Analisis Retensi Rekam Medis Rawat Jalan Aktif ke Inaktif di UPT Puskesmas Sukarasa

Medical record retention is an activity of transferring medical record documents from an active storage room to an inactive storage room. Based on a preliminary survey at UPT Puskesmas Sukarasa, it is known that the puskesmas has retained outpatient medical record files 2 times in 2018 and 2019. But the retention is not done according to the SOP. The purpose of the study was to determine the implementation of outpatient medical record file retention at UPT Puskesmas Sukarasa. This type of research is descriptive with a retrospective approach. The research instrument was carried out by observation, interviews and checklist forms. The object of the research is the implementation of active to inactive outpatient medical record retention at UPT Puskesmas Sukarasa. The research subjects are the officer in charge of medical records and the person in charge of registration who performs retention of outpatient medical records.It is also known that the UPT Puskesmas Sukarasa already has an SOP on retention of medical records, but the SOP has not been implemented due to the lack of special staff for retention and the accumulation of medical record files on active storage shelves. Files that are retained are files for 2016-2018 without looking at the last date of treatment but based on the year number in the medical record file. Then the file is immediately moved to the inactive storage rack. It can be concluded that the implementation of retention at UPT Puskesmas Sukarasa is not in accordance with the SOP. It would be better if the retention is carried out according to the SOP with special and scheduled officers so that there is no accumulation of medical record files.

Analysis of Floating Net Cages on The Carrying Capacity of The Darma Reservoir

Darma Reservoir functions as a reservoir for irrigation, fisheries, and recreational and sports facilities. Currently, it only functions for irrigation and fish farming by floating net ponds. The development of floating net frameworks was so rapid that it conflicted with reservoir management. This study aims to determine the density of the floating net framework of the sedimentation conditions of the Darma Reservoir and to determine the development of the sedimentation rate of the Darma Reservoir in relation to the service life of the reservoir characterized by reduced dead storage. The first step was carried out by surveying the presence of the number of floating net cages, the distribution of the feed, the percentage of feed demand, the carrying capacity of the reservoir, then a topographic survey of the depth of the Darma reservoir to determine the capacity, rate and volume of sediment deposits. This study used quantitative approach, it began with distributing questionnaire forms and measuring the depth of the reservoir. The current condition of floating net cages is 4916 occupying 5.819% of the inundation area of 312.15 ha with an elevation of 712.50 m, while floating net cages are allowed according to the carrying capacity of Darma Reservoir waters amounting to 1,021. tons / harvest while the spawning pond is 3.483 tons/harvest. The volume of normal active storage for elevation 712.50 in 2020 is 28.086 million m3, while the volume of sediment deposits is 9.262 million m3 32.98%, the average sediment rate in the reservoir from 1988 to 2020 is 0.2894 million m3/year, while the sediment rate in catchment area Dam Dharma with an area of 23.5 km2 of 71.873 mm/year. Sedimentation in the Darma Reservoir has exceeded the limit of the base elevation of the reservoir, the elevation of the dead reservoir and the lowest elevation, but the reservoir is still functional. The planning life of the darma reservoir is up to 50 years, the suitability of the initial planning of operations in 1970 with operations until 2020.

Design of Reliable Disaster Recovery System through Integrated Server Redundancy

Even before the September 11 terrorist attacks in the United States in 2001, information systems prepared against disasters in Korea were extremely weak. However, as various domestic and foreign accident cases have occurred, it is recognized that preparations for this are necessary. Accordingly, at present, each institution has prepared and implemented various backup policies to protect the institution's information and data in case of disaster. Therefore, in this paper, we conducted a study to design a more stable and efficient disaster recovery system by building redundancy for server operating in integrated data center. To do this, we analyzed the redundancy design for the integrated disaster recovery server and designed the overall system configuration. Also, the design results were analyzed by testing web server redundancy and switch redundancy. In this paper, the proposed design method for stabilization and efficiency of disaster recovery system is the redundant construction of integrated server and switch. In other words, the disaster recovery system was composed of active storage and standby storage, and data stabilization was promoted through real-time replication of each other. In the existing disaster recovery system, there is a problem in stabilizing replication because there is no monitoring system for internal replication between storage arrays. To solve this problem, we designed a system that replicates all data in active storage to standby storage in real time and monitors the replication status. Therefore, introducing service conversion automation from the main system, which is the method designed in this paper, to the disaster recovery system, improves the stability and reliability of the service of the local governments, so that it is possible to operate a more efficient and advanced disaster recovery system.

A Methodology for the Enhancement of the Energy Flexibility and Contingency Response of a Building Through Predictive Control of Passive and Active Storage

Optimal management of thermal energy storage in a building is essential to provide predictable energy flexibility to a smart grid. Active technologies such as Electric Thermal Storage (ETS) can assist in building heating load management and can complement the building’s passive thermal storage capacity. The presented paper outlines a methodology that utilizes the concept of Building Energy Flexibility Index (BEFI) and shows that implementing Model Predictive Control (MPC) with dedicated thermal storage can provide predictable energy flexibility to the grid during critical times. When the utility notifies the customer 12 h before a Demand Response (DR) event, a BEFI up to 65 kW (100% reduction) can be achieved. A dynamic rate structure as the objective function is shown to be successful in reducing the peak demand, while a greater reduction in energy consumption in a 24-hour period is seen with a rate structure with a demand charge. Contingency reserve participation was also studied and strategies included reducing the zone temperature setpoint by 2∘C for 3 h or using the stored thermal energy by discharging the device for 3 h. Favourable results were found for both options, where a BEFI of up to 47 kW (96%) is achieved. The proposed methodology for modeling and evaluation of control strategies is suitable for other similar convectively conditioned buildings equipped with active and passive storage.