bluuebunny/crossref_metadata_2025 huggingface dataset:
Особенности распространения стоячих электромагнитных и электронных волн в металлическом проводнике с электрическим переменным током проводимости
Authors:   Научно-исследовательский и проектно-конструкторский институт «Молния» Национального технического университета «Харьковский политехнический институт», Баранов М. И.
Published: December 2021

The paper demonstrates the results of approximate calculations on the establishment of basic features of the propagation of standing transversal electromagnetic waves (EMWs) and standing longitudinal de Broglie electronic waves in a homogeneous not massive non-magnetic metallic conductor of finite dimensions (the radius r0 and the length l0 >>r0) with the alternating axial-flow current of conductivity of i0(t) of different peak-temporal parameters. The correlation for the rated estimation of the average velocity of propagation of the standing transversal EMWs and standing longitudinal de Broglie electronic waves in a metal (alloy) of the indicated conductor is presented. It is shown that quantized standing transversal EMWs arising in a metallic conductor of finite dimensions substantially differ from ordinary transversal EMWs, propagated in the conducting environments of unlimited dimensions. An important feature of the standing transversal EMWs in the examined conductor is the fact that their tension of an axial-flow electric-field advances by a phase their tension of an azimuthal magnetic-field on the corner of π/2. It was established that in the standing transversal EMWs of the used conductor the energy of their electric field only passes into the energy of their magnetic field and vice versa. Therefore the standing transversal EMWs do not transfer the flows of the electromagnetic energy on the surface of the studied conductor.
In- vitro Antioxidant and Cardio-protective effect of Delonix elata (L.) Leaf extract against Doxorubicin induced toxicity in H9c2 Cardio-myocyte cell line
Authors: V Archana , R Indumathy
Published: December 2021

Objective: The aim of this study is to evaluate the protective effect of Delonix elata (L.) leaf extract against doxorubicin-induced cardiotoxicity in H9c2 cells. Methods: Doxorubicin has been used to treat cancer, but its clinical uses are limited because of its dose-dependent cardiotoxicity. Reactive oxygen species play an important role in the pathological process of cardiotoxicity. The various extracts (pet.ether, ethyl acetate and ethanol) of Delonix elata leaves antioxidant property was evaluated by SOD antioxidant assay and DPPH free radical scavenging assay. The cells were incubated with different concentrations of various extracts of Delonix elata leaves for 2 hr, followed by incubation with 5µM doxorubicin for 24 hr. Cell viability was determined by using MTT assay, respectively. Results: The various extracts of Delonix elata leaves exhibits antioxidant activity. The Doxorubicin significantly decreased cell viability which was accompanied by an increased ROS production. Pre-treatment with various extracts of Delonix elata leaves increased the viability ofcells and inhibit the generation of reactive oxygen species. Conclusion: In this study, findings how that Delonix elata leaf extract exhibited a protective effect against oxidative stress-induced cardiomyocyte damage. The ethanolic extract of Delonix elata leaves possesses significant antioxidant and cardioprotective activity.
Differences and Similarities in the Metabolism of Erlotinib across various Species: An Analysis by Liquid Chromatography - Tandem Mass Spectrometry
Authors: D. Khatal Laxman , N. More Harinath
Published: December 2021

Erlotinib is an inhibitor of the epidermal growth factor receptor (EGFR), primarily used to treat non-small cell lung cancer (NSCLC) or pancreatic cancer. The main objective of the present study was to identify differences and similarities in the metabolism of erlotinib across various species and to identify new phase I metabolites. Metabolic characteristics of erlotinib were investigated in liver microsomes of human, mice, rat, dog, hamster, and S9-fraction of mice by liquid chromatography-tandem mass spectrometry (LC-MS/MS). A total of 19 phase I metabolites were detected in human liver microsomes; whereas, 12 metabolites in each of mice-, rat- liver microsomes and S9-fraction of mice; 10 in dog liver microsomes and 7 in hamster liver microsomes were detected. Out of these 19 metabolites, 8 metabolites were newly found including 1- novel metabolite (M23) which was identified with its putative structure in human liver microsomes. All phase I metabolites reported in healthy human volunteers were identified in human liver microsomes. Similar metabolic behavior had shown by liver microsomes of mice, rat, and S9-fraction of mice. Metabolites M6, M13, M14, M16, M22, and M25 were found in all tested species. These differences and similarities in the metabolism of erlotinib confirmed the role of CYP 450 enzymes and their distinct activity across various species.
Anti-diabetic potential of Indian Medicinal plants with Garcinia kola and Syzygium cumini
Authors: K J Sharmila , L Kanimozhi. , Priya.J Shanmuga , G V Vidhya , Jeba.R Caroline , R. Kowsalya.
Published: December 2021

Diabetes mellitus is a group of metabolic disease in which a person experiences high blood glucose levels either because the body produces inadequate insulin in the body. Though there are several treatment options available there are limitations such as high costs and side effects, weight gain etc. For this reason, the use of medicinal plants has increased to be used as an anti-diabetic agent with less side-effect and more efficient. In this regard, this study analyzed the anti-diabetic potential of Garcinia kola and Syzygium cumini using alpha amylase inhibition assay and glucose uptake by yeast cells. It was observed that Ethanol extract of Garcinia kola increased anti-diabetic potential compared to Syzygium cumini.
Shampoos: Hair Care Cosmetics
Authors: Sonawane Sneha K , Shinde Prajakta P , Shelke Suvarna J.
Published: December 2021

In this article we studied hair care product shampoos which are for topical preparation on the hair. Recent advances in hair science and hair care technologies have been reported in literature claiming innovations and strategies for hair treatments and cosmetic products. The treatment of hair and scalp involved the use of shampoo for an effective, gentle cleansing, the shampoo is condidered not only as a cosmetic product having purifying purpose, but it is also responsible for maintaining the health and beauty of hair, imparting gloss and improving manageability. Shampoos is hair care product which is used to remove grease, dirt, dandruff and promote hair growth, strengths a hair. It also make hair smooth,soft and lustrous.Various contents are use in shampoo,some shampoos content drug also when medicated shampoos is to be prepare.In Shampoos various natural or herbal product are also used such as aloevera,neem,jasmine etc. This review largely focus on the description of shampoo
SAVAŞTAN BİRLİĞE İRLANDA-İNGİLTERE İLİŞKİLERİ (1169-1801)
Authors: BAYĞIN Akif
Published: December 2021

İrlanda ve İngiltere gerek siyasi gerekse ekonomik alanlarda birbirleri ile sürekli etkileşim halinde olmuş iki komşu devlettir. İngiltere’nin XII. yüzyıldan itibaren İrlanda’da başlatmış olduğu kolonizasyon faaliyetleri uzun bir dönemi kapsamış ve zamanla İrlanda topraklarına hâkimiyet kurmuştur. İngiltere’nin, İrlanda’ya karşı yayılmacı bir siyaset izlemesinin önemli sebeplerden biri Papa IV. Adrian’nın İrlandalılar hakkında öne sürdüğü düşünceler olmuştur. Nitekim Papa IV. Adrian, İrlandalıların Hristiyanlıktan uzaklaşarak asi bir topluluğa dönüştüğünü ileri sürmüş ve II. Henry'den askeri bir müdahalede bulunmasını istemiştir. İngilizlerin Papa’nın da desteği ile başlatmış oldukları askeri müdahale İrlanda’da uzun yıllar sürecek olan İngiliz yayılmacılığının ilk adımı olmuştur. İngilizler XVI. yüzyıldan itibaren kolonileşme faaliyetleri ile Katolik İrlanda’yı Protestanlaştırmaya yönelik bir toprak mülkiyet sistemi oluşturmayı hedeflemiştir. İrlandalılar İngiliz yayılmacılığına karşı koymaya çalışsa da yeterli güce sahip olmadıklarından girişimleri sürekli başarısızlığa uğramıştır. Bu çalışmada iki ülkenin tarihsel süreç içerisindeki ilişkileri incelenerek İngiltere’nin İrlanda üzerindeki toprak mülkiyetinin kontrolünü nasıl ele geçirdiği ve süreç boyunca iki ülke arasında yaşanan olaylar incelenmiştir. Ayrıca İrlanda’da iki taraf arasında kolonileşme süreci ile başlayan mücadele, reform hareketlerinin ardından mezhep farklılıklarından kaynaklanan çatışmalarla farklı bir boyut kazanmıştır. İngiltere, İrlanda’ya yerleştirilen Protestanları korumak için yerli halkın dini, iktisadi ve sosyal hayatını kısıtlayıcı yasalarla kontrolü ele geçirmeye çalışmıştır. Bu süreçte toprakların mülkiyetinde Protestanların lehine dikkate değer ölçüde bir dönüşüm gerçekleşmiştir. Bu durum toprağa bağlı bir şekilde hayatını idame ettiren Katolik İrlandalıların giderek fakirleşmesine yol açarken topraklarını giderek genişleten Protestan İrlandalılar ve İngiliz toprak sahiplerinin de aynı ölçüde zenginleşmesine neden olmuştur.Amerikan Bağımsızlık Savaşı ve Fransız İhtilali’nin İngiltere ekonomisi ve askeri gücü üzerindeki olumsuz etkilerini fırsata çeviren İrlandalılar, 1798 yılında bağımsızlık girişiminde bulunmuş ancak bu girişim başarısızlık ile sonuçlanmıştır. İrlandalılar son girişimlerine rağmen İngiltere’den birtakım siyasi haklar elde etmiştir. Daha fazla taviz vermek istemeyen İngiltere hükümeti 1801 yılında yürürlüğe koyduğu Birlik Yasası ile iki ülkenin Büyük Britanya ve İrlanda Birleşik Krallığı şeklinde birleşmesini sağlamıştır.
The Lost Years 1918-1935
Authors: Suluhian Kuyumjian Rita
Published: December 2021

The article covers the last 17 years of Komitas’s life. Constantinople Armenians who took care of Komitas, on the advice of Dr. Vahram Torkomian, seeing no improvement in Komitas’s mental health, while he was treated at Hopital de la Paix in Istanbul, decided to send him to Paris, hoping for better treatment and outcome. The article describes Komitas’s medical care, both psychiatric and physical until his death in 1935 when Komitas was in custodial care in Paris sanatoriums. It describes and analyses the findings from Komitas’s medical files at Ville- Evrard and Ville- Juif Hospitals. It reviews the psychiatric consultations, and explains the medical terms used at the beginning of the 20th century and its implications for psychiatric diagnosis used in Western psychiatry of today. Finally it describes his death due the bone infection in his foot and his funeral arrangements. Սույն հոդվածը նկարագրում է Կոմիտասի կյանքի և հիվանդության փարիզյան շրջանը մինչև իր մահը 1935 թ․ հոկտեմբերին։ 1918 թ. Զինադադարից հետո Կոմիտասի ընկերները բժիշկ Վահրամ Թորգոմյանի խորհրդով նրան բուժման նպատակով ուղարկում են Փարիզ։ Կոստանդնուպոլսի Լա Բե հիւանդանոցում Կոմիտասի առողջությունն անփոփոխ էր մնում, և լավացում չէր արձանագրվում։ Հոդվածն անդրադառնում է Փարիզի Վիլ Էվրար և Վիլ Ժուիֆ բուժական հաստատություններում Կոմիտասի բժշկական խնամքին։ Վերլուծության են ենթրկվում բժշկական թղթապանակը, բժշկական խորհրդատվությունները, համեմատվում են քսաներորդ դարասկզբին գործածված բժշկական ախտորոշիչ եզրույթները՝ ներկայիս գործածվող տարբերակների հետ։ Քննարկվում են նաև նրա ոտքի ոսկորի հիվանդությունն ու ֆիզիկական հյուծման պատճառով մահվան պարագան, ապա նաև թաղման կազմակերպումը։
Vietnamese migrants are as tall as they want to be
Authors: Scheffler Christiane , Nguyen Thi Hong , Hermanussen Michael
Published: December 2021

Background

Members of the same social group tent to have the same body height. Migrants tend to adjust in height to their host communities.

Objectives

Social-Economic-Political-Emotional (SEPE) factors influence growth. We hypothesized that Vietnamese young adult migrants in Germany (1) are taller than their parents, (2) are as tall as their German peers, and (3) are as tall as predicted by height expectation at age 13 years.

Sample and Methods

The study was conducted in 30 male and 54 female Vietnamese migrants (mean age 26.23 years. SD=4.96) in Germany in 2020. Information on age, sex, body height, school and education, job, height and ethnicity of best friend, migration history and cultural identification, parental height and education, and recalled information on their personal height expectations at age 13 years were obtained by questionnaire. The data were analyzed by St. Nicolas House Analysis (SNHA) and multiple regression.

Results

Vietnamese young adults are taller than their parents (females 3.85cm, males 7.44cm), but do not fully attain height of their German peers. The body height is positively associated with the height of best friend (p < 0.001), the height expectation at age 13 year (p < 0.001), and father height (p=0.001).

Conclusion

Body height of Vietnamese migrants in Germany reflects competitive growth and strategic growth adjustments. The magnitude of this intergenerational trend supports the concept that human growth depends on Social-Economic-Political-Emotional (SEPE) factors.
TINJAUAN PELAKSANAAN PENDISTRIBUSIAN BERKAS REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT KHUSUS PARU TAHUN 2018
Authors: Widya Sandika Tri , Mutia Fadila Sari Uci
Published: December 2021

Salah satu bentuk pelayanan di rumah sakit adalah pendistribusian berkas rekam medis. Distribusi adalah suatu proses penyampaian barang atau jasa dari produsen ke konsumen dan para pemakai, sewaktu dimana barang atau jasa tersebut diperlukan. Tujuan penelitian ini adalah untuk menegtahui pelaksanaan pendistribusian berkas rekam medis rawat jalan di RS Khusus Paru Tahun 2018. Penelitian ini menggunakan metode penelitian deskriptif yang dilakukan dengan tujuan untuk membuat gambaran atau deskriptif tentang suatu keadaan secara objektif dengan jumlah populasi seluruh pegawai petugas rekam medis yaitu 5 orang dan teknik pengambilan sampel dalam penelitian ini yaitu total sampling dengan karakteristik seluruh petugas rekam medis. Maka peneliti melakukan analisa data dimulai dari editing, coding, sorting, entry data, cleaning. Hasil penelitian berdasarkan pendidikan terakhir mayoritas SMA sebanyak 3 orang (60%) minoritas DIII rekam medis sebanyak 1 orang (20%) dan pendidikan S-1 sebanyak 1 orang (20%), berdasarkan lama kerja mayoritas 1-5 tahun sebanyak 4 orang (80%), dan minoritas lama kerja 6-10 tahun sebanyak 1 orang (20%). Sehingga dapat disimpulkan pelaksanaan pendistribusian berkas rekam medis rawat jalan dikatakan cukup, lamanya proses pendistirbusian berkas rekam medis dan juga masih sedikitnya petugas rekam medis yang berpendidikan DIII rekam medis dan dapat diharapkan meningkatkan proses pengiriman berkas rekam medis serta ditambahnya petugas yang berpendidikan DIII rekam medis.
ANALISA KEBUTUHAN TENAGA REKAM MEDIS BERDASARKAN BEBAN KERJA DENGAN METODE WISN DI BAGIAN PENDAFTARAN RUMAH SAKIT	UMUM HAJI MEDAN TAHUN 2018
Authors: Parulian Gultom Suheri , Sihotang Afrizal
Published: December 2021

Pelayanan di bagian pendaftaran bersifat administratif yaitu pelayanan dalam mengidentifikasi pasien. Oleh karena itu harus diupayakan pelayanan yang cepat agar pasien tidak  lama menunggu. Salah satu kendala di pendaftaran adalah  jumlah tenaga yang terbatas. Berdasarkan survey pendahuluan rata-rata kunjungan pasien rawat jalan 4250 kunjungan dan rawat inap 2048 kunjungan. Dimana rat-rata pasien perhari sebanyak 209orang. Tujuan penelitian ini untuk mengetahui perkiraan kebutuhan tenaga rekam medis berdasarkan beban kerja dengan menggunakan metode WISN di bagian pendaftran Rumah Sakit Umum Haji tahun 2018. Jenis penelitian diskriptif dengan pendekatan cross sectional dengan populasi kunjungan pasien rawat jalan dan rawat inap pada bulan Maret-Mei 2018 sebanyak 3149 pasien. Hasil penelitian dengan menggunakan metode WISN perkiraan tenaga rekam medis di bagian pendaftaran yang dibutuhkan sebanyak 1 petugas, sedangkan terjadinya antrian dikarenakan pasien yang berkunjung datang disaat jam yang bersamaan. Antrian juga terjadi karena DRM yang dicari tidak ditemukan di rak filing dan pasien tidak membawa KIB.Terdapat kekurangan tenaga rekam medis di bagian pendaftaran di Rumah Sakit Umum Haji karena dari hasil perhitungan dibutuhkan tambahan 1 orang dan saat ini hanya ada 2 orang tenaga rekam medis
ANALISIS FAKTOR YANG MEMPENGARUHI KETIDAKLENGKAPAN KODE EXTERNAL CAUSE PASIEN ORTHOPEDI PADA DOKUMEN REKAM MEDIS RAWAT INAP DI RSUP.H. ADAM MALIK TAHUN 2018
Authors: Lubis Fitriyani , Susiriani
Published: December 2021

External cause (penyebab luar) merupakan klasifikasi tambahan yang mengklasifikasikan kemungkinan kejadian, lingkungan dan keadaan sebagai penyebab cedera, keracunan dan efek samping lainnya. Tujuan penelitian ini adalah untuk menganalisis faktor yang mempengaruhi ketidaklengkapan kode external cause pasien orthopedi pada rekam medis rawat inap di RSUP.H.Adam Malik. Jenis penelitian ini menggunakan deskriptif kuantitatif. Metode penelitian yang digunakan adalah metode observasi dengan pendekatan cross sectional. Tempat penelitian dilakukan peneliti yaitu Rumah Sakit Umum Pusat Haji Adam Malik Medan. Populasi penelitian adalah seluruh petugas rekam medis bagian koding sebanyak 16 petugas dengan mengunakan teknik total sampling dengan metodologi penelitian menggunakan metode deskriptif kuantitatif. Instrumen dalam penelitian ini menggunakan kuesioner. Dari hasil yang diperoleh dari penelitian yaitu 16 responden ada hubungan antara pengalaman kerja, pengetahuan dan sikap petugas rekam medis dengan ketidaklengkapan kode external cause pasien orthopedic di Rumah Sakit Umum Pusat Haji Adam Malik. Berdasarkan hal tersebut disarankan untuk memberian evaluasi skala berkala tentang kode external cause.
EFISIENSI PENGGUNAAN TEMPAT TIDUR DI RUANG RAWAT INAP BERDASARKAN GRAFIK BARBER JOHNSON DI RSUD DR. PIRNGADI MEDAN
Authors: Valentina
Published: December 2021

Salah satu indikator yang harus diperhatikan oleh rumah sakit untuk meningkatkan pelayanan rumah sakit adalah efisiensi pelayanan rawat inap, terutama pada pemanfaatan tempat tidur. Dalam memantau tingkat efisiensi penggunaan tempat tidur ruang perawatan dapat dilihat dari grafik Barber Johnson berdasarkan hasil perhitungan Bed Occupancy Ratio (BOR), Average Length Of Stay (AvLOS), Turn Over Internal (TOI), Bed Turn Over (BTO). RSUD Dr. Pirngadi Medan memiliki jumlah tempat tidur di ruang rawat inap sebanyak 482 buah dan jumlah pasien sebanyak 11.558 pasien pada tahun 2018. Tujuan penelitian adalah mengetahui efisiensi penggunaan tempat tidur di ruang rawat inap berdasarkan grafik Barber Johnson. Jenis penelitian ini adalah deskriptif. Subyek penelitian adalah rekapitulasi sensus harian rawat inap di RSUD Dr. Pirngadi Medan Tahun 2018. Informan yaitu satu orang petugas rekam medis bagian pelaporan. Penelitian dilakukan pada bulan Februari sampai Agustus 2019. Pengumpulan data menggunakan teknik wawancara dan observasi. Hasil penelitian diperoleh  perhitungan BOR tahun 2018 yaitu 37,50%, AvLOS yaitu 5,36 hari, TOI yaitu 9,51 hari dan BTO yaitu 24,00 kali. Nilai AvLOS sudah ideal karena memenuhi standar Barber Johnson tetapi nilai BOR, TOI dan BTO belum ideal karena belum memenuhi standar disebabkan karena jumlah pasien yang sedikit. Disarankan kepada petugas rekam medis di RSUD Dr. Pirngadi Medan agar memperhatikan kembali rumus yang digunakan dalam menghitung nilai BOR, AvLOS, TOI dan BTO serta membuat grafik Barber Johnson secara rutin setiap tahun sehingga dapat meningkatkan efesiensi dan efektifitas penggunaan tempat tidur di ruang rawat inap serta sebagai strategi perencanaan di tahun berikutnya.
TINJAUAN SISTEM PENYIMPANAN DOKUMEN REKAM MEDIS DI RSU SINAR HUSNI TAHUN 2019
Authors: Syahputra Wiguna Ary , Risma Safitri Desy
Published: December 2021

Rekam medis ialah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien. Sistem Penyimpanan merupakan suatu kegiatan menyimpan rekam medis bertujuan untuk melindunginya dari kerusakan fisik dan isi dari dokumen tersebut. Sistem penyimpanan dokumen rekam medis merupakan salah satu faktor yang sangat dalam pemberian pelayanan di rumah sakit. Adapun sistem penyimpanan di RSU Sinar Husni tidak menggunakan tracer dan masih manual pada saat pengambilan rekam medis, masih ada berkas rekam medis yang disimpan di dalam kardus dikarenakan kurangnya rak penyimpanan sehingga memperlambat petugas dalam menyediakan rekam medis untuk pelayanan. Tujuan dari penelitian ini untuk mengetahui pelaksanaan sistem penyimpanan dokumen rekam medis. Jenis Penelitian ini adalah deskriptif. Populasi penelitian ini adalah seluruh petugas rekam medis di bagian penyimpanan berjumlah 2 orang. Sampel penelitian ini adalah seluruh populasi yang ada. Pengumpulan data penelitian ini dilakukan dengan pedoman wawancara dan observasi. Hasil dari penelitian ini adalah bahwa sistem penyimpanan rekam medis di RSU Sinar Husni menggunakan sistem sentralisasi, penjajarannya menggunakan terminal digit filling tetapi masih ada berkas rekam medis yang disimpan di dalam kardus dikarenakan kurangnya rak penyimpanan rekam medis dan pengambilan rekam medis menggunakan buku ekspedisi.
FAKTOR – FAKTOR PENGHAMBAT PELAYANAN DI TEMPAT PENDAFTARAN PASIEN BPJS RAWAT JALAN DI RUMAH SAKIT SARI MUTIARA, LUBUK PAKAM TAHUN 2019
Authors: Melati Hutauruk Puput , Marito Br. Gurning Meha
Published: December 2021

Pelayanan rawat jalan (ambulatory services) adalah salah satu bentuk dari pelayanan kedokteran. Secara sederhana yang dimaksud dengan pelayanan rawat jalan adalah pelayanan kedokteran yang disediakan untuk pasien tidak untuk rawat inap (hospitalization). Penelitian ini bertujuan untuk mengetahui faktor – faktor penghambat pelayanan di tempat  pendaftaran pasien BPJS rawat jalan di RSU Sari Mutiara Lubuk Pakam. Jenis penelitian ini menggunakan metode deskriptif dilaksan dengan sampel sebanyak 64 orang pasien BPJS rawat jalan. Dari hasil penelitian dari 64 orang pasien BPJS rawat jalan yang diteliti menunjukkan bahwa sebanyak 38 orang (59,4 %) telah mengetahui berkas pendaftaran pasien BPJS rawat jalan. Berdasarkan waktu penyediaan dokumen rekam medis didapatkan bahwa rata – rata waktu yang dibutuhkan untuk pendaftaran adalah 7 menit..Penyediaan dokumen rekam medis > 10 menit sebanyak 11 orang (17,2 %). Berdasarkan hasil penelitian tersebut, diharapkan agar selalu dilakukan keterbukaan atas informasi berkas persyaratan pendaftaran dan pelayanan kesehatan terhadap peserta BPJS Kesehatan. Bentuk penyimpanan dokumen rekam medis sebaiknya menggunakan dua sistem yaitu sentralisasi dan desentralisasi juga tracer agar keberadaan dokumen rekam medis dapat diketahui yaitu dipinjam atau sudah dikembalikan tetapi tidak sesuai dengan urutan nomor rekam medisnya.
KETIDAK LENGKAPAN DOKUMEN REKAM MEDIS RAWAT INAP PADA PASIEN DIABETES MELLITUS DI RSU IMELDA MEDAN
Authors: Sabela Hasibuan Ali , Malau Giovani
Published: December 2021

Penelitian ini bertujuan untuk mengetahui Untuk mengetahui angka  ketidaklengkapan rekam medis rawat inap pasien Diabetes Mellitus di Rumah Sakit Imelda Medan. Penelitian ini menggunakan metode deskriptif  yaitu suatu metode penelitian yang dilakukan dengan tujuan utama untuk mengetahui angka ketidaklengkapan pengisian rekam medis rawat inap pasien Diabetes Melitus.  Dari hasil penelitian ditemukan angka ketidaklengkapan pengisian formulir catatan terintegrasi ditemukan 17.40 %, pengkajian awal 15, 22 % resume medis terdapat 9.79 % dan informed consent 17.40 %, nama dokter sebanyak 21.74 % dan tanda tangan dokter 8.70 %, sedangkan untuk  identifikasi pasien, catatan anastesi dan laporan operasi diisi lengkap. Adapun saran dari penulis adalah : (1) prosedur tetap Analisa Ketidaklengkapan Pengisian Rekam Medis Rawat Inap perlu direvisi agar semua formulir yang dianalisa, dan perlu dilakukan sosialisasi terus menerus.
GAMBARAN STRESS KERJA PETUGAS REKAM MEDIS BAGIAN DISTRIBUSI DI RSUP H. ADAM MALIK MEDAN
Authors: Simanjuntak Esraida
Published: December 2021

ABSTRAK

 

Stress kerja dapat dialami oleh semua orang tanpa terkecuali pekerja di rumah sakit dan merupakan konsekuensi dari peristiwa di tempat kerja  yang menuntut keterlibatan fisik dan psikis karyawan secara berlebihan (Triatna, 2015). Stress kerja yang berlangsung secara terus menerus dapat menyebabkan perubahan emosional dan perilaku seperti mudah tersinggung dan sulit berkonsentrasi, sehingga dapat menurunkan motivasi kerja seseorang dan berakibat pada penurunan kualitas kerja. Tujuan Penelitian ini untuk mengetahui gambaran stress kerja petugas rekam medis bagian distribusi  di RSUP H. Adam Malik Medan.  Jenis penelitian yang dilakukan adalah deskriptif kualitatif. Sampel yang digunakan peneliti dengan mengambil seluruh petugas distribusi yang berjumlah 5 orang. Variabel penelitian adalah suatu atribut atau sifat orang yang mempunyai variasi tertentu yang ditetapkan oleh peneliti, instrumen penelitian berupa kuesioner yang diberikan kepada responden untuk melihat gambaran stress kerja petugas rekam medis bagian distribusi. Analisis data pada penelitian ini disajikan dalam bentuk tabel distribusi. Hasil penelitian yang dilakukan terhadap 5 responden bahwa mayoritas stress kerja dapat disimpulkan bahwa sebanyak 4 responden (80%) mengalami stress kerja, dan minoritas stress kerja sebanyak 1 responden (20%). Dari hasil penelitian diatas dapat disimpulkan bahwa gambaran stress kerja petugas rekam medis bagian distribusi di RSUP H. Adam Malik Medan mayoritas mengalami stress kerja. Saran peneliti kepada pihak rumah sakit agar memberikan fasilitas berupa alat pengangkut barang kepada petugas rekam medis dibagian distribusi untuk mempermudah pengiriman berkas rekam medis ke poliklinik dan hal ini dapat mengurangi beban kerja petugas rekam medis dalam mengangkat barang berat.
ANALISIS KUANTITATIF KELENGKAPAN DOKUMEN REKAM MEDIS PASIEN RAWAT INAP DENGAN DIAGNOSA FRACTURE FEMUR DI RSUD DR. R.M. DJOELHAM BINJAI
Authors: Giyatno  , Rizkika Maysyarah Yolla
Published: December 2021

ABSTRAK

 

Petugas rekam medis harus melakukan kegiatan analisa kuantitatif guna membantu dokter dalam kegiatan pencatatan dan pengisian rekam medis yang lengkap dan akurat. Tujuan penelitian ini adalah untuk mengetahui analisis kuantitatif kelengkapan dokumen rekam medis pasien rawat inap dengan diagnosa fracture femur di RSUD DR. R.M. Djoelham Binjai. Jenis penelitian ini yaitu deskriptif kualitatif. Sampel yang digunakan adalah seluruh jumlah populasi yaitu 36 dokumen rekam medis pasien rawat inap dengan diagnosa fracture femur tahun 2018. Pengumpulan data dilakukan dengan menggunakan tabel check list. Hasil penelitian kelengkapan identifikasi pasien tertinggi yaitu nama pasien, nomor rekam medis, dan tanggal lahir sebesar 20 dokumen (56%), persentase terendah yaitu jenis kelamin sebesar 10 dokumen rekam medis (28%). Kelengkapan pelaporan penting yaitu general consent sebesar 25 dokumen rekam medis (69%), persentase terendah yaitu informed consent sebesar 13 dokumen rekam medis (36%). Kelengkapan autentifikasi tertinggi yaitu tanda tangan dokter, nama perawat dan tanda tangan perawat sebesar 15 dokumen rekam medis (42%), persentase terendah yaitu nama dokter dan gelar profesional sebesar 11 dokumen rekam medis (31%). Kelengkapan pendokumentasian yang benar yaitu penggunaan singkatan sebesar 26 dokumen rekam medis (72%), persentase terendah yaitu pembetulan kesalahan sebesar 16 dokumen rekam medis (44%). Kelengkapan pengisian dokumen rekam medis belum lengkap 100%. Disarankan perlu adanya sosialisasi kepada seluruh petugas terkait dengan kelengkapan pengisian dokumen rekam medis dan mengikuti Standart Prosedur Operasional (SPO) terkait analisis kuantitatif kelengkapan dokumen rekam medis.
FAKTOR-FAKTOR PENYEBAB KETERLAMBATAN PENGKLAIMAN BPJS RAWAT INAP DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2020
Authors: Purba Erlindai
Published: December 2021

The Social Security Organizing Agency (BPJS) is an institution formed to organize a Social Security Program in Indonesia based on Law Number 40 of 2004 and Law Number 24 of 2011. Indonesian General Imelda Worker Hospital is a private hospital in the city of Medan who have collaborated with BPJS Based on the initial survey of researchers on 30 medical records documents 13 files (43%) are in accordance with claim requirements and 17 files (56%) are incomplete. Data collection in this study is a questionnaire method. This research was conducted using quantitative research methods with cross sectional approach. The population used in this study were all medical record officers in the medical record unit in the IPI General Hospital Medan as many as 31 officers. Based on the results of a statistical test research conducted using the Chi Square (X2) computer test application with a significance of 95% (p <0.05) it can be concluded that the Hospital conducts an evaluation for medical records officers so that the performance of officers is as expected. Increase evaluation for the completeness of medical record documents used in BPJS claims.
MUTU PELAYANAN PETUGAS REKAM MEDIS TERHADAP TINGKAT KEPUASAN PASIEN BPJS RAWAT JALAN DI RUMAH SAKIT UMUM IPI MEDAN TAHUN 2019
Authors: Christy Johanna
Published: December 2021

Quality of service is the overall characteristics of the service that shows its ability to satisfy the needs of consumers, and the Health BPJS is a legal entity formed to carry out a health insurance program, and patient satisfaction is the level of patient feelings that arise as a result of the performance of health services obtained after the patient compares it with what he hoped for. The purpose of this study was to determine the quality of medical record officer services to the level of satisfaction of outpatient BPJS patients in General Hospital. IPI Medan 2018. This research uses Analytical research design. The independent variable is BPJS Health service quality and the dependent variable is patient satisfaction. Samples taken using the Slovin Formula found 33 patients in the Outpatient Installation at the General Hospital. IPI. Medan in 2018. The research instrument used a questionnaire. The results showed that 28 respondents (84.8%) stated that the quality of BPJS Health services was good, and 32% of respondents (97.0%) expressed satisfaction with BPJS Health services. Chi Square statistical test results state there is a relationship between the quality of BPJS Health services with patient satisfaction Outpatient Installation at the General Hospital. IPI. Medan Year 2018 (pValue = 0,000). The implication of the results of the study shows that the quality of BPJS Health services has an important role in influencing patient satisfaction.
Analisis Retensi Rekam Medis Rawat Jalan Aktif ke Inaktif di UPT Puskesmas Sukarasa
Authors: Gunawan Novi Indriyani , Meita Nurseha  , Meira Hidayati
Published: December 2021

Medical record retention is an activity of transferring medical record documents from an active storage room to an inactive storage room. Based on a preliminary survey at UPT Puskesmas Sukarasa, it is known that the puskesmas has retained outpatient medical record files 2 times in 2018 and 2019. But the retention is not done according to the SOP. The purpose of the study was to determine the implementation of outpatient medical record file retention at UPT Puskesmas Sukarasa. This type of research is descriptive with a retrospective approach. The research instrument was carried out by observation, interviews and checklist forms. The object of the research is the implementation of active to inactive outpatient medical record retention at UPT Puskesmas Sukarasa. The research subjects are the officer in charge of medical records and the person in charge of registration who performs retention of outpatient medical records.It is also known that the UPT Puskesmas Sukarasa already has an SOP on retention of medical records, but the SOP has not been implemented due to the lack of special staff for retention and the accumulation of medical record files on active storage shelves. Files that are retained are files for 2016-2018 without looking at the last date of treatment but based on the year number in the medical record file. Then the file is immediately moved to the inactive storage rack. It can be concluded that the implementation of retention at UPT Puskesmas Sukarasa is not in accordance with the SOP.  It would be better if the retention is carried out according to the SOP with special and scheduled officers so that there is no accumulation of medical record files.
Perancangan Sistem Informasi Peminjaman dan Pengembalian Rekam Medis Rawat Jalan di Rumah Sakit Muhammadiyah Bandung
Authors: Israwati  , Sali Setiatin  , Falaah Abdussalaam
Published: December 2021

This research was conducted based on the problem of managing the borrowing and returning outpatient medical records at the Muhammadiyah Hospital Bandung which aims to find solutions to these problems to support the effectiveness of medical record services. The research method used in this research is a qualitative method with a descriptive approach. The data collection techniques used were interviews, observation, and study approach. In making the software design the writer uses the waterfall method and the supporting applications used are Microsoft Visual Studio 2010 and Microsoft Access 2013. From the results of the research conducted, the authors found several problems in the management of borrowing and returning outpatient medical records, namely: (1). There were no medical records found on the storage shelf; (2). Recording of borrowing and returning medical records still uses a manual system; (3). The absence of reports on borrowing and returning medical records. The suggestions that can be given by the author, namely : (1). It is better if the borrowing of medical records is determined by the due date so that there are no more medical records that are late to be returned to the storage room; (2). An information system is needed on borrowing and returning medical records to support activities in the hospital, especially in making reports on borrowing and returning medical records. The result of this research is an information system for borrowing and returning medical record files at Muhammadiyah Hospital Bandung.
Pelaksanaan Penyimpanan Rekam Medis Berdasarkan Unsur Manjemen 5M di Puskesmas Medan Johor
Authors: Valentina  , Winda Andryani Sinaga
Published: December 2021

The implementation of medical records carried out at the puskesmas requires management in managing all existing activities with the aim of creating good health services, in accordance with procedures and guidelines. To achieve the goal of processing medical records, 5 elements of management are needed, namely man, money, material, machine, and method. The purpose of this study was to determine the management elements of man, money, material, machine, and method in the implementation of medical records carried out at the Medan Johor Health Center. This type of research uses qualitative research methods with a phenomenological approach. The study was conducted from May to July 2020. The population was all medical record officers at the Medan Johor Health Center. The research sample amounted to 5 people who were taken by saturated sampling. The research instrument is an interview guide and recorded using an audio recorder and a check list sheet for observation. The results showed that the man element was 5 people and none of them had a medical record background and had never received training, the money element was the funding obtained from JKN and APBD, the material element was that a family folder was used to store all patient forms, while the use of tracers and register books has not been used to control the borrowed files out of the storage rack, and the filling cabinet is used as a tool to store medical record files, the machine element is a primary care application to register patients, the SIMPUS application is used for reporting, the method element is Not all SOPs in medical records exist. The advice given is to provide training to medical record officers so that their officers better understand the importance of medical records.
Restructuring of the Banking Sector Through Merger: Case of Tunisian Banks
Authors: Bekri Manel
Published: December 2021

In the classical economy, the business is always looking for growth. It tries to protect itself against disappearance and to enter new markets to ensure its growth. It resorts to the merger or the takeover of local companies to more easily solve certain problems. Development today by M&A is the most popular mode. In the context of merger acquisition processes, and its relationship with organizational, process, strategic, economic, political and cultural factors, our paper is designed to study the impact of these various factors on the merger-acquisition.To understand these relationships, we used principal component analysis, ANOVA analysis and multiple regression. A questionnaire was designed on the basis of a documentary analysis leading to the collection of 80 observations, collected from functionaries in the Tunisian banking sector during the period 16 December to 6 January 2016.The results show that the various factors have a positive impact on the success of the merger acquisition operation. It should be noted that the organizational factor is the most influential factor on the acquisition merger process and the least influential economic factor.
تأسيس الشركات بين الجامعات السودانية و مؤسسات المجتمع خاصة الشركات الخاصة
Authors: عثمان سيد أحمد خليل
Published: December 2021

تأسيس الشركات بين الجامعات السودانية و مؤسسات المجتمع خاصة الشركات الخاصة

This research tackles the way in which Sudanese universities establish partnerships with community institutions especially private sector companies in order to spare universities needs materially and physically which helps in achieving the economical job of the universities by benefiting from Peculiarities Of knowledge economics.

The research also handles how Sudanese universities translates their developing efforts in academic process and scientific research through encouraging and adopting innovations and Excellent Research Ideas.

In addition, The research aimed at identifying the important role of Innovations and Excellent Research Ideas Centers in universities in transforming Excellent Research Ideas into successful projects which enables universities in developing their Learning Inputs in order to obtain developed outputs, then accordingly, universities will find the way paved to Establish successful partnerships with community institutions especially private sector companies, in doing so, universities will spare the needed finance for scientific programmes, training, academic, and research programmes.

The research confirms that transforming Excellent Research Ideas into successful projects attains good beneficial income for universities in especial* and thereafter for the economy of the country in general
Breaking Open ‘Civil Society’: Sukumbasi And the City
Authors: Ninglekhu Sabin
Published: December 2021

This article is an ethnographic account of strategies mobilised by sukumbasi (squatter communities) in Kathmandu to meet basic needs such as water and electricity and for claiming landownership rights and citizenship. Particular attention is paid to their organizing practices, the building of solidarity and establishing of linkages which, the author finds, are not dissimilar to those of ‘mainstream’ civil society groups. This observation, in turn, allow the author to highlight the conceptual binaries (such as formal-informal, professionalunprofessional, with the first element of the pair associated with civil society) serving to define ‘civil society’ in Nepal and their exclusionary character. It is suggested that the concept  of civil society be broadened so as to include groups, such as the sukumbasi, which do not currently fit neatly into civil society definitions in Nepal.
Introduction Doing Development in The Post-Development Age
Authors: Dhungana Hari
Published: December 2021

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Flood Of 1954: The Beginning of a Developmental State
Authors: Ghimire Sharad
Published: December 2021

Development projects evolve with reference to particular framings of the need and imperatives of developing country. Once development projects get legitimated in this way, the aid agencies deepen their presence to move in a direction of their choice. This is evident from an examination of the 1954 flood in Nepal which devastated a significant part of the hills and Tarai in the eastern, central and western areas. This paper looks into the disaster caused by that flood; into how the government of Nepal, the civil society and donors responded to it; and into the way the crisis stirred conflict and contestation among political parties within and outside the government. This paper is based primarily on the review of newspaper coverage around the flood, the political processes and the inauguration of development project in Nepal in the 1950s. It shows the extraordinary power of how the crisis caused by flood stirs up political contestation and helps legitimize actions of one or the other actor, including the donors. These insights on the power of a big disaster to command response from a wide range of domestic actors and donors help us question the largely technocratic framing of the ongoing debate around disaster risk reduction.
Assessing the impact of the Agriculture Perspective Plan (1995 to 2015): The maoist insurgency on rural lives in Nepal and reflections on the current Agricultural Development Strategy
Authors: Cameron John
Published: December 2021

The fifteen years between 2053 and 2072 in the Nepalese calendar (approximately 1996 to 2015 in the Gregorian calendar) were potentially dramatic for rural development in Nepal. A twenty year market oriented, Asian Development Bank funded and technically assisted, national Agriculture Perspective Plan (APP) was in the early stage of implementation and a Maoist movement was about to launch an armed struggle in rural area that would become a national civil war lasting ten years. The APP had envisioned agriculture intensification for agriculture based economic growth adequate to generate employment to combat poverty in Nepal. The comparison of two Nepal Living Standards Surveys (NLSS) results from 1995/96 and 2010/11 suggests that agricultural production has not changed substantially in the topographically advantaged west rural plains (terai) areas, where the Maoist insurgency had relatively small direct influence. Overall, the Nepalese economy appears to be both moving away from agriculture (share of non-farm income rising from 15% to almost 40%) and feminising (women headed households in the rural western terai rising from under 9% to over 24%). However, over fifteen years there have been significant changes in the livelihood patterns of different caste/ethnic/religious groups. This paper deals with identified five different types of changed behaviour to show the range of responses and links are made to misrecognised key elements in political economy of Nepal, the Maoist insurgency and the Nepal State conflict.
Local Experts as the Champions of Water Security in the Nepalese town of Dhulikhel
Authors: Ojha Hemant , Kovacs Eszter K , Devkota Kamal , Neupane Kaustuv Raj , Dahal Ngamindra , Vira Bhaskar
Published: December 2021

This commentary paper examines our local expert engagement methodology that we developed to understand water supply issues as well as to inform the direction of our action research conducted in Dhulikhel, a small town in Nepal. Through three years of field-based research at Dhulikhel, our inquiry uncovered a range of data ‘gaps’ and emergent as well as long-term conflicts around increasingly scarce water resources. To respond to this gap and contribute to inclusive water management, we developed and used a local expert engagement method, through which we were able to pool and mobilise a rich repertoire of hybrid knowledge from a range of local experts in Dhulikhel and others from nearby towns. The method of expert engagement was simultaneously linked to deliberations among local water stakeholders concerned with water supply management. Based on the lessons from this work, we argue that rich local expertise exists in water management and policy in Nepal, one that transcends the dichotomy between indigenous and scientific knowledge. We also show that as formal scientific knowledge becomes hybridised in different ways, this creates an important and actionable opportunity for advancing local science-policy processes to support water security agendas across the country.
Water Scarcity and Sustainability in the Himalayas
Authors: Admin Admin
Published: December 2021

Are the sectoral policies on climate change, urban development and water interlinked and do they address urban water issues?

How are socio-environmental dynamics shaping groundwater exploitation in peri-urban areas of Kathmandu Valley?

 What challenges and prospects lie with the institutional landscapes for integrated urban water management in Haldwani city?

 How do socio-political relations among upstream and downstream actors shape the negotiation process to secure urban water needs?

How can the social protection system be made more shock responsive and adaptive to climate induced disasters?
Perubahan Perilaku Masyarakat Petani Muslim Undaan Kudus terhadap Sistem Penanggalan Jawa Pranata Mangsa 2000-2018
Authors: Musta'id Ahmad
Published: December 2021

This study discusses a socio-cultural history of Islam in a society regarding the reflection of the Javanese people's ability to read natural signs to determine the calculation of the seasons that will be used in farming, which is called Pranata Mangsa. The existence of the Pranata Mangsa Javanese calendar which later developed became a guideline in farming activities for Muslim farming communities in Undaan Kudus. However, if we look at several phenomena from the early 2000s AD to the present, especially regarding the seasons, of course there are many seasonal changes that occur on this Earth. The changing seasons on Earth occur due to various factors. This factor is due to the existence of several natural phenomena. This research uses historical methods and anthropological approaches. The anthropological approach can serve to study the socio-cultural background of past events, while history serves to study the cultural changes that occurred in the Muslim farming community of Undaan Kudus. This study shows that the socio-cultural conditions of the Muslim farming community are changing. The Muslim farming community of Undaan Kudus which was initially very thick with the guidelines of Pranata Mangsa with various religious ceremonies, gradually underwent a change by following the existence of modernism due to difficulties in reading natural signs.
Tradition of Rokat Pandhabâ Pangantanan
Authors: Riadi Ach.
Published: December 2021

Islam is a blessing for the universe. Islam is a present and accepted in a long process. Assimilation, acculturation, and conferences with similar social dimensions occur in the archipelago. Like Islam, it entered Madura through the sea around Parindu Beach, south coast of Sumenep Madura. Penetration Pasifique, the Islamic way of engaging in cultural battles with residents in Sumenep, Madura. Therefore, in its development, Islam has succeeded in basing the teachings of the Qur’an and Hadith through cross-cultural found in local traditions in Bringin village, Sumenep District, Madura Regency. This research is a historical study of the development of Islam in Sumenep, Madura through the local tradition of Rokat Panḍhâbâ Pangantanan in Bringin Village, Dasuk District, Sumenep, Madura. The theory of Milanowski’s functionalism is used to find meanings and uses in two cross-cultural relationships of Islam and Hinduism that are believed by the practitioners of the local tradition of Rokat Panḍhâbâ Pangantanan. Qualitative research methods and historical approaches are applied using comparative study techniques including sociology, anthropology-culture, philology, and multidimensionality.
Barns velfærd i internationalt perspektiv
Authors: Jensen An-Magritt , Qvortrup Jens
Published: December 2021

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