bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tinjauan Kebutuhan Rak Penyimpanan Berkas Rekam Medis di Puskesmas Plaju Tahun 2021
Authors: Silliasagita Dea , Dwi Puryati Tiara 
Published: May 2022

Latar Belakang: Rak penyimpanan merupakan salah satu peralatan puskesmas yang berfungsi untuk menyimpan berkas rekam medis, dengan tersedianya rak penyimpanan yang sesuai dengan kapasitas berkas rekam medis maka tidak akan terjadi penumpukan di ruangan penyimpanan.
Tujuan: Penelitian ini bertujuan untuk mengetahui kebutuhan rak penyimpanan berkas rekam medis di Puskesmas Plaju. Metode yang digunakan pada penelitian ini adalah metode deskriptif kuantitatif.
Metode: Metode deskriptif kuantitatif yaitu dengan memaparkan hasil penelitian apa adanya dan membandingkan dengan teori yang kemudian diambil kesimpulannya. Subjek dan objek yang digunakan dalam penelitian ini adalah petugas filing dan kepala instalasi rekam medis. Instrumen penelitian yang digunakan adalah observasi dan wawancara.
Hasil: Dari hasil penelitian menunjukkan bahwa jumlah kunjungan pasien di Puskesmas Plaju dari tahun dari tahun 2018 – 2020 sebanyak 56.216 pasien. Jika pada saat ini di Puskesmas Plaju hanya memiliki 7 rak rekam medis, maka puskesmas perlu menyediakan tambahan 1 rak rekam medis lagi agar kebutuhan rak rekam medis tercukupi.
Kesimpulan: Kesimpulan dalam penelitian ini yaitu penulis dengan menggunakan sampel 100 berkas rekam medis dapat diketahui bahwa jumlah rak yang tersedia di Puskesmas Plaju masih kurang. Jumlah rak rekam medis yang ada pada saat ini hanya ada 7 rak rekam medis, sedangkan kebutuhan rak rekam medis seharusnya 8 rak rekam medis. Maka dari itu Puskesmas Plaju harus menambahkan 1 rak rekam medis lagi agar berkas rekam medis dapat tersusun secara rapi dan teratur serta petugas akan mudah dalam mencari atau menyimpan berkas rekam medis.
Tinjauan Kepuasan Pasien Terhadap Tempat Pelayanan Pendaftaran di Puskesmas Sugih Mukti Ciwidey Bandung 2021
Authors: Nurfauziah Fitri , Hanapiah Santi , Wahab Syaikhul 
Published: May 2022

Latar Belakang: Tempat pendaftaran merupakan pelayanan pertama yang diterima oleh pasien yang dapat menentukan kepuasan pasien dan keinginan pasien untuk memperoleh pelayanan selanjutnya.
Tujuan: Tujuan penelitian ini adalah untuk meninjau tingkat kepuasan pasien terhadap pelayanan yang diberikan di tempat pendaftaran pasien.
Metode: Metode penelitian ini merupakan penelitian deskriptif kuantitatif menggunakan desain penelitian cross sectional. Populasi yang digunakan adalah semua pasien yang berobat dan telah mendapatkan pelayanan di tempat pendaftaran pada bulan Januari – Mei tahun 2021, yaitu sejumlah 3.911 pasien. Berdasarkan hasil perhitungan rumus slovin, sampel yang digunakan adalah 100 pasien yang dipilih secara random. Metode pengumpulan data menggunakan kuesioner dan observasi.
Hasil: Hasil penelitian menunjukan bahwa mayoritas pasien puas terhadap pelayanan pendaftaran di Puskesmas Sugih Mukti, namun masih ada unsur yang harus dilakukan suatu upaya peningkatan kualitas pelayanan yaitu kenyamanan pasien saat berada di ruang tunggu.
Kesimpulan: Kesimpulannya tinjauan kepuasan pasien terhadap tempat pelayanan pendaftaran pasien di Puskesmas Sugih Mukti secara normatif mayoritas sudah mencapai tingkat puas.
Tingkat Efektivitas Penyampaian Informasi Pendaftaran Rawat Jalan Terhadap Kepatuhan Pasien Kontrol Membawa KIB di Rumah Sakit Jiwa Provinsi Jawa Barat
Authors: Rifki Aulia Ramadan Muhammad , Sonia Dina 
Published: May 2022

Latar Belakang: Berdasarkan penelitian terdapat permasalahan tentang penyampaian informasi pendaftaran rawat jalan terhadap kepatuhan pasien kontrol membawa KIB di rumah sakit jiwa Provinsi Jawa Barat. Bagian pendaftaran sering terjadi masalah pasien yang lupa membawa kartu berobat sehingga menyebabkan lambatnya waktu antrian di sarana pelayanan pendaftaran pasien rawat jalan.
Tujuan: Penelitian ini bertujuan untuk mengontrol pasien apakah membawa kartu atau tidak membawa kartu kontrol berobat (KIB), mengidentifikasi cara pelayanan kepada pasien kontrol berobat, mengidentifikasi faktor penyebab tidak patuhnya pasien kontrol membawa kartu berobat.
Metode: Penelitian ini menggunakan metode kuantitatif dengan pendekatan random sampling di bagian pendaftaran. Objek penelitianya adalah proses menyampaian informasi oleh petugas pendaftaran dan kepatuhan pasien kontrol membawa kartu berobat. Jumlah data sampel didapat dari rumus slovin. Sampel penelitian sebanyak 94 pasien.
Hasil: Faktor yang mempengaruhi pasien tidak patuh membawa KIB yaitu: 1) Petugas pendaftaran belum sepenuhnya memberi tahu kepada pasien tentang nilai guna KIB. 2) KIB yang dibawa oleh pasien biasanya rusak karena terlipat di dalam dompet, hal ini mengakibatkan tulisan pada KIB menjadi luntur dan sulit dibaca. 3) Pasien berpendapat bahwa mereka sudah menyimpan KIB, tetapi KIB dari bahan kertas bisa robek atau basah saat kehujanan. 4) Sosialisasi rumah sakit belum sepenuhnya dilakukan terhadap keluarga pasien yang mewakili, terkhusus yang sudah lanjut usia.
Kesimpulan: Berdasarkan hasil penelitian di atas bahwa faktor kesadaran keluarga pasien jiwa akan pentingnya KIB dan dampak negatif apabila tidak membawa KIB saat kontrol berobat masih kurang, belum ada sosialisasi berkelanjutan dari pihak Rumah Sakit kepada Keluarga pasien, bahan baku KIB masih menggunakan kertas.
Faktor Penyebab Kerusakan Fisik Dokumen Rekam Medis Terhadap Pasien Rawat Jalan di Klinik Dr.Alfred Majalaya
Authors: Gustiana Uus , Febriana Marlina , Gunawan Erix 
Published: May 2022

Latar Belakang: Rekam medis akan terlaksana dengan baik apabila bagian pengolahan data dan pencatatan melakukan tugasnya dengan baik. Salah satunya pengolahan data di bagian Penyimpanan (filing). Berdasarkan hasil studi pendahuluan yang dilakukan di klinik dr. Alfred Majalaya diketahui bahwa pada bulan Januari sampai bulan Mei 2021 sebanyak 52 berkas mengalami kerusakan dan 21 berkas mengalami kelunturan pada berkas rekam medis.
Tujuan: Penelitian ini bertujuan untuk mengetahui faktor penyebab kerusakan fisik dokumen rekam medis terhadap pasien rawat jalan di klinik dr.Alfred Majalaya.
Metode: Jenis penelitian ini menggunakan penelitian kualitatif dengan pendekatan deskriptif. Data dikumpulkan berdasarkan wawancara dan observasi terkait penyimpanan berkas rekam medis agar terhindar dari kerusakan dengan menggunakan unsur 5 M yang terdiri dari man, money, material, machines and method. Populasi dalam penelitian ini yaitu menggunakan petugas rekam medis bagian filing, yang berjumlah 5 petugas.
Hasil: Hasil yang didapat bahwa masih banyak petugas rekam medis yang memiliki latar belakang bukan D III rekam medis. SOP terkait penyimpanan berkas rekam medis belum pernah disosialisasikan bahkan belum pernah diadakan pelatihan terhadap petugas rekam medis, jumlah rak filing sangat terbatas, serta bahan dokumen rekam medis yang tipis sehingga mudah rusak dan robek pada bagian ujung atas bawah rekam medis.
Kesimpulan: ada beberapa petugas yang tidak pernah mengikuti pelatihan khusus terkait dokumen rekam medis. Rak rekam medis di klinik dr. Alfred Majalaya jumlahnya sangat terbatas terbatas secara keseluruhan masih menggunakan kayu. Pihak klinik belum melaksanakan retensi. Klinik dr.Alfred belum melakukan sosialisasi terkait SOP penyimpanan berkas rekam medis.
Uamilifu wa Kiswahili na Kibukusu katika Mawanda ya Kimatumizi kwenye Kaunti ya Bungoma
Authors: Mulwale Martin Barasa , Indede Florence Ngesa , Ambuyo Beverlyne Asiko 
Published: May 2022

Lugha ni chombo maalum katika ustawishaji na uimarishaji wa rasilimali za mwanadamu. Pia, ni wenzo unaohimili sera ambazo hulenga katika kutimiza matarajio ya kitaifa katika nchi yoyote ile. Nchini Kenya, vipengele katika katiba ya 2010, vinavyohusu lugha vilipandisha hadhi lugha ya Kiswahili ili iweze kutumika kama lugha ya taifa na rasmi sambamba na Kiingereza. Hata hivyo, katiba hii haijaweka kanuni zinazolenga kuimarisha na kudumisha uanuwai wa lugha za kiasili kote nchini Kenya. Machukulio ni kwamba, vipengele vya katiba vinasheheni sifa stahilifu kama vile, usawa wa kimatumizi, utekelezwaji, mikao ya kieneo, matakwa, pamoja na hiari za wananchi. Kwa kuangazia hali ya kiisimu-jamii katika Kaunti ya Bungoma, utata upo katika udumishaji wa mfumo ‘rasmi’ wa sera ya lugha Kitaifa, na utekelezwaji wa sera ya lugha kupitia asasi za serikali na zile za umma. Kazi hii inalenga kuchanganua uamilifu wa Kiswahili na Kibukusu kupitia ruwaza zinazodhihirika katika mawanda mbalimbali ya lugha katika Kaunti ya Bungoma. Mihimili ya nadharia ya sera ya lugha iliyoendelezwa na Spolsky (2004, 2007) ambayo ni Usimamizi wa lugha na Ikolojia ya lugha pamoja na ruwaza za lugha ilivyoelezwa na Paltridge (2001) ndiyo nguzo ya kuchanganua utafiti huu. Aidha, mtazamo wa Haugen (1972) unaohusu Ikolojia ya lugha umetumika katika kudhihirisha michakato baina ya lugha na mazingira inamotumika. Muundo mseto uliojumuisha, muundo wa kimaelezo, kiupelelezi na wa kiiktisadi ulitumiwa. Usampulishaji dhamirifu ulitumiwa kuteua matumizi ya lugha ya KS, KB na KS/KB katika ruwaza za lugha zilizodhihirika katika mawanda ya biashara, kanisani na utawala hasa kwenye mikutano ya umma au baraza za Chifu katika maeneo mbalimbali ya Kaunti ya Bungoma. Data ilikusanywa kwa kutumia mbinu ya uchunzaji usio-shirikishi na ya kiiktisadi ilikusanywa kwa kuhesabu hali ambazo lugha za KS, KB au KS/KB zilitumiwa. Ilibainika kuwa lugha ya KS na KB hukamilishana kiuamilifu katika mawanda mbalimbali ya kijamii katika Kaunti ya Bungoma.
Monitoring Inner Regions in the RY Tau Jet
Authors: Uyama Taichi , Takami Michihiro , Cugno Gabriele , Deo Vincent , Guyon Olivier , Hashimoto Jun , Lozi Julien , Norris Barnaby , Tamura Motohide , Vievard Sebastien , Günther Hans Moritz , Schneider P. Christian , Akiyama Eiji , Beck Tracy L. , Currie Thayne , Hodapp Klaus , Kwon Jungmi , Mayama Satoshi , Ohyama Youichi , Pyo Tae-Soo , Wisniewski John P. 
Published: May 2022

Abstract
We present multiepoch observations of the RY Tau jet for Hα and [Fe ii] 1.644 μm emission lines obtained with the Subaru Coronagraphic Extreme-AO and Visible Aperture Masking Polarimetric Imager for Resolved Exoplanetary Structures (VAMPIRES), Gemini Near-infrared Integral Field Spectrograph, and Keck/OSIRIS in 2019–2021. These data show a series of four knots within 1″ consistent with the proper motion of ∼0.″3 yr−1, analogous to the jets associated with another few active T Tauri stars. However, the spatial intervals between the knots suggest the time intervals of the ejections of about 1.2, 0.7, and 0.7 yr, significantly shorter than those estimated for the other stars. These Hα images contrast with the archival Very Large Telescope Spectro-Polarimetric High-contrast Exoplanet Research and Zurich IMaging POLarimeter (ZIMPOL) observations from 2015, which showed only a single knot-like feature at ∼0.″25. The difference between the 2015 and 2019–2021 epochs suggests an irregular ejection interval within the six-year range. Such variations of the jet ejection may be related to a short-term (<1 yr) variability of the mass accretion rate. We compared the peaks of the Hα emissions with the ZIMPOL data taken in 2015, showing the brighter profile at the base (<0.″3) than the 2020–2021 VAMPIRES profiles due to time-variable mass ejection rates or the heating–cooling balance in the jet. The observed jet knot structures may be alternatively attributed to stationary shocks, but a higher angular resolution is required to confirm its detailed origin.
Features of cellular and molecular mechanisms of re-gulation of reparative processes in chronic wounds using photobiomodulation therapy
Authors: Pavlov Sergey , Babenko Nataliia , Kumetchko Marina , Litvinova Olga , Valilshchykov Mykyta 
Published: May 2022

Introduction: Treatment of chronic wounds is an urgent worldwide problem for medicine. Among the many efforts in wound healing techniques, photobiomodulation therapy has shown promising results.
Aim: To study the effect of photobiomodulation therapy on optimisation of the regulation of reparative processes in chronic wounds by cytokines (through the example of interleukin-1β, tumour necrosis factor-alpha, interleukin-6, interleukin-4, interleukin-10, and granulocyte macrophage colony stimulating factor).
Materials and methods: The study involved 12 Wistar rats. A trophic wound was modelled in the animals. After the operation, the animals were divided into two groups of 6 animals each. The wound defects of animals in the experimental group were exposed to low-intensity laser radiation. Photobiomodulation therapy was applied once a day for 5 days, starting the day after wound modelling. The device Lika-therapist M (Ukraine) was used in a continuous mode at a wavelength of 660 nm, an output power of 50 mW, and an energy density of 1 J/cm², and 60 s exposure time.
Results: The study showed the following changes in the expression of intercellular mediators in the blood serum of animals with chronic wounds when using photobiomodulation therapy: a decrease in the levels of interleukin-1β (p&gt;0.05) and tumour necrosis factor-alpha (p&lt;0.05); increased concentrations of interleukin-4 (p&lt;0.05); the concentrations of interleukin-6, granulocyte macrophage colony stimulating factor, and interleukin-10 were not significantly changed. The histological study showed better organization of collagen fibers in the experimental group.
Conclusions: Photobiomodulation therapy can be an instrument for optimizing the reparative process by correcting the regulation by intercellular mediators.
Le développement professionnel des acteurs à l’épreuve de la collaboration entre parents des milieux populaires et professionnels : analyse d’une recherche-action-formation auprès d’acteurs du milieu associatif
Authors: Mbiatong Jérôme 
Published: May 2022

Cette contribution aborde la mobilité institutionnelle dans l’angle de la formation des acteurs et examine notamment la question du développement professionnel qu’elle peut induire. Nous situant dans une approche interactionniste, nous analysons le déploiement d’une recherche-action-formation prenant appui sur la pratique réflexive (Schön, 1994 ; Perrenoud, 1996). Nous montrons que l’analyse de la pratique, notamment en vue d’accroître la participation des parents à l’éducation des enfants en s’attaquant aux inégalités et aux problèmes induits par l’origine familiale, revêt des enjeux à la fois individuels, organisationnels et territoriaux. Le public d’étude est celui des acteurs de l’éducation populaire investis dans une recherche-action-formation portant sur la co-éducation et le partenariat entre les parents et l’école. La contribution est élaborée à partir de l’analyse du corpus constitué dans le cadre de cette démarche. La discussion des données suggère que la pratique réflexive et par extension le développement professionnel est un processus systémique dépassant de ce fait le niveau micro-social de l’activité des participants.
Conjunctiva and Tenon's Capsule Handling in the Port Delivery System with Ranibizumab Implant Insertion Procedure: Surgical Pearls
Authors: Graff Jordan M. , Sheth Veeral S. , Chang Robert T. , Menezes Alicia R. , Barteselli Giulio , Malhotra Varun K. 
Published: May 2022

OBJECTIVES:
To describe conjunctiva and Tenon's capsule handling during the Port Delivery System with ranibizumab (PDS) implant insertion procedure including up-front assessments, planning, and instrumentation, with emphasis placed on the peritomy, scleral dissection, and closure steps.

METHODS:
Surgical pearls based on experience accumulated in the PDS clinical trial program in patients with retinal diseases.

RESULTS:
Preoperative preparation, specific instruments, and meticulous techniques are key to optimizing surgical outcomes. Before surgery, assessment of factors that affect conjunctival integrity and an in-office conjunctiva examination are conducted. Gentle, purposeful conjunctiva and Tenon's capsule handling with nontoothed forceps and suturing with a BV needle are recommended to prevent tissue damage. The peritomy is 6 mm by 6 mm, centered around the planned implant location in the superotemporal quadrant. A complete sub-Tenon's capsule dissection is achieved using a wide, robust lateral and posterior dissection technique to free tissue from the sclera and minimize tension. The globe is stabilized during scleral cutdown by grasping the sclera with fine-toothed forceps away from the incision edge to prevent tissue delamination. When closing the peritomy, both the conjunctiva and Tenon's capsule are completely captured and sutured with scleral anchoring at the apex of the peritomy to help prevent conjunctival retraction and erosion. Mitigation and detection of adverse events is critical to successful surgical outcomes.

CONCLUSIONS:
The PDS implant insertion procedure is straightforward, but it requires planned preoperative preparation, specific instruments, and meticulous techniques. The surgical pearls described here offer insights for optimizing outcomes.

[
Ophthalmic Surg Lasers Imaging Retina
. 2022;53:266–273.]
« As-tu vu l’homme en train de pétrir le pain ? »
Authors: Zirari Hayat , Soula Audrey , Alami Hajar El 
Published: May 2022

À travers une observation netnographique d’un groupe de cuisine Facebook marocain mixte et fondé par des hommes, cet article interroge les reconfigurations des normes alimentaires genrées dans l’espace numérique. Le confinement de 2020 a permis des « arrangements » dans le rapport à l’alimentation et à la cuisine. Nombreux sont les hommes qui ont investi la cuisine, lieu et tâche socio-culturellement féminins. Ils se sont initiés à plusieurs activités culinaires dont le pétrissage du pain. Les multiples images, vidéos et commentaires partagés sur les réseaux sociaux pendant le confinement, où certains hommes s’affichent en cuisine et osent s’introduire dans une activité longtemps considérée comme une « affaire de femmes », témoignent ainsi d’un changement normatif de genre relatif aux activités culinaires marocaines, ainsi que de nouvelles possibilités de socialisation alimentaire.
Multimodality Imaging in Aortic Stenosis
Authors: Karim Sabir Abdul , Helmy Sherif Mahmoud 
Published: May 2022

ABSTRACT
Aortic stenosis (AS) is the most common cardiac valve lesion in the adult population, with an incidence increasing as the population ages. Accurate assessment of AS severity is necessary for clinical decision-making. Echocardiography is currently the diagnostic method of choice for assessing and managing AS. Transthoracic echocardiography is usually sufficient in most situations. Transesophageal echocardiography and stress echocardiography may also be utilized when there is inadequate image quality and/or discordance in the results and the clinical presentation. There is a role for other imaging modalities such as cardiac computed tomography, magnetic resonance imaging, and catheterization in selected cases. The following describes in some detail the role of these modalities in the diagnosis and assessment of AS.
Postoperative pain relief and functional outcomes after pre-emptive ultrasound-guided caudal analgesia in patients undergoing spinal laminectomy under general anaesthesia: Comparison between bupivacaine versus bupivacaine with morphine
Authors: Bhardwaj Medha , Jindal Parul , Srivastava Aastha , Tiwari Brijesh 
Published: May 2022

Background and Aims:
Prevention of the start of the neural cascade may result in long-term advantages by the elimination of hypersensitivity produced by noxious stimulus. This study was designed to evaluate postoperative pain and long-term functional outcomes after pre-emptive ultrasound (US)-guided caudal analgesia in patients undergoing spinal laminectomy.

Methods:
A total of 90 consecutive patients, aged 20 to 60 years, of either sex, scheduled for elective spinal laminectomy under general anaesthesia were randomly allocated to two groups. Group M (n = 45) received 3 mg morphine + 0.25% bupivacaine (25 ml), whereas group B (n = 45) was administered 0.25% bupivacaine (25 ml) in caudal block. The primary outcome was to observe postoperative static and dynamic pain using the Verbal Numerical Rating Score (VNRS) for 24 h. The secondary outcome was to record functional outcomes using two questionnaires—Oswestry Disability Index (ODI) and Rolland Morris Disability Questionnaire (RMDQ) during the preoperative period, at 1 month and 3 months postoperatively.

Results:
The static and dynamic VNRS scores were significantly less in group M (P < 0.05). There was a statistically significant clinical improvement in RMDQ and ODI scores at all-time intervals between both groups (P < 0.05). A four-point difference in ODI during subsequent months represents a true change and the results of our study showed an outstanding improvement of 9-11 points at 1 and 3 months from the baseline.

Conclusion:
The use of caudal block with the US guidance in adults undergoing spine surgeries can bring new horizons in improving pain relief and long-term functional outcomes.
A Cross-Sectional Survey of Iodine Deficiency Disorders among School Children (Aged
Authors: Saleem Sheikh Mohd , Khan S. Muhammad Salim , Haq Inaamul , Qurieshi Mariya Amin 
Published: May 2022

Objectives of the Study:
The objectives of the present study which was conducted in four districts of Kashmir valley (Anantnag, Baramulla, Budgam, and Srinagar) were to (1) estimate the “total goitre rate” (TGR) among schoolchildren in the age group of 6–12 years, (2) estimate the proportion of households with adequately iodized salt, and (3) to assess the dietary iodine intake by measuring urinary iodine levels.

Study Design:
Prospective, cross-sectional study.

Methodology:
The present study was conducted in the four districts of Kashmir Valley, namely Anantnag, Baramulla, Budgam, and Srinagar in March 2017. This was a school-based study among children in the age group of 6–12 years. For each district, 30 schools were randomly selected using Probability Proportionate to Size sampling. A total of 90 students (45 boys and 45 girls) were randomly selected from each school. Selected children were examined by trained doctors for the presence of goitre. Every 5th child in the school was selected for the collection of the salt sample from the child's house. Every 10th child in the school was selected for the collection of the urine sample for iodine estimation.

Results:
A total of 10,800 children in the age group of 6–12 years were examined in the four districts. The overall TGR for the four districts combined was 14.8%. The TGR was the highest in district Budgam (16.4%) and lowest in district Anantnag (13.8%). Across all districts, ≤1% of the examined children had a goitre of Grade II. In districts Baramulla, Budgam, and Srinagar, an increasing trend in TGR was observed with age. The median urinary iodine ranged from a minimum of 46.14 μg/L in district Baramulla to a maximum of 56.06 μg/L in district Anantnag.

Conclusion:
The TGR was high in all the four districts, way beyond the 10% iodine deficiency disorder control goal that was to be achieved by the year 2012. Moreover, the population level median urinary iodine was less than the recommended ≥100 μg/L in all the four districts. Except for district Anantnag, all three districts had median urinary iodine levels of <50 μg/L indicating moderate iodine deficiency.