bluuebunny/crossref_metadata_2025_split huggingface dataset:
TINJAUAN ASPEK KEAMANAN DAN KERAHASIAAN DOKUMEN REKAM MEDIS DI RUANG FILLING RUMAH SAKIT KHUSUS (RSK) PARU MEDAN TAHUN 2018
Authors: Melati Hutauruk Puput , Tri Astuti Widya 
Published: December 2021

Keamanan dan kerahasiaan merupakan faktor yang sangat penting dalam pengelolaan dokumen rekam medis.Keamanan dan kerahasiaan rekam medis di RSK Paru Medan belum terjaga. Masih ada selain petugas rekam medis yang keluar masuk ruang filling dan dokumen rekam medis yang hilang. Untuk mengetahui aspek keamanan dari segi aspek fisik, biologis dan kimiawi dan aspek kerahasiaan dokumen rekam medis di ruang filling di RSK Paru Medan.Jenis penelitian yang digunakan adalah deskriftif kualitatif dengan menggunakan metode observasi.Subjek penelitian yaitu 63 dokumen rekam medis.Objek penelitian dokumen rekam medis dan ruang filling.Instrumen penelitian data adalah pedoman observasi, alat pengukur suhu kelembapan, Check list.Analisa data adalah deskriptif.Hasil penelitian menunjukan dari segi aspek fisik tinta yang digunakan warna hitam sudah seragam.Kertas yang digunakan ukuran A4 berat 70 gram.Tidak adanya AC, APAR, tracer dan kamfer.Masih ada selain petugas rekam medis yang keluar masuk ke ruang filling sehingga dokumen rekam medis hilang.Pasien membawa sendiri dokumen rekam medisnya.Aspek biologis adanya jamur, kutu buku, dan serangga seperti rayap, kecoa, dan tikus.Aspek kimiawi adanya petugas rekam medis makan/minum di ruang rekam medis.Aspek kerahasiaanya masih ada petugas rekam medis yang masuk ke filling rekam medik dan masih ditemukan dokumen rekam medis yang di bawa pasien/hilang.Diharapkan pihak rumah sakit memenuhi fasilitas seperti APAR, AC, kamferdan melakukan pemeliharaan kebersihan di ruang penyimpanan.Sebaiknya dokumen rekam medis diantarkan oleh petugas distribusi.
TINJAUAN KOMPETENSI PETUGAS REKAM MEDIS PADA MUTU PELAYANAN KESEHATAN DI UPT. RUMAH SAKIT KHUSUS MATA TAHUN 2019
Authors: Andi Ritonga Zulham , Oktavia Manurung Rahel 
Published: December 2021

Kompetensi perekam medis dan informasi kesehatan merupakan pengetahuan, keterampila dan perilaku yang harus dimiliki seorang profesi perekam medis dan informasi kesehatan dalam melakukan tanggung jawab diberbagai pelayanan kesehatan. Ada 2 (dua) kategori standar kompetensi perekam medis yaitu kompetensi pokok dan kompetensi pendukung dimana harus dimiliki oleh seorang perekam medis dan informasi kesehatan untuk menjalankan tugas di sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui kompetensi petugas rekam medis terhadap mutu pelayanan kesehatan. Jenis penelitian survey dengan metode deskriptif kuantitatif yaitu metode penelitian yang ditujukan untuk membuat gambaran tentang suatu keadaan secara objektif. Populasi penelitian ini adalah 10 petugas rekam medis dimana seluruh populasi dijadikan sampel. Teknik pengambilan sampel yaitu dengan total sampling. Dari hasil penelitian diketahui sebagian besar responden berada pada kategori kompetensi pokok baik adalah sebanyak 5 responden (50%). Selanjutnya sebagian besar responden berada pada kategori kompetensi pendukung sedang adalah sebanyak 5 responden (50%). Dari hasil penelitian diketahui juga bahwa sebagian besar responden berada pada mutu pelayanan kesehatan baik adalah 7 responden (70%). Dari uraian di atas perlu ditingkatkan mutu pelayanan kesehatan diberbagai instalasi khususnya rekam medis karena merupakan pintu masuknya pasien di rumah sakit dimana seluruh petugas rekam medis harus lebih kompeten di bidangnya masing-masing dengan melakukan pelatihan, seminar, dsb.
PENGARUH KETIDAKLENGKAPAN BERKAS REKAM MEDIS TERHADAP PELAPORAN DATA MORBIDITAS PASIEN RAWAT INAP (RL4a) DI RSU MITRA MEDIKA MEDAN
Authors: Widya Sandika Tri , Anggraini Sopyah 
Published: December 2021

Ketidaklengkapan berkas rekam medis rawat inap merupakan masalah yang sangat penting karena berpengaruh terhadap mutu pelayanan kesehatan pada rumah sakit. Tujuan penelitian ini adalah untuk mengetahui Pengaruh Ketidaklengkapan Berkas Rekam Medis Rawat Inap terhadap pelaporan Data Morbiditas Pasien rawat Inap (RL4a) di RSU Mitra Medika Medan Tahun 2019. Jenis penelitian ini dengan deskriptif kuantitatif. Populasi penelitian sebanyak 1252 berkas rekam medis rawat inap dengan penentuan sampel sebanyak 100 berkas. Hasil penelitian menunjukkan bahwa dari 100 berkas rekam medis rawat inap dengan 2 item yang telah ditentukan dalam setiap berkas, pengisian berkas rekam medis secara lengkap terdapat pada item identitas sebanyak 81 berkas (81%) dan tidak lengkap sebanyak 19 berkas (19%). Pada item diagnosa pengisian lengkap sebanyak 77 berkas (77%) dan tidak lengkap sebanyak 23 berkas (23%). Dari hasil persentase tersebut peneliti menyimpulkan jika pengisian berkas rekam medis kurang lengkap, maka pelaporan data morbiditas pasien rawat inap (Rl4a) akan menghasilkan data yang kurang baik.
GAMBARAN KOMPETENSI MAHASISWA PRODI PIK ANGKATAN 2018 DALAM MEMBERIKAN PELAYANAN PENERIMAAN RAWAT INAP DI LABORATORIUM STIKES HUSADA BORNEO
Authors: Estiyana Ermas , Putri Alis Lusiana Prayogi 
Published: December 2021

A medical and health information recorder must have knowledges, skills, and behaviours which are the competencies of the profession. One of the medical recorder competencies is “registering for all the visits in health care facilities (registration for outpatient and inpatient)”. This reasearch aims to investigate the overview of students competencies of PIK Department batch 2018 in providing services for inpatient registration in STIKes Husada Borneo Laboratory. This research used descriptive qualitative method and was conducted on 56 students of STIKes Husada Borneo batch 2018. The sampling technique in this research was proporsiv sampling. Based on the results of the research, by using questionnaires and checklists, shows that the students’ knowledge of the competence and procedures for inpatient registration are; 3,5% good, 35,7% enough, and 60,7% less good, then the students’ attitude toward patients are good (98.2%) and less good (1.78%),and the students’ skills in inpatient registration are competent for 67.8% and not competent yet for 32.1%. So it can be concluded that the students’ competencies of PIK Department batch 2018 in providing services for inpatient registration in terms of knowledges, behaviours, and skills are not competent yet.
قياس أثر الأساليب الترويحية لمصانع الألبان بالتطبيق على معدلات الاستهلاك
Authors: ناهد محمد توفيق فاوي 
Published: December 2021

قياس أثر الأساليب الترويحية لمصانع الألبان بالتطبيق على معدلات الاستهلاك
This study aimed at analyzing the promotional efforts of some of the Dairy plants in Khartoum state to measure their effect on the consumption rate, in an effort to pursue quality and development in the field of promotion in the Sudan.
To achieve such aims a number of hypothesis were tested through analysis of data collected from final consumers and retailers in Khartoum state.
Different statistical methods were implemented.
Several results were withdrawn of which were: 1.
Strength of the promotional methods affects increasing consumer demand for Sudanese dairy products.
2.
The sale’s man marketing approach affects the marketing process.
3.
Weakness of the promotional methods used by the Sudanese factories engaged in manufacturing dairy products
Groundwater Policy and Ground Water Dependencies: Reflecting on the Evolving Socio-Environmental Dynamics in Peri-Urban Kathmandu Valley
Authors: Shrestha Anushiya 
Published: December 2021

Groundwater is an increasingly important source of water supply in Kathmandu Valley, ‘the hub of Nepal’s urbanisation’. Past studies have revealed that groundwater extraction in Kathmandu Valley exceeds its recharge, thus having negative consequences like drying of traditional water sources, decreasing yield of wells, and declining groundwater levels. The groundwater policy 2012 was formulated with the aim of managing groundwater use in the valley. Yet, with rapid urban growth, groundwater exploitation has continued increasing in the city and the peri-urban areas in Kathmandu Valley. But little is known regarding how urbanisation shapes increasing groundwater exploitation in the peri-urban settings. This study unfolds the underexplored socio-environmental dynamics underlying groundwater exploitation in peri-urban areas of Kathmandu Valley. The findings from the case study using qualitative research methods, conducted in peri-urban locations of Kathmandu Valley show increasing competition for water and growing use of as well as dependence on groundwater in these rapidly evolving peri-urban spaces, despite growing protests and worries about its consequences. However, the existing groundwater policy lacks attention to peri-urban dynamics of change and growth and does little to address the increasing groundwater use in peri-urban locations in the valley. The polarised views and local conflicts around groundwater exploitation emerging in peri-urban spaces are the outcome of multiple entanglements: sectoral divides and overlapping responsibilities in water institutions, weak governance and management; socio-economic transformations in peri-urban spaces, the invisibility of groundwater and ambiguity in the hydrological dynamics of conjunctive water use. Based on my findings, I stress on the need for addressing the existing macro-micro gaps (ground)water management by improving the understanding of local hydro-geological complexities and paying critical attention to the socio-economic, political and institutional drivers of increasing groundwater use.
Wonder, Horror, Mystery
Authors: Tyree J.M. , Meis Morgan 
Published: December 2021

Wonder, Horror, Mystery is a dialogue between two friends, both notable arts critics, that takes the form of a series of letters about movies and religion. One of the friends, J.M. Tyree, is a film critic, creative writer, and agnostic, while the other, Morgan Meis, is a philosophy PhD, art critic, and practicing Catholic. The question of cinema is raised here in a spirit of friendly friction that binds the personal with the critical and the spiritual. What is film? What’s it for? What does it do? Why do we so intensely love or hate films that dare to broach the subjects of the divine and the diabolical? These questions stimulate further thoughts about life, meaning, philosophy, absurdity, friendship, tragedy, humor, death, and God.
The letters focus on three filmmakers who challenged secular assumptions in the late 20th century and early 21st century through various modes of cinematic re-enchantment: Terrence Malick, Lars von Trier, and Krzysztof Kieślowski. The book works backwards in time, giving intensive analysis to Malick’s To The Wonder (2012), Von Trier’s Antichrist (2009), and Kieślowski’s Dekalog (1988), respectively, in each of the book’s three sections. Meis and Tyree discuss the filmmakers and films as well as related ideas about philosophy, theology, and film theory in an accessible but illuminating way. The discussion ranges from the shamelessly intellectual to the embarrassingly personal. Spoiler alert: No conclusions are reached either about God or the movies. Nonetheless, it is a fun ride.
DEBRIEFING: DESENVOLVIMENTO E VALIDAÇÃO DE UM ROTEIRO PARA SIMULAÇÃO DO SUPORTE BÁSICO DE VIDA
Authors: Nascimento Juliana Da Silva Garcia , Nascimento Kleiton Gonçalves do , Regino Daniela Da Silva Garcia , Alves Mateus Goulart , Oliveira Jordana Luiza Gouvêa de , Dalri Maria Celia Barcellos 
Published: December 2021

Objetivo: desenvolver e validar um roteiro para planejar e executar o debriefing oral orientado por único facilitador, na simulação clínica do Suporte Básico de Vida. Método: estudo metodológico, realizado em uma universidade pública do estado de São Paulo, Brasil, entre julho e novembro de 2020. Procedeu-se a síntese das evidências do roteiro por meio de revisão e sua validação com 16 juízes, adotando-se o Índice de Validade de Conteúdo. Resultados: identificaramse 284 estudos e selecionaram-se cinco. Os conteúdos são: definição e objetivo do debriefing, características do instrutor; público-alvo; objetivos de aprendizagem; método de debriefing; recursos materiais; procedimento; tempo e referências. O roteiro atingiu Índice de Validade de Conteúdo de 0,95. Conclusão: considerou-se o roteiro válido e capaz de contribuir com a pesquisa, assistência e ensino em enfermagem, por conduzir o planejamento e a execução do debriefing no Suporte Básico de Vida, e ser adaptável a outras realidades em saúde.
Classe trabalhadora e racismo durante a pandemia: eugenia e fascismo no governo Bolsonaro
Authors: Bruinjé Ana Luiza Tavares , De Olivera Robson 
Published: December 2021

O presente artigo apresenta a formação da classe trabalhadora no Brasil por meio de seus traços racistas para refletir sobre os efeitos da pandemia da COVID-19 nos trabalhadores pretos, pobres e periféricos. Na apreensão do referencial teórico e substrato empírico, apoia-se sobre o método crítico dialético e, como técnica principal, a pesquisa bibliográfica sobre os temas: classe trabalhadora, racismo, eugenia e fascismo. A questão norteadora do artigo é: sendo o racismo traço estrutural na formação da classe trabalhadora no Brasil, quais os efeitos da racionalidade eugênica e fascista emanada do governo na pandemia da COVID-19? Para isso, o texto parte de análises realizadas por intelectuais sobre a formação sócio-histórica com enfoque nos elementos raciais da classe trabalhadora e os efeitos deletérios da racionalidade eugênica e fascista emanada do governo que trata como descartáveis milhares de trabalhadores.
Wijziging van collectieve arbeidsvoorwaarden na overgang van onderneming
Authors: van Schadewijk Matthijs 
Published: December 2021

Wijziging van collectieve arbeidsvoorwaarden na overgang van onderneming
Naar aanleiding van het mijlpaalarrest Rode Kruis Ziekenhuis/Te Riet uit 2003 onderzoekt de auteur welke invloed de verschillende wijzigingsmogelijkheden uit de Richtlijn Overgang van onderneming uitoefenen op de wijziging van collectieve arbeidsvoorwaarden na een overgang in het Nederlandse recht. Waar de Richtlijn namelijk voorziet in verschillende wijzigingsmogelijkheden al naar gelang het individuele of collectieve arbeidsvoorwaarden betreft, heeft Rode Kruis Ziekenhuis/Te Riet dit onderscheid in het Nederlandse recht doen vervagen.
De permanente tijdelijkheid. Over arbeidsovereenkomsten voor bepaalde tijd en EU-recht
Authors: Houweling Ruben 
Published: December 2021

De permanente tijdelijkheid. Over arbeidsovereenkomsten voor bepaalde tijd en EU-recht
In deze bijdrage staan de Richtlijn 1999/70/EG en de raamovereenkomst tijdelijke arbeidsovereenkomst centraal. In het bijzonder wordt stilgestaan bij de vraag of de zogenoemde ‘objectieve redenen’-toets van het Hof van Justitie van de EU, waarin het ‘doel van de raamovereenkomst’ een prominente rol speelt, effect sorteert voor andere antimisbruikgronden, zoals maximering van aantal en duur van tijdelijke contracten. De auteur bepleit dat onder omstandigheden het repeterend flex voor flex contracteren in strijd is met (het nuttig effect van) de Richtlijn en bijgevolg niet is toegestaan.
Rechtstreekse horizontale werking van het EU Handvest in getrapte vorm
Authors: ter Haar Beryl 
Published: December 2021

Rechtstreekse horizontale werking van het EU Handvest in getrapte vorm
In 2018 en 2019 kwam het Hof van Justitie van de EU met een aantal zaken waarin het Hof rechtstreekse horizontale werking toekent aan grondrechten in het EU Handvest. Een van die arresten betreft de gevoegde zaken Bauer en Willmeroth, waarin artikel 31 lid 2 van het Handvest rechtstreekse horizontale werking toegekend krijgt. Uit het iets later gewezen arrest over de gevoegde zaken TSN en AKT valt echter op te maken dat die rechtstreekse werking wellicht niet zo rechtstreeks is als het Hof doet voorkomen.
Improving the Oxygen Barrier of Polyamide Food Packaging by Using Nanoclay
Authors: PAARA Tonis , LANGE Sven , SAAL Kristjan , LÕHMUS Rünno , KRUMME Andres , MÄNDAR Hugo 
Published: December 2021

The effect of nanoclay additive on polyamide film oxygen permeability is investigated from the perspective of possible use as a laminate component for low-cost food packaging material. Montmorillonite nanoclay was melt-mixed in an industrial grade polyamide by twin-screw extrusion and the mixture was hot-pressed to a ~50 µm thick film. The film with 10 wt.% of nanoclay loading showed a 17 % decrease in the oxygen transmission rate (OTR), as compared to the pristine polyamide film (72 and 87 cm3/m2∙24 h, respectively). Despite the relatively high loading of the filler the obtained OTR exceeds that of the food packaging preferred upper limit of 10 cm3/m2∙24 h. XRD measurements confirmed the near-complete exfoliation of the nanoclay platelets. The platelets were found to be at an average angle of 9.5 degrees relative to the film’s surface plane. To comply with the requirements for food packaging, this angle needs to be decreased down to 0.4 degrees. To achieve this, different film-making methods enabling better control over the filler particles’ orientation need to be explored. Nanoclay addition increased the films’ yield strength (23 % for 10 wt.% film) and stiffness, while not affecting the films’ optical appearance.
Programmed Death Ligand-1 Expression Is Associated With Poorer Survival in Anal Squamous Cell Carcinoma
Authors: Monsrud Ashley L. , Avadhani Vaidehi , Mosunjac Marina B. , Flowers Lisa , Krishnamurti Uma 
Published: December 2021

Context.—
Upregulation of programmed death ligand-1 (PD-L1), an immunoregulatory protein, is associated with an adverse outcome in several malignancies. Very few studies have evaluated PD-L1 expression in invasive anal squamous cell carcinoma (ASCC).

Objective.—
To assess PD-L1 expression in patients with ASCC and correlate it with clinicopathologic factors and clinical outcomes.

Design.—
Fifty-one cases of ASCC were immunostained for PD-L1. PD-L1 expression by combined positive score and tumor proportion score was correlated with age, sex, HIV status, HIV viral load, CD4 count, stage, and outcomes. Kaplan-Meier curves for overall survival were plotted and compared using the log-rank test. Cox regression analysis was performed to identify significant prognostic factors (2-tailed P &lt; .05 was considered statistically significant).

Results.—
PD-L1 was positive in 24 of 51 cases (47%) by combined positive score and in 18 of 51 (35%) by tumor proportion score. The median cancer-specific survival and 5-year overall survival were significantly lower in PD-L1+ patients. Age, sex, HIV status, HIV viral load, stage, and cancer progression were not significantly different between the 2 groups. CD4 count of more than 200/μL was significantly higher in PD-L1+ patients. PD-L1+ status remained statistically significant for worse overall survival on multivariate analysis.

Conclusions.—
PD-L1+ status is an independent adverse prognostic factor for overall survival in ASCC. This study highlights the potential of PD-L1 targeted therapy in better management of ASCC.
Strategies for Implementing Pediatric Dose Standardization: Considerations From the Vizient University Health System Consortium Pharmacy Network Pediatric Pharmacy Committee
Authors: Campbell Christopher T. , Wheatley Kristin H. , Svoboda Leanne , Campbell Courtney E. , Norris Kelley R. 
Published: December 2021

Pediatric patients are at a heightened risk for medication errors due to variability in medication ordering and administration. Dose rounding and standardization have been 2 practices historically used to reduce variability and improve medication safety. This article will describe strategies for implementing pediatric dose standardization.
Local practice often dictates the operational decisions made at an institutional level, leading to a lack of a standard methodology. Vizient survey results demonstrate there is wide variation in dose standardization and ready-to-use (RTU) practices although most responding institutions have attempted to limit bedside manipulation to reduce medication error. There are many barriers to consider before pursuing dose standardization at an institution. These include selecting medications to standardize, calculating appropriate standardized doses, preparing RTU products, and supplying the products to the patient. Strategies to overcome implementation issues are described as well as identification of knowledge gaps related to the preparation and use of RTU products in the pediatric population.
There is opportunity to enhance an institution's ability to provide RTU medications. Although there are several barriers, those that have had successful implementation have leveraged their information technology systems, garnered multidisciplinary support, and customized their practice to meet their operational demands.
Trends and Costs Associated With the Diagnosis and Treatment of Infantile Spasms: A 10-Year Multicenter Retrospective Review
Authors: Weingarten Mindl M. , Cokley Jon A. , Moffett Brady , DiCarlo Shannon , Misra Sunita N. 
Published: December 2021

OBJECTIVE
Early treatment of infantile spasms (IS) may be imperative for improvement of neurodevelopmental outcomes. Existing studies have led to inconclusive recommendations with variation in treatment. Our objective was to determine the national average cost, initial diagnostic workup, treatments, and hospital length of stay for patients with IS.

METHODS
This retrospective cohort study was designed to review data of patients &lt; 2 years from 43 non-profit institutions. Data obtained included patient demographics, length of stay, admission cost, and treatments used from 2004 to 2014. Cost data were collected and adjusted to 2014 dollars, the year data were analyzed.

RESULTS
A total of 6183 patients met study criteria (n = 3382, 55% male). Three-quarters of patients (n = 4684, 76%) had an electroencephalogram, 56.4% had brain imaging (n = 3487), and 17% (n = 1050) underwent a lumbar puncture. Medication for IS was initiated during inpatient hospital stay in two-thirds of all patients (n = 4139, 67%). Most patients were initiated on corticotropin (n = 2066, 33%) or topiramate (n = 1804, 29%). Average length of stay was 5.8 days with an average adjusted cost of $18,348. Over time there was an 86.6% increase in cost from an average $12,534.54 (2004) to $23,391.20 (2014), a significant change (p &lt; 0.01). This correlated with an increase in average length of stay.

CONCLUSIONS
Variability exists in diagnostic workup and pharmacotherapy initiated for IS, which may lead to differences in the cost of hospital stay. Further studies may help determine contributing factors to increased cost and improve health care utilization for IS patients.
Inhaled Budesonide in Neonatal Respiratory Distress Syndrome of Near-Term Neonates: A Randomized, Placebo-Controlled Trial
Authors: Elfarargy Mohamed S. , Al-Ashmawy Ghada M. , Abu-Risha Sally M. , Khattab Haidy A. 
Published: December 2021

OBJECTIVE
This study evaluates the value of inhaled budesonide (BUD) administration in neonatal respiratory distress syndrome (RDS) cases especially for near-term neonates.

METHODS
A randomized controlled trial involving 120 neonates with respiratory distress, which was diagnosed as RDS, was conducted from July 2016 to March 2018. The neonates studied were divided into 2 groups: group 1 (the inhaled BUD group), consisting of 60 neonates who received BUD (2 mL, 0.25-mg/mL suspension) inhalation, twice daily for 5 days; and group 2 (the placebo group), consisting of 60 neonates with RDS who received humidified distilled sterile water inhalation (2 mL). Downes score, RDS grades, and interleukin 8 (IL-8) levels were monitored and measured on the first and fifth days of incubation.

RESULTS
Statistically significant differences (SSDs) in RDS grades, Downes score, and IL-8 levels on the fifth day of admission were observed between groups 1 and 2 (p = 0.001) and between the first and fifth days of incubation in group 1 (p = 0.001). The SSDs in the duration of hospitalization (p = 0.001) and the number of neonates receiving mechanical ventilation (p = 0.032) were found between both groups.

CONCLUSIONS
Budesonide inhalation is associated with improvements in clinical and laboratory parameters in neonates with RDS