Management of medical record in installation of inpatient regional public hospital Batara Guru Belopa

Background: This research is motivated by the high number of incompleteness of filling in the patient's medical record file in the inpatient installation, which is 30-35% in Regional Public Hospital Batara Guru Belopa.Methods: The research method is qualitative using the phenomenology approach. Determination of informants using purposive sampling method and obtained as many as eighteen informants. Data collection in the form of in-depth interviews, document review and observation. The validity of the data is done by triangulation and credibility test.Results: Management of medical records completeness seen from human resources who still need additional staffin the central part of the hospitalization by looking at the large number of patients and workload of the officers, doctors rarely fill in the full medical record sheets due to negligence of doctors due to other activities or in a hurry. Management of medical records completeness viewed from the procedure, there are still officers in the inpatient department who do not know the flow of exit and entry of the medical record file to the inpatient installation. The management of medical record completeness is seen from the information, implementation of hospital policy regarding the completeness of filling in medical record is not maximal because medical record file is slowly completed and returned to the medical record section.Conclusions: The hospital should be conducted a routine evaluation related to the completeness of the medical record and activated the hospital management information system (HMIS).

Effect of exogenous application of micronutrients on growth and productivity of cotton (Gossypium hirsutum L. ) crop / Efeito da aplicação exógena de micronutrientes no crescimento e produtividade da cultura de algodão (Gossypium hirsutum L. )

Micronutrients play a vital role in the growth and productivity of cotton crop. A study was carried out to access the exogenous application of micronutrients on growth and yield of cotton crop. The experiment was comprised of nine treatments as T0 (control), T1 (Fe chelated), T2 (B), T3 (Mo), T4 (CuSo4 + ZnSo4 + MnSo4), T5 (CuSo4 + ZnSo4 + MnSo4 + Fe chelated), T6 (CuSo4 + ZnSo4 + MnSo4 + B), T7 (CuSo4 + ZnSo4 + MnSo4 + Mo) and T8 (CuSo4 + ZnSo4 + MnSo4 + Fe chelated + B). Data on different growth attributes showed that there was significant positive increase with the application of micronutrients. Leaf area was increased after applying micronutrients at 99 days after sowing (DAS) and then a decreasing trend was observed. Chlorophyll contents were increased at 81 DAS and then decreased towards the final harvest. Similarly, different yield components showed that seed cotton yield were significantly increased with the application of Fe, B, Mo, Zn, Cu and Mn compared to control treatment. Earliness index, mean maturity date and production rate index were increased significantly after combined use of foliar spray of Zn, Cu, Mn and Mo.

Os micronutrientes desempenham um papel vital no crescimento e produtividade da cultura do algodão. Um estudo foi realizado para acessar a aplicação exógena de micronutrientes no crescimento e produção de cultura de algodão. O experimento foi composto de nove tratamentos como T0 (controle), T1 (Fe quelatado), T2 (B), T3 (Mo), T4 (CuSo4 + ZnSo4 + MnSo4), T5 (CuSo4 + ZnSo4 + MnSo4 + Fe quelatado) T6 (CuSo4 + ZnSo4 + MnSo4 + B), T7 (CuSo4 + ZnSo4 + MnSo4 + Mo) e T8 (CuSo4 + ZnSo4 + MnSo4 + Fe quelados + B). Dados sobre diferentes atributos de crescimento mostraram aumento significativo positivo com a aplicação de micronutrientes. A área foliar foi aumentada após aplicação de micronutrientes aos 99 dias após a semeadura (DAS), observando - se, então, uma tendência decrescente. Os teores de clorofila foram aumentados em 81 DAS e depois diminuíram para a colheita final. De forma semelhante, diferentes componentes de rendimento mostraram que o rendimento de algodão de sementes aumentou significativamente com a aplicação de Fe, B, Mo, Zn, Cu e Mn em comparação com o tratamento de controlo. O índice de precocidade, a data média de maturidade eo índice de taxa de produção aumentaram significativamente após o uso combinado de pulverização foliar de Zn, Cu, Mn e Mo.

Expression and identification of folate-sensitive fragile sites in British Suffolk sheep (Ovis aries).

An investigation to understand the dynamics and biological significance of fragile site expression, and identification of 5-fluorodeoxyuridine (FUdR) induced chromosomal gaps/breaks, were carried out in an experimental flock of 45 Suffolk sheep. The statistical comparison revealed, highly significant variation in the frequency of chromosomal fragile site expression between control and FUdR cultures. Mean (+/- S.D.) values for cells with gaps and breaks, or aberrant cell count (AC), and the number of aberrations (NoA) per animal were 2.02 +/- 0.34, 2.42 +/- 0.48, 13.26 +/- 0.85 and 21.87 +/- 1.88 (P lessthan 0.01) in control and FUdR cultures, respectively. The comparison of age revealed nonsignificant variation between control and FUdR cultures. The G-band analysis of fragile site data revealed gaps in 29 autosomal and two X-chromosomal bands in the control cultures, whereas FUdR treated cultures scored 78 unstable bands in autosomes of which 56 were significantly fragile. X-chromosomes expressed breaks and gaps in six G-negative bands and five of them (Xq13, Xq15, Xq17, Xq24 and Xq26) were significantly fragile. The distribution comparison of autosomal fragile sites between sex groups did not reveal any significant variation. Female X-chromosomes were significantly more fragile than the male X-chromosomes. The distribution comparison for age groups (lambs versus adults) revealed significantly higher number of fragile bands in adults. Comparison of published data on reciprocal translocations in sheep with the fragile-site data obtained in this study indicated that the break sites of both phenomena were correlated. Similarities were also found between fragile sites and breakpoints of evolutionary significance in family Bovidae.