Medicine and Health Sciences Commons^™

Analisis Perhitungan Kapitasi Pada Fasilitas Kesehatan Tingkat Pertama Yang Bekerja Sama Dengan Bpjs Kesehatan Kcu Kota Bogor Tahun 2015, Ayu Novia Kurnia, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.

Pemanfaatan Dana Kapitasi Oleh Puskesmas Di Kota Lubuklinggau Tahun 2014-2016, Muhammad Muhammad Yulianto Muhammad Yulianto, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Since the implementationof National Health Insurance (JKN), Health Centers received the payment from Social Security Agency for Health (BPJS) using capitation. In Lubuklinggau City, there has been problem inutilizing capitation and financing surplus (SiLPA) for approximately 23% per year. This research aimed to analyze the utilization of capitationin Lubuklinggau City 2014-2016. This qualitative study was implemented in SimpangPeriuk Health Center, Taba, Citra Medika and Swasti Saba which werethe lowest and highest SiLPA absorption, and data were collected retrospectively. The study revealedthat the capitation funds have achieved the target (69,5%) while spending for operational was still under utilized (12,4%). The planning …

Analisia Kinerja Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2011- 2013 Berdasarkan Balanced Scorecard, Laisa Muliati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

RSUDAM as public sector organizations BLUD status, health services should be held responsible, effective and efficient. It required comprehensive tools as a form of accountability to the community or the owner. Balanced scorecard by many nonprofits regarded as a comprehensive measuring tool. Namely the customer perspective, financial, internal business process perspective and the perspective of growth and learn. to analyze the performance of RSUDAM years 2011-2013 based balanced scorecard.The data analysis univariate analysis (descriptive). Data processing with methods of qualitative and quantitative studies of secondary data research activities in 2011-2013 show that: 1) The performance of the customer's perspective: Patient …

Review Sistematik: Elemen-Elemen Utama Dalam Membangun Budaya Keselamatan Pasien Di Rumah Sakit, Adik Wibowo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety culture in a hospital setting is the foundation for all health care activities,with the aim to provide safe and comfortable environment throughout the healing process of the patients. This systematic review aims to describe:1) the relationship between hospital as an organization and patient safety culture,2) the traditional and the modern concepts on patient safety, 3)the seven basic elements as founda tion of hospital patient safety culture and 4) the instrument to analyse hospital patient safety culture. The paradigm has changed from traditional way of punishing hospital staff when doing medical error to the just culture, with the philosophy …

Commentary: Thoughts On Cyberchondria -- A New Challenge For Healthcare Providers, Nancy Lutwak

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

Clinical Anatomy Of The Frenulum Of The Oral Vestibule., Joe Iwanaga, Naoshi Takeuchi, Rod J Oskouian, R Shane Tubbs

Articles, Abstracts, and Reports

Introduction The frenula of the oral vestibule include the labial and buccal frenula. Abnormal labial and buccal frenula can affect facial esthetics and oral cavity function by retracting the gingival margin, creating a median diastema, and limiting lip movement. Because of the lack of information on these structures, we aimed to clarify their anatomy. Methods A total of 34 sides from 17 fresh frozen cadaveric Caucasian heads were used in the present study. The specimens were derived from 11 male and 6 female adult cadavers. The relationships between the frenulum of the mucosa and the tissue underneath the mucosa was …

A Phase Ii Randomized Trial Of Observation Versus Stereotactic Ablative Radiation For Oligometastatic Prostate Cancer (Oriole)., Noura Radwan, Ryan Phillips, Ashley Ross, Steven P. Rowe, Michael A. Gorin, Emmanuel S. Antonarakis, Curtiland Deville, Stephen Greco, Samuel Denmeade, Channing Paller, Daniel Y. Song, Maximilian Diehn, Hao Wang, Michael Carducci, Kenneth J. Pienta, Martin G. Pomper, Theodore L. Deweese, Adam Dicker, Mario Eisenberger, Phuoc T. Tran

Department of Radiation Oncology Faculty Papers

BACKGROUND: We describe a randomized, non-blinded Phase II interventional study to assess the safety and efficacy of stereotactic ablative radiotherapy (SABR) for hormone-sensitive oligometastatic prostate adenocarcinoma, and to describe the biology of the oligometastatic state using immunologic, cellular, molecular, and functional imaging correlates. 54 men with oligometastatic prostate adenocarcinoma will be accrued. The primary clinical endpoint will be progression at 6 months from randomization with the hypothesis that SABR to all metastases will forestall progression by disrupting the metastatic process. Secondary clinical endpoints will include local control at 6 months post-SABR, toxicity and quality of life, and androgen deprivation therapy …

Cib2 Interacts With Tmc1 And Tmc2 And Is Essential For Mechanotransduction In Auditory Hair Cells, Arnaud P. J. Giese, Yi-Quan Tang, Ghanshyam P. Sinha, Michael R. Bowl, Adam C. Goldring, Andrew Parker, Mary J. Freeman, Steve D. M. Brown, Saima Riazuddin, Robert Fettiplace, William R. Schafer, Gregory I. Frolenkov, Zubair M. Ahmed

Physiology Faculty Publications

Inner ear hair cells detect sound through deflection of stereocilia, the microvilli-like projections that are arranged in rows of graded heights. Calcium and integrin-binding protein 2 is essential for hearing and localizes to stereocilia, but its exact function is unknown. Here, we have characterized two mutant mouse lines, one lacking calcium and integrin-binding protein 2 and one carrying a human deafness-related Cib2 mutation, and show that both are deaf and exhibit no mechanotransduction in auditory hair cells, despite the presence of tip links that gate the mechanotransducer channels. In addition, mechanotransducing shorter row stereocilia overgrow in hair cell bundles of …

Barriers To Treatment With Buprenorphine For Opioid Addiction In New Mexico, Kanwal Qidwai

Biomedical Sciences ETDs

More persons died from drug overdoses in the United States since 2000 than during any past years on record. There were approximately one and a half times more drug overdose deaths in the United States than deaths from motor vehicle crashes in 2015. Opioids, primarily prescription pain relievers and heroin, are the main drugs associated with overdose deaths. The 2014 data demonstrates that the United States opioid overdose epidemic includes two distinct but interrelated trends: a 15-year increase in overdose deaths involving prescription opioid pain relievers along with a recent rise in illicit opioid overdose deaths, driven by heroin. Natural …

Selection Of Memory Book Content: Agreement In Content As A Function Of Informant Relationship To Memory Book Recipient, Rebecca J. Allen

USF Tampa Graduate Theses and Dissertations

This study was designed to determine to what extent provision of personally relevant information and sensory cues would agree between Recipient and Informant for selection of memory book content. Six dyads married to each other an average of 29.17 years (SD = 10.03), between the ages of 43 and 70 years (Mean = 57; SD = 8.39), and cognitively competent (i.e., no diagnosis of cognitive impairment) participated. Participants completed questionnaires independently and provided personally relevant information/memories, aversions towards select memories/topics, and sensory cues on behalf of themselves (as “Recipient) and their spouse (as “Informant”). For provision of personally relevant information/memories, …

Computational Analysis Of Protein Intrinsic Disorder In Human Diseases, Insung Na

USF Tampa Graduate Theses and Dissertations

There are different conformational states of proteins characterized by different Gibbs free energy levels, manifested in folding-unfolding dynamics, for example. Recently, a set of protein states, which require relatively small amount of folding energies, emerged as subjects of intensive research, and proteins or regions characterized by the presence of these states have been termed as ‘Intrinsically Disordered Proteins’ (IDP) and ‘Intrinsically Disordered Protein Regions’ (IDPR), respectively. Predisposition for intrinsic disorder of a query protein is encoded in its amino acid sequence and composition, and can be rather accurately predicted using several intrinsic disorder algorithms. Since pathology of many human diseases …

Pain And Physical Function In A Socioeconomically Diverse Sample Of Black And White Adults, Angela Sardina

USF Tampa Graduate Theses and Dissertations

Musculoskeletal pain alters physiological function and these changes may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for chronic pain and report functional limitations similar to older adults. However, few studies have explored the unique individual factors (e.g., sociodemographic, health, and psychosocial characteristics) that may drive the pain experience; and more research is needed that examines the relationships between musculoskeletal pain and physical function, using objective performance measures, in a sample of racially and socioeconomically diverse adults.

Data from the Healthy Aging in Neighborhoods of Diversity across the Life Span …

The Effects Of C5-Substituted 2,4-Diaminoquinazolines On Selected Transcript Expression In Spinal Muscular Atrophy Cells., Cinsley Gentillon, Andrew J Connell, Ryan W Kirk, Matthew E R Butchbach

Department of Pediatrics Faculty Papers

C5-substituted 2,4-diaminoquinazolines (2,4-DAQs) ameliorate disease severity in SMA mice. It is uncertain, however, that these compounds increase SMN protein levels in vivo even though they were identified as activators of the SMN2 promoter. These compounds also regulate the expression of other transcripts in neuroblastoma cells. In this study, we investigate the mechanism by which the 2,4-DAQs regulate the expression of SMN2 as well as other targets. D156844, D158872, D157161 and D157495 (RG3039) increased SMN2 promoter-driven reporter gene activity by at least 3-fold in NSC-34 cells. These compounds, however, did not significantly increase SMN2 mRNA levels in type II SMA fibroblasts …

Nlrp9b Inflammasome Restricts Rotavirus Infection In Intestinal Epithelial Cells, Shu Zhu, Siyuan Ding, Penghua Wang, Zheng Wei, Wen Pan, Noah Palm, Richard Flavell

NYMC Faculty Publications

Rotavirus, a leading cause of severe gastroenteritis and diarrhoea in young children, accounts for around 215,000 deaths annually worldwide. Rotavirus specifically infects the intestinal epithelial cells in the host small intestine and has evolved strategies to antagonize interferon and NF-κB signalling, raising the question as to whether other host factors participate in antiviral responses in intestinal mucosa. The mechanism by which enteric viruses are sensed and restricted in vivo, especially by NOD-like receptor (NLR) inflammasomes, is largely unknown. Here we uncover and mechanistically characterize the NLR Nlrp9b that is specifically expressed in intestinal epithelial cells and restricts rotavirus infection. Our …

Review Of Literature: The Clinical Nurses' Perception Of Their Role In Hospital Reimbursement, Mckinsey Patterson

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Background: Nursing-sensitive indicators (NSI’s) serve to measure the impact nurses have in promotion of quality care. Existing research highlights the value-based purchasing (VBP) system implemented by the Affordable Care Act (ACA). Few studies explore nurse perception.

Method: This review provides a state-of-the-science addressing NSI’s regarding delivery of quality care, hospital assessment related to value-based purchasing and the role of patient satisfaction regarding nursing care in the reimbursement of hospitals. Existing data related to nurses’ roles in VBP reimbursement efforts is described.

Results: A theme in the literature is that the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey, …

Numerically Solving A System Of Pdes Modeling Chronic Wounds Treated With Oxygen Therapy, Stefan Stryker

Mahurin Honors College Capstone Experience/Thesis Projects

Chronic wounds such as diabetic foot ulcers are the leading cause of non-traumatic amputations in developed countries. For researchers to better understand the physiology of these wounds, a mathematical model describing oxygen levels at the wound site can be used to help predict healing responses. The model utilizes equations that are modified from work by Guffey (2015) that consists of four variables – oxygen, bacteria, neutrophils, and chemoattractant within a system of partial differential equations. Our research focuses on numerically solving these partial differential equations using a finite volume approach. This numerical solver will be important for future research in …

Deviations From The Expected Relationship Between Serum Fgf23 And Other Markers In Children With Ckd: A Cross-Sectional Study., Daisy Liu, Ana Catalina Alvarez-Elías, Brooke Wile, Vladimir Belostotsky, Guido Filler

Paediatrics Publications

BACKGROUND: High levels of fibroblast growth factor-23 (FGF23) are associated with mortality. In chronic kidney disease (CKD), FGF23 levels rise as renal function declines. We analyzed the contribution of laboratory values to the variance of FGF23 levels in relationship to a curve of expected FGF23 levels for a given GFR.

METHODS: Following approval by the research ethics boards, we measured FGF23, CysC eGFR, creatinine, urea, albumin, calcium, phosphate, vitamin D metabolites, PTH, alkaline phosphatase, CRP, and venous gases in 141 pediatric CKD patients (45, 37, 32, 13 and 14 CKD stages I, II, III, IV, and V, respectively). Data were …

Mixture Models For Undiagnosed Prevalent Disease And Interval-Censored Incident Disease: Applications To A Cohort Assembled From Electronic Health Records., Li C Cheung, Qing Pan, Noorie Hyun, Mark Schiffman, Barbara Fetterman, Philip E Castle, Thomas Lorey, Hormuzd A Katki

Epidemiology Faculty Publications

For cost-effectiveness and efficiency, many large-scale general-purpose cohort studies are being assembled within large health-care providers who use electronic health records. Two key features of such data are that incident disease is interval-censored between irregular visits and there can be pre-existing (prevalent) disease. Because prevalent disease is not always immediately diagnosed, some disease diagnosed at later visits are actually undiagnosed prevalent disease. We consider prevalent disease as a point mass at time zero for clinical applications where there is no interest in time of prevalent disease onset. We demonstrate that the naive Kaplan-Meier cumulative risk estimator underestimates risks at early …

Dach1 Suppresses Breast Cancer As A Negative Regulator Of Cd44., Hanxiao Xu, Shengnan Yu, Xun Yuan, Jing Xiong, Dong Kuang, Richard Pestell, Kongming Wu

Department of Cancer Biology Faculty Papers

Dachshund homolog 1 (DACH1), a key cell fate determination factor, contributes to tumorigenesis, invasion, metastasis of human breast neoplasm. However, the exact molecular mechanisms for the anti-tumor roles of DACH1 in breast carcinoma are still lack of extensive understanding. Herein, we utilized immunohistochemistry (IHC) staining and public microarray data analysis showing that DACH1 was higher in normal breast, low-grade and luminal-type cancer in comparison with breast carcinoma, high-grade and basal-like tumors respectively. Additionally, both correlation analysis of public databases of human breast carcinoma and IHC analysis of mice xenograft tumors demonstrated that DACH1 inversely related to cancer stem cells (CSCs) …

Impaired Right Ventricular Contractile Function In Childhood Obesity And Its Association With Right And Left Ventricular Changes: A Cine Dense Cardiac Magnetic Resonance Study, Linyuan Jing, Arichanah Pulenthiran, Christopher D. Nevius, Abba Mejia-Spiegeler, Jonathan D. Suever, Gregory J. Wehner, H. Lester Kirchner, Christopher M. Haggerty, Brandon K. Fornwalt

Biomedical Engineering Faculty Publications

Background: Pediatric obesity is a growing public health problem, which is associated with increased risk of cardiovascular disease and premature death. Left ventricular (LV) remodeling (increased myocardial mass and thickness) and contractile dysfunction (impaired longitudinal strain) have been documented in obese children, but little attention has been paid to the right ventricle (RV). We hypothesized that obese/overweight children would have evidence of RV remodeling and contractile dysfunction.

Methods: One hundred and three children, ages 8–18 years, were prospectively recruited and underwent cardiovascular magnetic resonance (CMR), including both standard cine imaging and displacement encoding with stimulated echoes (DENSE) imaging, which allowed …

Activin Receptor Type 2a (Acvr2a) Functions Directly In Osteoblasts As A Negative Regulator Of Bone Mass, Brian C. Goh, Vandana Singhal, Angelica J. Herrera, Ryan E. Tomlinson, Soohyun Kim, Marie-Claude Faugere, Emily L. Germain-Lee, Thomas L. Clemens, Se-Jin Lee, Douglas J. Digirolamo

Internal Medicine Faculty Publications

Bone and skeletal muscle mass are highly correlated in mammals, suggesting the existence of common anabolic signaling networks that coordinate the development of these two anatomically adjacent tissues. The activin signaling pathway is an attractive candidate to fulfill such a role. Here, we generated mice with conditional deletion of activin receptor (ACVR) type 2A, ACVR2B, or both, in osteoblasts, to determine the contribution of activin receptor signaling in regulating bone mass. Immunohistochemistry localized ACVR2A and ACVR2B to osteoblasts and osteocytes. Primary osteoblasts expressed activin signaling components, including ACVR2A, ACVR2B, and ACVR1B (ALK4) and demonstrated increased levels of phosphorylated Smad2/3 upon …

The Validity Of Submaximal Exercise Testing In Obese Women, Gabrielle Ringenberg

Mahurin Honors College Capstone Experience/Thesis Projects

Background: Submaximal exercise tests use heart rate responses to low-to-moderate intensity activity in order to predict cardiorespiratory fitness (VO_2max). Currently used tests may be inappropriate for obese populations as obese women have altered heart rate responses to exercise. The purpose of this project is to test the validity of the Modified Bruce Protocol submaximal treadmill test in obese women. Methods: Normal-weight (NWG) and obese women (OBG) completed the Modified Bruce submaximal treadmill test (to predict VO_2max using previously validated equations) and a maximal graded exercise test on a treadmill using the Standard Bruce Protocol (to obtain an …

Landasan Filosofis Keterampilan Komunikasi Konseling, Rezki Hariko

Jurnal Kajian Bimbingan dan Konseling

Counseling is a professional activity involving the relationship between a counselor with an individual or a group of individuals. Like an interpersonal relationship in general, in the process of counseling occurs the process of interaction and communication between individuals with other individuals (counselors-counselee). Mastery of communication skills is a basic prerequisite for counselors to be able to use various counseling skills effectively and efficiently. It should be understood that almost all of the counseling skills involve the counselor’s communication skills. A good understanding of communication skills should be based on an in-depth study and understanding of communication philosophy. Mastery of …

Keefektifan Konseling Kelompok Cognitive Behavior Therapy Untuk Mengurangi Keraguan Pengambilan Keputusan Karier Siswa Sekolah Menengah Kejuruan, Muwakhidah Muwakhidah, Cindy Asli Pravesti

Jurnal Kajian Bimbingan dan Konseling

Counseling is a professional activity involving the relationship between a counselor with an individual or a group of individuals. Like an interpersonal relationship in general, in the process of counseling occurs the process of interaction and communication between individuals with other individuals (counselors-counselee). Mastery of communication skills is a basic prerequisite for counselors to be able to use various counseling skills effectively and efficiently. It should be understood that almost all of the counseling skills involve the counselor’s communication skills. A good understanding of communication skills should be based on an in-depth study and understanding of communication philosophy. Mastery of …

Karakter Ideal Konselor Multibudaya Berdasarkan Nilai Luhur Semar, Nora Yuniar Setyaputri

Jurnal Kajian Bimbingan dan Konseling

Nowadays a lot of counselor labeling their counselee which caused counselor’s lack of multicultural insights. Labeling may have a poor impact on the counselor’s decision in selecting counseling intervention strategies. The multicultural insights of counselors must be enhanced by building an ideal character in themselves. This ideal character is concerned with the understanding and behavior of counselors to respond the condition of heterogeneous counselees and how high the curiosity, interest and motivation of counselors to constantly add multicultural insights that they have. The noble values contained within Semar can be attributed to how the ideal character of multicultural counselors. This …

Pathologists' Diagnosis Of Invasive Melanoma And Melanocytic Proliferations: Observer Accuracy And Reproducibility Study., Joann G Elmore, Raymond L Barnhill, David E Elder, Gary M Longton, Margaret S Pepe, Lisa M Reisch, Patricia A Carney, Linda J Titus, Heidi D Nelson, Tracy Onega, Anna N A Tosteson, Martin A Weinstock, Stevan R Knezevich, Michael W Piepkorn

Articles, Abstracts, and Reports

No abstract provided.

Abnormal Dendritic Maturation Of Developing Cortical Neurons Exposed To Corticotropin Releasing Hormone (Crh): Insights Into Effects Of Prenatal Adversity?, Megan M. Curran, Curt A. Sandman, Elysia Poggi Davis, Laura M. Glynn, Tallie Z. Baram

Psychology: Faculty Scholarship

Corticotropin releasing hormone (CRH) produced by the hypothalamus initiates the hypothalamic-pituitary-adrenal (HPA) axis, which regulates the body’s stress response. CRH levels typically are undetectable in human plasma, but during pregnancy the primate placenta synthesizes and releases large amounts of CRH into both maternal and fetal circulations. Notably, placental CRH synthesis increases in response to maternal stress signals. There is evidence that human fetal exposure to high concentrations of placental CRH is associated with behavioral consequences during infancy and into childhood, however the direct effects on of the peptide on the human brain are unknown. In this study, we used a …

Abnormal Dendritic Maturation Of Developing Cortical Neurons Exposed To Corticotropin Releasing Hormone (Crh): Insights Into Effects Of Prenatal Adversity?, Megan M. Curran, Curt A. Sandman, Elyssia Poggi Davis, Laura M. Glynn, Tallie Z. Baram

Psychology Faculty Articles and Research

Corticotropin releasing hormone (CRH) produced by the hypothalamus initiates the hypothalamic- pituitary-adrenal (HPA) axis, which regulates the body's stress response. CRH levels typically are undetectable in human plasma, but during pregnancy the primate placenta synthesizes and releases large amounts of CRH into both maternal and fetal circulations. Notably, placental CRH synthesis increases in response to maternal stress signals. There is evidence that human fetal exposure to high concentrations of placental CRH is associated with behavioral consequences during infancy and into childhood, however the direct effects on of the peptide on the human brain are unknown. In this study, we used …

Keefektifan Layanan Konseling Kelompok Untuk Meningkatkan Kepercayaan Diri Siswa Sekolah Menengah Pertama, Siti Imro'atun, Pravesti

Jurnal Kajian Bimbingan dan Konseling

The purpose of this study is to determine the effectiveness of cognitive behavior therapy counseling group in reducing vocational high school student’s doubts in making career decision. The research design uses pretest-posttest control group design. There are two types of instruments used, that is treatment materials and measuring instruments. The treatment instrument consisted of a manual cognitive behavior group counseling guide for the counselor, while the measuring instrument consist a scale of career decision making that had validity R values above 0.320 and reliability of 0.855 and student’s self-reflection sheets. Data analysis using Two-Independent-Sample Test-Mann-Whitney U. Statistical analysis show that …

Studi Meaning Of Life Siswa Sekolah Menengah Pertama Etnis Tengger, Y Mentari Catur Riyadi Ningsih, Nur Hidayah, Blasius Boli Lasan

Jurnal Kajian Bimbingan dan Konseling

This is an experimental study which describes the effectiveness of group counseling treatment in increasing student’s confidence. The subject of this study is IX grade students of Sekolah Menengah Pertama Negeri 1 Paciran, Lamongan, East Java. The subject which can be said as sample of the study were collected using purposive sampling. They were divided into two groups namely experiment group and control group. Both group was given different treatment and the result of those treatments were examined using Wilcoxon Signed Ranks Test. The result shows that group counseling treatment can improve student’s confidence.