bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implications od Perpres 12/2021 on MSEs Success in Public Procurement within Riau Province
Authors: Enardi Wide , Maryati Sri , Kamarni Neng 
Published: May 2024

Micro and small enterprises (MSEs) play a pivotal role in economic growth, particularly in government procurement. This study delves into the impact of policy changes, notably the implementation of Perpres 12 of 2021, on MSEs participating in procurement activities in Riau Province. Using a blend of quantitative and qualitative methodologies, this research explores the intricate relationship between various factors and the success of MSBs in procurement. Findings indicate that education, experience, workforce size, and capital significantly influence MSEs success in government procurement. Moreover, the policy implementation demonstrated substantial alterations in the correlation between independent variables and MSEs success. This article also provides strategic recommendations to bolster MSEs participation and success in government procurement, emphasizing policy adaptation, regulatory oversight, technological innovation, capacity-building programs, and stakeholder collaboration. Continuous policy evaluation and comprehensive data collection are advocated for future research endeavors to foster a deeper understanding of MSB success in procurement and its broader impact on regional economic growth.
Analysis of the Use of E-Purchasing with Local Catalogs on the Performance of the Central Maluku Regency Government
Authors: Ismail  , Leiwakabessy Erly , Sangadji Maryam , Ramly Fahrudin 
Published: May 2024

E-purchasing is a method of procurement of goods and services whose process resembles the online shopping system that is rife today such as lazada.com, bukalapak.com, elevenia.com, and others. E-purchasing complements the method of procurement of government goods and services which previously consisted of general auction/selection, limited auction/selection, simple auction, direct appointment, direct procurement, contest and contest. This study aims to determine the effect of efficiency, effectiveness and transparency on the performance of procurement of goods through local catalogs. The population of this study are Procurement Officials, Commitment Making Officials in the Central Maluku Kabuapten Government, and local catalog users in Central Maluku Regency, as well as Goods/Services Providers involved in local catalogs. The sample was determined by purposive sampling technique, as many as 110 respondents. The analysis method used is the Structural Equation Model (SEM). The research variables are 4 latent variables consisting of 3 independent variables each efficiency, effectiveness and transparency and 1 (one) dependent variable namely performance. The results showed that efficiency, effectiveness and transparency had a positive and significant effect on the performance of procurement of goods through local catalogs.
Role of a unified preventive environment with the partici pation of pharmacy organizations in the fight against chronic non-communicable diseases
Authors: Zheltkevich O. V. , Skvortsova M. V. 
Published: May 2024

Relevance. Preserving and strengthening the health of the population is the most important task of the healthcare system, including pharmacy organizations. Therefore, it is important to unite the efforts of medical and pharmaceutical specialists to form a unified preventive environment in the region. This will make it possible to rationally distribute the resources of healthcare organizations in the fight against chronic non-communicable diseases and increase citizens’ satisfaction with accessible preventive care.Methodology. To achieve the goal and solve the assigned problems, content analysis, comparative and logical analysis, and observation and graphic methods were used. The objectives of this study were to obtain regulatory documentation data, the main strategies and recommendations of the World Health Organization in the field of protecting public health, the infrastructure of pharmacy organizations, and consumer opinion.Results. The study highlighted the main aspects of preventive activities, which are the actions of pharmaceutical specialists toward preserving public and individual health. The current state of preventive work of pharmacies in the Yaroslavl region has been studied, and the most common preventive services have been identified. The need for the formation of a unified preventive environment in the region with the participation of pharmacies is substantiated as one of the ways to improve the professional activities of pharmaceutical specialists in the prevention of chronic non-infectious diseases. A model of a unified preventive environment for the regional healthcare system was developed, indicating the general and specialized functions of the organizations. An assessment of the effectiveness of the implementation of preventive services in the activities of pharmacy organizations was conducted.Conclusion. An analysis of the current state of preventive activities of pharmacy chains indicates the potential of a pharmacy organization to implement a wider range of preventive services. Combining the efforts of healthcare professionals through the formation of a unified preventive environment with the participation of pharmacy organizations can provide a significant impetus in the fight against chronic non-communicable diseases.
Topical issues in standardizing the order of circulation of immunobiological drugs in medical organizations
Authors: Socolova O. V. , Isaeva I. Yu. , Baranov A. A. 
Published: May 2024

Relevance. Standardization of business processes of turnover of immunobiological drugs in structural subdivisions of the medical organization will improve the effectiveness of medical care in the immunological diagnosis, prevention and treatment of various diseases.Objective. The purpose of this study was to standardize business processes for the circulation of medical products in structural divisions of medical organizations.Methodology. The content analysis methods, comparative analysis, logical analysis, grouping and structural analysis were used. The analysis of the requirements of the regulatory framework in the field of circulation of immunological medicines, local organizational and management documents and business processes of the activities of structural subdivisions of a medical organization in the field of turnover of immunobiological drugs was carried out.Results. The direction of standardization of turnover of immunobiological drugs in structural subdivisions have been identified and recommendations for the healthcare organization as a whole have been developed on their basis.Conclusion. The use of the recommendations is aimed at improving the effectiveness of medical care with the use of immunobiological drugs.
Opinion of medical and pharmaceutical professionals on the quality of pharmaceutical care for patients with diabetes mellitus in the Novosibirsk region: a comparative sociological study
Authors: Kharina I. A. , Dzhuparova I. A. 
Published: May 2024

Relevance. Patients with diabetes mellitus (DM) in the Russian Federation have the right to receive free medications. Despite this, some patients with DM experiencing difficulties at various stages of preferential treatment are forced to purchase medications at their own expense. Medical workers (MW) who receive patients and pharmaceutical workers (PW) of preferential dispensing points (PDP), who dispense drugs on preferential terms and provide pharmaceutical information (PI) to patients, are of considerable interest as competent sources of opinion about the quality of the organization of drug provision.Objective. To conduct a comparative sociological study of the organization of PDP for patients with DM in the Novosibirsk region (NSR) using the method of questioning MW and PW.Materials and methods. The materials used were the MW and PW questionnaires developed by the authors. During the study, the following methods were used: sociological survey (questioning), content analysis, comparative analysis, induction, and logical method.Results and discussion. 71% of MW must deal with various difficulties when issuing preferential prescriptions for drugs. These include: absence of drugs in the preferential list (29%), funding limit (29%), and absence of drugs in the PDP (35%). An average level of compliance in taking medications by patients with DM according to the MW was revealed, with a low interest in PI according to PDP workers. 45% of PW experience difficulties when conducting PI of patients with DM. The majority of PW (88%) consider the range of PDP in which they work to be rich in international nonproprietary names, trade names, and release forms of both oral hypoglycemic drugs and insulins.Conclusions. The results obtained allow us to conclude that the drug provision system for patients with DM in the NSR needs to be optimized. Based on the results of the survey, the main directions of optimization can be identified: increasing the availability of drugs in the PDP and increasing the competence of the PDP’s PW through the development of additional training materials and activities.
Modern extemporaneous pharmaceutical manufacturing: problems and prospects
Authors: Chikina I. V. , Onegin S. V. , Parfenov A. A. , Trubnikov A. A. 
Published: May 2024

Relevance. Extemporaneous manufacturing of preparations is an important component of modern patient-oriented medicine. This article provides an analysis of regulatory documents regulating the manufacture of drugs in a pharmacy, identifies problems and weaknesses in rationing production, and proposes constructive ways to solve the problems presented.Methodology. When conducting the study, methods of content analysis, comparative and logical analysis, and observation were used.Results. This article provides a critical analysis of the legal framework regulating the extemporaneous production of drugs. Weaknesses in the regulation of pharmaceutical production of dosage forms have been identified. In particular, the following problems are presented: checking the doses of active pharmaceutical substances and assessing the compatibility of prescription ingredients; issues related to the expiration dates of extemporaneously manufactured medicinal products; and problems with regulating conditions for the manufacture of drugs in pharmacies. Difficulties in equipping pharmacies with small-scale mechanization and aspects of the provision of modern active pharmaceutical ingredients and excipients are reflected, and the potential of physicians in prescribing extemporaneous prescriptions is noted.Conclusion. The proposed solutions to the identified problems will allow extemporaneous production to a new, more advanced level and expand the capabilities of personalized medicine.
The Influence Of Application Quality And Service Quality On Shopee Customer Satisfaction In Bogor
Authors: Mashadi Mashadi , Khoir Ahmad Din , Gendalasari Gen Gen 
Published: May 2024

This study aims to determine: (1) the effect of Application Quality on Shopee Customer Satisfaction in Bogor, (2) the effect of Service Quality on Shopee Customer Satisfaction in Bogor, and (3) The Effect of Application Quality and Service Quality together on Shopee Customer Satisfaction in Bogor. The sample used in this study was 385 samples of Bogor city residents who had shopped or used Shopee. The method used in this research is descriptive quantitative, where theoretical testing is carried out by measuring the research variables numerically and analyzing the data. In this study using primary data obtained directly from respondents who will be collected through a questionnaire. And using SPSS as a tool to solve problems. The questionnaire in this study uses a Likert scale as a measurement scale for research instruments. Based on the descriptive results on each variable, it shows that the independent variables Application Quality (X1) and Service Quality (X2) have a positive and significant effect on the dependent variable Customer Satisfaction (Y). This can be seen from the results of the analysis of the testing of each variable X and Y, both partial testing (t test) and simultaneous testing (f test).
Keywords: Application Quality, Service Quality, Customer Satisfaction, Shopee.
Síndrome de Bornout en los Docentes del Centro Educativo Meseta San Rafael, sus Causas y Cómo Evitarlo, para Mejorar los Resultados Académicos en el Centro Escolar
Authors: Villamizar Pombo Luis Fernando 
Published: May 2024

En el Centro Educativo Rural Meseta San Rafael se puede evidenciar una gran solicitud de licencias médicas causadas por el cansancio y enfermedades asociadas al estrés académico, si contextualizamos, nuestro centro educativo cuenta con veinte sedes que se encuentran en la zona rural de Barrancabermeja, departamento de Santander en Colombia. Su estrategia de enseñanza aprendizaje está basada en aulas multigradas con un docente y estudiantes que cursan desde grado cero (preescolar) hasta quinto de básica primaria. La estrategia pedagógica se centra en metas de aprendizaje y el desarrollo de guías que deben ser valoradas por el docente para poder describir los avances de cada estudiante en los temas propuestos. En estas sedes educativas podemos observar las constantes solicitudes de incapacidades y permisos para no asistir a las jornadas escolares de manera permanente aduciendo citas médicas o compromisos familiares injustificados. Como evidencia del aumento en el estrés académico podemos tener el atraso que tienen algunos maestros en la entrega de sus tareas y las solicitudes de permisos que han aumentado en un 30% con relación al año 2021. Las consecuencias académicas en los estudiantes son evidentes en los avances académicos y el desarrollo curricular de los temas a desarrollar, si tenemos en cuenta que en cada sede es un docente quien lleva la actividad pedagógica de todos los grados.
The Impact of The Parliamentary Threshold Policy On Small Parties: The Failure of The Partai Persatuan Pembangunan To Meet The Parliamentary Threshold In The 2024 Election
Authors: Nurul Zahro Qolbu  , Lia Wulandari  
Published: May 2024

The implementation of the parliamentary threshold policy poses significant challenges for small parties or new parties to gain representation in the legislature. This case study examines the impact of the parliamentary threshold policy on small parties, focusing on the failure of the Partai Persatuan Pembangunan (PPP) to meet the parliamentary threshold in the 2024 elections. The research highlights that small parties face difficulties in reaching the threshold, which results in their failure to gain seats in parliament. This situation affects political pluralism by limiting the diversity of political views represented in the legislature, potentially reducing inclusive and fair representation for different groups of voters. Furthermore, it underscores the importance of a mature political system in addressing the challenges of democracy, accommodating diverse political views, including from small parties, to ensure fair and inclusive representation for all citizens. In this research, the method used is normative qualitative, which describes information obtained from legal standards, theories, and legal principles and rules related to the core of the problem by collecting data through interviews. Parliamentary thresholds in fact put pressure on small parties to remain in parliament as the threshold numbers get higher. Thresholds that aim to simplify parties turn out to be a barrier to the represented and the represented, as well as political dissatisfaction and undermine the legitimacy of the political system.
Six Sigma metrics as an indicator for Randox International Quality Assessment Scheme in clinical biochemistry laboratory
Authors: Yadav Neeraj , Meena Mukesh Kumar , Prisi Shailata , Singh Aditi , Singh Ritu 
Published: May 2024

Context:
Six Sigma methodology represents an evolution in quality assessment and management that has been implemented widely in industry and health sector since the mid-1980s. It consists of five steps: define, measure, analyze, improve, and control (DMAIC). Randox International Quality Assessment Scheme (RIQAS) program Target Score (TS) is a performance indicator, and Sigma metrics is considered as a gold standard for overall performance.

Aim:
The aim of this study is to present the TS and Sigma metrics observed in clinical chemistry laboratory in SSK Hospital associated with Lady Hardinge Medical College to evaluate the analytical performance of T3, T4, and thyroid-stimulating hormone (TSH) parameters. The study period is from June to August 2022.

Materials and Methods:
The Sigma metrics for the various analytes was calculated by the following equation: Σ = TEa − bias/CV (TEa—total allowable error, CV—coefficient of variation). Acceptable performance criteria: standard deviation index (SDI) <2; TS >50; the closer a value is to 120, the better the performance, <40 is unacceptable; and %deviation should be less than the defined acceptable limits which is unique to each analyte, the closer the value is to zero, the better is the performance.

Results:
Our RIQAS results lie in acceptable range except for T3 in the month of August in which TS was unacceptable. Our laboratory Sigma metrics were below three sigmas. The findings of our exercise emphasize the need for a detailed evaluation, and we promote the use of Sigma metrics in quality assurance in the best interest of the patient.

Conclusion:
Quality check strategies were applied according to the TS and sigma values.
COVID-19 Biomedical Waste Management Practices among Medical Professionals in a Tertiary Hospital
Authors: Afsar Aiman Perween , Bains Lovenish , Mishra Anurag , Mittal Akshit , Aggarwal Sulakshna , Kaur Daljit 
Published: May 2024

Context:
The Coronavirus Disease 2019 (COVID-19) pandemic that began in 2019 has affected more than 232 million people around the world with over 4.7 million deaths as on September 30, 2021. Amidst the crisis, there has been increased generation of biomedical-waste (BMW). In April 2021, a 62% rise was observed compared to 123 metric tonnes of waste generated in February 2021. The hospital waste mismanagement has diverse ramifications as it affects the patients, healthcare workers (HCWs), public, environment, and economy. Proper BMW management aims to reduce generation, ensures efficient collection, handling and safe disposal so that it controls infection and improves safety.

Aims:
The present study was conducted to assess the knowledge among medical professionals regarding BMW segregation, transport, and treatment.

Settings, Design, Methods, and Materials:
A google formed based survey was done to assess the knowledge regarding management of COVID-19 BMW among HCWs (MBBS students, residents, and consultants) associated with tertiary care hospitals of North India.

Results:
The knowledge score was : for segregation − 27.4%, 59.6%, and 49.8%; transport from site of generation to site of disposal − 63.6%, 89.1%, and 95.2%; disposal − 29%, 71.9%, and 68.2%; overall score − 41.4%, 67.9%, and 61.3% among the students, residents, and consultants respectively. We found that participants with greater years of experience (residents and consultants) had better knowledge as compared to that of the students (P = 0.032).

Conclusion:
We found a mean score of 56.9% which is more than that of few low- and middle-income countries but less than that of European countries. The chances of infection directly correlate with lower knowledge score. Appropriate evidence-based, judicious use of PPE as per the settings and guidelines should be followed. Training aspects, periodic evaluation, and assessment should be strengthened, both for practising medical professionals and for students, to ensure a safe and sustainable healthcare system.
Ultrasonographic measurement of optic nerve sheath diameter to detect raised intracranial pressure in adult head injury patients in the intensive care unit and its correlation with computed tomography scan findings
Authors: Srilekha A. , Sharma Ram Murti , Sasidharan Shibu , Manalikuzhiyil Babitha 
Published: May 2024

Background:
Our objective was to evaluate if ultrasonographic measurement of optic nerve sheath diameter can be used for early and accurate diagnosis of raised intracranial pressure as seen in cranial CT scan in patients of traumatic brain injury.

Methods:
Prospective, observational study. 40 adult traumatic head injury patients with altered sensorium suspected to have elevated intracranial pressure admitted to the ICU. Single optic nerve sheath diameter was measured 3.0 mm behind the globe in each eye, and optic nerve sheath diameter from each eye were averaged to create a binocular optic nerve sheath diameter measurement. A binocular optic nerve sheath diameter or uni-ocular measurement in patients with single eye measurement greater than 5.00 mm was considered abnormal. A CT scan of the head was performed within 2 hrs of USG measurement. The radiologist was blinded to the USG measurement of optic nerve sheath diameter and patient's CT considered to be positive for raised ICP

Results:
Mean age of the patients was 41.15 years. Mean ONSD recorded was 5.613. Highest ONSD was 6.300 and the lowest was 4.750. CT scan findings of raised ICT were present in 36 patients and mean ONSD was >5.00 mm in all the patients. CT scan finding of raised ICT was not present in 4 patients out of which raised ONSD was present in 1 patient. Hence study showed that USG of ONSD has 100% sensitivity and 75% specificity with a positive predictive value of 97.3% and a negative predictive value of 100%.

Conclusions:
Bedside ultrasonographic measurement of optic nerve sheath diameter has the potential as a sensitive screening test for elevated intracranial pressure in adult head injury patients in ICU.
Prevalence and clinical and laboratory profile of anemia among inpatient children under 5 years of age
Authors: Sridevi B , Madhuri M , Ramya C , Yendala Laharika , Reddy V RamNarasimha 
Published: May 2024

Background:
Anemia is one of the most common health problems prevalent in Third World countries and developed countries. Anemia among children is of the most important public health problems as it is associated with overall growth and performance of children in academics.

Objective:
The objective of this study was to study the prevalence of different types of anemia and their hematological and laboratory parameters in pediatric population <5 years.

Materials and Methods:
A hospital-based cross-sectional study was carried out among 100 inpatient children with different causes of anemia from age 1 to 60 months in children's ward of a tertiary care center. A thorough history and detailed clinical examination along with hematological investigations were carried out as per standard guidelines.

Results:
In the present study, 793 children of 1 month to 5 years were screened for anemia, and out of them, 100 children (12.6%) were found to have anemia. The inpatient prevalence of anemia in <5-year age group was 12.6%. Of them, 53% were male and 47% were female. Anemia due to iron-deficiency anemia (IDA) was 72 (72%), beta-thalassemia major was 1 (1%), beta-thalassemia minor was 5 (5%), sickle cell anemia was 6 (6%), sickle cell trait was 7 (7%), sickle cell thalassemia was 6 (6%), anemia of chronic disease was 1 (1%), megaloblastic anemia was 1 (1%), and anemia with Plasmodium falciparum malaria was 1 (1%).

Conclusion:
The prevalence of anemia was high among this inpatient population of children. IDA was most common, and slight preponderance for males was seen.