bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Upaya Rumah Sakit dalam Menutupi Kekurangan Biaya Klaim Indonesia Case Base Group (INA-CBGs) Yang Dihitung dengan Metode Activities Base Costing pada Rumah Sakit Swasta Kelas C di Kota Medan Tahun 2017
Authors: Aulia Destanul , Ayu Sri Fajar , Nasution Nur Hidayah 
Published: March 2018

AbstrakIndonesia telah mengembangkan Sistem Jaminan Sosial Nasional (SJSN) dengan dibentuknya program Jaminan Kesehatan Nasional (JKN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Salah satu cara pembayaran pelayanan kesehatan untuk rumah sakit di era JKN adalah dengan sistem pembayaran Indonesia Case Base Groups (INACBGs), yaitu besaran pembayaran klaim oleh BPJS Kesehatan kepada rumah sakit atas paket layanan yang didasarkan kepada pengelompokan diagnosis penyakit dan prosedur. Penelitian ini bertujuan untuk menganalasis upaya-upaya yang dilakukan rumah sakit swasta untuk menutupi kekurangan biaya klaim INA-CBGs. Jenis penelitian ini deskriptif dengan pendekatan kualitatif dan kuantitatif. Kualitatif dilakukan dengan wawancara mendalam, dan kuantitatif dilakukan dengan menghitung biaya riil menggunakan metode ABC dan membandingkan dengan biaya klaim INA-CBGs, Hasil penelitian menunjukkan bahwa upaya-upaya yang dilakukan rumah sakit swasta untuk menutupi kekurangan biaya klaim INA-CBGs di antaranya memanfaatkan tenaga kesehatan dari mahasiswa yang berasal dari sekolah milik rumah sakit swasta, lamanya pemberian pelayanan, menetapkan paket pelayanan untuk pasien umum, dan menyediakan fasilitas. Disarankan kepada rumah sakit swasta untuk mengevaluasi risiko keuangan yang diterima rumah sakit dari pelayanan fisioterapi, dan mengevaluasi distribusi biaya klaim INA-CBGs untuk pelayanan fisioterapi yang sesuai dengan standar. AbstractIndonesia has developed the National Social Insurance System with the establishment of the National Health Insurance program and organized by BPJS Kesehatan. One of payment way of health services for the hospital in the era of JKN is Indonesian Case Base Group (INA-CBG’s), that is the payment of claims from BPJS to hospital on a package of services based on the packet of disease diagnosis and procedure.This study aims to analyze efforts by hospitals to cover the cost deficiency of INA CBG’s claims in Privat Hospital in Medan. This research type is descriptive with qualitative and quantitative. Qualitative is done by in-depth interview, and quantitative is done by calculating real cost and cost of INA-CBG’s claim and by Activity Based Cost method. The counting result with ABC system, The results showed that the efforts made by hospitals to cover INA-CBG’s claim cost deficits are utilizing the help of health professionals from students from private hospital schools / academies, length of service delivery, setting out service packages for general patients, and providing patient pickup facilities. Suggested to to the Hospital to evaluate the financial risks the hospital receives from services, practice student performance, and distribute the cost of INA CBG’s claims well in order to improve the quality of health services in accordance with the standards.
Analisis Hasil Koding yang Dihasilkan oleh Coder di Rumah Sakit Pemerintah X di Kota Semarang Tahun 2012
Authors: Yuniati Dewi Indah 
Published: March 2018

AbstrakCoder mempengaruhi penerimaan rumah sakit karena kemampuannya dalam menetapkan kode menggunakan ICD untuk mengkode diagnosa dan prosedur yang tercatat didalam dokumen rekam medis. Penelitian ini bertujuan untuk mengetahui perbedaan hasil koding coder di Rumah Sakit Pemerintah X Semarang dan potensi kerugian yang mungkin terjadi. Metode yang digunakan adalah kuantitatif, melibatkan 6 orang coder yang dibagi menjadi 2 kelompok yaitu standar dan uji, berdasarkan masa kerja dan pelatihan yang pernah diikuti. Hasil koding dan besaran klaim antar kelompok dibandingkan. Dari penelitian didapatkan kompetensi coder perlu ditingkatkan karena rerata hasil tarif lebih rendah dari kelompok standar yang tinggi 32,6%, berpotensi menurunkan pendapatan rumah sakit rata-rata sebesar 4,2% dari klaim yang seharusnya diterima. AbstractCoders affect hospital revenue due to their ability to determine specificcode using ICD for diagnoses and procedures stated in medical record. This study aimed to determine the competence of coder in X Hospital and potential losses that may occur. Quantitative method was used in this study, involving 6 coders who were divided into 2 groups: standard and test groups, based on years of experience and followed trainings. Coding results and the amount of the claim were compared between groups. The study showed coder‘s competence still needs to be improved. This was characterized by a high average undercoding result that reached 32.6% and potentially loweringhospital revenue by an average of 4.2% of claims that should be obtainedby the hospital.v
Analisis Perhitungan Kapitasi pada Fasilitas Kesehatan Tingkat Pertama yang Bekerja Sama dengan BPJS Kesehatan KCU Kota Bogor Tahun 2015
Authors: Kurnia Ayu Novia , Nurwahyuni Atik 
Published: March 2018

Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.
Sindrom Hiper IgE dengan Manifestasi Bullous pemphigoid dan Striktur Esofagus
Authors: Budiyani Laras , Idayu Adeputri Tanesha , Wijaya Ika Prasetya , Widhani Alvina 
Published: March 2018

Sindrom hiper IgE (HIES) adalah suatu defisiensi kompleks imun primer yang jarang terjadi, memiliki manifestasi klinis yang beragam. Mutasi STAT 3 merupakan dasar dari sindrom hiper IgE klasik yang berhubungan dengan abnormalitas wajah, gigi, rangka, dan jaringan ikat yang tidak terlihat pada tipe resesif. Abses kulit berulang adalah gambaran utama pada HIES. Pemphigoid bullosa adalah kelainan autoimun yang memiliki karakteristik manifestasi bula pada kulit terkait membrane mukosa. Adanya gangguan autoimun yang terjadi secara bersamaan merupakan kelainan yang jarang. Striktur esofagus adalah salah satu manifestasi membran mukosa yang jarang terjadi pada kelainan kulit bulosa ini. Oleh sebab itu, manajemen pada kasus ini memerlukan pendekatan multidisiplin termasuk manajemen nutrisi dan infeksi.Kata kunci: pemphigoid bullosa, sindrom hiper IgE, striktur esofagus Hyper-IgE Syndrome with Bullous Pemphigoid and Esophageal StrictureHyper IgE syndrome (HIEs) is a rare primary immune complex deficiency that has diverse clinical manifestations. STAT 3mutation is the basis of hyper IgE classic syndrome which was associated with abnormalities of the face, teeth, skeletonand connective tissue that is not visible on recessive type. Recurrent skin abscesses are the main chracteristic of HIEs. Bullosa pemphigoid is an autoimmune disorder that is characterized by bullae manifestation on the skin associated with mucous membranes. An autoimmune disorder that occurs simultaneously is generally rare. Esophagus stricture is one of mucous membrane manifestations that is rarely occurred in this bullous skin disorder. Therefore, the management of these casesrequire a multidisciplinary approach including nutrition and infection management.Keywords: esophagus stricture, hyper IgE syndrome, pemphigoid bullosa
Benarkah Dialiser Proses Ulang Memicu Inflamasi?
Authors: Suhardjono Suhardjono 
Published: March 2018

Sejak hemodialisis dipakai sebagai pengobatan pengganti ginjal, sekitar tahun 1960-an, reuse dializer (dialiser proses ulang, DPU) sudah dilakukan. Salah satu alasannya adalah penghematan biaya dialisis dan penghematan sumber daya alam. Pemakaian DPU semakin sering dilakukan dengan meningkatnya jumlah pasien dialisis, baik di negara maju maupun di negara berkembang. Pada akhirnya, sampai sekitar 10 tahun terakhir, terutama di negara maju, praktik ini mulai mengurang. Di Eropa bahkan mulai ditinggalkan. Data terakhir di Amerika Serikat pada tahun 2005, pemakaian DPU meliputi 40% unit dialisis. Salah satu penyebabnya adalah semakin murahnya dialiser dan mungkin tuntutan dari pasien yang terlalu kuatir dengan proses pembersihan dan pencucian dialiser. Akan tetapi, di Indonesia dengan biaya hemodialisis (HD) yang harus ditekan sangat rendah, DPU diperlukan agar dapat mengurangi biaya yang harus ditanggung oleh Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan). Hal ini menjadi masalah baru yang dihadapi di Indonesia, apalagi saat ini sudah mulai ada tuntutan dari pasien maupun lembaga swadaya masyarakat pada layanan kesehatan. Sebenarnya, pemakaian DPU bukanlah suatu praktik yang salah, apabila dilakukan secara benar. Terdapat panduan klinik untuk proses ulang dari Kidney Disease Outcomes Quality Initiative (KDOQI) 2006, yang tidak ada lagi pada KDOQI 2015. Dalam KDOQI 2016 dianjurkan bahwa proses ulang dialiser dilakukan sesuai standar dari Association for the Advancement of Medical Instrumentation (AAMI). Selain itu, pemakaian mesin untuk DPU juga sudah meluas, yang sudah tentu lebih baik hasilnya dibandingkan dilakukan secara manual tanpa mesin. Dalam berbagai penelitian didapatkan bahwa tidak terdapat beda mortalitas pada pemakaian single use dengan multiuse, bahkan pada dialiser yang bioinkompatible, pemakaian multiuse mengurangi reaksi imun.
The effect of tides on nearshore environmental DNA
Authors: Kelly Ryan P. , Gallego Ramón , Jacobs-Palmer Emily 
Published: March 2018

We can recover genetic information from organisms of all kinds using environmental sampling. In recent years, sequencing this environmental DNA (eDNA) has become a tractable means of surveying many species using water, air, or soil samples. The technique is beginning to become a core tool for ecologists, environmental scientists, and biologists of many kinds, but the temporal resolution of eDNA sampling is often unclear, limiting the ecological interpretations of the resulting datasets. Here, in a temporally and spatially replicated field study using ca. 313 bp of eukaryotic COI mtDNA as a marker, we find that nearshore organismal communities are largely consistent across tides. Our findings suggest that nearshore eDNA from both benthic and planktonic taxa tends to be endogenous to the site and water mass sampled, rather than changing with each tidal cycle. However, where physiochemical water mass characteristics change, we find that the relative contributions of a broad range of organisms to eDNA communities shift in concert.
Collapse of the 2017 Winter Beaufort High: A Response to Thinning Sea Ice?
Authors: Moore G. W. K. , Schweiger A. , Zhang J. , Steele M. 
Published: March 2018

AbstractThe winter Arctic atmosphere is under the influence of two very different circulation systems: extratropical cyclones travel along the primary North Atlantic storm track from Iceland toward the eastern Arctic, while the western Arctic is characterized by a quasi‐stationary region of high pressure known as the Beaufort High. The winter (January through March) of 2017 featured an anomalous reversal of the normally anticyclonic surface winds and sea ice motion in the western Arctic. This reversal can be traced to a collapse of the Beaufort High as the result of the intrusion of low‐pressure systems from the North Atlantic, along the East Siberian Coast, into the Arctic Basin. Thin sea ice as the result of an extremely warm autumn (October through December) of 2016 contributed to the formation of an anomalous thermal low over the Barents Sea that, along with a northward shift of the tropospheric polar vortex, permitted this intrusion. The collapse of the Beaufort High during the winter of 2017 was associated with simultaneous 2‐sigma sea level pressure, surface wind, and sea ice circulation anomalies in the western Arctic. As the Arctic sea ice continues to thin, such reversals may become more common and impact ocean circulation, sea ice, and biology.
Bottom-up approaches in synthetic biology and biomaterials for tissue engineering applications
Authors: Weisenberger Mitchell S , Deans Tara L 
Published: March 2018

Abstract
Synthetic biologists use engineering principles to design and construct genetic circuits for programming cells with novel functions. A bottom-up approach is commonly used to design and construct genetic circuits by piecing together functional modules that are capable of reprogramming cells with novel behavior. While genetic circuits control cell operations through the tight regulation of gene expression, a diverse array of environmental factors within the extracellular space also has a significant impact on cell behavior. This extracellular space offers an addition route for synthetic biologists to apply their engineering principles to program cell-responsive modules within the extracellular space using biomaterials. In this review, we discuss how taking a bottom-up approach to build genetic circuits using DNA modules can be applied to biomaterials for controlling cell behavior from the extracellular milieu. We suggest that, by collectively controlling intrinsic and extrinsic signals in synthetic biology and biomaterials, tissue engineering outcomes can be improved.
Genuine Modal Realism, the Humean thesis and advanced modalizing
Authors: Roca-Royes Sonia 
Published: March 2018

Abstract
The paper argues that Lewis’ Genuine Modal Realism, in taking the plurality of worlds to be necessarily the way it is, implies the existence of necessary connections of the sort that contradicts the Humean thesis that Lewis endorses. By endorsing, pace Divers, a non-redundancy interpretation of advanced modalizing, we gain the means to exactly state what these connections amount to.
The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
Authors: Song Shi‐Bo , Wu Guo‐Ju , Pan Hong‐Da , Yang Hua , Hu Mao‐Lin , Li Qiang , Yan Qiu‐Xia , Xiao Gang 
Published: March 2018

AbstractAs a surgical procedure which could significantly lower the recurrence rate of cancers, total mesorectal excision (TME) has been the gold standard for middle and lower rectal cancer treatment. However, previous studies have shown that the procedure did not achieve the ideal theoretical local recurrence rates of rectal cancers. Some researchers pointed out it was very likely that not all so‐called TME treatments completely removed the mesorectum, implying that some of these TME surgical treatments failed to meet oncological quality standards. Therefore, a suitable assessment tool for the surgical quality of TME is necessary. The notion of “macroscopic assessment of mesorectal excision (MAME)” was put forward by some researchers as a better assessment tool for the surgical quality of TME and has been confirmed by a series of studies. Besides providing rapid and accurate surgical quality feedbacks for surgeons, MAME also effectively assesses the prognosis of patients with rectal cancer. However, as a new assessment tool used for TME surgical quality, MAME has an only limited influence on the current guidelines and is yet to be widely applied in most countries. The aims of this review are to provide a detailed introduction to MAME for clinical practice and to summarize the current prognostic significance of MAME.
Advances in Alzheimer's imaging are changing the experience of Alzheimer's disease
Authors: Stites Shana D. , Milne Richard , Karlawish Jason 
Published: March 2018

AbstractNeuroimaging is advancing a new definition of Alzheimer's disease (AD). Using imaging biomarkers, clinicians may begin to diagnose the disease by identifying pathology and neurodegeneration in either cognitively impaired or unimpaired adults. This “biomarker‐based” diagnosis may allow clinicians novel opportunities to use interventions that either delay the onset or slow the progression of cognitive decline, but it will also bring novel challenges. How will changing the definition of AD from a clinical to a biomarker construct change the experience of living with the disease? Knowledge of AD biomarker status can affect how individuals feel about themselves (internalized stigma) and how others judge them (public stigma). Following a review of AD stigma, we appraise how advances in diagnosis may enable or interrupt its transfer from clinical to preclinical stages and then explore conceptual and pragmatic challenges to addressing stigma in routine care.
Modelling cyber-attacks: a survey study
Authors: Ayrour Yassine , Raji Amine , Nassar Mahmoud 
Published: March 2018

Computer networks play an important role in many areas of life, which makes them attractive targets for hackers looking to steal sensitive data and cause critical damage. Every day the situation is getting worse; there has been an increase in the number of attacks and their complexity. 1,2 Cyber-attacks are varied and sophisticated, making security analysis more complex. And so research is currently focusing on cyberthreat analysis to learn an attacker's behavioral model and predict the model of attack for any network. 3 To defeat cyber-attacks it's important to understand their characteristics and how they come about. It's also important to comprehend the attackers’ objectives. Understanding the characteristics of attacks is paramount in creating a good security strategy, so attack modelling is important in gaining a perspective on how attacks can be stopped in a co-ordinated manner. Yassine Ayrour, Amine Raji and Mahmoud Nassar provide a comparative study of the state of the art in attack modelling techniques and show how these approaches can help identify attack vectors before they are used.
Quantifying situation awareness for small unmanned aircraft
Authors: McAree O. , Aitken J.M. , Veres S.M. 
Published: March 2018

ABSTRACTA novel statistical model is presented to quantify situation awareness in the operation of small civilian Unmanned Aircraft Systems (UAS). Today, the vast majority of small Unmanned Aircraft Systems (UAS) operation takes place under Visual Line of Sight (VLOS) of a human operator, who is wholly responsible for the safety of the flight. As operation begins to move to Beyond Visual Line of Sight (BVLOS), it is likely that this responsibility will become shared between operator and the increasingly autonomous UAS itself. Before we seek to quantify the safety of such a system, it is beneficial to analyse the safety of existing Visual Line of Sight (VLOS) operations to provide a target level of safety. Prior to considering any on-board decision making, it is essential to ensure that the artificial situation awareness system of a UAS in Beyond Visual Line of Sight (BVLOS) is at least as good as awareness of a human operator. The paper provides a probabilistic theory and model for the high-level abstractions of situation awareness to guide future assessment of BVLOS operations.
Knowledge, Attitudes and Concussion Information Sources Among First Nations in Ontario
Authors: Hunt Cindy , Michalak Alicja , Johnston Elaine , Lefkimmiatis Chrissy , Macumber Leila , Jocko Tony , Ouchterlony Donna 
Published: March 2018

AbstractObjective: Hockey is a popular sport played by many First Nation youth. Concussion frequently goes unrecognized and unreported in youth hockey. Unintentional injuries among Indigenous youth occur at rates three to four times the national Canadian average. The study sought to examine knowledge, attitudes and sources of concussion information among First Nations people attending a provincial hockey tournament. Methods: A cross-sectional survey was undertaken. The survey by Mzazik et al. were modified to use in this study. Participants included youth (6-18 years) hockey players (n=75), parents (n=248) and coaches (n=68). The main outcome measure was total knowledge index (TKI) which consisted of the sum of correct responses to 15 multiple choice questions. Additional data gathered included demographics, concussion history, attitudes toward concussion and sources of information. Descriptive statistics included proportion comparisons. Variables were tested using χ2 and analysis of variance. Results: Overall TKI scores (out of a total of 15) were low; players (5.9±2.8), parents (7.5±2.6) and coaches (7.9±2.6). Participants with higher knowledge scores reported more appreciation of the seriousness of concussion. Sources of information about concussion differed by study group, suggesting the need for multiple knowledge translation strategies to reach youth, parents and coaches. Conclusions: Future initiatives are urgently needed to improve education and prevention of concussion in First Nations youth hockey. Collaborating and engaging with communities can help to ensure an Indigenous lens for culturally safe interventions.
Challenges of Designing and Implementing High Consequence Infectious Disease Response
Authors: King Joan M. , Tiwari Chetan , Mikler Armin R. , O’Neill Martin 
Published: March 2018

AbstractEbola is a high consequence infectious disease—a disease with the potential to cause outbreaks, epidemics, or pandemics with deadly possibilities, highly infectious, pathogenic, and virulent. Ebola’s first reported cases in the United States in September 2014 led to the development of preparedness capabilities for the mitigation of possible rapid outbreaks, with the Centers for Disease Control and Prevention (CDC) providing guidelines to assist public health officials in infectious disease response planning. These guidelines include broad goals for state and local agencies and detailed information concerning the types of resources needed at health care facilities. However, the spatial configuration of populations and existing health care facilities is neglected. An incomplete understanding of the demand landscape may result in an inefficient and inequitable allocation of resources to populations. Hence, this paper examines challenges in implementing CDC’s guidance for Ebola preparedness and mitigation in the context of geospatial allocation of health resources and discusses possible strategies for addressing such challenges. (Disaster Med Public Health Preparedness. 2018;12:563–566)