Accuracy in determining the diagnosis code was something that must be considered, an accurate code was obtained with information that was able to support the coder in determining the diagnosis code. The accuracy of diagnosis codes was very important in the fields of education, research, national health statistics, quality of hospital services, and the basis for decision-making. This study aims to analyze the relationship between completeness of medical record information and accuracy of the diagnosis code in the hospital. The method used  descriptive analytic with a retrospective approach. The study population consisted of 6,069 inpatient medical record documents with a sample of 375 documents taken using simple random sampling technique. Based on the results of statistical tests using Chi-square, a p value of was obtained that there was a relationship between the completeness of medical record information and the accuracy of the diagnosis code at the hospital. Evaluation of the completeness of each medical record documents for a certain period of time was highly recommended to improve the accuracy of the diagnosis code.

During this pandemic, most of people’s activities are carried out through digital media. Both learning and working processes are using the video-conference platform, a platform deemed effective to facilitate the needs of distance communication. One of the limitations of using video-conference lies in difficulty in understanding emotional conditions based on solely camera video. Hence, speakers generally do not know their interlocutors’ feelings related to the materials being presented. Grounded on this issue, we examined a facial expressions-based emotion recognition tool. Micro expression is one of the micro-languages of communication. Machine learning model developed in this study was Deep Learning with Convolutional Neural Network (CNN). The library that was used was Keras, this was used to recognize micro expression pattern. Additionally, OpenCV was also used for the general face recognition process. Both libraries were operated using Python programming language. The result of the micro expression test involving thirty participants detected three types of facial expression, namely joy, sadness, and anger expression. However, face recognition applied in the present study still needed some improvements, especially for anger and sadness expression. With regard to joy expression, 89% of the expression were recognized. Based on the recorded data, it is necessary to improve the recordings criteria to obtain a clearer expression.

Background: Vaginitis gonorrhea is sexually transmitted infections (STIs) which caused by Neisseria gonorrhoeae and commonly found in children. Frequently, it indicates the sexual abuse in children. Although infrequent, nonsexual gonorrhea transmission, either from fomites, physical contact or autoinoculation may occur in children. Case report: Three cases of vaginitis gonorrhea on 3, 6 and 8 years old girl with a chief complaint of vaginal discharge that felt no itchy are presented. The history of sexual intercourse or abuse in two cases were denied but they had history of sharing baths and public swimming pool. In one case, there was alleged sexual abuse 6 months ago by her cousin. Physical examination revealed the yellowish odor vaginal discharge and there were no signs of inflammation around they genitalia. There were Gram-negative diplococcal intra and extra cellular. All of Thayer Martin culture revealed a positive result of Neisseria gonorrhoeae. Only one patient performed screening for the other STI, while two patient refused. All of these patients were treated with 125 mg intramuscular ceftriaxone injection but only 1 patient improvement, while 2 others recovered with alternative therapy based on the results of sensitivity test. Discussion : Patients were diagnosed as vaginitis gonorrhea based on physical examination and laboratory results. One case was suspected as sexual abuse while the other were suspected of non-sexual abuse such as fomite. The limitation of this case report are unidentified sources of gonococcal transmission and rejection for completed STIs screening.
 

 
Puskesmas is health service facilities that are implementing publih health efforts and individual health effort which is also obliged to carry out a medical record. The purpose of this study was to determine the completeness of filling out outpatient forms in terms of health legal aspects at the Semen Health Center, Kediri Regency in 2020. This type of research was descriptive with a retrospective approach. Collecting data by observation and interviews. Sampling used simple random sampling, namely 10 outpatient medical record documents in 2020. The results obtained were from 10 incomplete samples (6%) which were filled in completely (4%) item incompleteness contained in the writing of the icd10 code and the signature of the officer. This is not in accordance with Permenkes number 269 year medical record and Permeneks Number 46 Year 2015 abaout Accreditation of Puskesmas Which requires that in every medical record should be named and signatures a doctor or other health workers directly providing health services. In addition fill forms a medical record complete must be filled because it will become the foundation in giving the diagnosis next and knows the way a patient. Should be done socialization fill forms outpatient done by the head of this, to avoid incompleteness fill forms outpatient.

Abstract: This article explores the role of simulation-based training in enhancing nursing education, particularly in the development of clinical skills. By reviewing current trends in nursing education, the research highlights how simulation technologies, such as high-fidelity mannequins and virtual simulations, offer realistic and risk-free environments for nurses to practice critical skills. The findings suggest that simulation-based training improves competence, confidence, and readiness for real-world clinical situations, contributing to the development of highly skilled and prepared nurses.

This article investigates the challenges and opportunities involved in cross-cultural collaboration within international learning programs. By evaluating student exchange programs, online international collaborations, and global university partnerships, the research highlights the benefits and obstacles of fostering intercultural understanding and global competence. The findings suggest that cross-cultural education is crucial for developing global citizens and promoting international cooperation in academic settings.

Aminah Islamic Hospital in Blitar City has workload problems, including calculations that are still done manually, long workload calculation formulas that also make it difficult for officers to carry out monitoring, rarely do evaluations resulting in uneven workloads, and. In this 4.0 era, it is possible to have an information system to assist in the process of calculating workload analysis. In making an information system analysis is needed according to user needs. Needs analysis is useful for determining what information systems should be done in a problem solving. This is done to identify strengths, weaknesses, and opportunities for improvement. The purpose of this study was to analyze the needs of the Android-based WMA (Workload Measurement Analysis) application for calculating workload analysis at RSI Aminah Blitar. This research method uses descriptive research with a qualitative approach. This study resulted in an analysis of the needs of the WMA application using an Android-based smartphone. The WMA application menu consists of a login display, data input, conclusion, and history so as to produce a WMA application that fits user needs to calculate workload requirements analysis at RSI Aminah Blitar.

This study focuses on the importance of managing the confidentiality of electronic medical records (EMR) in the digital era as part of patients' privacy rights and the responsibilities of healthcare facilities. In Indonesia, several regulations have been established to protect patient data, such as Law No. 29 of 2004 on Medical Practice, Law No. 44 of 2009 on Hospitals, and the Information and Electronic Transactions Law (ITE) No. 19 of 2016, yet implementation continues to face significant challenges. This study uses secondary data from regulations and related literature to identify obstacles and the effectiveness of EMR data protection. The findings indicate that limited technology, insufficient understanding among healthcare personnel, and low patient awareness of their data protection rights hinder optimal confidentiality safeguards. Additionally, oversight of data access within hospitals is deemed inadequate. Increased education for healthcare workers, heightened patient awareness, and strengthened security infrastructure in healthcare facilities are essential to achieving improved patient data protection.

This research is a needs assessment evaluation which aims to determine the effectiveness of the information technology-based learning program, namely online or online learning to emphasize the difference between the desired or should be or expected conditions (what is) or real / real conditions. in the Covid-19 era with truth and validity data, facts, or information. The research was conducted using mixed methods research or a combination of qualitative and quantitative research in one study with evaluation of "needs assessment", data analysis with descriptive statistics. Collecting data using observation instruments, documentation and questionnaires, distributing questionnaires by means of random or random techniques, data processing refers to the Likert scale with the SPSS program computer The research results from the data on the achievement of class based learning process performance and information technology in 2020 15.78%, while from the research results; the highest score was 88, the lowest score was 50, the mean 66.47, the standard deviation was 11,780, the score scale ranges from 50 to 88, meaning that The effectiveness of online informatics technology-based learning methods in the Covid-19 era can be categorized as unsuccessful according to predetermined learning outcomes
 
 

This research examines “Karang Awake Tandurin”, the oral expression of the Balinese people, which is the domain of intangible culture. Cultural expressions taken from the work of Ida Pedanda Made Sidemen from Griya Intaran Sanur. This excerpt from the text Karang Awake Tandurin is published in the Traditional Balinese Literary work Geguritan Selampah Laku, a Balinese work that was composed and written by himself and tells the personal life history of Ida Pedanda Made Sidemen in Bali Script. This research used a post-structural approach from critical theories. The theories used were Jauss’ reception theory, Pierce’s semiotic theory, and Barthes’ mythology theory. The meaning entities of the Balinese words ‘karang’, ‘awak’ and ‘tandurin’ actually both stand alone, however in life, the use of the three depends on each other, in humans’ relationship with nature and agrarian culture. ‘Tandurin’ is a representation of agricultural activities, ‘karang’ is a representation of nature, and ‘awak’ is a representation of humans. Delve into yourself, understand yourself, reflect on it to its roots, and your perception will become higher. Melting into and becoming the idea of Ida Pedanda Made Sidemen invites every reader to look inside themselves and no longer look elsewhere to start simple life