Quality Of Service Assurance Research Articles

Impact of Achieving Hospital Accreditation on Assuring Quality in Clinical Laboratories: Experience of an Oncology Hospital in low middle income country

Abstract Introduction/Objective Shefaa Al-Orman Oncology Hospital (SOH) is a leading cancer care facility in Upper Egypt dedicated to providing specialized treatment to cancer patients for free. The General Authority of Healthcare Accreditation and Regulation (GAHAR, accredited from the International Society for Quality in Health Care) is the regulatory and accreditation body that ensures that healthcare facilities in Egypt comply with the highest standards of quality and safety. Here, we aim to assess the impact of GAHAR accreditation process on: Streamlining workflow, contributing to staff professional development and knowledge, increasing loyalty, and creating a more productive and fair work environment. - Optimizing turnaround time (TAT). - Compliance with the minimum retesting interval (MRI) guidelines. - Healthcare providers' satisfaction with the laboratory services. - Patients’ satisfaction. Finally, we aim to emphasize the role of building an integrated lab quality management system that addresses different lab processes/procedures as a basis for la accreditation. Methods/Case Report laboratory personnel, healthcare providers and patients responses were measured using questionnaire method to assess the impact of accreditation on various aspects of laboratory services. Comparative lab statistics were collected from laboratory information system. Results (if a Case Study enter NA) As shown by questionnaires, 95% of lab staff reported positive impact on streamlining of workflow, 100% reported in professional development and improvement in knowledge, and increased loyalty and created a fair work environment (80% in each). Healthcare providers satisfaction reached 88%, and patient satisfaction reached 93%. TAT optimization increased from 84.1% to 98.1%. Prior to accreditation, the lab had an effective internal quality control program. GAHAR mandated enrollment in External Quality Assurance Services (EQAS) to ensure reliable results. In addition, GAHAR mandated a policy/procedure to enforce minimum retesting interval. Application of this policy led to better utilization. Finally, pre and post-analytical processes were streamlined, leading to improved overall laboratory performance. Conclusion Achieving GAHAR accreditation had positive impact on laboratory workflow, staff professional development, compliance with guidelines, ensure reliable laboratory results, and overall laboratory performance. Laboratories should consider accreditation and implementing quality assurance measures to enhance the delivery of high-quality laboratory services and patient safety.

Digital support for quality assurance in 24-hour caregiving at home: a randomized controlled trial investigating the effects on quality of life and professional skills of paid 24h-caregivers

BackgroundRegarding the care of older adults, 24-h home-care represents a cornerstone, with > 32,000 service users in Austria. Our research project 24hQuAALity aimed to develop and evaluate a distributed client-server software solution for the support and quality assurance of this home-care service. In this trial, we investigated the effects of this intervention on the quality of life and professional skills of paid 24h-caregivers in Austria.MethodsThe application used in our study comprises an e-learning platform, an integrated emergency management, networking opportunities, and an electronic care documentation system in the native language of the 24h-caregivers. The trial was conducted using a parallel three-arm study design to evaluate (i) a control group, which performed usual home care, (ii) a partial intervention group, which used the e-learning and networking platforms, and (iii) a full intervention group, which used the entire intervention (e-learning platform, networking platform, and digital care documentation). Primary self-reported outcomes were the standardized ASCOT for Carers score and a score based on responses to project-specific efficacy questions.ResultsAmong the 110 24h-caregivers who were randomly classified into the three groups, ASCOT for Carers score data were available for 57 and 35 24h-caregivers at 5- and 9-month follow-up examinations, respectively. At 9 months, 24h-caregivers receiving any intervention rated the ASCOT for Carers score (not significantly) better than the controls (p = 0.05, ηp2 = 0.15), mainly in the domain “feeling encouraged and supported”. At 9 months, 24h-caregivers receiving any intervention rated the project-specific Efficacy score significantly better than the controls (p = 0.02, ηp2 = 0.20), mainly due to better ratings in the subitems “satisfaction with current docu”, “docu supports doing my job”, “ I’m well prepared for emergencies”, “my professional skills are adequate for doing my job”, and “communication with contacts”.ConclusionsProviding e-learning and e-documentation devices to 24h-caregivers improved their care-related quality of life, mainly because they felt more encouraged and supported. Moreover, these interventions improved their self-perceived professional skills. As an extrapolation of findings, we found that these interventions could empower 24h-caregivers and improve the quality of home-care services provided by them.Trial registrationDigital Support for Quality Assurance in 24-h Caregiving at Home was registered and posted on the ClinicalTrials.gov public website (ClinicalTrials.gov Identifier: NCT04581538).

Container Power Consumption Prediction Based on GBRT-PL for Edge Servers in Smart City

Edge computing and IoT devices have been widely deployed in smart city applications due to the rapid promotion and implementation of 5G communication technology. Limited by power supply and hardware computing capability, applications on edge servers are mostly deployed and run in the form of container micro-services to improve resource utilization. Therefore, identifying the power consumption at the container granularity is of great importance for the load scheduling and service quality assurance of edge servers. In this paper, a GBRT-PL-based container power prediction method is proposed. Performance metrics with a strong correlation between container and server power consumption are selected for power consumption modeling. To effectively suit the nonlinear relationship between container performance metrics and server power consumption, the integrated predictive capabilities of multiple regression trees and the segmented linear model of single regression tree leaf nodes are applied. The data from the experiments prove that the GBRT-PL model predicts power consumption more accurately than other models for single and multiple container groups. The highest average relative error rate in the four multi-container group tests is 6.72%, whereas the highest relative error rate in the 90% quantile is 11.66%. In addition, it can accurately predict the majority of power consumption peaks, which contributes to the precise detection of power consumption anomalies.

INFLUENCE OF MARKETING INNOVATIONS ON THE PRODUCT POLICY OF ENTERPRISES

The purpose. Theoretical and practical aspects of using marketing innovations in the product policy of enterprises have been studied, and their impact on competitiveness and profitability of companies has been justified. The article is to analyze the role of marketing innovations in the product policy of enterprises and their impact on business development in the modern dynamic market environment. Methods. The study is based on relevant scientific research and publications, analyzing the latest trends and approaches in the field of marketing. The research was conducted through the analysis of scientific sources and empirical data, using methods such as dynamic, semantic, comparative analysis, systematization method, grouping method, analysis and synthesis, abstract-logical and expert methods, with the aim of identifying and describing various types of marketing innovations, their peculiarities and relationships with the product policy strategy of the enterprise. The results. Marketing innovations are a key factor in business development in conditions of unstable market environment and changing consumer needs. Their implementation will allow enterprises to ensure sustainable competitive development and positioning in the market. Scientific novelty lies in proposing the implementation of marketing innovations in the practice of enterprises, including the application of new methods of advertising and product promotion, creating exclusive products, using innovative technologies in production, and more. The practical significance of the research lies in its potential to form new theories and concepts in the field of marketing, increase the level of knowledge and qualifications of specialists, consider modern approaches to marketing, such as the development of new products, their market promotion, quality assurance of goods and services, and brand creation and development, with the aim of increasing the competitiveness of enterprises.

IMPLEMENTASI PENCEGAHAN PAPARAN RADIASI YANG TIDAK DIPERLUKAN (UNNECESSARY EXPOSURE) DALAM PROSEDUR OPTIMISASI PROTEKSI RADIASI PASIEN DI INSTALASI RADIOLOGI DIAGNOSTIK

Radiation protection aims to reduce unnecessary radiation exposure and minimize the potential harmful effects of ionizing radiation. Medical exposure is needed to help establish the diagnosis, if the procedure is carried out correctly, the patient will receive clinical benefits that are greater than the risks involved. Under certain conditions, unnecessary radiation exposure (unnecessary exposure) can be accepted by patients. The aims of this research are to classify unnecessary radiation exposure (unnecessary exposure), conduct a review of optimization efforts based on unnecessary radiation exposure data and identify and recommend preventive measures that can be taken. The method used in this study is descriptive qualitative by direct observation and interviews with radiation workers. The results of the classification of causes of unnecessary radiation exposure to patients from the results of repeated exposures include collimation factors, artifacts, positioning, uncooperative patients, movement unsharpness, human error, aircraft factors and exposure factors. Efforts that have been made to prevent unnecessary exposure include preparing SPOs for examinations in treatment rooms, provision of mobile shielding, use of PPE (gonad shields) for pediatric patients, implementation of dose audits and image QC, evaluation and monitoring of service quality assurance, application of procedures and optimization measures. Recommendations that can be given include providing ongoing training for radiation workers, creating a cultural socialization and radiation safety program, creating a reporting and monitoring system for the implementation of radiation protection, and increasing awareness of radiation workers. Keywords: optimization, radiation protection, unnecessary exposure.

Organizational strategies in promoting person-centered primary care: A participatory concept mapping study

ABSTRACT Despite notable advancements, person-centered implementation is still propelled at a service level. This study aims to empirically determine organizational actions to achieve a person-centered culture through conceptual mapping of essential strategies. A participatory, multi-staged, group concept-mapping approach was employed. Mid and high-level healthcare managers responsible for managing healthcare delivery within the Malaysian Ministry of Health were recruited. In two separate meetings, 12 managers provided a set of related concepts and strategies, while 17 rated the importance and feasibility of implementation strategies. Cluster labels generated from the multidimensional scaling and hierarchical clsuter analysis were: multidisciplinary team, training and education, service user empowerment and quality assurance. The rating of statements created go-zone maps to determine the relative importance and feasibility of each person-centered strategy. Extending professional activities that cover a comprehensive spectrum of services and training healthcare providers on person-centered competency were rated the most important and feasible strategies. Nevertheless, these strategies must be balanced with additional resources to avoid the increasing workload to healthcare providers juggling many different tasks. In conclusion, the participatory evaluation allowed a better understanding of stakeholder-perceived priorities in developing short and long-term strategic plans for person-centered transformational practice and culture development.

Impact of Service Quality on Customer Satisfaction among Nepalese Cellular Mobile Service Providers

The objective of this study was to find out how satisfied customers are with Nepal Telecom and Ncell's mobile phone services. Both the analytical and the descriptive research designs were used in this study. All users of Nepal Telecom and Ncell mobile telephone services make up the study's population and 400 mobile telephone services user was considered as a sample of the study. In this study, correlation analysis was used to find the relationship between service quality factors and customer satisfaction and linear regression analysis was used to evaluate multiple independent variables that affect the dependent variables. The findings of this study depict that moderately positive correlation between tangibles, assurance, reliability, responsiveness, empathy, convenience, complaint handling, network quality, and customer satisfaction with mobile service providers. Similarly, the correlation is significant for tangibles, assurance, reliability, responsiveness, empathy, convenience, complaint handling, and network quality with customer satisfaction. This study also shows there was an insignificant impact of tangibles, reliability, responsiveness, convenience, complaint handling, and network quality of service quality on consumer satisfaction but an insignificant impact of assurance and empathy of service quality on consumer satisfaction among Nepalese cellular mobile service providers.

Pembentukan Karakter Kewirausahaan Siswa SMK melalui Implementasi Manajemen Edupreneurship

Edupreneurship is an activity that emphasizes creative or innovative efforts by schools to obtain school achievements and increase income. The implementation can be through teaching factories or business centers. In Vocational High Schools combining the implementation of learning in schools with the implementation of industrial work practices in partner work institutions, synchronously and systematically, which aims to lead students to mastery of certain work skills, so that they become graduates with relevant abilities as expected. This study aims to describe and analyze in depth the management and edupreneurship programs in the formation of the entrepreneurial character of students in SMK. The method used in this research is library research using a philosophical approach. The data collection technique used is the documentation technique, namely collecting data material in the form of sources from books, articles and others related to the object of study. The results showed that edupreneurship management was carried out based on the Vocational School Edupreneurship Development Guidelines from the Ministry of National Education, through five stages, namely the preparation of organizational structures, product quality assurance, service quality assurance, marketing and marketing strategies for edupreneurship programs. Second, the edupreneurship program in forming the entrepreneurial character of students in vocational schools, through teaching factories and business centers. The teaching factory program is carried out with the 6M model. This program can foster self-confidence, task and result-oriented, risk-taking, and leadership. The business center program through business practices by observing market activities, taking an inventory of consumer needs, placing orders, selling goods by setting their own prices, can foster a significant entrepreneurial spirit, self-confidence, task and result oriented, Dare to take risks, honest and diligent. Keywords: Management, Edupreneurship, Teaching Factory, Business Center, Entrepreneurship, Vocational High School

ANALISIS KUALITAS PELAYANAN PERPUSTAKAAN TERHADAP KEPUASAN PENGUNJUNG PADA PERPUSTAKAAN SEKOLAH KRISTEN BASIC

Competition in the field of educational services, one of which relies on the ability of school libraries to provide satisfactory service quality to library visitors as service users. To measure the tangible or intangible quality of service, the level of visitor satisfaction can be measured. Libraries should regularly measure visitor satisfaction as an evaluation material to improve the quality of their services. This study was conducted to determine the influence of tangible, reliability, responsiveness, assurance, and empathy dimensions of service quality provided by the Basic Christian School library on visitor satisfaction. This study is a quantitative research model using the Service Quality method and linear regression. Service Quality is one of the methods used to measure visitor satisfaction with the quality of school library services. The measurement in the Service Quality method is divided into 5 dimensions: tangible, reliability, responsiveness, assurance, and empathy. In addition, regression analysis is conducted to determine the level of relationship between independent and dependent variables in this study. The research instrument used consists of 30 items of service quality and visitor satisfaction questionnaires adapted from Basuki (2019). The respondents in this study were 154 students from Basic Christian Junior High School and High School. The results of the study showed that variables with positive coefficients had an impact on increasing visitor satisfaction.

The Role of Academic Accreditation in Improving the Quality of Services and Student Activities in Academic Programmes at Prince Sattam bin Abdulaziz University: Case Study

Academic accreditation is one of the most important priorities for higher education institutions. Therefore, universities seek to intensify efforts for funding from external parties to ensure the quality of their institutions and programmes. This study aimed to determine the quality of student services and activities in Prince Sattam University’s accredited and unaccredited programmes from the students’ perspective. It also looks at how different the answers of the study sample members are regarding the role of academic accreditation in improving the quality of student services and activities based on the study variable for accredited and unaccredited academic programmes. The descriptive survey method and a questionnaire tool were used on a study sample of 804 students from various disciplines in colleges based on the status of accreditation of their programmes. The results showed that students are satisfied with the quality of student services and activities in academic programmes. Moreover, there are differences in the averages of students’ responses based on the programme’s status (accredited/unaccredited), favouring accredited programmes. This study recommends that academic accreditation be used to improve the quality assurance of student services and activities in academic programmes to increase student satisfaction, support the continuity of their education, and improve their learning outcomes.
 
 Received: 24 June 2023 / Accepted: 31 July 2023 / Published: 5 September 2023

Machine Learning-Based Multi-Domain Actuation Orchestration in Support of End-to-End Service Quality-Assurance

Service quality assurance is of capital importance in modern cloud and network infrastructures, especially in multi-domain scenarios, where multiple operators collaborate to provide end-to-end (E2E) services. However, due to the dynamics of the multiple infrastructures and deployed services, it may be difficult to identify which domains need to perform (re-)configuration operations, named actuations, to keep the quality of the E2E services. In this regard, Machine Learning (ML) techniques appear as an interesting solution for guiding the actuation systems in multi-domain scenarios. With this in mind, we present a novel approach for self-optimised multi-domain service provisioning, leveraging the capacities of Deep Reinforcement Learning (DRL), with a focus on E2E service quality assurance. Running away from traditional approaches, the presented proposal tries to minimize the number of domains that need to actuate rather than determining the exact domain-specific actuations. We compare our proposal to existing strategies in terms of performance, scalability and applicability in real scenarios.

The Associated of Perceived Service Quality to Customer Behaviour Towards Use and Purchase Intention in Freemium Services

The rise of the freemium business model has presented challenges for service developers in balancing service quality and generating demand for premium offerings. This study examines the relationship between perceived service quality, continued use of freemium services, and the decision to purchase premium content in the context of online events. The research focuses on LombaCademy, an educational platform who currently developing new online program names sharing sessions. Drawing on data collected from participants of LombaCademy's webinars (N = 220), this research utilized the PLS-SEM method through SmartPLS software. the objectives of the study are to examine the impact of service quality dimensions, including tangibility, reliability, responsiveness, assurance, and empathy, on continued use of free services and the decision to purchase premium products or features. The findings reveal significant positive relationships between empathy and tangibility to use intention. Moreover, use intention was found to have a significant direct and total effect on purchase intention, highlighting the importance of fostering use intention to drive purchase behaviour. Notably, reliability was identified as another significant predictor of purchase intention These findings provide valuable insights for LombaCademy's business strategies in the competitive landscape of freemium services, particularly in the education industry. However, it is important to note the limitations of this study. The findings are based on a specific time and a sample of participants who have attended LombaCademy's webinars, which may limit generalizability to other service contexts or industries. Future research could explore the moderating effects of contextual factors and examine the role of emerging technologies to further enhance service quality and consumer behaviour in online events.

The Role of Check-in Counter Division in Passenger and Baggage Profiling Service at Sriwijaya Air Soekarno-Hatta International Airport

This study aims to determine the role of the check-in counter division in passenger and baggage profiling services at Sriwijaya Air Soekarno Hatta International Airport. In this study, the authors used descriptive research methods with a qualitative approach. The results of this study indicate that the role of the check-in counter division is very important in the smooth service process at the time of departure and in the service of profiling passengers and baggage, in the implementation of check-in services it is a procedure that must be carried out in every check-in service process. Therefore, the check-in counter division should pay attention to the quality of service that will be provided to each passenger in the implementation of passenger and baggage profiling services at check-in based on the dimension of service quality initiated by Kotler, namely Tangible dimensions, Reability, Responsiveness, Assurance, and Emphaty and its indicators. It can be concluded that there is a dimension of service quality Tangible, Reability, Responsiveness, Assurance, and Emphaty in the implementation of check-in and profiling services in the check-in counter division of Sriwiijaya Air.

Traffic Management in IoT Backbone Networks Using GNN and MAB with SDN Orchestration.

Traffic management is a critical task in software-defined IoT networks (SDN-IoTs) to efficiently manage network resources and ensure Quality of Service (QoS) for end-users. However, traditional traffic management approaches based on queuing theory or static policies may not be effective due to the dynamic and unpredictable nature of network traffic. In this paper, we propose a novel approach that leverages Graph Neural Networks (GNNs) and multi-arm bandit algorithms to dynamically optimize traffic management policies based on real-time network traffic patterns. Specifically, our approach uses a GNN model to learn and predict network traffic patterns and a multi-arm bandit algorithm to optimize traffic management policies based on these predictions. We evaluate the proposed approach on three different datasets, including a simulated corporate network (KDD Cup 1999), a collection of network traffic traces (CAIDA), and a simulated network environment with both normal and malicious traffic (NSL-KDD). The results demonstrate that our approach outperforms other state-of-the-art traffic management methods, achieving higher throughput, lower packet loss, and lower delay, while effectively detecting anomalous traffic patterns. The proposed approach offers a promising solution to traffic management in SDNs, enabling efficient resource management and QoS assurance.

Kualitas Pelayanan Yang Berdampak Pada Kepuasan Pelanggan

This research aims to examine the influence of service quality dimension, namelytangible (physical evidence), reliability, responsiveness, assurance, and empathy,on the statisfaction of customers at the payment counters for electricity, water, andonline telephone services of Mitra Sumatera 008 Stabat. The population of this study consists of customers. The research sample consist of 30 respondents selectedusing Non- Probability sampling technique with an Accidental Sampling approach.This approach selects respondents based on chance encounters with the researcherand considered suitable to be included as samples. The analysis results indicatethat the indicators are valid and the variables are reliable, thus they can be used for further analysis. In testing the classical assumptions, no issues ofmulticollinearity (high correlation between independent variables). heteroscedasticity (unequal residual variances), or non-normal distribution of residuals were found. This indicates that the regression model used satisfies the classical assumptions. Based on the research findings, it can be concluded that the dimension of service quality, namely tangible, reliability, responsiveness, assurance, and empathy, have a significant influence on the satisfaction of customers

A Framework of a Blockchain-Supported Remanufacturing Trading Platform through Gap Analysis

Considering that consumers are more willing to buy products online, companies are increasingly selling remanufactured products online through e-commerce platforms. Notwithstanding the high attention it elicits from researchers and companies, the current study on the remanufacturing trading platform is still in its infancy. Thus, we investigate 20 remanufacturing trading platforms and make a gap analysis among them in terms of (i) business model, (ii) product display, (iii) delivery products, (iv) quality assurance and after-sales service, (v) product review and star rate, and (vi) transaction and payment. On this basis, we analyze features for the development of remanufacturing trading platforms and propose six key applications aimed at filling the identified gaps. The consortium blockchain has the characteristics of security and transparency, high credibility, traceability and unfalsifiability, low cost, and strong scalability, which can provide effective support for the six key applications. Then, we construct the technical framework and the model of a consortium blockchain-supported remanufacturing trading platform. Further, we analyze the coupling mechanism between the consortium blockchain and the remanufacturing trading platform to explain how the remanufacturing trading platform supported by the consortium blockchain achieves the development characteristics. This study provides important guidance for the development, construction, and operation management of remanufacturing trading platforms.

Pengaruh Kualitas Pelayanan Terhadap Kepuasan Konsumen Pada Dinas Kependudukan Dan Pencatatan Sipil (Dukcapil) Kabupaten Seluma

The purpose of this study was to determine the effect of tangible, reliability, responsiveness, assurance and empathy of service quality to consumer satisfaction of Dinas DUKCAPIL Seluma. The sampling technique in this study using purposive sampling techniques and data collection is done by distributing questionnaires to the respondents. The questionaires were distributed to the 100 respondent of Dinas DUKCAPIL Seluma. The analysis tool used is multiple linear regression using SPSS 16. Hypothesis testing using the T test. Result shows that partially, tangible, reliability, responsiveness, assurance and empathy variables has significant effect on consumer satisfaction of Dinas DUKCAPIL Seluma. Based on the analysis of known coefficient of determination value of Adjusted R Square is 0.477, this means 47,7% variable consumer satisfaction is influenced by variables service quality.

Exploring Student Perspectives on Quality Assurance in Independent Curriculum Services within Educational Institutions

This study examines students' perceptions of quality assurance of independent curriculum services implemented by SMA Nurul Jadid. Using a descriptive quantitative approach. With a proportional random sampling technique, as many as 100 students. The type of data collected is quantitative, using a closed questionnaire. The questionnaire was tested for validity and reliability with a significance of 0.05 with the SPSS 16 application. A Likert scale of 1-4 was used to measure student perceptions with positive and negative categories. The following are tangible, reliability, and assurance indicators as indicators of quality assurance for the independent curriculum service. The percent interval is used as a measuring tool to determine the categories of strongly agree/very good, agree/good, disagree/good enough, and strongly disagree/strongly disagree with implementing quality assurance services for the independent curriculum. The research results prove that 58% of students perceive positively and 42% negatively. However, no students rated it as very bad at 0%; in fact, the good category was the most percentage, namely 59%, and even perfect at 7%; there were also those who rated it quite well, as much as 34%. The assessment of the most significant percentage being good is due to the socialization process evenly distributed to all components of the school; staff, teachers, students, and parents. This is done to process the quality assurance of the independent curriculum services provided by schools to run effectively and efficiently.

Traffic based power consumption and node deployment in green LTE-A cellular networks

The energy utilization of green cellular networking or cellular network infrastructure has become a popular research domain due to the economic concern of network operators and global climate change. Also, due to the growth of wireless networks, the authors are attracted to finding novel relay station (RS) deployment techniques to support high user density and high data rate services by reducing energy consumption and operating costs of different network elements. The location of RSs greatly influences how far a cell can be covered. Therefore, the deployment RS plays a major role in widening the cell's coverage radius. To solve these challenges and to realize greener network designs by maximizing power consumption with QoS assurance, a novel traffic-based power consumption minimization and node deployment for the LTE green cellular networks is proposed. Also, key performance indicators (KPIs) are required to monitor and improve network performance. KPIs control the accomplished resource utilization and the quality of services. The research work comprises RS deployment, traffic estimation, and power allocation. Power losses, communication delays, increased implementation costs, and decreased throughput are the effects of an inappropriate RS deployment. Therefore, this research introduces the transmission area-based relay stations deployment scheme (TARSD) with multiobjective functions maximization of coverage area, minimization of the overlapping area and the minimization of power consumption cost. Traffic estimation helps to identify future capacity requirements and enables improved planning and decision-making. The deployment scheme of a cellular network relies on network traffic estimation. Nash traffic entropy learning algorithm (NTEL) is used to estimate traffic, and based on the estimated eNB switching ON/OFF is performed to minimize power consumption. Inter cell interference (ICI) can impact the performance of the LTE network. Several power allocation schemes can be used to improve system performance to achieve the optimal trade-off between interference and signal-to-noise ratio (SINR). Because of its good performance and efficacy in improving the mutual information between a channel's input and output, the enhanced low complexity water-filling (ELCWF) has been widely employed in power allocation with its increment and decrement properties. This research studies the statistical behaviour of a Received Signal Strength Indicator (RSSI), Reference Signal Received Power (RSRP), Reference Signal Received Quality (RSRQ) and Signal to Interference noise Ratio (SINR). Also, statistical analysis of cost versus coverage performance is examined. Under the 7th simulation run, the proposed method yields the best coverage of 88.81 and 98.74%, respectively. In the experimental scenario, for the proposed model, the deployment cost for BS and RS are 27 and 13 units, the average throughput per user is 9.74 Mbps, and the coverage ratio is 97% under the BS candidate location of 20, respectively. In the power allocation stage, if the number of users is 50, the proposed model yields a power consumption of 0.2 W, throughput of 23.4 Mbps, delay of 15 ms and SINR of 20.12 dB, respectively.

The Effectiveness of Medical Record Software to Improve Administrative Service Ability and Student Motivation

Technology can improve the learning process more quickly and effectively to improve students' cognitive skills. Technology-based learning media is not only for prospective teachers but can be helpful for prospective health workers. One indicator that shows prospective health workers' quality is the health services' ability. Therefore, preparing prospective health worker students who are technologically literate and highly motivated is necessary. This study aims to determine and analyze the effectiveness of Medical Information System software to improve the ability of health administration services and student motivation. The quantitative method with pre-experimental design. Pre-experimental design with one group through pre-test, intervention (treatment), and post-test. This research was conducted at STIKes Cirebon with a total sample of 110 students. The results showed that after implementing the medical record software, descriptively, there was an increase in the percentages of responsiveness, reliability, assurance, empathy, and administrative service quality. In addition, each indicator of student motivation increases. Based on hypothesis testing, it can be concluded that Medical Information System medical record software can significantly improve the ability of health administration services and student motivation. This research contributes to providing information to students and lecturers about health administration learning technology.