scholarly journals Tingkat Efisiensi Penggunaan Resep Dokter Spesialis Menggunakan Metode K-Means Clustering

2021 ◽  
pp. 121-127
Author(s):  
Sharon ◽  
Sarjon Defit ◽  
Gunadi Widi Nurcahyo
Keyword(s):  
District Hospital ◽  
Drug Supply ◽  
National Formulary ◽  
Hospital Services ◽  
Clustering Method ◽  
Pharmacy Department ◽  
The Republic ◽  
And Control ◽  
Cluster 2

The National Formulary (Fornas) is a list of drugs stipulated in a Decree of the Minister of Health of the Republic of Indonesia, which is used as a guideline for hospitals in drug supply for participants of the National Health Insurance (JKN) program. Doctor's prescription is one indicator of the quality of hospital services. Prescribing drugs based on guidelines will provide efficiency in the supply of drugs. The purpose of this study was to facilitate controlling drug supplies, safe use of drugs and control costs and quality of treatment. K-Means Clustering is a method of grouping data into clusters using the K-Means algorithm. The data used in this study was a specialist doctor's prescription in December 2019 which was sourced from the Pharmacy department of the Meranti Islands District Hospital. The results of this research with the K-Means Clustering method consisted of 3 (three) clusters, namely cluster 0 obeying Fornas as many as 2 polyclinics, cluster 1 being less obedient to Fornas as many as 2 polyclinics and cluster 2 not obeying Fornas as many as 3 polyclinics. This research can be used as a reference and evaluation to hospital management on the efficiency level of using specialist doctor's prescriptions in improving the quality of hospital services.

scholarly journals KUALITAS AIR SUMUR MASYARAKAT DI SEKITAR TEMPAT PEMBUANGAN AKHIR SAMPAH (TPAS) RAWA KUCING KOTA TANGERANG

2019 ◽  
Vol 7 (2) ◽  
pp. 68
Author(s):  
Wahyuni Wahyuni ◽  
Supriyono Eko Wardoyo ◽  
Ridha Arizal
Keyword(s):  
Total Coliform ◽  
Well Water ◽  
Quality Regulation ◽  
Quality Of Water ◽  
Three Samples ◽  
Quality Water ◽  
Rainwater Runoff ◽  
The Republic ◽  
And Control

The Quality of Well Water around Final Garbage Dump (FGD)  Rawa Kucing, Tangerang, IndonesiaFGD Rawa Kucing is located at Sultan Iskandar Muda Street, Kedaung Wetan, Neglasari, Tangerang, Banten, Indonesia. It serves 1000 tons of garbage per day from 13 districts in Tangerang. The volume of garbage in Kota Tangerang increases from 1,212,264 m3 in 2008 to 4,590,724 m3in 2012.Well water is the main source of water for people around the FGD RawaKucing. They use well water for bath, wash,  and toilet (BWT) and other needs. Garbage decomposition which makes pollution around FGD Rawa Kucing can accur in air, water, and soil. Waste accurs in water and soil caused by leachate. Leachate can easily  spread through rainwater runoff and it absorbs to the ground and polluting it including well water around it. Contaminated well water can decrease the quality of water physically, chemically, and microbiologically.Groundwater samples taken from residents' well water around FGD Rawa Kucing  and they were represented by three groups which have distance 100 m - 3 km from FGD. Each group consisted of three samples which were taken from well water having depths between 8-18 m. The examination of the quality of well water should be made in accordance with the Regulation of the Minister of Health of the Republic of Indonesia No.416/MENKE /PER/IX/1990 on the Conditions and Control of the Quality of Clean Water and Quality Regulation of the Minister of Health of the Republic of Indonesia No. 492/MENKES/PER/IV/ on Requirements and Quality Control of Drinking Water.The quality of well water around FGD Rawa Kucing showed that there were the decreased quality water after testing with several parameter tests. There were six examination parameters which concentrate on exceeding the required quality standards that of TDS (1600-1764 mg/L), Nitrates (10.5-37.8 mg/L), Ammonia (3.50-66.21 mg/L), Iron (1.054-7.063 mg/L), Manganese (1.085-10.130 mg/L), and Total Coliform (80-130 colonies/100 mL).Keywords : Well water, leachate, TPAS, pollution, water qualityABSTRAKTPAS Rawa Kucing berada di Jalan Sultan Iskandar Muda Kelurahan Kedaung Wetan, Kecamatan Neglasari, Kota Tangerang, Banten dan mengangkut 1000 ton sampah/hari dari 13 kecamatan.Volume sampah di Kota Tangerang terus meningkat dari tahun 2008 sebesar 1.212.264 m3 sampai pada tahun 2012 telah mencapai 4.590.724 m3. Air sumur merupakan sumber air utama bagi masyarakat sekitar TPAS, karena hampir semua kebutuhan air dipenuhi dari air sumur yaitu untuk Mandi Cuci Kakus (MCK) dan kebutuhan lainnya. Pencemaran akibat dekomposisi sampah dapat terjadi di udara, dapat pula terjadi pada air dan tanah yang disebabkan oleh adanya rembesan air lindi. Lindi tersebut mudah disebarkan melalui limpasan air hujan dan meresap mencemari air tanah termasukair sumur yang ada di sekitarnya. Air sumur yang terkontaminasi lindi berakibat terjadinya penurunan kualitas air secara fisik, kimia, dan mikrobiologi. Air tanah sampelyang diambil berasal dari sumur penduduk yang berada di sekitar TPAS Rawa Kucing diwakili oleh 3 pengelompokkan dengan jarak 100 m – 3 km dari TPAS. Setiap kelompok terdiri dari 3 sumur pompa dengan kedalaman sumur antara 8 – 18 m. Pemeriksaan kualitas air sumur dilakukan  mengacu pada Peraturan Menteri Kesehatan Republik Indonesia Nomor 416/MENKES/PER/IX/1990 tentang Syarat-syarat dan Pengawasan Kualitas Air Bersih dan Peraturan MenteriKesehatan Republik Indonesia Nomor 492/MENKES/PER/IV/2010 tentang Syarat-syaratdan Pengawasan Kualitas Air minum.  Kualitas air sumur masyarakat di sekitar TPAS Rawa Kucing mengalami penurunan setelah dilakukan pengujian terhadap beberapa parameter. Ada 6 parameter pemeriksaan yang mempunyai konsentrasi  melebihi baku mutu yang dipersyaratkan yaitu TDS (1600-1764 mg/L), Nitrat (10,5-37,8 mg/L), Amonia (3,50-66,21 mg/L), Besi (1,054-7,063 mg/L), Mangan (1,085-10,130 mg/L), dan Total Coliform (80-130 koloni/100 mL).Kata kunci : Air sumur, air lindi, TPAS, pencemaran, kualitas air

scholarly journals The challenges of the economy and the impact on the environment

2021 ◽  
Author(s):  
Tatiana Manole ◽  
◽  
Rina Turcan ◽  
Keyword(s):  
Waste Recycling ◽  
The European Union ◽  
Manufacturing Companies ◽  
Ecological Situation ◽  
The Earth ◽  
The Republic ◽  
And Control ◽  
The Impact ◽  
Traditional Economy

In the present article, the authors address the essence of some economic models (theories) whose objectives consist in increasing the wealth of the owners, maximizing their profits. The ecological situation of the Earth worsened, especially during the industrialization period. This situation required the transition from the traditional economy to the concept of circular economy. The examples of the European Union demonstrate the benefits of waste recycling both for the economy and for improving people’s quality of life. The fight against the pandemic requires colossal material and valuable resources from governments. Thus, for example, the budget of the Republic of Moldova makes a colossal effort in the form of social costs to help people suffering from this pandemic. Improving the situation would require the imposition and control of manufacturing companies on the use of treatment systems, and another general solution would be to educate the population to preserve the Earth for the descendants of our descendants.

scholarly journals CONSUMING QUALITY OF FRUITS OF NEWSWEET CHERRY FORMS SELECTED IN NIKITA BOTANICAL GARDENS

AGROFOR ◽  
2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Ekaterina TARASOVA ◽  
Anatoliy SMYKOV
Keyword(s):  
Sweet Cherry ◽  
High Quality ◽  
Botanical Gardens ◽  
Early Maturing ◽  
Prunus Mahaleb ◽  
The Republic ◽  
And Control

The fruits of sweet cherry are valued for early maturing and high quality of a taste.The sweet cherry likes a warm dry climate. The steppe Crimea (Russia) is afavorable region for cultivation of sweet cherry varieties with high-quality fruits.The aim of research was to evaluate a consuming quality of fruits of new sweetcherry forms selected in Nikita Botanical Gardens. The study included 33perspective forms and control zoned varieties, growing at the plots withoutirrigation in Simferopol region of the Republic of Crimea. As the rootstocks ofstudied forms we used seedlings of Prunus mahaleb L. Mill. The study was carriedout during 2012-2015. Characteristics such as fruits size, attraction of appearance,density and succulence of a pulp, quality of a taste and fragrance of the fruits werevalued. According to the results of evaluation, 12 forms were marked out: № 387,№ 275, № 434, № 767, № 305 and etc. According to the results of evaluation offruits size, all marked samples were evaluated at 4,7-5,0 points (according to 5point scale). The fruits weight was ranging from 7.2 to 8.9 g. The evaluation ofattraction of appearance of marked samples was ranging from 4.8 to 5.0 points. Theevaluation of the quality of taste was 4.8-4.9 points.

scholarly journals Quality and Standards of Social Services

2015 ◽  
Vol 1 ◽  
pp. 139-140
Author(s):  
Laimutė Žalimienė ◽  
Audronė Vareikytė
Keyword(s):  
Quality Management ◽  
Social Security ◽  
Social Services ◽  
Social Care ◽  
Child Rights ◽  
Rights Protection ◽  
The Republic ◽  
And Control

The specialists from the Ministry of Labour and Social Security of the Republic of Lithuania, municipalities, child rights protection service, social care organisations were participating in the discussion about the quality of social services and quality management. The content, function, implementation and control of the standards for social services were discussed.

scholarly journals RISK MANAGEMENT AS A PART OF THE INTERNAL SYSTEM OF FINANCIAL CONTROLS – PRACTICE IN THE PUBLIC SECTOR OF SERBIA

2020 ◽  
Vol 20 (2) ◽  
Author(s):  
Milan Stamatović ◽  
Snežana Maksimović ◽  
Azra Sućeska
Keyword(s):  
Risk Management ◽  
Public Administration ◽  
Financial Management ◽  
Management Process ◽  
Business Reporting ◽  
Risk Management Process ◽  
The Republic ◽  
And Control ◽  
Laws And Regulations

The opting for the European integration process, the Republic of Serbia is obliged, through pre-accession negotiations, to ensure the construction of an effective financial management and control system. In this way, public administration reform is supported through an innovative approach to governance that implies efficiency, effectiveness, economy and transparency in the use of public funds, the creation of a management culture based on effective risk relief mechanisms and the prerequisites for achieving the set business goals. The aim of the paper is to look at the interaction of proactive risk management as a component of financial management and control, through the prism of setting goals and assessing risks related to those goals, within the categories related to business, reporting and compliance with laws and regulations. The initial phase of the research is the assessment of the current state of internal control mechanisms and the established risk management system based on the SAI audit reports and the Report on the established financial management and control of the Central Harmonization Unit of the Ministry of Finance of the Republic of Serbia. Research problems in empirical research are expressed by a series of questions to which selected respondents from the RS public administration gave answers, which relate to the component of risk assessment in achieving goals in relation to business, reporting and compliance with laws and regulations. To determine the measure of the connection between the formalization of the risk management process and the quality of goal and risk management, Spearman ‘s rank correlation was used as a measure of connection Result of the analysis provide guidance for overcoming key barriers and recommendations for improving the quality of management, through formalizing the risk management process, in order to achieve the set goals.

scholarly journals Penentuan Mutu Kelapa Sawit Menggunakan Metode K-Means Clustering

KOMTEKINFO ◽  
2019 ◽  
Vol 5 (3) ◽  
pp. 1-9
Author(s):  
Andri Nofiar ◽  
Sarjon Defit ◽  
Sumijan
Keyword(s):  
Data Mining ◽  
Palm Oil ◽  
Laboratory Testing ◽  
Quality Data ◽  
Test Results ◽  
Clustering Method ◽  
Data Mining Approach ◽  
Cluster 2

The classification of the quality of palm oil in PT Tasma Puja is still done by laboratory testing and then the data is saved manually in Excel. The method of grouping takes time and allows data to be lost. With the development of knowledge, it can be replaced by a data mining approach that can be used to classify the quality of palm oil based on its standards. The k-Means clustering method can be applied to classify the quality of palm oil based on water, dirt and free fatty acids. The data used is the quality data of palm oil in December 2017 as many as 31 data with criteria of good, very good and not good. The test results contained 3 clusters, namely cluster 0 for good categories amounted to 12 data, cluster 1 for very good category amounted to 13 data and cluster 2 for less good categories amounted to 6 data. The k-Means clustering method can be used for data processing using the concept of data mining in grouping data according to criteria.

scholarly journals Corruption in the Healthcare Sector During the Covid-19 Pandemic: Causes, Consequences and Responses

2021 ◽  
Vol 16 (3) ◽  
pp. 217-226
Author(s):  
R. M. Ruzanov ◽  
T. M. Zharlygassinov
Keyword(s):  
Health Sector ◽  
Health Programs ◽  
Healthcare Sector ◽  
Equitable Access ◽  
Access To Health Services ◽  
Medical Supplies ◽  
Access To Health ◽  
The Republic ◽  
And Control

The purpose of this article is to analyze the main causes of corruption in the healthcare sector during the COVID-19 pandemic. The study identified the main problems of national health during the pandemic, such as theft and resale of state-funded medicines, vaccines, and medical supplies (medical equipment), reduced availability and quality of medical services, low wages of medical workers, limited supervision and control (monitoring) in the healthcare sector and etc. As a result of the analysis, it was concluded that there is a need for additional work to identify cases of those types of corruption that are indicated in the article. Also, citizens should be involved in suppressing corruption in the health sector - documenting all cases of corruption that can be detected at the place of service delivery. They will serve as strong evidence to advocate for transparency and accountability mechanisms that guarantee more equitable access to health services. The authors argue that one of the important recommendations for preventing corruption in the health sector is investing in prevention as well as enforcing it: developing health system reforms and new health programs to reduce incentives and opportunities for corruption. The results showed that the method of statistical analysis is quite effective in the field of studying corruption. The study of the statistics of corruption crimes allows us to adequately characterize the level of corruption. The sources are statistical data of the Agency of the Republic of Kazakhstan for Combating Corruption, the Bureau of National Statistics, data from international organizations.

Resistance Monitor and Control for Vacuum Evaporation of Metals and Carbon

1976 ◽  
Vol 34 ◽  
pp. 572-573
Author(s):  
Russell L. Steere ◽  
Eric F. Erbe ◽  
J. Michael Moseley
Keyword(s):  
Electronic Device ◽  
Point Sources ◽  
High Contrast ◽  
Variable Resistor ◽  
Quality Of Results ◽  
Low Contrast ◽  
Evaporation Source ◽  
And Control ◽  
At Will

We have designed and built an electronic device which compares the resistance of a defined area of vacuum evaporated material with a variable resistor. When the two resistances are matched, the device automatically disconnects the primary side of the substrate transformer and stops further evaporation.This approach to controlled evaporation in conjunction with the modified guns and evaporation source permits reliably reproducible multiple Pt shadow films from a single Pt wrapped carbon point source. The reproducibility from consecutive C point sources is also reliable. Furthermore, the device we have developed permits us to select a predetermined resistance so that low contrast high-resolution shadows, heavy high contrast shadows, or any grade in between can be selected at will. The reproducibility and quality of results are demonstrated in Figures 1-4 which represent evaporations at various settings of the variable resistor.

HUBUNGAN KUALITAS KEHIDUPAN KERJA TERHADAP KINERJA PERAWAT PELAKSANA

2019 ◽  
Vol 9 (4) ◽  
pp. 413-420
Author(s):  
Amella Gusty ◽  
Dachriyanus Dachriyanus ◽  
Leni Merdawati
Keyword(s):  
District Hospital ◽  
Simple Random Sampling ◽  
Work Life ◽  
Quality Of Work Life ◽  
P Value ◽  
Work Context ◽  
Cross Sectional ◽  
Quality Of Work ◽  
The Relationship

Kinerja perawat merupakan hasil yang dicapai dalam melaksanakan asuhan keperawatan di rumah sakit. Terciptanya asuhan keperawatan yang optimal sangat diperlukan dukungan dari pihak rumah sakit salah satunya adalah menciptakan kualitas kehidupan kerja baik bagi perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja terhadap kinerja perawat pelaksana di RSUD Teluk Kuantan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel 120 responden yang diperoleh melalui proportionate simple random sampling. Hasil penelitian menunjukkan kualitas kehidupan kerja perawat RSUD Teluk Kuantan berada pada kategori sedang, kinerja perawat berada pada kategori kurang baik. Berdasarkan analisis kedua variabel teridentifikasi bahwa tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana dengan  p value 0,817. Dimensi work context merupakan komponen yang memiliki hubungan dengan kinerja perawat pelaksana dengan p value 0,008, dimensi work life  tidak berhubungan secara signifikan dengan kinerja perawat. Kesimpulan penelitian diketahui tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana. Ada hubungan dimensi work context dengan kinerja perawat pelaksana. Tidak ada hubungan dimensi work life dengan kinerja perawat.   Kata kunci: kualitas kehidupan kerja, kinerja, perawat pelaksana   THE RELATIONSHIP BETWEEN THE QUALITY OF WORK LIFE AND THE PERFORMANCE OF IMPLEMENTERS NURSES   ABSTRACT Nurse performance is the result achieved in implementing nursing care in a hospital. The creation of optimal nursing care is very much needed support from the hospital, one of which is to create a good quality of work life for nurses. This study aims to determine the relationship between the quality of work life and the performance of nurses at the Kuantan District Hospital. This type of quantitative research with cross sectional approach. The number of samples of 120 respondents obtained through proportionate simple random sampling. The results showed that the quality of work life of nurses at the Kuantan District Hospital was in the medium category, the nurses' performance was in the unfavorable category. Based on the analysis of the two variables, it was identified that there was no relationship between the quality of work life with the performance of implementing nurses with a p value of 0.817. The work context dimension is a component that has a relationship with the performance of nurses implementing with p value 0.008, the dimension of work life does not significantly correlate with nurse performance. The conclusion of the research is that there is no relationship between the quality of work life and the performance of the implementing nurses. There is a relationship between the dimensions of the work context and the performance of the nurses. There is no relationship between the dimensions of work life and nurse performance.   Keywords: quality of work life, performance, implementers nurse

Boilerplate

2012 ◽  
Author(s):  
Margaret Jane Radin
Keyword(s):  
Economic Efficiency ◽  
Analytical Framework ◽  
Daily Basis ◽  
Regulatory Agencies ◽  
Jury Trial ◽  
Comprehensive Treatment ◽  
New Methods ◽  
And Control ◽  
Fine Print

Boilerplate—the fine-print terms and conditions that we become subject to when we click “I agree” online, rent an apartment, or enter an employment contract, for example—pervades all aspects of our modern lives. On a daily basis, most of us accept boilerplate provisions without realizing that should a dispute arise about a purchased good or service, the nonnegotiable boilerplate terms can deprive us of our right to jury trial and relieve providers of responsibility for harm. Boilerplate is the first comprehensive treatment of the problems posed by the increasing use of these terms, demonstrating how their use has degraded traditional notions of consent, agreement, and contract, and sacrificed core rights whose loss threatens the democratic order. This book examines attempts to justify the use of boilerplate provisions by claiming either that recipients freely consent to them or that economic efficiency demands them, and it finds these justifications wanting. It argues that our courts, legislatures, and regulatory agencies have fallen short in their evaluation and oversight of the use of boilerplate clauses. To improve legal evaluation of boilerplate, the book offers a new analytical framework, one that takes into account the nature of the rights affected, the quality of the recipient's consent, and the extent of the use of these terms. It goes on to offer possibilities for new methods of boilerplate evaluation and control, and concludes by discussing positive steps that NGOs, legislators, regulators, courts, and scholars could take to bring about better practices.

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