scholarly journals RANCANG BANGUN ELEKTROMIOGRAFI PERMUKAAN PORTABEL

2021 ◽  
Vol 8 (1) ◽  
pp. 997
Author(s):  
Aulia El Hakim
Keyword(s):  
Muscle Weakness ◽  
Surface Electromyography ◽  
Notch Filter ◽  
Medical Personnel ◽  
The Body ◽  
Raspberry Pi ◽  
Muscle Injuries ◽  
Stroke Patients ◽  
Body Experiences ◽  
The Cost

Muscle weakness is a condition when one side of the body experiences weakness so that it is difficult to move that part. Muscle weakness is commonly experienced by post-stroke patients or patients with muscle injuries. However, the use of Electromyography can only be used by medical personnel and the cost is quite expensive. Therefore, the manufacture of portable surface electromyography is intended to assist users in knowing the condition of muscle strength. The muscle signal can be read with a surface electrode connected to the Differential Amplifier circuit, then the signal is processed with a series of filter Circuit: LPF, HPF and Notch Filter to reduce noise, and an adder circuit to increase the signal so that it can be read as adc which is connected to raspberry pi and can be connected via Bluetooth. Testing the whole Surface Electromyography tool is able to read and display signals on the raspberry pi and can find out the type of movement using the FFT and MPF methods. The type of flexion motion has an MPF ??value of less than 180Hz and the extension movement has an MPF ??value of more than 180Hz.

Pengaruh Kompetensi Coder terhadap Keakuratan dan Ketepatan Pengkodean Menggunakan ICD 10 di Rumah Sakit X Pekanbaru Tahun 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 31-43
Author(s):  
Nur Maimun ◽  
Jihan Natassa ◽  
Wen Via Trisna ◽  
Yeye Supriatin
Keyword(s):  
Medical Record ◽  
Human Error ◽  
Medical Personnel ◽  
Quality Of Data ◽  
Accuracy And Precision ◽  
Result Show ◽  
Study Implementation ◽  
Icd 10 ◽  
The Cost

The accuracy in administering the diagnosis code was the important matter for medical recorder, quality of data was the most important thing for health information management of medical recorder. This study aims to know the coder competency for accuracy and precision of using ICD 10 at X Hospital in Pekanbaru. This study was a qualitative method with case study implementation from five informan. The result show that medical personnel (doctor) have never received a training about coding, doctors writing that hard and difficult to read, failure for making diagnoses code or procedures, doctor used an usual abbreviations that are not standard, theres still an officer who are not understand about the nomenclature and mastering anatomy phatology, facilities and infrastructure were supported for accuracy and precision of the existing code. The errors of coding always happen because there is a human error. The accuracy and precision in coding very influence against the cost of INA CBGs, medical and the committee did most of the work in the case of severity level III, while medical record had a role in monitoring or evaluation of coding implementation. If there are resumes that is not clearly case mix team check file needed medical record the result the diagnoses or coding for conformity. Keywords: coder competency, accuracy and precision of coding, ICD 10

scholarly journals Cost Assessment of Inpatient Care Episodes of Stroke in Romania

2020 ◽  
Vol 8 ◽  
Author(s):  
László Lorenzovici ◽  
Andrea Székely ◽  
Marcell Csanádi ◽  
Péter Gaál
Keyword(s):  
Economic Burden ◽  
Inpatient Care ◽  
Management Control ◽  
Stroke Patients ◽  
Healthcare Budget ◽  
Management Control System ◽  
Number Of Patients ◽  
Level Of Economic Development ◽  
The Cost ◽  
Gross Costing

Introduction: Stroke is the second leading cause of death worldwide and Romania is no exception. There is a high economic burden associated with the treatment of stroke patients, which puts pressure on the healthcare budget. This study aims to measure the inpatient treatment costs of stroke patients in Romania.Methods: Our retrospective analysis follows stroke patients in six Romanian hospitals at different progressivity level from different regions. Patients are identified from the official hospital databases, reported for reimbursement purposes. Mean inpatient costs incurred with the treatment of these stroke patient episodes are calculated using the gross costing method. The cost data are derived from the management control system of the study hospitals.Results: 3,155 patient episodes of stroke were identified in the study hospitals. The average cost per stroke inpatient care episode sums up to EUR 995.57 (95% CI: EUR 963.74—EUR 1 027.39) in 2017, while the overall yearly healthcare burden adds up to EUR 140 million, representing 2.18% of the total national health insurance budget and a cost of EUR 7.15 per capita.Conclusion: The hospital cost of stroke inpatient care episode in Romania is high and it represents a sizable part of the healthcare budget, but it is among the lowest in Europe, which can mainly be explained by the level of economic development of the country. As both the number of patients and the cost of acute care are expected to increase in the future, the economic burden of stroke is also expected to increase.

Stroke Education for Multidisciplinary Medical Personnel in a Rural Area of Japan for Promotion of Hospital Visit of Acute Stroke Patients

2014 ◽  
Vol 23 (9) ◽  
pp. 2372-2377 ◽  
Author(s):  
Hiroyuki Kawano ◽  
Chiaki Yokota ◽  
Fumio Yamamoto ◽  
Yoshiteru Mori ◽  
Yosuke Mihara ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Rural Area ◽  
Medical Personnel ◽  
Stroke Patients ◽  
Hospital Visit ◽  
Stroke Education

Mortal Body, Immortal Mind

2012 ◽  
Vol 17 (1) ◽  
pp. 5-26
Author(s):  
Hans Goller
Keyword(s):  
Brain Activity ◽  
The Body ◽  
Activity Data ◽  
Brain Functions ◽  
Body Experiences ◽  
Research Findings ◽  
The Relationship ◽  
Near Death Experiences ◽  
The Brain ◽  
Alternative Theories

Neuroscientists keep telling us that the brain produces consciousness and consciousness does not survive brain death because it ceases when brain activity ceases. Research findings on near-death-experiences during cardiac arrest contradict this widely held conviction. They raise perplexing questions with regard to our current understanding of the relationship between consciousness and brain functions. Reports on veridical perceptions during out-of-body experiences suggest that consciousness may be experienced independently of a functioning brain and that self-consciousness may continue even after the termination of brain activity. Data on studies of near-death-experiences could be an incentive to develop alternative theories of the body-mind relation as seen in contemporary neuroscience.

Abstract WP282: Protecting Stroke Patients from Aspiration and Mortality through a Bedside Aspiration Screen

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Edith Matesic
Keyword(s):  
Organizational Learning ◽  
Aspiration Pneumonia ◽  
The Body ◽  
Kappa Statistics ◽  
Evidence Based ◽  
Stroke Patients ◽  
Rater Reliability ◽  
Stroke Treatment ◽  
Risk Of Death ◽  
The Impact

Background: Stroke patients initially experience dysphagia approximately 42-76% of the time, putting them at high risk for developing aspiration pneumonia and increasing the risk of death threefold in the first 30 days following onset of the condition. Interventions to identify risk for aspiration pneumonia are key to reducing mortality in hospitalized patients. However, no generally recognized bedside aspiration screen exists, and few have been rigorously tested. The Edith-Huhn-Matesic Bedside Aspiration Screen (EHMBAS) TM was developed as an evidence-based RN bedside aspiration screening protocol. Purpose: This study analyzed the sensitivity and inter-rater reliability of EHMBAS TM , assessed the efficacy of training methods, evaluated patient feedback, and looked at the impact of organizational learning. Methods: RNs were trained to apply the EHMBAS TM . An evaluation study assessed the sensitivity, specificity and predictability of the screen to detect aspiration in the stroke population study group. Cohen’s Kappa statistics was applied to test inter-rater reliability. Pre- and post-implementation Likert surveys examined patient and staff satisfaction on the education plan and screening process, respectively. Lastly, an analysis of organizational learning examined whether changes enhanced adherence to screening requirements. Results: Results showed that the EHMBAS TM demonstrated strong validity (94% sensitivity) and high inter-rater reliability (Kappa = .92, p<.001). Pre- and post- staff training survey results demonstrated a significant positive change in knowledge gained, feelings of preparedness, and satisfaction with teaching methods. Further, 92.3% of patients surveyed had positive screening experiences. The hospital received Silver recognition from The American Heart Association for following stroke treatment guidelines 85% of the time for at least 12 months, demonstrating the positive impact of the protocol on organizational change. Conclusions: This study contributes to the body of work aimed at establishing a reliable evidence-based, bedside aspiration screen. Patient safety is enhanced, because screen results help determine when patients can safely receive medication and nutrition by mouth.

Influence of the cost of technological equipment of body production on indicators of efficiency of working processes

2021 ◽  
pp. 28-32
Author(s):  
Keyword(s):  
Quality Index ◽  
Production Efficiency ◽  
Statistical Data ◽  
The Body ◽  
Technological Equipment ◽  
Production Body ◽  
Body Production ◽  
The Cost ◽  
Efficiency Indicators ◽  
Selection Of

The possibilities for the development of bodywork in the context of the growing level of competition are analyzed in the article. The technological processes of bodywork are considered and the problem of choosing technological equipment is indicated. The statistical data about the efficiency indicators of company body divisions, operating in the body repair market in Krasnoyarsk, are presented. A composite quality index for the equipment of the bodywork department (using the example of body stocks) is proposed and calculated, and on its basis, some recommendations are given for companies which plan to enter the market of body repair services. Keywords: body production, body repair, body equipment, body production efficiency, selection of technological equipment

Improving the efficiency of metal-bonded diamond abrasive end tools by improving manufacturing technology

2021 ◽  
Vol 23 (2) ◽  
pp. 66-80
Author(s):  
Valentin Smirnov ◽  
◽  
Dmitry Lobanov ◽  
Vadim Skeeba ◽  
Ivan Golyushov ◽  
...  
Keyword(s):  
High Speed ◽  
High Speed Steel ◽  
Carbon Steels ◽  
Manufacturing Technology ◽  
The Body ◽  
Processing Technologies ◽  
Medium Carbon ◽  
The Cost ◽  
Diamond Abrasive ◽  
Bearing Part

Introduction. Difficult-to-machine materials with enhanced physical and mechanical properties are increasingly being used in various industries. Such materials are used in mechanical engineering for the manufacture of parts and assemblies of machines and mechanisms, in the production and processing of food products where increased operational requirements are required. In modern production, along with traditional methods of intensifying technological operations, combined and hybrid processing technologies are used. For the finishing of products, abrasive grinding with a diamond tool is used. One of the problems hindering the wide practical application of this method in industry is the fact that it has a high prime cost caused by the cost of materials used in the manufacture and the laboriousness of the tool shaping process. This leads to the need to develop a new technology for manufacturing diamond tools. The purpose of the work is to increase the efficiency of the end diamond abrasive tool with a metal bond by using carbon steels as a body material, increasing the strength of the connection between the body and the diamond-bearing part, as well as choosing an effective tool manufacturing technology. Research methodology. To gain this task, a technology for manufacturing end diamond abrasive tools is developed and tested. Allowing using the technology of capacitor welding to connect the diamond-bearing part with the shank and use medium-carbon hardened high-quality steels with a hardness of 45-60 HRC as the shank material. The strength of the connection of the body with the working diamond-bearing part of the grinding head samples is determined by tensile testing on a 1958U10 tensile machine with maximum load 100 kN. The quality of the joint is assessed visually by the presence of discontinuities in the joint, as well as by examining the microstructure and measuring the microhardness of the weld and heat-affected zones. The microhardness of the welded joint is measured using an HMV-G21ST semi-automatic microhardness tester (Shimadzu, Japan) at a load of 50 g. Results and discussion. Thus, the results of comparative studies allow us to assert that the strength of the connection between the shank and the working diamond-bearing part according to the proposed technology surpasses similar characteristics of the strength of the connection between the shank and the diamond-bearing layer of grinding heads obtained by the method selected by the prototype. Conclusions. The proposed technology for the manufacture of diamond heads increases the strength of the connection between the body and the diamond-bearing working part, reduces the cost of manufacturing the grinding heads due to the use of hardened medium-carbon steels as the material of the tool body instead of high-speed steel grades, the technology is simplified and the possibility of automating the manufacture of tools appears.

scholarly journals IoT based Paralyzed Patient Health and Body Movement Monitoring System

2021 ◽  
Vol 9 (VI) ◽  
pp. 4495-4500
Author(s):  
Hemanth Kumar. R
Keyword(s):  
Monitoring System ◽  
Spinal Cord Injuries ◽  
Body Movement ◽  
Developed Countries ◽  
Health Condition ◽  
The Body ◽  
Raspberry Pi ◽  
Normal Person ◽  
Patient Health ◽  
Paralyzed Patient

Healthcare systems are a very important part of the economy of any country and for the public health. The IoT-based monitoring system for patients with paralysis, which helps to promote the health condition of a patient with paralysis, in addition to the day-to-day life. India has suffered a stroke, the incidence is much higher than that of the more developed countries, it is home to around 2.1 million Indians suffered from the boom of the (lame) per year. If a patient is suffering from a paralysis attack in all or any part of the body can be turned off in order to move in, which means that their movement is restricted and they can barely communicate with anyone at all, because they can't talk like a normal person. Raccoons will find it difficult to understand what they are saying, and help them deal with their day-to-day needs, such as food, water, etc.). At present, work is in progress on the review of the motion parameters on the legs, arms, and head of the paralytics. This paper investigates the development of an integrated and portable prototype is a model of a system for the monitoring of the various movements of the body, spinal cord injuries, with the help of sensors. The tests were carried out by placing the sensors on the head, arm, and leg of the paralyzed patient the data received from these sensors are sent to the raspberry pi 3 model. In the Android app, you'll receive a verbal warning, and if the patient is in need of help via Bluetooth, which, in turn, is connected to the raspberry pi.

scholarly journals Unstable Hemostasis and Specific Postoperative Complications (Literature Review)

2020 ◽  
Vol 5 (4) ◽  
pp. 98-102
Author(s):  
D. V. Lebedeva ◽  
E. A. Ilyicheva
Keyword(s):  
Postoperative Complications ◽  
Rapid Development ◽  
Point Of View ◽  
The Body ◽  
Cost Of Treatment ◽  
Duration Of Hospital Stay ◽  
Technical Errors ◽  
Perioperative Bleeding ◽  
The Cost

Perioperative bleeding occupies a leading place among all surgical complications and, despite the rapid development of surgery, remains relevant to this day. In addition to an increase in mortality, bleeding can cause the development of other postoperative complications, which lead to disability of patients and to a decrease in the quality of life in all age groups. Most perioperative bleeding are caused by technical errors. This article reviews the problem of perioperative bleeding from the point of view of impaired coagulation capabilities of the body. The main etiopathogenetic features of hemostasis during the development of this complication are considered. The analysis of postoperative complications, which were directly or indirectly caused by bleeding during or after surgery, is presented. The prevalence of these complications in various areas of surgery has been demonstrated. More detailed study of the hemostasis system and the identification of predictors of hemostasis difficulties before the surgery may cause an improvement in the results of surgical treatment and reduce the number of postoperative complications and the duration of hospital stay. Accordingly, this will lead to a decrease in the cost of treatment and an increase in patient satisfaction with the medical care. In connection with the above, there is a great interest among surgeons and anesthesiologists in preventing the development of perioperative bleeding.

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