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SOE REGIONAL GENERAL HOSPITAL PERFORMANCE MEASUREMENT USING THE BALANCED SCORECARD METHOD 使用平衡计分卡方法衡量 Soe 地区综合医院的绩效
Hasnawati Husen, Masrida Sinaga, Kinerja SoE, Hospital Kartu, Skor Berimbang
An organization must assess the efficacy of its implemented performance measures. SoE Regional General Hospital is a local government agency specializing in public health services. This study endeavors to evaluate the performance of SoE Regional General Hospital (RSUD) by applying the Balanced Scorecard methodology. It was a descriptive quantitative study involving 81 respondents (54.9% female, 45.1% male), with a sample of 72 employees (72.8% female, 27.8% male). The findings indicate that RSUD SoE achieved a total performance measurement score of 0.6, categorizing it as 'good'. Specifically, revenue growth is observed from the financial perspective, albeit not reaching the target; expenditure costs remain within budget, and annual SILPA is reported. Customer satisfaction stands at 64.6%, representing a positive outcome in the customer perspective. Innovations in operational processes are evident in the internal business perspective, though inpatient service indicators fall short of Ministry of Health standards. Regarding growth and learning, employee satisfaction reaches 70.8%, with regular training programs and a favorable retention rate, indicating a conducive environment for employee productivity. Overall, the Balanced Scorecard assessment places the performance of the state-owned hospital within an acceptable range, indicating satisfactory performance levels.
一个组织必须评估其实施的绩效措施的效果。SoE 地区综合医院是一家专门提供公共卫生服务的地方政府机构。本研究旨在运用平衡计分卡方法评估 SoE 地区综合医院(RSUD)的绩效。这是一项描述性定量研究,涉及 81 名受访者(54.9% 为女性,45.1% 为男性),72 名员工(72.8% 为女性,27.8% 为男性)。研究结果表明,RSUD SoE 的绩效衡量总分为 0.6,被归类为 "良好"。具体地说,从财务角度看,收入有所增长,尽管没有达到目标;支出费用保持在预算范围内,并报告了年度 SILPA。客户满意度为 64.6%,从客户角度看取得了积极成果。虽然住院病人服务指标未达到卫生部的标准,但从内部业务角度看,业务流程的创新是显而易见的。在成长与学习方面,员工满意度达到 70.8%,定期培训计划和良好的留用率表明,医院拥有一个有利于提高员工生产力的环境。总体而言,平衡计分卡评估将这家国有医院的绩效置于可接受的范围内,表明其绩效水平令人满意。
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引用次数: 0
KNOWLEDGE ENHANCEMENT REGARDING HYPERCHOLESTEROLEMIA THROUGH EDUCATION IN THE CIKUPA COMMUNITY HEALTH CENTER WORKING AREA 通过在 Cikupa 社区卫生中心工作区开展教育,提高对高胆固醇血症的认识
Shalisha Marvela Vantya, Zita Atzmardina, Hiperkolesterolemia Paradigma, Blum Delphi, Diagram Fishbone
Hypercholesterolemia is a risk factor for cardiovascular, cerebrovascular, and peripheral blood vessel diseases. Hypercholesterolemia cases at the Cikupa Community Health Center were reported to have increased from January-June 2022 from 147 cases to 283 cases in the January-June 2023 period. The invention aims to increase public knowledge about hypercholesterolemia. Data was collected using a mini survey and identification of the source of the problem using the Blum Paradigm. Problem priority is determined using the Delphi non-scoring method. Identify the root cause of the problem with a fishbone diagram. The activity begins by distributing pre-test sheets for respondents to fill out, then after the counseling there is a question and answer session before filling in the post-test. The successful results of counseling can be seen from the pre-test and post-test scores. The research results showed that there was success in counseling seen from the pre-test and post-test scores. The data were analyzed using the paired T test and the results showed that there was a significant mean difference (P<0.002) with a mean difference value of 12.85. Based on these results, it can be concluded that this counseling was successful.
高胆固醇血症是心血管、脑血管和外周血管疾病的危险因素。据报道,从2022年1月至6月,Cikupa社区卫生中心的高胆固醇血症病例从147例增加到2023年1月至6月的283例。本发明旨在提高公众对高胆固醇血症的认识。通过小型调查收集数据,并使用布卢姆范式确定问题来源。采用德尔菲非评分法确定问题优先级。用鱼骨图确定问题的根本原因。活动开始时分发前测表让受访者填写,咨询结束后进行问答,然后填写后测表。从前测和后测的得分可以看出咨询的成功结果。研究结果表明,从前测和后测的得分可以看出咨询取得了成功。使用配对 T 检验对数据进行了分析,结果显示,平均差异值为 12.85,差异显著(P<0.002)。根据这些结果,可以得出结论:本次辅导是成功的。
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引用次数: 0
THE RELATIONSHIP BETWEEN VISCERAL FAT AND RISK OF OBSTRUCTIVE SLEEP APNEA IN MEDICAL STUDENTS 医学生内脏脂肪与阻塞性睡眠呼吸暂停风险之间的关系
Muhammad Ferrel Privansyah Cader Cader, Nurfitri Bustamam, F. Makkiyah, Marlina Dewiastuti
The COVID-19 pandemic has caused changes in student’s lifestyles, triggering visceral fat accumulation. Visceral fat accumulation increases the risk of obstructive sleep apnea because it causes airway collapse. This study aims to determine the relationship between visceral fat and the risk level of obstructive sleep apnea in medical students. The study used a cross-sectional design on 55 students from the Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, using a simple random sampling technique. Visceral fat was measured using the Tanita Body Composition analyzer, while the obstructive sleep apnea risk level was measured using the stop-bang questionnaire. The body mass index differed between the normal and high visceral fat groups (p=0.000). There were no differences in age, sedentary behavior, and eating habits between visceral fat groups (p > 0.05). Chi-square exact test results showed a relationship between visceral fat and the risk level of obstructive sleep apnea (p = 0.018). The higher the visceral fat, the higher the risk level of obstructive sleep apnea.
COVID-19 的流行改变了学生的生活方式,导致内脏脂肪堆积。内脏脂肪堆积会增加阻塞性睡眠呼吸暂停的风险,因为它会导致气道塌陷。本研究旨在确定内脏脂肪与医学生阻塞性睡眠呼吸暂停风险水平之间的关系。研究采用横断面设计,使用简单随机抽样技术对雅加达国立高级大学医学院的 55 名学生进行了调查。内脏脂肪使用塔尼塔身体成分分析仪进行测量,阻塞性睡眠呼吸暂停风险水平则使用stop-bang问卷进行测量。正常内脏脂肪组和高内脏脂肪组的体重指数存在差异(P=0.000)。内脏脂肪组之间在年龄、久坐行为和饮食习惯方面没有差异(P > 0.05)。卡方检验结果显示,内脏脂肪与阻塞性睡眠呼吸暂停的风险水平之间存在关系(P=0.018)。内脏脂肪越高,阻塞性睡眠呼吸暂停的风险水平越高。
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引用次数: 0
EFFECT OF MORINGA (Moringa oleifera) LEAF FLOUR ETHANOL EXTRACT ON REDUCTION OF BLOOD GLUCOSE IN MALE WISTAR STRAIN RATS INDUCED BY ALLOXAN 辣木(Moringa oleifera)叶面乙醇提取物对阿洛糖诱导的雄性猕猴血糖降低的影响
Ditya Ananda Safira, Susianti, Dyah Wulan Sumekar, Rengganis Wardani, J. Suwandi, Ditya Ananda, Safira, Kata Kunci, Tepung Daun, Kelor Moringa
This study is to determine the effect of giving ethanol extract of moringa leaf flour (Moringa oleifera) on reducing blood glucose levels of alloxan-induced Wistar Rattus norvegicus male rats. Using a true experimental design with a randomized pre and post control group approach. The sample used consisted of 35 male Wistar white rats. Data collection using simple random sampling technique. Paired t test gives the results of p<0.05 in all treatment groups, meaning that there are differences in fasting blood glucose levels of hyperglycemic rats before and after treatment. One way ANOVA test gave the result of p<0.001, meaning that all treatment groups showed a significant difference in the mean difference in fasting blood glucose levels before and after treatment. LSD post hoc test results showed a significant mean difference in fasting blood glucose levels before and after treatment of P1 and P2 with all treatment groups (p<0.001). Probit analysis test obtained ED50=1447,84 mg/kgBB.
本研究旨在确定给予辣木叶粉(Moringa oleifera)乙醇提取物对降低阿洛糖诱导的 Wistar Rattus norvegicus 雄性大鼠血糖水平的影响。该研究采用了真正的实验设计和随机的前后对照组方法。使用的样本包括 35 只雄性 Wistar 白鼠。采用简单随机抽样技术收集数据。所有治疗组的配对 t 检验结果均为 p<0.05,这意味着高血糖大鼠在治疗前后的空腹血糖水平存在差异。单因素方差分析的结果为 p<0.001,这意味着所有治疗组治疗前后的空腹血糖平均值差异显著。LSD 事后检验结果显示,P1 和 P2 治疗前后的空腹血糖平均值与所有治疗组相比均有显著差异(P<0.001)。Probit 分析测试得出 ED50=1447,84 mg/kgBB。
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引用次数: 0
CASE REPORT: CHOANAL ATRESIA IN CHILDREN 病例报告:儿童咽喉闭锁
Christopher Martinus Susanto, Guntur Surya
Choanal atresia is a disorder in which there is a congenital membrane or bone in one or both choanas due to the failure of the buconasalis membrane to divide from the embryonic period. Currently, there is still controversy about the effectiveness of various surgical techniques and the need for post-surgical use of stents and anti-neoplastic agents. Provides information regarding the diagnosis and management of choanal atresia. A 15-year-old female with bilateral choanal atresia. The patient underwent endonasal choanoplasty. Choanal was patented until the 8th week of post-operative evaluation. Management of choanal atresia. Making a neo-unicoana with a mucosal mesh is one of the effective surgical techniques for treating choanal atresia
蝶窦闭锁是一种先天性疾病,是由于蝶窦膜从胚胎时期就未能分裂,导致一侧或双侧蝶窦出现膜或骨。目前,关于各种手术技术的有效性以及术后使用支架和抗肿瘤药物的必要性仍存在争议。提供有关噎管闭锁的诊断和治疗信息。一名患有双侧噎管闭锁的 15 岁女性。患者接受了鼻内噎管成形术。直到术后第 8 周进行评估时,噎管才获得专利。噎管闭锁的处理。用粘膜网片制作新单孔是治疗噎管闭锁的有效手术方法之一。
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引用次数: 0
POTENSI DAUN KEMUNTING (Melastoma malabathricum) SEBAGAI OBAT TRADISIONAL SUKU DAYAK DESA DALAM PENYEMBUHAN LUKA POTENSI DAUN KEMUNTING (Melastoma malabathricum) SEBAGAI OBAT TRADITIONAL SUKU DAYAK DESA DALAM PENYEMBUHAN LUKA
Edmond Daniel Beltsazar, Carla Jean Marshellina, Andre Safitdra, Syarifah Nurul Yanti Syahab Asseggaf, Mistika Zakiah
Suku Dayak Desa merupakan sub-suku dari rumpun suku Dayak Ibanik yang menempati beberapa wilayah di Kecamatan Kelam Permai Kabupaten Sintang, Kalimantan Barat. Berbagai tanaman obat dimanfaatkan oleh masyarakat suku Dayak Desa untuk pencegahan atau pengobatan penyakit. Daun kemunting menjadi salah satu obat tradisional yang digunakan oleh suku Dayak Desa dalam penyembuhan luka. Studi literatur ini bertujuan untuk menelaah potensi daun kemunting terhadap penyembuhan luka dalam konteks pengobatan tradisional suku Dayak Desa. Disimpulkan bahwa kemunting berpotensi besar dalam meredakan inflamasi, mempercepat penyembuhan luka, dan mencegah infeksi sebab memiliki sifat-sifat antiinflamasi, antioksidan, dan antimikroba. Artikel ini menggarisbawahi pentingnya eksplorasi kemunting sebagai tanaman obat tradisional suku Dayak Desa dalam penyembuhan luka sebagai dasar untuk penelitian dan pengembangan pengobatan tradisional di wilayah tersebut.
乡村达雅克部落是伊班达雅克部落(Ibanic Dayak tribe)的一个亚部落,占据了西加里曼丹州新塘县(Sintang Regency)凯兰佩迈区(Kelam Permai District)的多个地区。达雅克村民利用各种药用植物预防或治疗疾病。克蒙廷叶是达雅克德萨部落用于伤口愈合的传统药物之一。本文献研究旨在从传统达雅克村医药的角度研究克蒙廷叶治疗伤口的潜力。研究得出结论,由于克蒙廷具有抗炎、抗氧化和抗菌特性,因此在缓解炎症、加速伤口愈合和预防感染方面具有巨大潜力。这篇文章强调了探索克蒙廷作为达雅克德萨部落传统药用植物在伤口愈合方面的重要性,为该地区传统医药的研究和发展奠定了基础。
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引用次数: 0
PERBANDINGAN PERTUMBUHAN ESCHERICHIA COLI DAN SALMONELLA SP PADA HARI PERTAMA DAN HARI KEDUA DI DEPOT AIR MINUM ISI ULANG 比较大肠埃希氏菌和沙门氏菌在可再充装饮用水库中第一天和第二天的生长情况
Khaira Rezkina, Ance Roslina, Pendidikan Dokter, Fakultas
Air minum isi ulang adalah air minum yang diproses melalui penjernihan dan tidak memiliki merek yang di produksi oleh depot air minum isi ulang. Air minum yang dikonsumsi harus terhindar dari cemaran mikroba, seperti Escherichia coli dan Salmonella sp. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui perbandingan jumlah koloni Escherichia coli dan Salmonella sp pada hari pertama dan hari kedua di depot air minum isi ulang. Metode: Penelitian ini merupakan penelitian analitik observasional menggunakan pendekatan case control teknik Non Probability Sampling dengan metode Total Sampling yaitu mengambil seluruh sampel (9 sampel) di Kelurahan Tegal Sari I-III dilanjutkan identifikasi bakteri Escherichia coli dan Salmonella sp terhadap sampel di Laboratorium Mikrobiologi FK UMSU. Hasil: Tidak terdapat Escherichia coli pada media EMB dan Salmonella sp pada media SSA. Kesimpulan: Pada penelitian ini tidak adanya pertumbuhan Escherichia coli dan Salmonella sp pada air minum yang didapat dari depot.
可重新灌装的饮用水是经过净化处理的饮用水,没有可重新灌装的饮用水库生产的品牌。饮用的饮用水必须避免微生物污染,如大肠杆菌和沙门氏菌。 目标:本研究的目的是确定补给饮用水库第一天和第二天大肠埃希氏菌和沙门氏菌菌落数的比较。研究方法本研究是一项观察分析研究,采用病例对照法 非概率抽样技术和总体抽样法,即在 Tegal Sari I-III 村采集所有样本(9 个样本),然后在 FK UMSU 微生物实验室对样本中的大肠埃希氏菌和沙门氏菌进行鉴定。结果:在 EMB 培养基上没有大肠杆菌,在 SSA 培养基上没有沙门氏菌。结论在这项研究中,从仓库获得的饮用水中没有大肠埃希氏菌和沙门氏菌生长。
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引用次数: 0
PROFIL STATUS GIZI DAN PERILAKU MAKAN DOKTER DALAM AKTIVITAS KERJANYA DI MASA PANDEMI COVID-19 科维德-19 大流行期间医生在工作活动中的营养状况和饮食行为概况
Muhammad Shafriedho Darmaputra, Ardesy Melizah Kurniati, Rulan Adnindya, Syarif Husin, I. Liberty
Tenaga medis sebagai garda terdepan dalam menghambat laju percepatan COVID-19 harus memiliki imunitas tubuh yang kuat untuk menunjang kerja mereka. Perilaku makan merupakan salah satu sarana yang dapat diupayakan dalam menopang kesehatan para tenaga medis. Zat makanan yang terdiri dari makronutrien dan mikronutiren yang dikonsumsi dengan jumlah sesuai yang dibutuhkan per harinya akan membantu sistem imunitas tubuh dalam mencegah paparan virus. Jumlah pasien yang terus meningkat, Keterbatasan fasilitas, dan jam kerja yang semakin panjang akan meningkatkan beban kerja tenaga medis yang dan dapat mempengaruhi perilaku makan sebagai mekanisme coping. Penelitian ini dilakukan dengan metode potong lintang yang dimana sampel dari penelitian ini adalah tenaga medis di Provinsi Sumatera Selatan dengan tujuan untuk mendeskripsikan perilaku makan tenaga medis di Provinsi Sumatera Selatan saat Pandemi COVID-19.
医务人员作为抑制 COVID-19 加速发展的第一线人员,必须拥有强大的免疫力来支持他们的工作。饮食行为是支持医务人员健康的手段之一。每天摄入适量的由宏量营养素和微量营养素组成的食物,将有助于人体免疫系统预防接触病毒。病人数量的增加、有限的设施和更长的工作时间会增加医务人员的工作量,并可能影响作为一种应对机制的饮食行为。本研究采用横断面方法进行,研究样本为南苏门答腊省的医务人员,旨在描述 COVID-19 大流行期间南苏门答腊省医务人员的饮食行为。
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引用次数: 0
CHARACTERISTICS OF EFFECTIVE FOOD INTERVENTION PROGRAMS FOR REDUCING BODYWEIGHT ON WORKPLACES 减少工作场所体重的有效食品干预计划的特点
Rizki Apriansyah, Novrikasari, Mohammad Zulkarnain
Overweight and obesity is a growing problem in the world. As obesity interventions in workplaces on developed countries are immediately rewarded with reduced health insurance cost, workplaces on developing countries are not rewarded with the same benefit. Characteristics of effective food intervention programs are needed to encourage employers for creating low-cost food intervention programs suitable for companies. This literature review aims to reveal characteristics of effective food intervention programs for reducing bodyweight on workplaces. 11 studies using food interventions have been selected from 381 full text articles from ScienceDirect, PubMed and Wiley Online Library for revealing those characteristics using inclusion and exclusion criteria. Six studies which use either specific diet, expert counselling and food substitution are able to give favorable outcomes in the form of reduced bodyweight, better metabolic parameters or reduced calories from food bought on workplace cafeterias. One study in highlight, despite being a pilot study, is effective to reduce bodyweight with only one month of intervention. Specific diet, expert counselling and food substitution are recommended as food intervention. Additionally, such interventions must be tailored to the workplaces, accepted by workers, and doable by employers and researchers. Pilot studies are advisable for finding the perfect formula for future food intervention programs.
超重和肥胖是世界上一个日益严重的问题。发达国家的工作场所采取肥胖干预措施后,医疗保险费用立即减少,但发展中国家的工作场所却没有得到同样的好处。我们需要了解有效食品干预计划的特点,以鼓励雇主制定适合公司的低成本食品干预计划。本文献综述旨在揭示有效的食品干预计划在减轻工作场所体重方面的特点。我们从 ScienceDirect、PubMed 和 Wiley 在线图书馆的 381 篇全文文章中挑选了 11 项使用食物干预的研究,并采用纳入和排除标准来揭示这些特征。其中六项研究采用了特定饮食、专家咨询和食物替代等方法,取得了减轻体重、改善新陈代谢指标或减少工作场所食堂所购食物热量的良好效果。一项重点研究尽管只是一项试点研究,但只用一个月的干预就能有效减轻体重。建议将特定饮食、专家咨询和食物替代作为食物干预措施。此外,这些干预措施必须适合工作场所的情况,为工人所接受,并且雇主和研究人员都能做到。为找到未来食物干预计划的完美方案,最好进行试点研究。
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引用次数: 0
THYROID CRISIS AS THE CAUSE OF SUDDEN DEATH: AN AUTOPSY FINDING 甲状腺危象是猝死的原因:尸检发现
Djai Yen Liauw, Vionita Simanjuntak
Sudden death can occur due to previously known or undiagnosed thyroid diseases. This case reports the death of a 21-year-old woman with symptoms suggestive of thyroid crisis. The victim’s family suspected foul play based on physical findings on the body. However, police investigation and autopsy results revealed a history of pre-existing thyroid disease. The autopsy findings showed enlargement of the thyroid gland and lung edema. Forensic histology also revealed chronic inflammation in the thyroid gland and bleeding in the lung tissue. In conclusion, the victim’s death was attributed to poorly controlled hyperthyroidism which leads to thyroid crisis. This case highlights the importance of proper management and treatment of thyroid diseases, as well as knowledge of physical signs related to postmortem changes. In this context, the case does not fulfill criminal elements but is more related to the pre-existing health condition of the victim. Therefore, a comprehensive analysis is conducted, considering the available information, including the victim’s medical history, witness testimonies, autopsy findings, and other relevant evidence. The investigation of this case holds broad significance, not only in the medical and forensic aspects but also in terms of legal and justice implications.
猝死可能是由于之前已知或未确诊的甲状腺疾病引起的。本病例报告了一名 21 岁女性的死亡,其症状提示为甲状腺危象。死者家属根据尸体上的检查结果怀疑是谋杀。然而,警方的调查和尸检结果显示,死者生前曾患有甲状腺疾病。尸检结果显示甲状腺肿大和肺水肿。法医组织学检查还发现甲状腺有慢性炎症,肺组织出血。总之,受害人的死亡归因于甲状腺功能亢进症控制不佳,导致甲状腺危象。本病例强调了正确处理和治疗甲状腺疾病以及了解与死后变化相关的体征的重要性。在这种情况下,本案并不具备犯罪因素,而更多地与受害人原有的健康状况有关。因此,考虑到现有信息,包括受害人的病史、证人证词、尸检结果和其他相关证据,我们进行了全面分析。此案的调查不仅在医学和法医方面,而且在法律和司法影响方面都具有广泛的意义。
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引用次数: 0
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