bluuebunny/crossref_metadata_2025 huggingface dataset:
Sex determination through maxillary dental arch and skeletal base measurements using machine learning
Authors: de Araujo Cristiano Miranda , de Jesus Freitas Pedro Felipe , Ferraz Aline Xavier , Quadras Isabella Christina Costa , Zeigelboim Bianca Simone , Priolo Filho Sidnei , Beisel-Memmert Svenja , Schroder Angela Graciela Deliga , Camargo Elisa Souza , Küchler Erika Calvano
Published: August 2024

Background

Cranial, facial, nasal, and maxillary widths have been shown to be significantly affected by the individual’s sex. The present study aims to use measurements of dental arch and maxillary skeletal base to determine sex, employing supervised machine learning.

Materials and methods

Maxillary and mandibular tomographic examinations from 100 patients were analyzed to investigate the inter-premolar width, inter-molar width, maxillary width, inter-pterygoid width, nasal cavity width, nostril width, and maxillary length, obtained through Cone Beam Computed Tomography scans. The following machine learning algorithms were used to build the predictive models: Logistic Regression, Gradient Boosting Classifier, K-Nearest Neighbors (KNN), Support Vector Machine (SVM), Multi-Layer Perceptron Classifier (MLP), Decision Tree, and Random Forest Classifier. A 10-fold cross-validation approach was adopted to validate each model. Metrics such as area under the curve (AUC), accuracy, recall, precision, and F1 Score were calculated for each model, and Receiver Operating Characteristic (ROC) curves were constructed.

Results

Univariate analysis showed statistical significance (p < 0.10) for all skeletal and dental variables. Nostril width showed greater importance in two models, while Inter-molar width stood out among dental measurements. The models achieved accuracy values ranging from 0.75 to 0.85 on the test data. Logistic Regression, Random Forest, Decision Tree, and SVM models had the highest AUC values, with SVM showing the smallest disparity between cross-validation and test data for accuracy metrics.

Conclusion

Transverse dental arch and maxillary skeletal base measurements exhibited strong predictive capability, achieving high accuracy with machine learning methods. Among the evaluated models, the SVM algorithm exhibited the best performance. This indicates potential usefulness in forensic sex determination.
Risk of nosocomial coronavirus disease 2019: comparison between single- and multiple-occupancy rooms
Authors: Jo Hyeon Jae , Choe Pyoeng Gyun , Kim Ji Seon , Lee Mimi , Lee Minkyeong , Bae Jiyeon , Lee Chan Mi , Kang Chang Kyung , Park Wan Beom , Kim Nam Joong
Published: August 2024

Background

There is an ongoing controversy regarding whether single-occupancy rooms are superior to multiple-occupancy rooms in terms of infection prevention. We investigated whether treatment in a multiple-occupancy room is associated with an increased incidence of nosocomial coronavirus disease 2019 (COVID-19) compared with treatment in a single-occupancy room.

Methods

In this retrospective cohort study, every hospitalization period of adult patients aged ≥ 18 years at a tertiary hospital in Korea from January 1, 2022, to December 31, 2022, was analyzed. If COVID-19 was diagnosed more than 5 days after hospitalization, the case was classified as nosocomial. We estimated the association between the number of patients per room and the risk of nosocomial COVID-19 using a Cox proportional hazards regression model.

Results

In total, 25,143 hospitalizations per room type were analyzed. The incidence rate of nosocomial COVID-19 increased according to the number of patients per room; it ranged from 3.05 to 38.64 cases per 10,000 patient-days between single- and 6-bed rooms, respectively. Additionally, the hazard ratios of nosocomial COVID-19 showed an increasing trend according to the number of patients per room, ranging from 0.14 (95% confidence interval 0.001–1.03) to 2.66 (95% confidence interval 1.60–4.85) between single- and 6-bed rooms, respectively.

Conclusions

We demonstrated that the incidence of nosocomial COVID-19 increased according to the number of patients per room. To reduce nosocomial infections by respiratory viruses, the use of multiple-occupancy rooms should be minimized.
Potential endocrine-disrupting effects of iprodione via estrogen and androgen receptors: evaluation using in vitro assay and an in silico model
Authors: Yang Ji-Yeon , Lim Jeong-Hyun , Park Soo-Jin , Jo Youmi , Yang Si Young , Paik Min-Kyoung , Hong So-Hye
Published: August 2024

This study was conducted to provide evidence, using in vitro and in silico testing methods, regarding the adverse effects of iprodione, a representative dichlorophenyl dicarboxamide fungicide, on the endocrine system. In the present study, we used the HeLa9903 stably transfected transactivation assay (OECD TG 455), 22Rv1/MMTV_GR‒KO androgen receptor transcriptional activation assay (OECD TG 458), and toxicity prediction using VEGA QSAR. Our results showed that iprodione had no estrogen receptor antagonistic or androgen receptor agonistic effects; however, iprodione was determined to be an estrogen receptor agonist (log PC10 value is less than − 9) and androgen receptor antagonist (log IC30 value is − 4.58) without intrinsic toxicity against the human cell lines used in this study. VEGA QSAR was used to evaluate five substances with structures similar to that of iprodione. Among them, four chemicals were found to have positive androgen receptor and aromatase activities and have been observed to be developmental toxicants. These results suggest that iprodione regulates steroid hormone receptor interactions and is a potential reproductive toxicant.
Laparoscopic resection of a descending colon tumor with right-sided fixation of the sigmoid colon: a case report
Authors: Ohno Shinya , Nagata Yukimasa , Kawahara Tatsuki , Nonomura Yusuke , Tachikawa Reo , Shinoda Tomohito , Tawada Kakeru , Ikawa Aiko , Sano Bun
Published: August 2024

Background

Intestinal malrotation is a condition in which the process of counterclockwise rotation and fixation to the peritoneum and retroperitoneum during fetal life is incomplete. In adults, it is generally asymptomatic and is often discovered incidentally. We report a case of laparoscopic partial resection of the descending colon for a tumor of the descending colon with a rare form of intestinal malrotation in which the inferior mesenteric artery ran symmetrically and the sigmoid colon was fixed to the dorsal cecum and right-sided retroperitoneum.

Case presentation

A 75-year-old man was referred to our department of internal medicine due to a positive fecal occult blood test. Lower endoscopy revealed a laterally spreading tumor in the descending colon, and endoscopic submucosal dissection was attempted; however, this procedure was difficult, and the patient was referred to our department for surgical treatment. Contrast-enhanced computed tomography revealed that the endoscopic clip was located in the descending colon on the right side, the inferior mesenteric artery was symmetrical, and the sigmoid colon was located on both the right and dorsal sides of the cecum. Laparoscopic ileocecum and sigmoid colon mobilization was performed from the left side of the patient. After the completion of sigmoid colon mobilization, which returned the sigmoid colon and descending colon to anatomical normalcy, laparoscopic partial resection of the descending colon was performed. Based on the results of a histopathological examination, a granular type of laterally spreading tumor was diagnosed. The patient was discharged uneventfully on postoperative day 8.

Conclusions

Detailed preoperative imaging and surgical simulation are necessary for abdominal surgery involving intestinal malrotation.
Identification of maize seed vigor based on hyperspectral imaging and deep learning
Authors: Xu Peng , Fu Lixia , Pan Yongfei , Chen Dongquan , Yang Songmei , Yang Ranbing
Published: August 2024

Background

Seed vigor identification is critical to guaranteeing the quality and yield of maize. Although seeds with impaired vigor may germinate under normal conditions, planting under unfavorable conditions makes it difficult to produce healthy plants. Therefore, non-destructive and rapid detection of seed vigor using hyperspectral imaging (HSI) technology is crucial for improving crop production efficiency.

Methods

Hyperspectral images of maize seeds were acquired employing the HSI system, the original spectra were preprocessed using Savitzky–Golay smoothing and multiplicative scatter correction, and the feature wavelengths were extracted using the successive projections algorithm (SPA). Discriminant models were constructed based on support vector machine (SVM), random forest, artificial neural network (ANN), and convolutional neural network (CNN-DC).

Results

The results showed that SVM, ANN, and CNN-DC could discriminate well between maize seeds with different vigor levels, and their accuracy rate was over 70%. The SPA algorithm showed that the RMSE value achieved a minimum of 0.3406, while the number of variables was 49. The CNN-DC model outperformed the other models, which reached the highest accuracy of 92.06%. This study demonstrates that DL combined with HSI has excellent potential for identifying seed vigor.

Conclusions

This study shows that the proposed method has excellent results for hyperspectral image data processing and can accurately identify maize seed vigor.
Increased Traumatic Brain Injury Severity and Mortality in Undocumented Immigrants
Authors: Tenorio Alexander , Brandel Michael G. , McCann Carson P. , Real Marcos , Doucet Jay J. , Costantini Todd W. , Santiago-Dieppa David R. , Levy Michael , Ciacci Joseph D.
Published: August 2024

BACKGROUND AND OBJECTIVES:

Health disparities related to traumatic brain injury (TBI) have focused on socioeconomic status, race, and ethnicity. We sought to characterize TBI patterns and outcomes based on undocumented status.

METHODS:

Patients who presented to University of California, San Diego Health Trauma Center with a TBI between 2019 and 2022 were identified and stratified based on undocumented status. Undocumented immigrants were identified using validated methods of absent or invalid social security number and key terms through chart review. Demographic information, injury characteristics, and neurosurgical interventions were recorded. Univariable and multivariable analyses were performed to determine the impact of patient factors on outcomes.

RESULTS:

Of 1654 patients with TBI, 76 (4.6%) were undocumented. Undocumented immigrants were younger (50 vs 60 years; P < .001) and had higher Injury Severity Score (17 vs 13; P < .001). They presented from farther distances (12.8 vs 5.3 miles, P < .001) with greater midline shift (1.49 vs 0.91 mm; P = .003). A greater proportion had basal cistern compression/effacement (14% vs 4.6%; P = .001) and required neurosurgical intervention (18% vs 9.6%; P = .012). Undocumented immigrants had higher hospital charges ($208 403 vs $128 948; P < .001), length of stay (5 vs 4 days; P = .002), and were discharged to a health facility at a lower rate (18% vs 32%; P = .012). They had nearly double the mortality rate (14% vs 7.3%; P = .021), with undocumented status trending as a predictor on multivariable regression (odds ratio = 2.87; P = .052).

CONCLUSION:

Undocumented immigrants presented from farther distances with increased TBI severity, likely from both more severe trauma and delayed presentation, requiring more neurosurgical intervention. They also had greater length of stay, charges, and nearly double the mortality rate. Importantly, undocumented status was a strong predictor for mortality. Despite worse outcomes, they were discharged to a health care facility at a lower rate. Advocacy efforts should be directed at increasing health care coverage and migrant community engagement and education.
The Socioeconomic Distribution of Choice Quality: Evidence from Health Insurance in the Netherlands
Authors: Handel Benjamin , Kolstad Jonathan , Minten Thomas , Spinnewijn Johannes
Published: August 2024

We study how choice quality relates to socioeconomic factors, using population-wide data on health insurance choices and utilization in the Netherlands. We document a striking choice quality gradient with respect to socioeconomic status, finding that those with higher income, higher education, and training in quantitative fields make meaningfully better choices. Household income for the top 5 percent of decision-makers, in terms of surplus captured, is almost three times higher than for the bottom 5 percent. When jointly including all factors, education degree and field of study are more important predictors of choice quality than income and other financial variables. (JEL D31, G22, G52, I13, L15)
Biology and ecology of the Juniperus phoenicea – J. turbinata – J. canariensis complex I. Taxonomy, structure and distribution
Authors: Boratyński Adam , Salvà-Catarineu Montserrat , Marcysiak Katarzyna , Mazur Małgorzata , Romo Ángel , Minissale Pietro , Tan Kit , Iszkuło Grzegorz , Witkowski Radosław , Mazur Andrzej
Published: August 2024

The Juniperus phoenicea complex consists of three taxa: J. phoenicea sensu stricto (s.s.), J. turbinata, and J. canariensis. A review of the literature on the biology of these taxa was conducted, focusing on taxonomy with paleo-data, structure, and geographical distribution to present current knowledge on these topics. Information on ecology, disease, utilization, and conservation will be presented in forthcoming parts of this monograph. Each of the three species included in the J. phoenicea complex is a monoecious or sometimes dioecious, evergreen gymnosperm with scale leaves when adult. The morphological differences between them are minor and mainly quantitative. This enables separation of taxa using a combination of traits. However, genetic features such as isozymes and nuclear microsatellites allow adequate differentiation from each other. Juniperus phoenicea s.s. occurs in the western part of the Mediterranean region, J. turbinata is circum-Mediterranean, while J. canariensis exists only on the Canary Islands, except Lanzarote and Fuerteventura, and on the Madeira archipelago. All species contain volatile oils which are used as traditional remedies for many various human and animal diseases, primarily in African and Asiatic countries. The published information for these topics is reviewed.
The role of phorophyte species and interspecific interactions in co-occurrence patterns of the primeval forest relict Dicranum viride
Authors: Wysocki Adrian , Olesik Beata , Proćków Jarosław , Konowalik Kamil , Wierzcholska Sylwia
Published: August 2024

Bryophytes, particularly epiphytes, play a vital role in the nemoral forest ecosystems of the temperate climate zone, influencing microclimate, providing habitats, and contributing to biodiversity. Dicranum viride, a target moss species within the Natura 2000 network, is of significant conservation value. Its preservation is crucial for forest managers who strive to protect the naturalness and integrity of nemoral forest ecosystems. Understanding its habitat preferences, co-occurrence patterns, and interactions within co-created epiphytic communities is essential for effective conservation and a more comprehensive understanding of its biology. Our research examines the co-occurrence patterns of D. viride within epiphytic communities. Specifically, we focused on the influence of the phorophyte (host tree) species and interspecific interactions on the composition of co-occurring bryophytes. We conducted field surveys in eastern Poland to investigate the distribution of D. viride in several forest ecosystems located in five Natura 2000 sites. Each occurrence of the target moss was recorded along with forest type, phorophyte species, and co-occurring bryophyte taxa. The collected data were then used for network analyses, including pairwise co-occurrence interactions based on a probabilistic model of species co-occurrence. Dicranum viride occurred most frequently on the bark of Fagus sylvatica and Carpinus betulus, particuraly in Fagion sylvaticae and Carpinion betuli. Network analyses revealed that the composition of co-occurring taxa varied depending on phorophyte species, with interspecific interactions among bryophytes significantly influencing these differences. Our study highlights the significant role of D. viride as an umbrella species in European woodlands, emphasizing its prevalence in Fagion sylvaticae and Carpinion betuli forest types, and its affinity for Fagus sylvatica and Carpinus betulus as phorophyte species. Implementing zonal protection for D. viride should be considered a progressive step in sustainable forest management, ensuring the conservation of its habitats and contributing not only to the biodiversity of woodland ecosystems, but also to the preservation of the most valuable ones. By unravelling the complex relationships within epiphytic communities, especially those involving flagship species such as D. viride, our research emphasises the importance of considering both the presence of co-occurring taxa and the nature of their interactions in studies of co-created community dynamics.
The influence of long-term systemic group therapy processes on outcome as measured by attachment security, psychological functioning and quality of life
Authors: Κατάκη Μαρία-Λητώ
Published: August 2024

Η έρευνα για την έκβαση της ψυχοθεραπείας έχει επικεντρωθεί κυρίως στην ατομική θεραπεία. Πρόσφατα το ενδιαφέρον μετατοπίστηκε προς τη διερεύνηση της αποτελεσματικότητας της ομαδικής θεραπείας και των διεργασιών που εμπλέκονται. Επιπλέον, οι περισσότερες μελέτες που έχουν υλοποιηθεί σε ακαδημαϊκά περιβάλλοντα χρησιμοποιούν μεθοδολογίες κλινικών δοκιμών, και πολύ λίγες έχουν διενεργηθεί σε ελληνικό πληθυσμό. Η μελέτη αυτή σχεδιάστηκε για να διερευνήσει κατά πόσον οι θεραπευτικές διεργασίες της συνεχιζόμενης μακροχρόνιας συστημικής ομαδικής θεραπείας επηρεάζουν την αποτελεσματικότητα. Το θεωρητικό υπόβαθρο της μελέτης βασίστηκε στις αρχές της θεωρίας του συναισθηματικού δεσμού, της γενικής θεωρίας συστημάτων και της κυβερνητικής. Το δείγμα αποτέλεσαν 255 θεραπευόμενοι που συμμετείχαν σε μακροχρόνια συστημική ομαδική θεραπεία σε ιδιωτικό πλαίσιο στην Ελλάδα, και οι 32 θεραπευτές τους. Ως θεραπευτικές ομαδικές διεργασίες ορίστηκε η θετική συναισθηματική σύνδεση των θεραπευόμενων με τα άλλα μέλη της ομάδας και με τους θεραπευτές τους, η θεραπευτική συμμαχία με την ομάδα και τους θεραπευτές, καθώς και οποιαδήποτε αρνητική εμπειρία εντός της ομάδας. Ο βαθμός ασφάλειας συναισθηματικού δεσμού του θεραπευτή θεωρήθηκε επίσης ως μεταβλητή διεργασίας. Η αποτελεσματικότητα μετρήθηκε με την αλλαγή του βαθμού ασφάλειας του συναισθηματικού δεσμού και την ψυχολογική τους λειτουργικότητα (για τη μέτρηση των μεταβλητών αυτών καταγράφηκαν οι διαφορές με βάση τις απαντήσεις των ίδιων των θεραπευόμενων για το πως ένοιωθαν πριν τη θεραπεία τους και πως μετά, δηλαδή, τη χρονική στιγμή συλλογής δεδομένων), καθώς και τη συνολική ικανοποίησή τους από την υγεία και την ποιότητα της ζωής και της θεραπείας.Τα αποτελέσματα υποδηλώνουν ότι, βάσει των αντιλήψεων των ίδιων των θεραπευόμενων, η μακροχρόνια συστημική ομαδική θεραπεία επηρεάζει την αποτελεσματικότητα. Πιο συγκεκριμένα, φάνηκε ότι μεγαλύτερη διάρκεια θεραπείας μπορεί να οδηγήσει σε συνεχή αύξηση της ασφάλειας του συναισθηματικού δεσμού, βελτίωση της ικανοποίησης από την ποιότητα των διαπροσωπικών σχέσεων και ψυχολογικής λειτουργικότητας, καθώς και μεγαλύτερη ικανοποίηση από τη θεραπεία. Τα ερευνητικά ευρήματα υποστηρίζουν τον θετικό αντίκτυπο των διεργασιών της ομαδικής θεραπείας, όπως η συναισθηματική σύνδεση με τον θεραπευτή και τα άλλα μέλη της ομάδας, και η θεραπευτική συμμαχία, σε όλες τις μετρήσεις αποτελεσματικότητας. Τέλος, τα αποτελέσματα αποδεικνύουν ότι ο βαθμός ασφάλειας συναισθηματικού δεσμού των θεραπευτών μπορεί να επηρεάσει τη σχέση μεταξύ των διεργασιών της ομαδικής θεραπείας και της αποτελεσματικότητας.
Νέες τεχνικές ανίχνευσης δεσμευτικών περιορισμών σε προβλήματα γραμμικού προγραμματισμού και εφαρμογές
Authors: Τσαρμπόπουλος Δημήτριος
Published: August 2024

Στον πραγματικό κόσμο δεδομένων των ταχέως εξελισσόμενων συνθηκών που επικρατούν τη σημερινή εποχή στους τομείς της καθημερινότητας που άπτονται των Προβλημάτων Γραμμικού Προγραμματισμού, έχει πραγματοποιηθεί μια αδιάκοπη προσπάθεια από την πλευρά των ερευνητών αυτού του είδους των προβλημάτων, καθώς και από επιστημονικούς οργανισμούς και επιχειρήσεις, για την όσο το δυνατόν ταχύτερη και αποτελεσματικότερη επίλυσή τους. Συγκεκριμένα, έχει παρατηρηθεί ότι μόνο ένα μικρό μέρος των αρχικών περιορισμών των προβλημάτων αυτών συμβάλλει στη βέλτιστη λύση του προβλήματος. Η πραγματικότητα αυτή καθιστά επιτακτική ανάγκη είτε την αφαίρεση των μη-δεσμευτικών περιορισμών που δεν συμβάλλουν στη βέλτιστη λύση των προβλημάτων αυτών από τη διαδικασία της επίλυσής τους, είτε τον εντοπισμό των δεσμευτικών περιορισμών, οι οποίοι συμβάλλουν στη βέλτιστη λύση, πριν από τη διαδικασία επίλυσής τους. Επειδή όμως ο απευθείας χαρακτηρισμός των περιορισμών αυτού του είδους των προβλημάτων σε δεσμευτικούς ή μη μπορεί να είναι αρκετά δύσκολος, κατά τη διάρκεια των ερευνών που πραγματοποιούνται, γίνεται χρήση προσεγγιστικών τεχνικών, οι οποίες ως στόχο έχουν να μπορούν να εντοπίσουν τους πιο πιθανούς για να καταταχθούν σε καθεμία κατηγορία. Δεδομένης της αυξημένης πολυπλοκότητας αυτών των προβλημάτων, στην παρούσα διατριβή παρουσιάζονται πέντε νέοι αλγόριθμοι, οι οποίοι ως στόχο έχουν να κατατάξουν τους περιορισμούς δίνοντας προτεραιότητα σε αυτούς που είναι πιθανότερο να είναι δεσμευτικοί. Αυτό δύναται να συνεισφέρει στην επιτάχυνση μιας μεθόδου επίλυσης ενός Προβλήματος Γραμμικού Προγραμματισμού και κατά επέκταση στη μείωση του κόστουςεπίλυσης του προβλήματος.Κάποιοι από τους αλγόριθμους που παρουσιάζονται εφαρμόζονται σε τυχαίαδημιουργημένα Προβλήματα Γραμμικού Προγραμματισμού (random LP problems), στα οποία το πλήθος των περιορισμών είναι πολύ μεγαλύτερο από το πλήθος των μεταβλητών. Κάποιοι άλλοι αλγόριθμοι, εφαρμόζονται σε ένα σύνολο γνωστών Netlib προβλημάτων του πραγματικού κόσμου, όπου το πλήθος των μεταβλητών είναι κατά πολύ μεγαλύτερο σε σχέση με το πλήθος των περιορισμών, σε αντίθεση με τα τυχαία δημιουργημένα προβλήματα. Τέλος, κάποιοι από τους αλγόριθμους εφαρμόζονται και στις δύο προαναφερθείσες κατηγορίες, δηλαδή και σε Random προβλήματα και σε προβλήματα Netlib. Για την πραγματοποίηση της κατηγοριοποίησης των περιορισμών,οι αλγόριθμοι που παρουσιάζονται κάνουν χρήση μιας σειράς κατάταξης, η οποία παράγεται σε κάθε αλγόριθμο με τη χρήση κάποιου συγκεκριμένου κριτηρίου, βάσει της οποίας είναι σε θέση να χαρακτηρίσουν τους περιορισμούς ως πιθανότερους ή όχι για να είναι δεσμευτικοί.
Hubungan Budaya Kerja dan Kerjasama dengan Kinerja Tenaga Kesehatan di Seluruh Puskesmas Kota Yogyakarta
Authors: Assura Diny Rensi , Mudayana Ahmad Ahid
Published: August 2024

Background: One of the government's efforts to achieve health development goals is by issuing the Republic of Indonesia Minister of Health Regulation Number 75 of 2014 concerning Public Health Centers (Puskesmas). The role of the puskesmas and its network as institutions that provide health services at the first level that are directly involved with the community is very important. The Puskesmas is responsible for organizing health development in its working area. To improve the performance of the puskesmas, complete information is needed about the puskesmas, including relating to the condition of the health center and its facilities, the condition of the health center network, and the staff at the puskesmas. A work culture and good collaboration are needed to achieve organizational goals (puskesmas). The lack of optimal implementation of puskesmas policies can be characterized by a lack of cooperation, not yet socialized puskesmas programs and weak human resources in providing services. This can happen because employees do not fulfill their duties and responsibilities, so evaluation is needed in order to produce good performance. The purpose of this study is to find out the relationship between work culture and collaboration with the performance of health workers in all Yogyakarta city health centers.
Research Methods: This study is an analytical study with a cross-sectional approach. The sample in this study was 159 puskesmas employees who were chosen propotively stratified random sampling. The study was conducted in April - May 2019 in all Yogyakarta City Health Centers. Data were analyzed using univariate and bivariate analysis with Correlation statistical tests.
Research Results: Test of correlation statistics shows the value of p-value of work culture with a performance of 0.004 (p value <0.05). Likewise the statistic test was carried out on collaboration variables with a performance of 0,000 (p value <0.05).
Conclusion: There is a significant relationship between work culture and collaboration with performance.
Manajemen Logistik Farmasi di RSUD Bima
Authors: Ainun Nurfauzul
Published: August 2024

Hospital Pharmacy Installation (IFRS) is a unit or facility where all work related to pharmacy is carried out in a hospital. Management in this unit is important because it is related to the availability of a drug in the hospital. Purpose: This study aims to learn pharmacy logistics management in POACE method at Bima Regional Hospital. Methods: This research is qualitative research with interview and observation approach. Results: planning by the unit head, ordering when the medicine runs out, storage using the FIFO and FEFO systems, distribution system using individual prescriptions, and eliminating medicines using separate storage. Conclusion: Pharmacy management at Bima Hospital is well coordinated at every stage of management.
Manajemen pada Unit Mutu Pelayanan Medik di Rumah Sakit Jiwa Grhasia
Authors: Setiawan Ari
Published: August 2024

Medical services aim to ensure optimal successful healing of clinical symptoms experienced by patients. The medical services provided should be in accordance with applicable regulations and must also be accountable in accordance with the standards of each profession. The quality of the medical services provided depends on the efforts of the doctor/specialist in maintaining their expertise as much as possible. In maintaining quality, professional quality review and control efforts are carried out. Purpose: This study aims to understand the description of human resource input, management functions in the medical development unit, and the description of service output in the medical development unit. Methods: This research is qualitative research with The data collection methods used were observation and interviews. Observations were carried out by observing every activity at the Grhasia Yogyakarta Mental Hospital, especially in the Medical Service Quality Unit. Results: the human resources input section does not meet the criteria for field graduates, the budget is sufficient, service standards are always updated, the management process is integrated with other units, and service quality is improved as an output of quality management. Conclusion: The medical service quality management process and management output have gone well according to plan, while management resource input needs to continue to improve the quality of human resources.
Identifikasi Potensi Bahaya Kerja pada Instalasi Catatan Medik RSUP Dr Sardjito Yogyakarta
Authors: Probo Marisa Kuncaraning , Mudayana Ahmad Ahid
Published: August 2024

Rumah sakit memiliki ancaman besar terhadap dampak kesehatan bagi pekerja, pasien dan pengunjung. Berdasarkan studi pendahuluan, Instalasi Catatan Medik (ICM) RSUP Dr. Sardjito Yogyakarta memiliki 162 pegawai dan berbagai jenis pekerjaan yang memiliki potensi bahaya tersendiri. Di bagian penyimpanan berkas misalnya, memiliki potensi bahaya debu, kegiatan angkat-angkut berkas, dan lain-lain. Sehingga perlu dilakukan penelitian dengan tujuan mengetahui potensi bahaya kerja pada ICM RSUP Dr Sardjito Yogyakarta. Penelitian ini berjenis deskriptif kualitatif melalui observasi lapangan, wawancara, dan telaah dokumen. Penelitian ini melibatkan enam narasumber dan analisa data menggunakan lembar kerja Job Safety Analysis (JSA). Diketahui ada 13 jenis pekerjaan yang ada di ICM RSUP Dr. Sardjito Yogyakarta, yaitu: registrasi, filing, distribusi, verifikasi, coding, assembling, penggabungan, surat keterangan medis, penelitian, pelaporan, penyusutan, pemusnahan, dan logistik. Setiap jenis pekerjaan tersebut terbagi menjadi beberapa langkah aktivitas yang memiliki potensi bahaya yang berasal dari: radiasi monitor, sekeliling kertas dan isi stapler yang tajam, debu; alat kerja dumbwaiter, stapler, gunting,  dan Roll O’ Pack; kegiatan angkat-angkut, posisi kerja, lokasi kerja yang tinggi, cara dan lama bekerja; kegiatan berulang, komunikasi dengan pasien/ keluarga, serta dengan petugas/pihak lain, dan beban kerja yang tidak tentu; dari aliran listrik; dan bakteri/ virus dari berkas, maupun dari pasien sendiri saat kontak langsung. Upaya pengendalian risiko yang telah ditetapkan di ICM RSUP Dr Sardjito Yogyakarta mengikuti hirarki pengendalian risiko, yaitu: substitusi, rekayasa teknik, administrasi, dan alat pelindung diri. Sedangkan upaya eliminasi yang disarankan sedang dalam proses, menunggu optimalisasi pemberlakuan Elektronik Medical Record. Telah diketahui berbagai potensi bahaya kerja pada ICM RSUP Dr Sardjito Yogyakarta hingga dapat diberlakukan pengendalian risiko sesuai hirarki pengendalian risiko.
Evaluasi Program Pendidikan Keluarga di Instalasi Kesehatan Jiwa Masyarakat Rumah Sakit Jiwa Grhasia Daerah Istimewa Yogyakarta
Authors: Arsita Cicilia Nindi , Syam Nur Syarianingsih
Published: August 2024

The Family Education Program is a program that aims to increase the capacity of caregivers in mentoring ODGJs. Program evaluation is needed in order to know how the condition of the evaluation object is in the design, implementation and results. The purpose of this study is to evaluate the family education program in the Community Mental Health Installation at the Grhasia Mental Hospital Special Region of Yogyakarta.
This type of research is qualitative with a case study approach. The sampling technique in this study was divided into two, namely the subject of implementing the program using total sampling and the subject of the program's target using purposive sampling. The data in this study were obtained from in-depth interviews. In this variable it is good, the Family Education program does not have a certain Standars Prosedures but has a Terms of Reference for Activities that are compiled in accordance with Permenkes RI No. 44/2018. In quantity, it is sufficient by dividing the jobdesk according to their respective abilities. The budget spent is sufficient and allocated for program needs such as: stationery, modules, participant transport, snacks / consumption and others. The facilities used in the Family Education program are accordance with the Republic of Indonesia Minister of Health Regulation No. 44/2018. Program planning is carried out at the end of each period involving all of the Keswamas human resouces. Program supervision is carried out by the Technical Implementation Officer appointed by the Hospital. Supervision is also carried out during the learning process, to see the abilities of the participants. Program achievement can be seen from the pre-post test results, attendance of participants, and participant testimony. The pre-post test results show that the post test results are greater. The attendance of participants in every meeting is still inconsistent in the sense that there are still participants who are still absent in every meeting. Testimony of participants said that the Family Education program is very important and has a positive impact not only for participants but also for patients and other families. Overall the Family Education program is good. This can be seen from the human resources, adequate budget and facilities, planning in accordance with applicable policies, and high program achievement seen from the pre-post results, attendance of participants and testimonials.
Analisis Kebutuhan Petugas Unit Rekam Medis Berdasarkan Metode Workload Indicator Staff Need (WISN) di RSUD Wates Kulon Progo Yogyakarta
Authors: Alifariani Aulia , Syam Nur Syarianingsih
Published: August 2024

Medical record is a process that starts when a patient is received in health services, is forwarded to the data recording activities and continues to handle medical records which include the administration, storage and issuance of medical records from storage to serve loan requests for patient needs or in connection with legal requirements. the other. Planning for Human Resources for Health, Health Workers is every person who devotes himself in the field of health and has knowledge and or skills through education in the field of health which for certain types requires authority to make health efforts. WISN is an indicator that shows the amount of labor needs based on workload, so that the allocation of energy is easier and rational. The purpose of the study was to calculate the needs of medical record unit officers based on the Workload Indicator Staff Need Method (WISN) at Wates Kulon Progo District Hospital. This research uses descriptive qualitative method with a case study design. The technique of taking interview informants is using purposive sampling method with 4 informants. Subjects observed in this study were 9 medical records unit officers at the Wates Kulon Progo Regional District Hospital. Available working time at the medical records officer at Wates Kulon Progo Hospital in one year is 269 days or 2152 hours per year. The highest standard workload is based on a calculation of 129,120 minutes / year and the lowest is based on a calculation of 43,040 minutes / year. the allowance for medical records is 0.48. The number of medical records officers is 29 people. Based on WISN calculations, the number of workers in the Wates Kulon Progo Hospital Medical Record unit needs to experience additional staffing needs or can be optimized at any given point of work. One way to optimize labor through mutation of workers or optimization of labor can be done by rotation of workers.
Analisis Produktivitas Kerja Tenaga Medis dan Non Medis dengan Metode Time and Motion Study di Puskesmas Banguntapan II Bantul Yogyakarta Tahun 2021
Authors: Rinawati Rinawati , Firman Firman
Published: August 2024

Health center health workers are the main resource to create a healthy community. Medical and non-medical personnel also play an important role in public health services. The Banguntapan II Health Center in Bantul has a wide working area so that it will be correlated with the availability of human resources at the Puskesmas both for the number of human resources, performance and productivity of the health services provided by the Puskesmas to the community, especially considering the current state of the COVID pandemic.
The purpose of this study was to find out how the work productivity of medical and non- medical personnel with the time and motion study method at the Banguntapan II Health Center, Bantul, Yogyakarta in 2021. This type of research uses a combination method (Mixed Method Research) with quantitative and qualitative approaches with Explanatory Sequential Design. The number of respondents who were studied by total sampling technique was 41 people and the research subjects who were examined by quota sampling technique were 12 people, taken from medical and non-medical personnel at Banguntapan II Public Health Center, Bantul Yogyakarta. Work productivity at Banguntapan II Public Health Center is seen from the standard time for medical personnel totaling an average of 7 hours 3 minutes, and non- medical personnel totaling an average of 6 hours 39 minutes. The factor that affects the work productivity of medical and non-medical workers is the work environment. The results showed that medical and non-medical personnel at Banguntapan II Health Center had good work productivity. However, the Puskesmas needs to pay attention to the needs of non- medical personnel to maximize the program from Public Health Center.
Pengaruh Gaya Kepemimpinan dan Loyalitas Terhadap Kinerja Karyawan di Bagian Keperawatan RSUD Sultan Imanuddin Pangkalan Bun
Authors: Puspita Ayu Dwi , Syam Nur Syarianingsih
Published: August 2024

Hospitals have the largest resources occupied by nurses. Nurses have a position that is sufficient to determine the level of quality of health services in the hospital so that the performance of nurses needs to be improved. To optimize this, the hospital needs to pay attention to the factors that affect the performance of nurses, including leadership style and employee loyalty. Leadership style is the way a leader influences, directs, motivates, and controls employees in a certain way so that employees can complete tasks effectively and efficiently. Loyalty is employee loyalty to an organization or devotion to a company organization which is manifested by the willingness of employees to carry out company duties with full awareness and responsibility so that the company's goals can be achieved. The purpose of this study was to determine the effect of leadership style and loyalty on employee performance in the nursing department of the Sultan Imanuddin Pangkalan Bun hospital. This type of research is quantitative with a cross-sectional approach. The sampling technique used the accidental sampling technique. The study population was all 180 nurses at Sultan Imanuddin Pangkalan Bun Hospital. The sample size was 51 nurses obtained using the Iemesshow formula. The results of the chi square test show that there is no influence between leadership style on employee performance with a p-value of 0.091 (p> 0.05) and there is an influence between loyalty to employee performance with a value of p-value 0.000 (p <0.05). There is no influence between the variable leadership style and employee performance, There is an influence between the variable loyalty to employee performance.
Analisis Pengadaan Obat Menggunakan Metode Konsumsi di Bagian Logistik Farmasi Rumah Sakit Nur Hidayah Bantul
Authors: Wari Novia Indras , Mudayana Ahmad Ahid
Published: August 2024

The consumption method is a method carried out by evaluating past drug use as a basis for determining the estimated need, then adjusting it to the strategic plan of the hospital and hospital pharmacy, so that the final result is a list of drug needs. This study aims to analyze the need for pharmaceutical logistics using the consumption method at Nur Hidayah Hospital, Bantul. The type of research used in this research is qualitative research and the research subjects are 4 people. Data collection techniques in this study using interviews and observation. Test the validity and credibility of the data in this study using source triangulation and technique triangulation. Data analysis used analysis method from milles and Huberman. Based on the results of this study indicate that 1) the largest average use is Metformin 500 mg as many as 6,695 tablets, 3) Lead time is adjusted to the PBF and assessed by score. 4) The amount of safety stock is proportional to the average amount of usage per month. 5) The results of calculating the total number of drug needs for the 2022 period with the consumption method of the five types of drugs have more drug needs than the stock in storage so they need to be added to meet the needs. Based on the results of research that has been done, this combination method is less efficient if used in the Pharmacy Installation of Nur Hidayah Hospital.
Pengaruh Pelatihan dan Insentif terhadap Kinerja Perawat di RSUD Pambalan Batung Amunta Kalimatan Selatan
Authors: Afthina Rifka Ellya , Hidayat Muhammad Syamsu
Published: August 2024

To train employees with knowledge, skills and abilities that suit the needs of the company, training is required. Incentives are a form of remuneration that can improve work performance. This study aims to determine whether or not there is an influence between training and incentives on the performance of nurses at Pambalah Batung Amuntai Regional General Hospital in South Kalimantan.
The type of research used is quantitative research. Sampling techniques used in this study is to use probability sampling technique that is proportionate stratified random sampling by using slovin formula. The research population is all part of the health workers, especially nurses in the inpatient section of Pambalah Batung Amuntai Regional General Hospital numbered 143 and to be sampled in this study was 117 people.
The variables of training and incentives affect the performance of nurses of Pambalah Batung Amuntai Hospital in South Kalimantan. The coefesien value of determination is 0.194 which means that all free variables are training and incentives that affect performance by 19.4%, the remaining 80.6% which is influenced by other factors that are not studied.
The variables of training and incentives have a significant influence on the performance of nurses at Pambalah Batung Amuntai Hospital in South Kalimantan.
The Influence Of Marketing Mix And Quality Of Services On Interest In Intensive Patients' Revisits At PKU Muhammadiyah Hospital Yogyakarta City
Authors: Laely Safrotul , Hidayat Muhammad Syamsu
Published: August 2024

Background : The research hospital experienced a decrease in inpatient visitors. During 2017-2020 the number of patient visits and BOR (Bed Occupancy Rate) decreased. The decrease in the number of patient visits will certainly have an impact on hospital admission costs, so hospitals must have the right strategy both in terms of marketing and service quality to continue to improve the brand and regain trust from the public. Method : In this research, the method used is quantitative with a cross sectional approach and purposive sampling technique. While the test used is the Chi Square test with a sample of 84 hospitalized patients. Results : The results of this study are the p-value in the marketing mix (0.079 > 0.05) with a correlation value of 0.193, which means that there is no significant effect between the marketing mix and the interest in repeat visits of inpatients with a very weak correlation value. While the p-value on service quality is (0.053 > 0.05) with a correlation value of 0.212, which means that there is no significant effect between service quality and interest in repeat visits with a weak correlation value. Conclusion : It can be concluded that there is no significant effect between the marketing mix and service quality on the interest in repeat visits of inpatients at PKU Muhammadiyah Hospital, Yogyakarta City.
Implementasi Sasaran Keselamatan Pasien Berdasarkan Standar Komisi Akreditasi Rumah Sakit (KARS) Di RSUD Wonosari Yogyakarta
Authors: Wahid Najwiah A. , Mudayana Ahmad Ahid
Published: August 2024

Background:  The safety of patient was important component in quality of service in health. The hospital of Wonosari was belongs to the government districts of Gunung Kidul type C whom has contribution in services of health for people. In 2016 facilities like barcode not yet in all rooms, human resources have not consistenly reported KTD, the bathroom floor was slippery so that it can cause an incidence of patient safety risk. Now overall the implementation of patient safety has been running optimally, such as the availability of supporting facilities and later of SOP, socoalization and training on evaluation and supervision have been held. The aims of this study to analyze the implementation of patient safety goals based on the hospital accreditation standards (KARS) at RSUD Wonosari Yogyakarta.
Methods: this studied used qualitative methods through in-depth interviews, observation and document review. Data collection was done by interviewing 5 informants
Results: Identification of patients using two identities, effective communication with SBAR and TBaK, stores medications that need to be watched out in a separate place, tagging used checklist patient at surgery, applied 6 steps and 5 handwashing moments from WHO, conduct initial assessment and reassessment of patients at risk of falled.
Conclusion: The implementation of patient safety goals based on the KARS standard in RSUD Wonosari Yogyakarta has been running optimally.
Analisis Fungsi Manajemen dalam Meningkatkan Mutu Layanan Rawat Inap di RS Nurhidayah Bantul
Authors: Isnaini Safira Ayu , Firman Firman , Saffanah Amadini Maisun
Published: August 2024

Background: The challenges of private hospitals in implementing quality inpatient services are influenced by governance with limited resources. This can be seen in the achievement of inpatient service quality indicators at Nur Hidayah Hospital which fluctuate, for example the incidence of nosocomial infections (HAIs) as many as 154 incidents of nosocomial infections per year. The compliance indicator for efforts to prevent the risk of injury due to patient falls has met the standards but officers have not been compliant in documenting reporting. In addition, compliance with specialist doctor visiting hours and compliance with hand washing of officers are inconsistent. This situation illustrates that the management function in controlling the quality of inpatient services is very much expected and needed.
Methods: This study used a cross-sectional design. The sampling technique was a non-probability sample, and the number of respondents was 31 nurses at Nur Hidayah Hospital. The unit of analysis of this study was the inpatient unit, the statistical test used was the chi square test to see the relationship between managerial functions and the quality of inpatient services.
Results: The practice of management functions implemented by the head of the unit in controlling the quality of hospital inpatient services includes adequate planning functions (51.6%), adequate organizing functions (58.1%), adequate direction (58.1%), adequate supervision (41.9%), adequate control (41.9%) and adequate evaluation (45.2%). Statistically, all of the above management functions have a relationship to the quality of inpatient services with a significance value of p<0.05.
Conclusion: The head of the unit needs to maintain and encourage more consistent and sustainable innovation efforts in controlling the quality of inpatient services.