bluuebunny/crossref_metadata_2025 huggingface dataset:
THE STUDENT'S PERCEPTION TOWARDS ENGLISH SPEAKS UP CLUB TO IMPROVE SPEAKING SKILL
Authors: Jayanti Widuri Indah Dwi , Ulyani Maya , Susanti Ani
Published: March 2022

Speaking is a complicating skill for students to master, since they must master all of its components such as grammar, vocabulary, fluency, comprehension, and pronunciation. As a result, most EFL students struggle to succeed. The purpose of this study is to identify whether or not the speaking club helps students improve their speaking skills. The subjects of this study were the students who joined the Sixta Speaks Up as an English-speaking club in the Vocational High School by a group of forty students. The qualitative descriptive research design was adopted in this study. The author employed questionnaires delivered to students through a Google form to gather information. According to the findings of this study, the majority of students who participate in speaking clubs make significant improvements in their English speaking skills, including enhancements in pronunciation, vocabulary, and fluency in speaking English in general. The speaking activities also increase their confidence to exchange their ideas.
Comparative Analysis of the Level of Psychological Well-Being Among RF and RA Students
Authors: ASRIYAN Elina , KARAPETYAN Nare , SAMOKHVALOVA Anna
Published: March 2022

The rapid changes, crises, pandemics, and wars in the modern world introduce new requirements to a person and his/her adaptive resources. All these above-mentioned external factors in the form of separate stressors, and sometimes all together combined, have a complex effect on a person’s psychological well-being. Taking into consideration the need to clarify the impact of various factors on PWB (psychological well-being), the authors of the article set a goal to study the PWB characteristics among the Republic of Armenia (from now on, RA) and Russian Federation (hereinafter – RF) students. The research hypothesis was that RA and RF students might have different levels of PWB expression. The correlation analysis has shown that the indicators of PWB of different ethnocultural groups acting in different social contexts have certain peculiarities of expression and are quantitatively comparable.
Islamic Extremism Strategy of “Near and Far Enemy” (From the 1980s Till Now)
Authors: GRIGORYAN Sargis
Published: March 2022

In the 1980s, the “Al-Qaeda” launched the tactics of the struggle against the “Near and Far Enemy”. It found its ideological grounds in the Islamic extremism in the 1980-90s with practical implications, affecting the current geopolitical and global economic trends in the Muslim world and well beyond it. In the Islamic extremism ideology, this strategy also received textual-substantive justifications of symbolic perceptions, which, of course, influenced the behaviour of extremists. The present research attempts to investigate the peculiarities of the tactics mentioned, which were masterminded and enriched by the ideologists of Islamic extremism, becoming one of the motives of the activities of Islamic extremists starting from the 1980s up to the current developments and one of the grounds for targets of Jihad.
Cultural differences, attitudes and perceptions
regarding menopause
Authors: Katsigianni Konstantina , Theodoridou Chara , Apostolara Paraskevi
Published: March 2022

Menopause, in many parts of the world, is considered as an important issue in a woman's life. It begins with the permanent cessation of menstruation and is a period of transition and adaptation to a new condition characterized by lack of estrogen and loss of reproductive capacity of the woman. The transition to this new reality is accompanied by a series of biological and psychosocial changes with a variety of physical and emotional symptoms. As every woman is different, so the experience of menopause varies. According to the literature, although the emergence of symptoms is a global phenomenon, women from different cultural backgrounds report different symptoms. The same applies to perceptions about the meaning of menopause. The aim of the present paper was to investigate, through recent literature data, these different perceptions and symptoms that women of different cultures attribute to menopause. The review showed important differences between women of different countries but also between women living in the same country.
Actividades de alta intensidad en la Copa del Mundo de Fútbol de 2018
Authors: Martín-Simón Miguel Ángel , Rojano Ortega Daniel
Published: March 2022

El propósito del presente estudio fue analizar las diferencias en las actividades de alta intensidad entre los equipos mejores y peores de la Copa del Mundo de Fútbol de 2018. Se analizó la distancia recorrida a velocidades de 20-25 km/h, mayores de 25 km/h, la velocidad máxima y el número de sprints. No hubo diferencias significativas entre grupos excepto en la velocidad máxima en los cuartos de final, lo que indica que, en equipos de élite, el éxito del partido depende principalmente de las estrategias tácticas y técnicas. Sin embargo, la mayoría de las actividades de alta intensidad fueron mayores en el grupo de los mejores, especialmente en cuartos de final y en semifinales, lo que sugiere que la velocidad máxima y la distancia recorrida a más de 25 km/k puede jugar también un papel importante, especialmente con niveles de fatiga no muy altos.
Moderate hypofractionated helical tomotherapy for older patients with localized prostate cancer: long-term outcomes of a phase I–II trial
Authors: Cui Di , Du Lei , Yu Wei , Cai Boning , Meng Lingling , Yang Jun , Luo Yanrong , Chen Jing , Ma Lin
Published: March 2022

Background

Our previous study showed that two different regimens of moderate hypofractionated radiotherapy (HFRT) delivered with helical tomotherapy (HT) are well tolerated in older prostate cancer patients. We provide a longterm efficacy and toxicity after > 7 years of follow-up.

Patients and methods

The study recruited 33 patients from February 2009 to July 2011 (76 Gy/34F; Group-1); and 34 from July 2011 to February 2014 (71.6 Gy/28F; 50.4 Gy/25F for the risk of pelvic lymph nodes involvement (LNI) >15%; Group-2). The primary outcomes were biochemical failure (BF), biochemical failure and clinical disease failure (BCDF), progression-free survival (PFS), overall survival (OS), late genitourinary (GU) and gastrointestinal (GI) toxicity.

Results

The average ages of two groups were 80 and 77 years and the proportions of patients with LNI > 15% were 69.7% and 73.5%, respectively. At the final follow-up in February 2020, 27.3% and 20.6% cases experienced BF, with a median time until BF of 3.3 years. A total of 38.8% patients reached primary endpoints, in which 18 deaths were reported BCDF events (45.5% vs. 32.4%, p = 0.271). There was no significant difference in 7-year PFS (68.6% vs. 74.8%, p = 0.591), BCDF (45.5% vs. 32.4%, p = 0.271) and OS (71.9% vs. 87.5%, p = 0.376) for full set analysis and for subgroup analysis (all p > 0.05). The incidence of grade ≥ 2 late GU (6.2% vs. 6.3%, p = 0.127) and GI toxicities (9.4% vs. 15.6%, p = 0.554) was comparable.

Conclusions

In older patients with localized prostate cancer, two moderate hypofractionated regimens were all well tolerated with similar, mild late toxicities and satisfactory survival, without necessity of prophylactic pelvic node irradiation.
Abjuring the Postcolonial Identity: Gender
and Masculinity in Chris Abani’s Graceland
Authors: N’GUESSAN Kouadio Lambert
Published: March 2022

This article surveys the concepts of gender and masculinity in Graceland. Set in
postcolonial state, Chris Abani’s fictional work addresses the question of gender and the
predicament of masculinity in relation to the role of the nation-state, the local culture, and
the influence of Western epistemologies. While portraying colonialism’s continuing legacy,
Graceland moves beyond the past to confront a present characterised by an increasingly
globalised world which underrates the role of the nation and blurs border lines. As a
postcolonial nation-state, Nigeria’s colonial history and its aftermath are crucial to the
identity formation and “subjecthood” which the fictional communicates. This paper aims to
highlight the approaches set forth in Graceland regarding identity, gender norms and race.
The analysis of the postcolonial subject focuses on the novel’s standpoints on gender binary
concepts surrounding postcolonial literature.
Critical Reflections and Consciousness on the Gendered
Lives of the LGBT in the Context of the Pandemic
Authors: MASANDA Argel B.
Published: March 2022

This manuscript is an erudite documentation of the critical examinations of reflexive
accounts from, and thought-provoking consciousness based on, the previously conducted
gender-related studies with the aim of revisiting them “critically” to provide a broadened
understanding of the idiosyncratic and gendered lives of the Filipino LGBTs with a special
emphasis in the context of the pandemic. Thus, through this analysis, this paper notably
emphasizes that by critically examining the established facts about the common and unique
experiences of people from a gender-diversified population invites us to a new, fresh, and
higher perspectives that are equally useful in dealing toward and forward the COVID-19
pandemic.
The Emotional Appeal of Clickbait Headlines –
between Entertainment and Deception
Authors: ENACHE Antonia Cristiana , MILITARU Marina Luminiţa , PANAIT-IONCICĂ Diana Eugenia
Published: March 2022

The present research attempts to shed light on a specific media genre, namely clickbaitheadlined articles. While they are generally considered a classic example of unethical
journalism, in that they tend to lure readers via sensationalized titles followed by articles
whose content underdelivers on the initial promise, they are not always deceptive. They aim
to entertain and overtly seek an emotional response from the audience; moreover, even
when they do not lie and do not resort to illegal techniques, there still exists an unethical
side to them, in that the readers almost always end up disappointed and feeling that the
content of the article has not offered what the title entitled them to expect. To prove our
hypothesis, we have selected three clickbait-headlined articles: one targeting the readers’
pursuit of their economic wellbeing, one involving human tragedy, and one that can be
described as “lifestyle advice”, highlighting the similarities between them and how,
although they appear to be different on the surface, they all leave their audiences
disillusioned and sensing they have been misled.
Los quelites en la ciudad de Toluca, México: su recolección, comercialización y consumo
Authors: Viesca-González Felipe Carlos , Alvarado-Carrillo Diego de Jesús , Quintero-Salazar Baciliza
Published: March 2022

Objetivo: caracterizar los procesos de recolección, comercialización y consumo de quelites herbáceos, principalmente nativos, en la ciudad de Toluca, México. Metodología: el trabajo se realizó en cuatro mercados de la ciudad referida. Se empleó el método etnográfico, se aplicaron guías de entrevista semiestructurada a 20 recolectores, 73 comerciantes, 69 consumidoras de quelites. Resultados: en la ciudad de Toluca y sus alrededores, los quelites se siguen recolectando, comercializando y consumiendo, pero en bajas cantidades. Se identificaron doce especies; las que se consumen principalmente son las siguientes: quintoniles (Amaranthus hybridus), verdolagas (Portulaca oleracea), chivatitos (Calandrinia micrantha), cenizos (Chenopodium berlandieri) y huauzontles (Chenopodium berlandieri subsp. nuttalliae). Se preparan, al menos, de doce maneras. Limitaciones: la investigación se restringió a los mercados de la ciudad de Toluca durante una época del año. Conclusiones: los quelites que se comercializan en los mercados tradicionales en la ciudad de Toluca se recolectan en las zonas rurales aledañas o se adquieren en los grandes centros distribuidores. Se ha presentado una reducción en su consumo en los últimos cinco u ocho años.
Analisis Kejadian Missfile Berkas Rekam Medis Rawat Jalan di Puskesmas Bangsalsari
Authors: Wati Try Ganjar , Nuraini Novita
Published: March 2022

Based on preliminary research at Bangsalsari Public Health Center were found that on December 2018 to March 2019 for 53 out of 200 medical record files were misplaced or misfiling. The misplaced file or misfiling could inhibit and led into delay on the patient service process. In addition, a new file would be created to replace the missing medical record file and affected the unsustainable medical record files. The aim of this research was to analyze, determine the priority causes and to fix the problem of misfiling incident using USG (Urgency, Seriousness, Growth) and brainstorming in Bangsalsari Public Health Center. This research is qualitative research and collecting the data using interview, observations, documentation, questionnaire, and brainstorming. The result of this research were the priority causes of mis filing incident coming from the broken folders and stacking files which had no folders. The improvement efforts for the problem are made by replacing the broken folders, duplicating medical record folders, gradually providing folders on medical record files, adding some filing cabinets to avoid stacking files, and separating inactive files.
Evaluasi Electronic Health Record (EHR) dengan Metode PIECES di Unit Rekam Medis Pusat RSUPN dr. Cipto Mangunkusumo
Authors: Pradanthi Ines Meiyola , Santi Maya Weka , Deharja Atma
Published: March 2022

National Center General Hospital Dr. Cipto Mangunkusumo is one of the hospitals whose services haveused Hospital Management Information System (SIMRS). The SIMRS used in RSCM is called the ElectronicHealth Record (EHR). In its application, there were still obstacles that made the staff less satisfied with theEHR, one of which was the loading of the EHR. The purpose of this study is to evaluate the EHR in termsof user satisfaction using the PIECES method (performance, information, economic, control, efficiency,service). This type of research is qualitative research, by describing the results of interviews andobservations that have been conducted by researchers and assessed by the PIECES method. Respondentsin this study were 1 filling officer, 1 reporting officer, 1 warehouse officer, and 1 expedition officer. The resultsobtained in this study are that the EHR performance has produced data according to user needs and thereis still a fairly long loading. EHR is able to provide quality information that is easily understood and has beenintegrated with BPJS. that the EHR can produce data according to user needs and the EHR still needs timeif the officer inputs or loads. The EHR has a use value because it is integrated with BPJS Health and alsohas an EHR officer or improvement team. EHR users feel that having an EHR makes it easy for EHR userswhen performing health services such as searching for patient files and making reports. The conclusion isthat the EHR makes it easy for users to do their work. Suggestions given by researchers are to the UMSI toupdate the EHR and perform maintenance on the system and hardware.
Evaluasi Sistem Pendaftaran Online dengan Metode Technology Acceptance Model di Rumah Sakit Umum Daerah K.R.M.T Wongsonegoro Kota Semarang
Authors: Dinata Finno Harta , Nurmawati Ida , Muflihatin Indah
Published: March 2022

The online registration system is important component to improve hospital service quality. Regional GeneralHospital K.R.M.T. Wongsonegoro City of Semarang has implemented online registration system since 2017and never been evaluated. An online registration system that is often used by patients is via the MYRSWNapplication, can be downloaded at the play store and app store. Online registration system users in 2019totaling 15,437 users from 199,188 patients. Based on data, it can be seen that users of the online registrationsystem are only 8% of the total number of patients. This shows the user's interest in using the onlineregistration system is very lacking. This research was aimed to analyze the acceptance of an onlineregistration system. The research showed that overview of the online registration system based on aspects ofperceived ease of use can be assessed as easy to learn, quite flexible and easy to use, aspects of perceivedusefulness is considered to have considerable benefits in increasing productivity, making work effective andfast, last aspects of behavioural intention to use tend to be satisfied using the online registration system.Based on aspects of perceived ease of use, perceived usefulness,and behavioural intention to use applicationof an online registration system has been running according to user needs, but it is not free from variousproblems, so there needs a efforts to improvement and development of online registration system through therecommendation of researchers so that online registration system can maintain quality and improve servicequality to patients.
Evaluasi Sistem Elektronik Rekam Medis di Rumah Sakit Primasatya Husada Citra Surabaya
Authors: Widyastuti Hayu Ning , Putra Dony Setiawan Hendyca , Ardianto Efri Tri
Published: March 2022

One of the obligations of the hospital is carrying out medical records. The implementation of medicalrecords at the Primasatya Husada Citra Surabaya Hospital has used an electronic system. The applicationis an Electronic Medical Record (ERM) with a website-based that runs since September 1, 2018. SinceSeptember 1, 2018, until now there has never been an evaluation of the application. This study aims toevaluate ERM using the Human Organization Technology (HOT) -Fit Model evaluation method. This typeof research is qualitative research with data collection methods using interviews, observation, anddocumentation. The results of the study indicated that the implementation of ERM has been going well,socialization and training have been provided by organizations, the presentation of data are not right, andcomputer facilities are still lacking. The researcher's suggestion for ERM at PHC Surabaya Hospital is totest the reliability and security of the ERM system, add one computing device, and improve thepresentation of data by the system to improve the quality of the ERM system.
Analisis Penyebab Ketidaksesuaian SPO Pengisian General Consent di Rumah Sakit Universitas Airlangga
Authors: Amalia Nuril , Nuraini Novita , Wicaksono Andri Permana , Prananingtias Rosita
Published: March 2022

The incompatibility of SPO (Standart Operational Procedure) for General Consent completion was one ofmany problems that exist in the implementation of medical record activities at Airlangga UniversityHospital. SPO incompatibility in General Consent Completion could be seen from incorrect answer inGeneral Consent form for each indicator. From 21 samples of General Consent forms, there wasunsuitable answers in such as the identity of the person in charge (62%), the identity of the patient (71%),the approval for information release, privacy, personal values and patient confidence as well as thesignature and name of the witness (100%), the signature and the name of the patient person in charge(24%) and the date (43%). The purpose of this study was to analyze the cause of the SPO incompatibilityfor General Consent completion in Airlangga University Hospital. This type of research was qualitativeresearch and data collection obtained through interview. The subjects in this study were 5 registrationofficers at Airlangga University Hospital. The result of this study showed the causes of the GeneralConsent Completion SPO incompatibility were no specific training about medical records, the GeneralConsent Completion SPO did not explain the procedures to complete the form thoroughly, and there wasno socialization related to the General Consent Completion at Airlangga University Hospital. The solutionsfor this problem are, there should be an effort to improve the General Consent Completion SPO, providetraining for registration officers and conduct socialization on General Consent Completion.
Tinjauan Faktor Penyebab Ketidaktepatan Waktu Pengembalian Sensus Harian Rawat Inap di RSUP dr. Soeradji Tirtonegoro Tahun 2020
Authors: Lestari Dian Fadilah Ayu , Wicaksono Andri Permana , Deharja Atma
Published: March 2022

Based on the results of preliminary studies conducted at the RSUP dr. Soeradji Tirtonegoro is known thehighest delay count is the Anggrek of 95% room and 4th Dahlia room of 80%. The delay has an impactwhich daily census returned is not timely, and be it can increase the work of officers for the next day andsending the recapitulation results to the reporting department is delayed. This study aims to observe theimplementation of the daily census and the factors causing the inaccuracy in returning the daily census ofhospitalization, the determination of the main causes of the problem are using a fishbone diagram. Thistype of research uses qualitative and are collected a data with observation, interview and documentation.The results of the main problem are Man (the work of the recapitulation officer is delayed and ineffective,the employee's indiscipline). Method (there is not written policies of Standard Operating Procedure, theofficer does not know the Standard Operating Procedure). Minutes (The deadline for retuning the dailycensus of hospitalization are not consistent). Machine (there are no features that support the daily censusof hospitalization in SINERGIS, daily inpatient census is manually). Money (there is no rewards).
Desain Augmented Reality Unit Rekam Medis di Rumah Sakit Citra Husada Jember
Authors: Pratama Deva Setia , Wibowo Nugroho Setyo
Published: March 2022

Hospital is a health-care institution that provides in-country, alternative health care, and emergency care. Good service must be sustained by sufficient means and infrastructure for each unit including a medical record. Medical records unit are still not up to standard resulting in disruption of employeeâ€™s effectiveness. A narrow room and files that stack up on the floor, filling room that's stuffy and narrow and filling that lack nighttime exposure becomes a constrained in the medical record unit. This research was aimed to redesign room of medical records in Hospital of Citra Husada Jember that according to the guidelines. The method is qualitative research with data collection technique observation, interview and brainwriting. The result of this research is redesign room of medical records based of the guidelines to realized ideal facilities and infrastructure for comfort the worked. Also manufactured augmented reality that useful for helped user to simulated room design previously form 2 dimensions pictures to 3 dimensions pictures. The improvement is a design which matches the anthropometrics units to the working facilities and menu programmed on augmented reality application.
Analisis Pelaksanaan Pelayanan Antenatal Care (ANC) pada Ibu Hamil di Puskesmas Candipuro Kabupaten Lumajang
Authors: Rahmadhani Ika , Hikmah Faiqatul
Published: March 2022

Angka Kematian Ibu (AKI) merupakan indikator derajata kesehatan suatu bangsa. Salah Satu upaya mengurangi angka AKI yaitu dengan menyelengarakan pelayanan Antenatal Care (ANC) yang berkualitas guna mencegah resiko kematian ibu dan janin. Standar pelayanan Antenatal Care (ANC) dapat dinilai melalui indikator capaian K1 dan K4. Puskesmas Candipuro merupakan salah satu puskesmas dengan jumlah rentang kunjungan antara K1 dan K4 cukup jauh yakni sebesar 21,2%, dengan nilai K1 sebesar 108% dan nilai K4 sebesar 86.8%. Tahun 2017 tercatat bahwa terdapat 2 kematian ibu di wilayah Puskesmas Candipuro. Tujuan penelitian ini untuk menganalisis pelaksanaan pelayanan Antenatal Care (ANC) pada Ibu Hamil di Puskesmas Candipuro Kabupaten Lumajang .JenisÂ  penelitian ini penelitian kualitatif. Hasil penelitian ini adalah analisis pelayanan Antenatal Care (ANC)Â  berdasarkan faktor input yaitu adanya kekurangan SDM, kurangnya penyerapan dana BOK, Ruang KIA yang tidak mendukung proses pemeriksaan dan tidak adanya SOP karena hilang, kemudian faktor proses yaitu pelaksanaan anamnesis yang kurang rinci, pemeriksaan 10 T yang tidak dilaksanakan setiap pemeriksaan yang menyebabkan resiko tinggi yang dialami ibu hamil tidak dapat di deteksi secara dini, serta pencatatan hasil pemeriksaan ibu hamil kedalam berkas rekam medis tidak lengkap, serta faktor output yang berupa proritas permasalahan. Prioritas permasalahan tersebut yaitu Kesenjanagan Cakupan K1 dan K4. Permasalahan kedua yaitu Kematian ibu yang terjadi di wilayah kerja puskesmas Candipuro disebabkan oleh pemeriksaan yang kurang lengkap dan rinci. Permasalahan yang ketiga yaitu perlunya dilaksanakan tata ulang ruang poli KIA agar mendukung proses pelayanan yang efektif dan efisien.Â
Evaluasi Rekam Medis Elektronik di Tempat Pendaftaran Pasien Gawat Darurat dan Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang
Authors: Febrianti Eka Cintiya , Nurmawati Ida , Muflihatin Indah
Published: March 2022

Each hospital is required to hold records or records of all services provided to patients called medical records. Increasing the effectiveness of recording medical data that is accurate, fast, can take advantage of current technological advances through the implementation of the Electronic Medical Record (EMR) system in hospitals. RSUD K.R.M.T Wongsonegoro is one of the hospitals that has implemented an electronic medical record (EMR) especially in the inpatient and emergency department registration units. The application of this electronic medical record still has some flaws that must be evaluated. This study aims to evaluate the implementation of electronic medical records at the emergency and inpatient registrations of Wongsonegoro Hospital. Data collection in this study consisted of observations and interviews. Identification of problems using the TAM (Technology Acceptance Model) method by reviewing from 3 aspects namely perceived usefulness, perceived ease of use, and behavioral intention to use. This type of research is descriptive qualitative by narrating the results of research based on the data obtained. The results obtained from this study are based on the aspect of usefulness (perceived usefulness), namely the use of electronic medical records in TPPGD and TPPRI, making the registration officer work faster and more effective.The aspect of ease (perceived ease of use) obtained from the interview results is that it is able to make it easier to accelerate the registration process in the TPPGD and TPPRI. The behavioral intention to use obtained is that the users of this system really need this electronic medical record and the registration officer at TPPGD and TPPRI plans to use the EMR in the future.
Identifikasi Faktor Penyebab Penumpukan Berkas Rekam Medis Aktif di RS Husada Utama
Authors: Kamilia Nurul , Wijayanti Rossalina Adi , Nurmawati Ida
Published: March 2022

Based on the results of a preliminary study conducted at the Husada Utama Hospital it is known that in 2018 there was an accumulation of active medical record files which were 310 files. The impact of the accumulation of medical record files is the provision of medical record files will take longer so that patients often complain, officers become fatigued quickly in doing their work so that it will also have an impact on the depreciation process that should be done every day, and officers also feel uncomfortable and disturbed because the accumulation of medical record files also interferes with access to filing officers when retrieving and returning medical record files. This study aims to identify the factors causing the accumulation of active medical record files in Husada Utama Hospital. This type of research uses qualitative and data collection by interview, observation, and documentation. The results obtained that the results showed that the cause of the accumulation of medical record files that affect from the Man side is that the officer has never attended medical records training, from the Money side that is still not getting a budget for storage shelves, from the Material side there is a medical record file that is not using a map, in terms of Machine that is the number of storage racks not according to needs and in terms of Method which is the implementation of a storage system, alignment, and retention that is not in accordance with the Standard Operating Procedure (SOP).
Analisis Perhitungan Kebutuhan Tenaga Kerja Petugas Rekam Medis Kiara Berdasarkan Teori WISN di RSUPN Dr. Cipto Mangunkusumo
Authors: Fadillah Adlien , Deharja Atma , Pandiangan Jalahan
Published: March 2022

The increasing number of patients required higher of medical record services. It can affect on workload officers. It is known that every day there are 350-400 patients with 20 new patients who come for treatment at RSCM Kiara. One service achievement of 32% in January 2020 with priority KPI (Key Performance Indicator) is the provision of medical record files withput patient agreement up to poluclinic < 30 minutes, of the percentage should be 100%. Based on the pre survey at RSCM showed towards 6 Kiara RSUPN Dr. Cipto Mangunkusumo medical record officers, it can be inferred that the officers having a double job at the same time. The high workload that the officers experienced is a side effect from not having enough numbers of officers. It implies that the officers could have several problems, including physical fatigue. The purpose of this study was to determine the number of labor requirements based on WISN theory for the assembling and filling officer of Kiara RSUPN Dr. Cipto Mangunkusumo. This research using a qualitative method with 6 respondents. Based on the workload calculation using the WISN method, it is known that the number of workers needed in the assembling unit is 2 people and in the filing unit is 15 people. With the results of the calculations of labor needs based on WISN theory, it can be used as an effort to plan the addition of officers numbers in order to improve the quality of hospital services according to the existing workload.
Analisis Kerahasiaan Rekam Medis Berdasarkan Hak Akses Ruang Filing Rawat Jalan di RSUD Dr.Saiful Anwar Malang
Authors: Wicahyanti Eva Tri , Santi Maya Weka , Wijayanti Rossalina Adi
Published: March 2022

Confidentiality of medical records at RSUD Dr. Saiful Anwar Malang still had several obstacles in implementation, where there were non-medical record officers who enter and exit the outpatient filing room although there was finger prints and written warnings stating that "other than medical record officers are prohibited from entering" in the outpatient filing section. The purpose of this report is to analyze the confidentiality of medical records based on the right of access to outpatient filing rooms at RSUD Dr. Saiful Anwar Malang. This report used qualitative methods, and the analysis method used is 5M management aspects (man, money, material, method, and machine) to identify the problems and look for priority causes use USG (Urgency, Seriousness, Growth) techniques. The results of this report indicate that the management aspects of man, method, material, and machine are the factors causing the lack of secrecy of the medical record based on the right of access to outpatient filing rooms at RSUD Dr. Saiful Anwar Malang. The priority cause of the problem in this report is the ignorance of officers in relation to the existing SOP / Medical Record Services Book. The priority results of the cause of the problem produce a solution, it are necessary to conduct socialization about SOP for storing medical records and Medical Record Services Book relating to the secrecy of medical records to all medical records officers, especially filing officers before being placed in their work units and evaluating every three months by monitoring the implementation of SOP /Medical Record Services Book by an outpatient filing coordinator.
Analisis Beban Kerja Petugas Rekam Medis Bagian Filing dengan Metode WISN di RSD Mangusada Badung Tahun 2020
Authors: Ramadhani Raisa Putri , Farlinda Sustin , Deharja Atma
Published: March 2022

Workload analysis is an attempt to find out the time used by officers to complete a particular task which is expected to know the proportion of the number of officers needed in a particular work unit in an agency. The Importance of Workload Analysis must be carried out routinely in order to obtain information about the description of the workload of units in an agency. This research aims to analyze the workload of medical records officers so that the workload level of the officer is known using the WISN (workload indicator staff need) method, The type of this research is qualitati with data collection techniques in the form of observation, interviews, documentation, and library research. The subjects of this study were 9 staff officers which 1 head of filing affair and 8 implementing staff. Based on human resource qualification research, there was enough job description, but based on patient visit rates after RME implementation since early 2020 showed a drastic decrease in visits where before the RME was applied the average number of patient visits 20,000 patients per month, while after applying RME for January and February there were 6,485 and 6,116. The results of the calculation of the workload know that the number of officers needed is the ideal number of officers needed, which is 4.96 so that it is rounded up to 5 so that it can be concluded that there is a need for relocation of as many as 4 people to other work units so that Mangusada Regional Hospital can provide maximum human resources as efficiently as possible.
Analisis Faktor Penyebab Ketidaklengkapan Rekam Medis Pasien Rawat Inap di Puskesmas Kotaanyar
Authors: Lestari Dian Fadilah Ayu , Muflihatin Indah
Published: March 2022

Based on the results of a preliminary study conducted at the Kotaanyar Public Health Center, 30 medical records of inpatients in April and May 2019 are known, which were identified based on patient identification, important reports and their authentication, the average overall number of incompleteness was 720 (53.08%). The incompleteness of the medical record has an impact which results of administrative and clinical data are not accurate, This incompleteness also creates a loss in fulfilling the patient's right to the contents of their medical record, obstruction of reporting activities and submission of claims and cause the quality of health services are low. This study aims are to analyze the factors causing incomplete medical records of inpatients, determining priority causes of problems using USG (Urgency, Seriousness, Growth) and remedial efforts are using brainstorming. This type of research uses qualitative and data collection by observation, interviews, questionnaires and documentation. The results obtained that the priority cause of the incomplete medical records problem of inpatients are there is no SOP (Standard Operational Procedure). Efforts to fix the problem are making SOP, put the SOP in the inpatient unit where it can be reached, conduct socialization at any time and renew SOP according to the SOP renewal agreement.
Gambaran Stres Kerja Petugas Pendaftaran Rawat Jalan di RSUP Dr. Sardjito Yogyakarta
Authors: Ambarwati Risma Dwi , Alfiansyah Gamasiano , Farlinda Sustin , Sugeng Sugeng
Published: March 2022

Occupational stress is recognized as a global health issue that affects all professions, no other profession in the health field i.e. medical record registration section. RSUP Dr. Sardjito Yogyakarta has a total data visit annually on an outpatient registration, which is in 2018 as much as 469813 and in 2019 as many as 518806. The number of visits explained at least the registration staff should serve 200-300 patients every day. Known errors that occur in SIMETRISS also harm the officer because inevitably officers should double job. The Stress of work felt by the officers of the list is often felt muscle tension, feel tense, fast angry, feel anxious, and difficult to concentrate in the work. Stressful work if not resolved will have an impact on activities in the scope or out of work. The research aims to figure out the work stress overview of the registration officers in RSUP Dr. Sardjito Yogyakarta. The collection methods used are interviews. The analysis of the data used in this study is qualitative. The results of the study showed work stress experienced by outpatient registration officers, that is caused by a physical work environment that is less comfortable to cause a lack of concentration by the officers and causes the performance of officers to decline, the conflict between family demands and the demands of agencies such as the use of less time breaks and the presence of a sustained shift, performance demands are done quickly and precisely however support facilities, namely Simetriss still error also raises pressure for the work RSUP Dr. Sardjito Yogyakarta has reduced some problems by conducting effective consultation on outpatient registration officers.
STRATEGI KEBIJAKAN UNIT KERJA REKAM MEDIS DENGAN METODE SWOT DI RS PHC SURABAYA
Authors: Arofah Kurnia , Ardianto Efri Tri , Putra Dony Setiawan Hendyca
Published: March 2022

Rumah sakit Primasatya Husada Citra (PHC) SurabayaÂ  merupakan salah satu rumah sakit swasta di Surabaya yang dituntut untuk memberikan pelayanan yang berkualitas dan bermutu salah satunya adalah unit rekam medis. Terdapat beberapa mutu rekam medis belum dilaksanakan secara optimal seperti ketidaklengkapan pengisian berkas, ketidaklengkapan informed consent, ataupun keterlambatan pengembalian. Tujuan penelitian ini adalah menentukan strategi kebijakan di unit kerja rekam medis RS PHC Surabaya dengan metode SWOT. Hasil penelitian didapatkan bahwa nilai dari faktor strength adalah 3,69 dan faktor weakness adalah 1,42 sedangkan nilai faktor opportunity adalah 3,6 dan faktor treath adalah 1. Letak posisi unit kerja rekam medis RS PHC Surabaya berada pada kuadran I sehingga strategi yang cocok adalah strategi SO (Strength-Opportunity) meliputi pengembangan sistem informasi yang terintegrasi, dan memperbaiki pengelolaan rekam medis terkait pencatatan dan pendokumentasian guna menjaga kualitas berkas rekam medis.
ANALISIS FAKTOR RISIKO PADA PENYAKIT KARSINOMA PARU (C34) PASIEN RAWAT INAP DI RUMAH SAKIT BALADHIKA HUSADA JEMBER
Authors: Nabila Salma Firyal , Putra Dony Setiawan Hendyca , Farlinda Sustin , Ardianto Efri Tri
Published: March 2022

Karsinoma Paru atau biasa dikenal dengan kanker paru merupakan salah satu penyebab utama kematian akibat penyakit di dunia hingga mencapai 7,6 juta kematian atau sekitar 13 % dari semua diagnosis kanker. Rumah Sakit Baladhika Husada Jember merupakan rumah sakit tingkat III di Kabupaten Jember yang memiliki layanan onkologi dan kemoterapi termasuk diagnosis kanker. Berdasarkan data yang ada angka morbiditas dan mortalitas kejadian karsinoma paru selalu meningkat pada tahun 2016-2018. Penelitian ini bertujuan untuk menganalisis faktor risiko karsinoma paru yaitu usia, jenis kelamin, riwayat merokok, riwayat genetik dan predisposisi penyakit paru lain berdasarkan data rekam medis pasien rawat inap yang mengalami gangguan penyakit paru di RS Baladhika Husada Jember. Metode penelitian yang digunakan adalah analitik kuantitatif dengan desain penelitian cross sectional. Jumlah sampel yang digunakan sebanyak 98 responden. Analisa data menggunakan univariat, bivariat melalui uji chi square dan multivariat melalui uji regresi logistik. Hasil penelitian analisis bivariat seluruh variabel independen masing-masing memiliki pengaruh terhadap kejadian karsinoma paru. Hasil penelitian multivariat menunjukkan variabel yang diteliti memiliki pengaruh secara simultan dengan p value=0,000(<0,05). Sedangkan secara parsial ada pengaruh pada variabel usia p value=0,003(<0,05), riwayat merokok p value=0,003(<0,05), riwayat genetik p value=0,002(<0,05), predisposisi penyakit paru lain p value=0,000(<0,05), namun pada variabel jenis kelamin p value=0,857(>0,05) sehingga jenis kelamin tidak berpengaruh secara parsial terhadap karsinoma paru. Disimpulkan bahwa faktor risiko dapat menjelaskan pengaruh terhadap kejadian karsinoma paru sebesar 84.8%, hal ini diharapkan dapat dijadikan informasi untuk menanggulangi peningkatan angka morbiditas dan mortalitas kejadian karsinoma paru.
DESAIN ULANG FORMULIR SERTIFIKAT KEMATIAN DI RUMAH SAKIT BALADHIKA HUSADA JEMBER TAHUN 2019
Authors: D.K Bhre Diansyah , Hendyca Putra Dony Setiawan
Published: March 2022

Formulir penyebab kematian dan surat keterangan kematian adalah pencatatan beberapa penyakit atau kondisi yang merupakan satu rangkaian perjalanan penyakit menuju kematian atau keadaan kecelakaan, kekerasan yang menyebabkan cedera dan berakhir dengan kematian. Berdasarkan survey pendahuluan di Rumah Sakit Baladhika Husada Jember, petugas tidak melakukan penulisan informasi terhadap formulir tersebut tidak sesuai dengan pedoman pengisan formulir penyebab kematian dan surat kematian BLKRI. Desain formulir penyebab kematian belum menggunakan kertas yang sesuai standart dan belum adanya pengelompokan data mengenai jenis penyebab kematian pasien. Penelitian ini bertujuan untuk melakukan redesain terhadap formulir penyebab kematian dan pembuatan formulir surat keterangan kematian di Rumah Sakit Baladhika Husada Jember. Metode yang digunakan kualitatif dengan teknik pengumpulan data observasi, wawancara, dokumentasi dan Brainstoming. Berdasarkan hasil penelitian dapat diketahui bahwa desain formulir penyebab kematian belum sesuai dengan standard dan kebutuhan pengguna yang dapat menyebabkan ketidaklengkapan pengisian serta terhambatnya pelaksanaan pemberian tindakan, oleh karena itu formulir penyebab kematian dan surat keterangan kematian yang baru, didesain dengan mempertimbangkan 3 aspek penting yaitu aspekÂ  fisik, aspek anatomi, dan aspek isi yang sesuai dengan standart dan kebutuhan pengguna. Sebaiknya dilakukan evaluasi formulir penyebab kematian dan surat keterangan kematian yang baru guna menyesuaikan dengan kebutuhan pengguna yang bisa berubah dari waktu ke waktu.Kata kunci : desain formulir, penyebab kematian, surat keterangan kematian
Analisis Kualitatif Sistem Pengendalian Berkas Rekam Medis di Puskesmas Mojoagung Kabupaten Jombang
Authors: Putri Anggun Citta Isvara Maharesi , Wijayanti Rossalina Adi , Erawantini Feby , Muflihatin Indah
Published: March 2022

Based on the results of a preliminary study at the Mojoagungâ€™s Public Health Center (Puskesmas), there was matter such as the use of expedition books for the unrecorded files caused the control system for the incompatible medical record. This research aims to analyze the control system for medical record file in Puskesmas of Mojoagung, while it delivers a qualitative study by using the approach of POAC (Planning, Organizing, Actuating and Controlling). The result consists of: (a) Planning, an inappropriate control system caused by the use of unsuitable expedition books; (b) Organizing, any double jobs and unclear job description; (c) actuating, no reward and punishment for officers and no guidance on the use of expedition books; (d) controlling, no evaluation from the leadership. Therefore, there are some suggestions that researcher recommends for Puskesmas of Mojoagung as follows: applying the expedition book and evaluating routinely once three months, providing guidance to the officer to use the expedition book correctly, giving insight on the importance of using expedition books and always reminding for briefing in the morning and socialization routinely, any clear job descriptions, reward to the officer if finishing the job well and reprimand if unfinished it, briefing in each of meeting on managing medical records in particular of the control system for the medical record file, and regular meetings once a month to evaluate or assess the performance of the medical recordsâ€™ officer to achieve the stated goals.
LA DISPERSIÓN INDÍGENA Y SU PRESENCIA EN EL TERRITORIO DE LOS BLANCOS Y MESTIZOS EN EL NORORIENTE DEL NUEVO REINO DE GRANADA, SIGLOS XVII Y XVIII
Authors: Pita Roger
Published: March 2022

La acentuada disminución demográfica de la población indígena y la reducción de sus tierras de resguardo en el nororiente del Nuevo Reino de Granada, durante los siglos XVII y XVIII, aceleraron de manera paulatina la desbandada de estas comunidades ancestrales, siendo cada vez mayor el número de indios ausentes y forajidos que pasaban a vivir en las estancias y en las casas de blancos y mestizos o en los núcleos urbanos de las ciudades, villas y parroquias que eran, en su orden, las principales categorías del poblamiento español en auge. En ese contexto, este artículo tiene como propósito examinar las consecuencias de dicha dispersión indígena y su presencia creciente en los territorios ocupados por blancos y mestizos, lo cual a su vez se constituyó en una variable que influyó en la desarticulación y dispersión de aquellas comunidades, así como también en su vertiginoso proceso de miscegenación.
USO DA FOTOBIOMODULAÇÃO LASER NO TRATAMENTO DE ÚLCERAS VENOSAS: UMA REVISÃO SISTEMÁTICA
Authors: Dantas Juliana Borges de Lima , Salles Rilary Silva , Medrado Alena Ribeiro Alves Peixoto
Published: March 2022

O objetivo do presente trabalho foi relatar a eficácia da fotobiomodulação laser na abordagem de úlceras venosas de membros inferiores e como se dá o papel da enfermagem neste contexto. Tratou-se de uma revisão sistemática que utilizou as bases de dados eletrônicas PubMed, BVS, SCIELO e Lilacs, além da busca no repositório de teses e dissertações pelo cruzamento dos descritores livres e provenientes do DEcS através dos operadores booleanos AND e OR: “laserterapia”, “fotobiomodulação laser” e “úlceras venosas”. Os critérios de inclusão estabelecidos foram estudos prospectivos, teses e dissertações escritos nos idiomas inglês, português e espanhol, e publicações entre o período de 2010-2020. A revisão foi conduzida conforme metodologia PRISMA, utilizou-se os critérios de Jadad para avaliação da qualidade dos manuscritos. Dos 104 artigos encontrados, apenas 8 contemplavam os critérios de inclusão, tendo uma população total de 942 pacientes. Notou-se que a maioria dos estudos mostrou a eficácia do uso da laserterapia, principalmente quando associado ao uso da terapêutica comum, como o uso da terapia compressiva, agentes tópicos e farmacoterapia. A fotobiomodulação laser demonstrou ser eficaz, porém ainda são necessários mais estudos com o objetivo de uniformizar os parâmetros de aplicação desta modalidade terapêutica.
AUDITORIA INDEPENDENTE EM COOPERATIVAS AGROPECUÁRIAS: PERCEPÇÕES DOS RESPONSÁVEIS PELA GOVERNANÇA SOBRE MOTIVOS DA CONTRATAÇÃO
Authors: Schaefer Vanessa , Bittencourt Sandro Augusto Martins , Ferraz Luana Zanetti Trindade
Published: March 2022

O objetivo deste estudo é identificar os motivos que levam as cooperativas agropecuárias do Rio Grande do Sul a contratar serviços de auditoria independente, mesmo que legalmente estejam desobrigadas. Sob a ótica da teoria da agência, as respostas dos responsáveis pela governança, tais como presidentes, conselhos fiscais e contadores são utilizadas como determinantes para o estudo. Para atingir o objetivo proposto, utilizou-se um estudo de caso múltiplo, com abordagem qualitativa, por meio de pesquisa documental e entrevistas em quatro cooperativas. Os dados foram tratados por meio da análise de conteúdo com o estabelecimento de categorias por “acervo”, resultando em doze categorias iniciais que serviram de base para a interpretação. Os resultados encontrados demonstraram que as cooperativas estudadas contrataram auditoria independente principalmente para: detectar falhas humanas e erros contábeis, aumentar a qualificação técnico contábil, elevar o nível de segurança das informações contábeis aos usuários, detectar e prevenir fraudes, incrementar a transparência das transações, atender exigências de instituições financeiras, criar vantagem competitiva, motivar a equipe contábil e facilitar acesso ao crédito. Complementarmente, foi possível detectar que 68,75% dos presidentes e 45,83% dos conselhos fiscais apresentaram, em suas respostas, motivações relacionadas às relações de agência. Por fim, frente às descobertas da pesquisa, foi possível confirmar as preocupações dos responsáveis pela governança com assuntos ligados ao conflito de agência, contudo, ainda assim, verificaram-se lacunas que contrariam esta teoria, as quais poderão servir de estímulo para realização de outras pesquisas nesta área.