Gambaran Kinerja Petugas Rekam Medik di Rumah Sakit Umum Daerah Kota Kendari Tahun 2017

Rekam medis merupakan salah satu bukti tertulis tentang proses pelayanan yang yang berisi tentang data klinis pasien selamaproses diagnosis dan pengobatan. Pengelolaan rekam medis di rumah sakit untuk menunjang tercapainya tertib administrasiuntuk mencapai tujuan rumah sakit, yaitu peningkatan mutu pelayanan kesehatan di rumah sakit. Tujuan penelitian untukmengetahui gambaran kinerja petugas rekam medis di RSUD Kota Kendari. Metode penelitian ini dilakukan denganmenggunakan penelitian deskriptif dengan pendekatan fenomenologis yang tujuan untuk mendeskrifsikan tentang gambarankinerja petugas rekam medik sesuai dengan fakta yang ada di lapangan. Sampel penelitian ini adalah Kepala Seksi Rekam Medik1 orang, dan 3 orang staf rekam medik. Hasil dan pembahasan pernyataan informan berdasarkan pengukuran kinerja,menunjukkan petugas rekam medis memiliki kinerja cukup baik dilihat dari, kemampuan petugas rekam medik sesuai denganprofesi masing-masing namun tidak dengan pendidikan terakhir mereka. Sikap petugas rekam medik sangat bagus dalam halmenyapa, senyum dan ramah kepada pasien maupun pengunjung akan tetapi dalam hal kedisiplinan seperti menyelesaikanpekerjaan dan pulang kerja masih belum baik. Penampilan petugas rekam medik baik dalam hal berpakaian dan menggunakanatribut sesuai prosedur dan praturan yang berlaku. Perhatian petugas dan pimpinan rekam medik dalam hal ini sudah cukupbaik, dilihat dari pimpinan melakukan pengawasan dan evaluasi di setiap pekerjaan yang dilakukan oleh petugas. Tindakanpetugas rekam medik dalam hal ini cukup baik, petugas melakukan tindakan terhadap tugas yang diberikan dengan inisiatif dandaya tanggap tersendiri dalam melakukan pekerjaanya. Tanggung jawab petugas rekam medik dalam hal ini cukup bertanggungjawab dalam pekerjaannya. Kesimpulan mayoritas petugas rekam medis di RSUD Kota Kendari memiliki kinerja cukup baik

Analisis Unit Cost Pelayanan Rawat Inap Postpartum Di Rumah Sakit Umum Dewi Sartika Dengan Menggunakan Metode Activity Based Costing (ABC) System

Iklim kompetitif tidak hanya terjadi pada Perusahaan yang berorientasi profit, namun juga berdampak padaperusahaan yang berorientasi nonprofit, salah satunya adalah rumah sakit. Rumah sakit yang berada di SulawesiTenggara pada tahun 2014 berjumlah 36, sedangkan kota Kendari memiliki 13 rumah sakit dan harus melayani347.496 penduduk. Hal ini menjadikan persaingan bisnis rumah sakit baik umum maupun swasta kini semakinketat. Salah satu solusi untuk memenangkan persaingan adalah dengan cara menentukan tarif yang lebih rendahdan kualitas atau jasa yang lebih tinggi dari pada pesaing. Solusi tersebut tentunya menjadikan biaya operasionalrumah sakit akan semakin besar sehingga sistem akuntansi manajemen di rumah sakit harus efektif dan efisiensehingga menghasilkan informasi yang akurat dalam pengambilan keputusan. Rumah sakit cenderung masihmenggunakan system akuntansi tradisional yang memiliki distorsi biaya. Penelitian ini menganalisis perhitungantarif rawat inap pelayanan postpartum di RSU Dewi Sartika menggunakan metode activity based costing system.Penelitian ini menggunakan metode deskriptif komparatif dengan pendekatan kuantitatif, data yang digunakanadalah seluruh data keuangan pada Oktober 2015-September 2016 dan aktivitas yang diobservasi yaitu ruangperawatan kelas VIP, kelas I, kelas II, kelas III dan bangsal. Hasil perhitungan menunjukkan hasil yang berbeda daritarif yang diterapkan. Tarif kelas VIP, kelas I dan kelas III lebih rendah dari tarif rumah sakit sedangkan tarif kelas IIdan bangsal lebih tinggi

Road traffic injuries in Rawalpindi city, Pakistan.

Data on road traffic accident (RTA) injuries and their outcome are scarce in Pakistan. This study assessed patterns of RTA injuries reported in Rawalpindi city using standard surveillance methods. All RTA injury patients presenting to emergency departments of 3 tertiary care facilities from July 2007 to June 2008 were included. RTA injuries (n = 19 828) accounted for 31.7% of all injuries. Among children aged 0-14 years females suffered twice as many RTA injuries as males (21.3% versus 11.4%), whereas this trend reversed for the age group 15-24 years (41.9% versus 21.7%). One-fifth of injuries were either fractures or concussion. Severity and outcome of injuries were worse for the age group 45 years and older. For every road traffic death in Rawalpindi city, 29 more people were hospitalized and 177 more received emergency department care. These results suggest the need for better RTA injury surveillance to identify preventive and control measures for the increasingly high road disease burden in this city

How different are students and their learning styles?

Introduction: Students, like anybody else differ from each other. As students they differ in their preferred mode of learning, i.e. their preferred modes in gathering, organizing and thinking about information. A recent classification proposed by Neil Fleming and associates state that students learning styles can be divided into Visual/graphic, Aural, Read/write and Kinesthetic types, VARK.Aim: The aim of the recent study is to investigate learning styles among dental students in two different dental colleges of India.Method: The VARK-questionnaire contains 15 multiple-choice- questions with four possibilities to select an answer. Each possibility represents one of the four modes of perception. But, one can select more than one answer to each question, which is necessary for the identification of poly modal modes of perception and learning. This is also a psychometric problem when trying to state a measure of the reliability of the questionnaire. The VARK-questionnaire was distributed among 200 students and was collected back. This sample size represents 100% response rate from the students in the class and is markedly above the level required to make conclusions about student preferences for receiving and processing information. The students spent about 10 minutes in an ordinary lesson to fill in the questionnaire. Students register number and name were used in the study and there was no blinding practiced.Study Design: Questionnaire based clinical studyResults: The responses from the students in our University where classified into multi-modal (VARK), tri-modal (VRK, VAK, VAR, ARK), bi-modal (VR, VA, VK, RK) and uni-modal (V, A, R.K) categories. Results showed that subjects had a higher preference for multimodal learning.Conclusion: We conclude that students in our set up prefer multimodal and more of Kinesthetic of learning. To meet their needs, a variation in teaching, learning and examination must be implemented. If not, these students with a high kinesthetic preference for perception and learning may be at the losing end

Eye vision system using programmable micro-optics and micro-electronics

Proposed is a novel eye vision system that combines the use of advanced micro-optic and microelectronic technologies that includes programmable micro-optic devices, pico-projectors, Radio Frequency (RF) and optical wireless communication and control links, energy harvesting and storage devices and remote wireless energy transfer capabilities. This portable light weight system can measure eye refractive powers, optimize light conditions for the eye under test, conduct color-blindness tests, and implement eye strain relief and eye muscle exercises via time sequenced imaging. Described is the basic design of the proposed system and its first stage system experimental results for vision spherical lens refractive error correction

Influence of dietary supplementation of probiotics on intestinal histo-morphometry, blood chemistry and gut health status of broiler chickens

The objective of this experiment was to investigate the effects of dietary supplementation of probiotics, Lactobacillus acidophilus and Bifidobacterium bifidum, on histo-morphologic measurements of the small intestine and on the gut health status of broiler chickens. A total of 240 day-old broiler chicks were randomly assigned to one of six dietary treatments for six weeks. The dietary treatments were basal diet (T1); basal diet + bacitracin methyl di-salicylate (BMD) at 20 mg/kg diet (T2); basal diet + L. acidophilus (106 and 107 cfu/gm diet) (T3 and T4); and basal diet + B. bifidum (106 and 107 cfu/gm diet) (T5 and T6), respectively. The villus height (VH), width (VW), crypt depth (CD) and the ratio between villus height and crypt depth (VH: CD) were significantly increased at 21 days and 42 days in L. acidophilus-supplemented groups (T3 or T4). No significant differences were observed in protein, albumin and serum mineral (Ca and P) concentrations and alkaline phosphatase (ALP) activity in any of the dietary probiotic treatment groups. Aspartate aminotransferase (AST) and creatinine concentrations were increased, whereas alanine aminotransferase (ALT), uric acid and total cholesterol levels were significantly decreased in probiotic-supplemented groups. Coliforms and total anaerobes counts were significantly reduced at 21 and 42 days at the ileum and caecal in T4, whereas the lactic acid bacteria (LAB) Lactobacilli count was significantly increased in all the probiotic-supplemented groups. The results of the present study indicate that L. acidophilus at 106 cfu/g feed inclusion in basal diet may improve blood biochemical parameters and histo-morphometry in the intestine and gut health in broiler chickens, resulting in a valid feed additive to replace antibiotic growth promoters.Keywords: Feed additives, lactobacillus acidophilus, bifidobacterium bifidum gut health, histo-morphology, antibioti

Zinc cysteine active sites of metalloproteins: A density functional theory and x-ray absorption fine structure study

Density functional theory (DFT) and x-ray absorption fine structure (XAFS) spectroscopy are complementary tools for the biophysical study of active sites in metalloproteins. DFT is used to compute XAFS multiple scattering Debye Waller factors, which are then employed in genetic algorithm-based fitting process to obtain a global fit to the XAFS in the space of fitting parameters. Zn-Cys sites, which serve important functions as transcriptional switches in Zn finger proteins and matrix metalloproteinases, previously have proven intractable by this method; here these limitations are removed. In this work we evaluate optimal DFT nonlocal functionals and basis sets for determining optimal geometries and vibrational densities of states of mixed ligation Zn(His)4−n(Cys)n role= presentation style= display: inline; line-height: normal; word-spacing: normal; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px 2px 0px 0px; margin: 0px; position: relative; \u3eZn(His)4−n(Cys)nZn(His)4−n(Cys)n sites. Theoretical results are compared to experimental XAFS measurements and Raman spectra from the literature and tabulated for use

Anticaries Activity of Usnea pictoides G. Awasthi -A macrolichen from Western Ghats of Karnataka, India

The present study was conducted to determine anticaries activity of solvent extracts of a macrolichen Usnea pictoides G. Awasthi (Parmeliaceae)  collected at Mullayanagiri, Western Ghats of Chikmagalur district,  Karnataka, India. The lichen material was sequentially extracted using solvents viz., petroleum ether, ethyl acetate, chloroform and methanol in a soxhlet assembly. Anticaries activity of solvent extracts was determined against four clinical isolates of Streptococcus mutans (recovered from dental caries subjects) by Agar well diffusion assay. All solvent extracts were effective against the clinical isolates. High inhibitory potential was observed in case of chloroform extract. Thin layer chromatogram showed the presence of Usnic acid. Inhibitory effect could be ascribed to the bioactive secondary   metabolites, mainly Usnic acid present in the lichen. Purification of bioactive principles and determination of their anticaries activity are to be conducted

Decentralized document version control using ethereum blockchain and IPFS

In this paper, we propose a blockchain-based solution and framework for document sharing and version control to facilitate multi-user collaboration and track changes in a trusted, secure, and decentralized manner, with no involvement of a centralized trusted entity or third party. This solution is based on utilizing Ethereum smart contracts to govern and regulate the document version control functions among the creators and developers of the document and its validators. Moreover, our solution leverages the benefits of IPFS (InterPlanetary File System) to store documents on a decentralized file system. The proposed solution automates necessary interactions among multiple actors comprising developers and approvers. Smart contracts have been developed using Solidity language, and their functionalities were tested using the Remix IDE (Integrated Development Environment). The paper demonstrates that our smart contract code is free of commonly known security vulnerabilities and attacks. The code has been made publically available at Github