EVALUASI PELAKSANAAN STANDAR PELAYANAN MINIMAL (SPM) FARMASI KATEGORI LAMA WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI RUMAH SAKIT ADVENT MANADO

ABSTRACTThe practice of pharmaceutical services was an integrated activity with the aim of identifying, preventing and resolving drug-related problems and health related problems. The need to evaluated the waiting time for prescription services in pharmaceutical installations was to found out the weaknesses that can prolong prescription services, so that improvements can be made immediately in order to improved the quality of pharmaceutical services. The aim of this study was to evaluated the length of waiting time for non-concoction drugs and concoction drugs at the Advent Hospital Manado pharmacy installation in October 2019 - January 2020. This research was a non-experimental descriptive study used quantitative and qualitative methods. Sampling was carried out by the nonprobability sampling method. Quantitatively data was taken by direct observation while implementing prescription service at hospital pharmacy installations and qualitatively data was taken by structured interviews to pharmacists in charge and pharmacy staff at outpatient hospital pharmacy installations. The results showed that the average for non-concoction drug prescription service was 20 minutes 29 seconds and for concoction drug prescription service was 26 minutes 26 seconds. The conclusion that the Advent Hospital Manado has met the standards set by the Ministry of Health of the Republic of Indonesia. Keywords: Waiting Time Prescription, Drug Prescription Service, Pharmacy Installation. ABSTRAK Praktek pelayanan kefarmasian merupakan kegiatan yang terpadu dengan tujuan untuk mengidentifikasi, mencegah dan menyelesaikan masalah terkait obat dan masalah yang berhubungan dengan kesehatan. Perlunya dilakukan evaluasi terhadap waktu tunggu pelayanan resep di instalasi farmasi adalah untuk mengetahui kelemahan-kelemahan yang dapat memperlama pelayanan resep, sehingga dapat segera dilakukan perbaikan dalam rangka meningkatkan kualitas pelayanan kefarmasian. Penelitian ini bertujuan untuk mengetahui lama waktu tunggu pelayanan resep obat jadi dan obat racikan di Instalasi Farmasi Rumah Sakit Advent Manado pada bulan Oktober 2019 – Januari 2020. Penelitian ini merupakan penelitian deskriptif non eksperimental dengan menggunakan metode kuantitatif dan kualitatif. Pengambilan sampel dilaksanakan dengan metode non-probability sampling. Data yang diambil secara kuantitatif adalah dengan pengamatan langsung saat pelaksanaan pelayanan resep obat di Instalasi Farmasi Rumah Sakit dan data yang diambil secara kualitatif adalah dengan wawancara terstruktur kepada apoteker penanggung jawab dan tenaga kefarmasian di Instalasi Farmasi Rumah Sakit rawat jalan. Hasil penelitian menunjukkan bahwa rata-rata untuk pelayanan resep obat jadi 20 menit 29 detik dan rata-rata pelayanan resep obat racikan 26 menit 26 detik. Kesimpulannya bahwa Rumah Sakit Advent Manado telah memenuhi standar yang telah ditetapkan oleh Departemen Kesehatan Republik Indonesia. Kata Kunci: Waktu Tunggu Resep, Pelayanan Resep Obat, Instalasi Farmasi

Classes of fast and specific search mechanisms for proteins on DNA

Problems of search and recognition appear over different scales in biological systems. In this review we focus on the challenges posed by interactions between proteins, in particular transcription factors, and DNA and possible mechanisms which allow for a fast and selective target location. Initially we argue that DNA-binding proteins can be classified, broadly, into three distinct classes which we illustrate using experimental data. Each class calls for a different search process and we discuss the possible application of different search mechanisms proposed over the years to each class. The main thrust of this review is a new mechanism which is based on barrier discrimination. We introduce the model and analyze in detail its consequences. It is shown that this mechanism applies to all classes of transcription factors and can lead to a fast and specific search. Moreover, it is shown that the mechanism has interesting transient features which allow for stability at the target despite rapid binding and unbinding of the transcription factor from the target.Comment: 65 pages, 23 figure

Scaling Laws in Human Language

Zipf's law on word frequency is observed in English, French, Spanish, Italian, and so on, yet it does not hold for Chinese, Japanese or Korean characters. A model for writing process is proposed to explain the above difference, which takes into account the effects of finite vocabulary size. Experiments, simulations and analytical solution agree well with each other. The results show that the frequency distribution follows a power law with exponent being equal to 1, at which the corresponding Zipf's exponent diverges. Actually, the distribution obeys exponential form in the Zipf's plot. Deviating from the Heaps' law, the number of distinct words grows with the text length in three stages: It grows linearly in the beginning, then turns to a logarithmical form, and eventually saturates. This work refines previous understanding about Zipf's law and Heaps' law in language systems.Comment: 6 pages, 4 figure

Síntesis de ferritas de pb, cd y mn vía hidroquímica: incidencia del anión y el flujo de aire

No se conocen estudios de los efectos de las sales usadas en las síntesis sobre la estequiometría final de las ferritas de tipo MxFeII(1-x)FeIIIO4 vía hidroquímica. Realizar la síntesis de ferritas de Pb, Cd y Mn en relación 15:1 Fe2+/M2+ variando condiciones del flujo de aire y utilizando nitratos de Pb, Cd y Mn y cloruros de Cd y Mn, ha sido el objetivo del trabajo. Se partió de soluciones de nitratos [Pb(NO3)2; Cd(NO3)2.4H2O y Mn(NO3)2.6H2O] y cloruros [CdCl2.2½H2O y MnCl2.4H2O]. Las estequiometrías conseguidas fueron las mismas (Pb0.04Fe2.96O4, Cd0.06Fe2.94O4, Mn0.12Fe2.88O4) no encontrando dependencia del anión de partida. En las ferritas base ion nitrato, se mostró una tendencia de disminución de Fe2+, con el aumento del flujo de aire. Para las de cadmio y manganeso sintetizadas a partir de cloruro, se observó una disminución mayor de Fe2+ que en las obtenidas a partir de nitratos; probablemente debido a la presencia de Cl- que en medio básico pasa a ClO- y éstos dan lugar a la oxidación de Fe2+ a Fe3+ catalizada por los propios iones Fe2+, Fe3+ y Mn2+. Para la ferrita de cadmio se determinaron contenidos de Fe2+ mayores a los encontrados en las ferritas de manganeso; posiblemente no se oxidó todo el Fe2+ por menor concentración de cloruros (0.018M) que en la de manganeso (0.036M)

Enhanced reaction kinetics in biological cells

The cell cytoskeleton is a striking example of "active" medium driven out-of-equilibrium by ATP hydrolysis. Such activity has been shown recently to have a spectacular impact on the mechanical and rheological properties of the cellular medium, as well as on its transport properties : a generic tracer particle freely diffuses as in a standard equilibrium medium, but also intermittently binds with random interaction times to motor proteins, which perform active ballistic excursions along cytoskeletal filaments. Here, we propose for the first time an analytical model of transport limited reactions in active media, and show quantitatively how active transport can enhance reactivity for large enough tracers like vesicles. We derive analytically the average interaction time with motor proteins which optimizes the reaction rate, and reveal remarkable universal features of the optimal configuration. We discuss why active transport may be beneficial in various biological examples: cell cytoskeleton, membranes and lamellipodia, and tubular structures like axons.Comment: 10 pages, 2 figure

Mean first-passage time of surface-mediated diffusion in spherical domains

We present an exact calculation of the mean first-passage time to a target on the surface of a 2D or 3D spherical domain, for a molecule alternating phases of surface diffusion on the domain boundary and phases of bulk diffusion. The presented approach is based on an integral equation which can be solved analytically. Numerically validated approximation schemes, which provide more tractable expressions of the mean first-passage time are also proposed. In the framework of this minimal model of surface-mediated reactions, we show analytically that the mean reaction time can be minimized as a function of the desorption rate from the surface.Comment: to appear in J. Stat. Phy

The prospective association between frequency of contact with friends and relatives and quality of life in older adults from Central and Eastern Europe

Purpose: Studies suggest that frequent contact with friends and relatives promote mental wellbeing in later life, but most evidence comes from Western populations. We investigated the prospective relationship between frequency of contact with friends and relatives and quality of life (QoL) among older Central and Eastern European (CEE) adults and whether depressive symptoms mediated the hypothesised longitudinal relationship. Methods: Data from 6106 participants from the Health, Alcohol and Psychosocial factors In Eastern Europe (HAPIEE) study were used. Frequency of contact with friends and relatives was measured at baseline. QoL, at baseline and follow-up, was measured by the Control, Autonomy, Self-realisation, and Pleasure (CASP) 12-item scale. After assessing the prospective association using multivariable linear regression, the mediational hypothesis was tested using path analysis. Results: There was a significant prospective association between frequency of contact with friends and relatives and CASP-12 score (0–36) in fully adjusted models. Per every one unit increase in frequency of contact, there was a 0.12 (95% CI 0.06, 0.17) increase in CASP-12 score at follow-up, accounting for sociodemographic, health-related and baseline QoL. Pathway results showed that 81% of the longitudinal effect of frequency of contact on QoL was mediated through depressive symptoms. Conclusions: Frequent contact with friends and relatives improves QoL of older Central and Eastern European adults, partly through buffering against depressive symptoms. Interventions to improve QoL at older ages should incorporate effective management of common mental disorders such as depression

Active Brownian Particles. From Individual to Collective Stochastic Dynamics

We review theoretical models of individual motility as well as collective dynamics and pattern formation of active particles. We focus on simple models of active dynamics with a particular emphasis on nonlinear and stochastic dynamics of such self-propelled entities in the framework of statistical mechanics. Examples of such active units in complex physico-chemical and biological systems are chemically powered nano-rods, localized patterns in reaction-diffusion system, motile cells or macroscopic animals. Based on the description of individual motion of point-like active particles by stochastic differential equations, we discuss different velocity-dependent friction functions, the impact of various types of fluctuations and calculate characteristic observables such as stationary velocity distributions or diffusion coefficients. Finally, we consider not only the free and confined individual active dynamics but also different types of interaction between active particles. The resulting collective dynamical behavior of large assemblies and aggregates of active units is discussed and an overview over some recent results on spatiotemporal pattern formation in such systems is given.Comment: 161 pages, Review, Eur Phys J Special-Topics, accepte