymerization method. Fluorescent PGMA was highly fluorescent with distinguishable emission signatures from the fluorescein group and the repeating units of the polymer. The fluorescence emission spectra reveal interesting features such as red shift when compared to the non-fluorescent polymer.