Daily Work Load Distribution to Increase TIME Quality of Inpatients' Medical Record Document Procurement in X Hospital

Procurement of inpatient medical record document is one of some indicators of a hospital's minimum service standards (SPM). According to the hospital MSS, the ideal procurement of inpatient medical record document is about ≤ 15 minutes, however the procurement on the report of quality committee at the first semester on 2017 in X Hospital reaches 22,89 minutes. The study is aimed at identifying, determining the root of the problems, and trying to devise solutions to the problems. The study employs a qualitative approach by employing document analysis, in-depth interview, and ethnographic observation. The problems are identified by using three steps which are focus group discussion (FGD) by the board of directors, the head of division, and the head of unit X Hospital. The second step is time motion study at the place of inpatient registration, and the last is Urgency, seriousness, and growth (USG) in medical record unit. The study results show that the overload of inpatient admission officers' work is known to be the root of the problem. Solution to the procurement which is not in accordance with the hospital minimum service standard is to distribute the daily workload of inpatient admission officers to related units

A Semiotic Analysis Of Satirical Cartoon In The Jakarta Post Newspaper Published In December 2012- February 2013

Our daily life aspects are full of signs including icon, index, and symbol. The aims of this research are to describe the meanings and the reasons of satirical cartoon in the Jakarta Post Newspaper published in December 2012 - February 2013. The theories used are the Saussure’s theories and the Barthes’ theories. Saussure emphasized his theory in analyzing the sign using the signifier and signified criteria. Then, Barthes emphasized his theory on the denotative and connotative levels and the relation with myth. The type of this research is qualitative interpretative type. In collecting the data, the writer applied the documentation and observation methods. The several steps are done to analyze the data. In analyzing the meaning, the steps are: analyzing the signifier, analyzing the signified. In analyzing the reasons, the steps are: analyzing the denotation level, analyzing the connotation level, and analyzing the relation with the myth. The results of this study show the variety of the meanings and the reasons of the satirical cartoon in the Jakarta Post Newspaper published in December 2012 - February 2013. 1) The meaning are: a) the meaning is referred to the political issues, b) the meaning is referred to the social issues, c) the meaning is referred to the corruption issues, and d) the meaning is referred to the human right issues. 2) The reason are : a) the satirical cartoon is used based on the party symbol, b) the satirical cartoon is used based on the political terminology, c) the satirical cartoon is used based on official symbol, d) the satirical cartoon is used based on the general assumption in the society, and e) the satirical cartoon is used based on its function in the daily life

Classroom Management Applied By The Eighth Grade Teacher In Teaching English In SMP Muhammadiyah 1 Surakarta In 2012/2013 Academic Year

This research paper aims at describing the classroom management applied by the eighth grade teacher in teaching English in SMP Muhammadiyah 1 Surakarta, to classify the factors influence the classroom management and interaction in the class, and to describe the problems faced by the eighth grade teacher in applying his classroom management in the class. The data will be analyzed using classroom management theory written by Prof. Dr. Endang Fauziati. This research applies descriptive research. In collecting data, the writer uses observation, interview, and analyzing document. The data were analyzed by (1) identifying the data found in the field (2) classifying the data found with the theory of classroom management proposed by Prof. Dr. Endang Fauziati (3) Interpreting the data to research finding (4) drawing the conclusion of classroom management research. The components of classroom management which are applied by the eighth grade teacher in SMP Muhammadiyah 1 Surakarta in teaching English are: 1) teacher talk 2) teacher talking time always gives opportunities to the students to ask some questions. 3) physical presence. 4) seating arrangement 5) element necessary in language classroom. Factors that influence the classroom management and interaction in the class are: 1) time allocation 2) seating arrangement. The problems faced by the eighth grade teacher in applying classroom management in the class are: 1) cleanliness 2) class discipline

Effect of Peripheral 5-HT on Glucose and Lipid Metabolism in Wether Sheep

In mice, peripheral 5-HT induces an increase in the plasma concentrations of glucose, insulin and bile acids, and a decrease in plasma triglyceride, NEFA and cholesterol concentrations. However, given the unique characteristics of the metabolism of ruminants relative to monogastric animals, the physiological role of peripheral 5-HT on glucose and lipid metabolism in sheep remains to be established. Therefore, in this study, we investigated the effect of 5-HT on the circulating concentrations of metabolites and insulin using five 5-HT receptor (5HTR) antagonists in sheep. After fasting for 24 h, sheep were intravenously injected with 5-HT, following which-, plasma glucose, insulin, triglyceride and NEFA concentrations were significantly elevated. In contrast, 5-HT did not affect the plasma cholesterol concentration, and it induced a decrease in bile acid concentrations. Increases in plasma glucose and insulin concentrations induced by 5-HT were attenuated by pre-treatment with Methysergide, a 5HTR 1, 2 and 7 antagonist. Additionally, decreased plasma bile acid concentrations induced by 5-HT were blocked by pre-treatment with Ketanserin, a 5HTR 2A antagonist. However, none of the 5HTR antagonists inhibited the increase in plasma triglyceride and NEFA levels induced by 5-HT. On the other hand, mRNA expressions of 5HTR1D and 1E were observed in the liver, pancreas and skeletal muscle. These results suggest that there are a number of differences in the physiological functions of peripheral 5-HT with respect to lipid metabolism between mice and sheep, though its effect on glucose metabolism appears to be similar between these species

CYTOTOXIC EFFECT FROM ETHYL ACETATE-METHANOL SUBFRACTION OF CARRISA CARANDAS L TOWARD HELA CELLS BY IN VITRO TEST

Objective: Cervical cancer is a malignant type of cancer, often affects women, particularly in developing countries. Carrisa carandas leaves contained many secondary metabolites that had potency as an anticancer. The purpose of this study was to understand the cytotoxic effect of subfraction of Carrisa carandas leaves against HeLa cells.Methods: Chloroform fraction was separated by VLC gradually with n-hexane–chloroform–ethyl acetate and methanol. The same profiles from eluent chloroform–ethyl acetate composed fraction 18-26 were categorized as Fr4 and ethyl acetate-methanol composed fraction 27-30 as Fr5. The cytotoxic effect was evaluated by MTT assay on HeLa cellsResults: The result showed that the cytotoxic effect of subfraction Fr4 and Fr5 had IC50 values of 177 mg/ml and 98 mg/ml, respectively. Colorless crystal of Subfraction Fr 5-3 had IC50 value of 333 mg/ml. Subfraction Fr 5 showed effective cytotoxic activity than the others. Conclusion: It had chemo-preventive effect against cancer cellsConclusion: This study applied MTT (Microculture Tetrazolium) method by in vitro test. The advantages of this method are relatively rapid, sensitive and accurat

The neuroprotective effect of ethanolic extract Ocimum sanctum Linn. in the regulation of neuronal density in hippocampus areas as a central autobiography memory on the rat model of Alzheimer's disease

The aim of this study was to identify the effects of Ocimum sanctum Linn. ethanolic extract (OSE) on the neurons of the CA1, CA3, and DG hippocampal areas with the use of in vivo and in vitro models of Alzheimer's diseases (AD). Twenty-one two-month-old male rats were divided into three groups: untreated (Group A, n = 3), AD rats model pretreated with OSE followed by induction for Trimethyltin (TMT) on day 7 (group B, n = 9), and AD rats model treated with OSE both as pre-TMT introduction for 7 days and post-TMT induction for 21 days (group C, n = 9). AD rats were sacrificed on days 7, 14, and 21, and brain samples were collected and analyzed for neuronal density and neuropeptide Y (NPY) immunoreactivity. To corroborate the in vivo observations, HEK-293 cells were treated with TMT and used as an in vitro model of AD. The results were then analyzed using FITC Annexin V and flow cytometry. Nuclear fragmentation was observed in cells stained with Hoechst 33342 by confocal microscopy. The results showed a significant increase in the number of neurons and NPY expression in the AD rats that were pre- and post-treated with OSE (p < 0.05). Indeed, OSE was able to retain and promote neuronal density in the rat model of AD. Further studies of an in vitro model of neurodegeneration with Ocimum sanctum Linn. ethanolic extract inhibited apoptosis in TMT-induced HEK-293 cells. Moreover, OSE prevented nuclear fragmentation, which was confirmed by staining the nuclei of HEK-293 cells. Taken together, there findings suggest that OSE has the potential as a neuroprotective agent (retaining the autobiographical memory),and the neuroproliferation of neurons in the CA1, CA3, and DG hippocampal areas in the rats¡ model of neurodegeneration was mediated by activation of NPY expression. © 2020 Elsevier B.V

Karakteristik dan Model Pendidikan Bagi Anak Tuna Daksa

Every child is born in different conditions. There are children who are born with physical disabilities or are called physically disabled. Education for children with physical disabilities is no different from children who do not have physical disabilities. However, children with disabilities need special attention from teachers and parents. Children with physical disabilities have slightly different characteristics from normal children. In the learning process, special services are needed for children with disabilities. The purpose of this journal is to determine the characteristics of children with disabilities and education for children with disabilities. The method used in this journal is the library method which is sourced from articles, journals, books related to knowing the characteristics of children with disabilities and education for children with disabilities