ANALISIS PERENCANAAN PENGADAAN OBAT ANTIBIOTIK BERDASARKAN ANALISIS ABC INDEKS KRITIS DI INSTALASI FARMASI RUMAH SAKIT UMUM DAERAH LUWUK

ABSTRACT Pharmaceutical supply services in hospitals should be performed on the basis of the functions of logistics management, one of which is planning and procurement. Too little procurement can lead to out of stock outs, that is, the situation in which the required pharmaceutical supply is empty so that demand cannot be met, in which case it causes a loss to the hospital. To avoid the occurrence of stock out it must be done ABC Analysis Critical Index so it can be known which drug becomes a priority. This study aims to analyze the planning and procurement of antibiotic drugs based on ABC analysis of Critical Index at Pharmacy Installation of Luwuk Regional Public Hospital by using qualitative and quantitative descriptive method. The results showed that of the 40 types of antibiotics in which 3 types of drugs (7.50%) were group A, 19 types of drugs (47.50%) were group B, and 18 types of drugs (45.00%) were included in group C. Using of this ABC Analysis Critical Index can help the hospital in planning the procurement of medicines by taking into account the value of usage, investment value, and drug criticality. Keywords: Planning, Procurement, ABC Analysis Critical Index, Antibiotic. ABSTRAK Pelayanan persediaan farmasi di rumah sakit harus dilakukan berdasarkan fungsi-fungsi dari manajemen logistik, salah satunya perencanaan dan pengadaan. Pengadaan yang terlalu sedikit dapat menyebabkan terjadinya stock out, yaitu keadaan dimana persediaan farmasi yang dibutuhkan kosong sehingga permintaan tidak dapat dipenuhi, pada keadaan ini menyebabkan kerugian bagi rumah sakit. Untuk menghindari terjadinya stock out maka harus dilakukan Analisis ABC Indeks Kritis sehingga dapat diketahui obat mana yang menjadi prioritas. Penelitian ini bertujuan untuk menganalisis perencanaan dan pengadaan obat antibiotik berdasarkan analisis ABC Indeks Kritis di Instalasi Farmasi Rumah Sakit Umum Daerah Luwuk dengan menggunakan metode deskriptif kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa dari 40 jenis obat antibiotik terdapat, 3 jenis obat (7.50%) merupakan kelompok A, 19 jenis obat (47.50%) merupakan kelompok B, dan 18 jenis obat (45.00%)  termasuk dalam kelompok C. Penggunaan Analisis ABC Indeks Kritis ini dapat membantu pihak rumah sakit dalam merencanakan pengadaan obat dengan memperhatikan nilai pemakaian, nilai investasi, dan nilai kekritisan obat. Kata Kunci : Perencanaan, Pengadaan, Analisis ABC Indeks Kritis, Antibioti

Comparative study for the performance of pure artificial intelligence software sensor and self-organizing map assisted software sensor in predicting 5-day biochemical oxygen demand for Kauma Sewage Treatment Plant effluent in Malawi

Introduction: Modeling plays a crucial role in understanding wastewater treatment processes, yet conventional deterministic models face challenges due to complexity and uncertainty. Artificial intelligence offers an alternative, requiring no prior system knowledge. This study tested the reliability of the Adaptive Fuzzy Inference System (ANFIS), an artificial intelligence algorithm that integrates both neural networks and fuzzy logic principles, to predict effluent Biochemical Oxygen Demand. An important indicator of organic pollution in wastewater.Materials and Methods: The ANFIS models were developed and validated with historical wastewater quality data for the Kauma Sewage Treatment Plant located in Lilongwe City, Malawi. A Self Organizing Map (SOM) was applied to extract features of the raw data to enhance the performance of ANFIS. Cost-effective, quicker, and easier-to-measure variables were selected as possible predictors while using their respective correlations with effluent. Influents’ temperature, pH, dissolved oxygen, and effluent chemical oxygen demand were among the model predictors.Results and Discussions: The comparative results demonstrated that for the same model structure, the ANFIS model achieved correlation coefficients (R) of 0.92, 0.90, and 0.81 during training, testing, and validation respectively, whereas the SOM-assisted ANFIS Model achieved R Values of 0.99, 0.87 and 0.94. Overall, despite the slight decrease in R-value during the testing stage, the SOM- assisted ANFIS model outperformed the traditional ANFIS model in terms of predictive capability. A graphic user interface was developed to improve user interaction and friendliness of the developed model. Integration of the developed model with supervisory control and data acquisition system is recommended. The study also recommends widening the application of the developed model, by retraining it with data from other wastewater treatment facilities and rivers in Malawi

Transitional Care for Patients with Congenital Colorectal Diseases: An EUPSA Network Office, ERNICA, and eUROGEN Joint Venture

Background: Transition of care (TOC; from childhood into adulthood) of patients with anorectal malformations (ARM) and Hirschsprung disease (HD) ensures continuation of care for these patients. The aim of this international study was to assess the current status of TOC and adult care (AC) programs for patients with ARM and HD. Methods: A survey was developed by members of EUPSA, ERN eUROGEN, and ERNICA, including patient representatives (ePAGs), comprising of four domains: general information, general questions about transition to adulthood, and disease-specific questions regarding TOC and AC programs. Recruitment of centres was done by the ERNs and EUPSA, using mailing lists and social media accounts. Only descriptive statistics were reported. Results: In total, 82 centres from 21 different countries entered the survey. Approximately half of them were ERN network members. Seventy-two centres (87.8%) had a self-reported area of expertise for both ARM and HD. Specific TOC programs were installed in 44% of the centres and AC programs in 31% of these centres. When comparing centres, wide variation was observed in the content of the programs. Conclusion: Despite the awareness of the importance of TOC and AC programs, these programs were installed in less than 50% of the participating centres. Various transition and AC programs were applied, with considerable heterogeneity in implementation, content and responsible caregivers involved. Sharing best practice examples and taking into account local and National Health Care Programs might lead to a better continuation of care in the future. Level of Evidence: III

Transitional Care for Patients with Congenital Colorectal Diseases: An EUPSA Network Office, ERNICA, and eUROGEN Joint Venture

Background: Transition of care (TOC; from childhood into adulthood) of patients with anorectal malformations (ARM) and Hirschsprung disease (HD) ensures continuation of care for these patients. The aim of this international study was to assess the current status of TOC and adult care (AC) programs for patients with ARM and HD. Methods: A survey was developed by members of EUPSA, ERN eUROGEN, and ERNICA, including patient representatives (ePAGs), comprising of four domains: general information, general questions about transition to adulthood, and disease-specific questions regarding TOC and AC programs. Recruitment of centres was done by the ERNs and EUPSA, using mailing lists and social media accounts. Only descriptive statistics were reported. Results: In total, 82 centres from 21 different countries entered the survey. Approximately half of them were ERN network members. Seventy-two centres (87.8%) had a self-reported area of expertise for both ARM and HD. Specific TOC programs were installed in 44% of the centres and AC programs in 31% of these centres. When comparing centres, wide variation was observed in the content of the programs. Conclusion: Despite the awareness of the importance of TOC and AC programs, these programs were installed in less than 50% of the participating centres. Various transition and AC programs were applied, with considerable heterogeneity in implementation, content and responsible caregivers involved. Sharing best practice examples and taking into account local and National Health Care Programs might lead to a better continuation of care in the future. Level of Evidence: III. (c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

Neurological Adverse Effects Attributable to β-Lactam Antibiotics: A Literature Review

International audienc