Registry Office Research Articles

Housing items and amenities a non-traditional risk factors for all-cause and cardiovascular mortality

Abstract Background Higher satisfaction levels are associated with improved psychological well-being (PWB), such as housing amenities being a determinant of health. However, their potentially influencing effect on mortality risk at this moment is not enough. For this reason, searching for non-traditional risk factors that could reduce all-cause and cardiovascular disease (CVD) mortality risk is our primary objective of this study. Methods The cohort study was based on the framework of the international study Health, Alcohol and Psychosocial Factors in Eastern Europe (HAPIEE). Data from the Official Lithuanian Mortality Register were used to evaluate mortality from the baseline survey (2006- 2008) to 31 December 2022. The 20 housing items and amenities were used. The items were categorized into three groups: basic needs, socially oriented needs, and luxury. Results A total of 6472 participants aged 45-72 years were examined in the baseline survey. Cox proportional hazards regression analysis results show that increasing the number of housing items per 1 unit decreased the risk of all-cause mortality by 8% (Hazard ratio (HR)=0.92;95%CI 0.90-0.94) in males and by 7% (HR = 0.93;95%CI 0.91-0.96) in females. Increasing the number of housing items per 1 unit decreased the risk of mortality from CVD by 10% (HR = 0.90;95%CI 0.87-0.93) in males and by 9% (HR = 0.91;95% CI 0.87-0.95) in females (data adjusted by age, education, smoking, metabolic syndrome, PWB, CVD at baseline survey). Once more, the increased number of items from the luxury group (4-7 vs. 0-1) significantly decreased all-cause and CVD mortality risk (respectively in males HR = 0.74(95%CI 0.60-0.91) and HR = 0.71(95%CI 0.52-0.96); in females HR = 0.66(95%CI 0.48-0.91) and HR = 0.57(95%CI 0.33-0.96). Conclusions These data suggest that the increasing number of household items and amenities, as an essential aspect of people’s lives, may be used as non-traditional risk factors in assessing the risk of all-cause mortality and CVD. Key messages • Household items and amenities may be used as non-traditional risk factors in assessing the risk of all-cause mortality and CVD. • Increasing the number of housing items decreased the risk of all-cause and CVD mortality.

Health in Germany – A new panel infrastructure for Public Health Research in Germany: study design

Abstract Background The Robert Koch Institute (RKI) is developing a new panel infrastructure, ‘Health in Germany,’ to enhance public health research through continuous, rapid data collection from questionnaire surveys, measurements, and laboratory analyses. Using online and offline collection methods (CAWI and PAPI), the project aims to have 30,000 registered panelists by Spring 2024. Methods The sample of the recruitment study is based on address data from Germany’s local registration offices, whereby a mixed-mode design is used for data collection. Individuals aged 16-69 receive an initial online-only invitation, followed by postal reminders that include a paper questionnaire. For those aged 70 and above, both online and paper options are available from the outset. Incentives include an unconditional €5 cash payment for all invitees and an additional €10 for successful registration into the panel infrastructure. Results The initial response rate of the recruitment study is 35%. Of the CAWI participants, approx. 90% expressed willingness to participate again, with approx. 80% completing the online registration. To date, over 42,000 panelists have been recruited. Further detailed results on response rates, non-response bias, and sample composition will be presented at the conference. Conclusions RKI’s ‘Health in Germany’ is one of the largest probability panels in public health research, effectively gathering and analyzing data. The recruitment success and strong participant engagement highlight the infrastructure’s efficiency and its significant contribution to epidemiological research in Germany. Key messages • Successful recruitment of over 42,000 panelists demonstrates robust engagement and effective implementation. • The push-to-web strategy (or web-push strategy) underscores the infrastructure’s adaptability and efficiency.

State Protection of the Family, Motherhood, Paternity, and Childhood: Examining Jurisdictional Challenges in Divorce Cases

The author argues that, currently, courts lack the procedural tools, specialized professional training, and sufficient time to adequately protect the rights of minor children during divorce proceedings. This situation highlights the urgent need for the development of a more effective extrajudicial mechanism to ensure state oversight of parental compliance with the rights and interests of minor children in divorce cases. The proposed procedure is based on the concept that, in addition to courts, other authorities within their respective competencies should oversee the legality of decisions related to divorce proceedings. Specifically, courts should handle legal disputes; registry offices should manage the registration of civil status acts, and guardianship authorities should monitor the protection of the rights and legitimate interests of minors and disabled family members in contentious situations

The Comparison of Antibacterial Efficacy, Cell Proliferation, and Wound Healing Properties in Extracts Derived from Leaves and Inflorescences of Hang Kra Rog Phu Phan ST1 (Cannabis sativa L.)

The therapeutic potential of Cannabis sativa extracts in wound healing applications has garnered significant interest due to their diverse pharmacological properties. This study aimed to comparatively evaluate the antibacterial properties and wound-healing activity of ethanolic extracts derived from C. sativa leaves and inflorescences of the Hang Kra Rog Phu Phan ST1 cultivar. The extracts were prepared using ethanol, and their antibacterial properties, cytotoxicity and ability to promote cell proliferation and migration were investigated. The antibacterial activity was assessed against Staphylococcus epidermidis TISTR 518, Klebsiella pneumoniae TISTR 1383, Pseudomonas aeruginosa TISTR 2370, Staphylococcus aureus TISTR 1466 and Bacillus cereus TISTR 2373 using the disk diffusion method and broth microdilution assay. Cell viability and proliferation were evaluated using the MTT assay on human fibroblasts in serum-supplemented and serum-depleted media. The scratch wound healing assay was employed to quantify cell migration and wound closure. The results demonstrated that both leaf and inflorescence extracts exhibited antibacterial activity, with the inflorescence extract showing higher efficacy against S. aureus. Furthermore, the extracts enhanced fibroblast proliferation and migration in a concentration-dependent manner. Notably, the leaf extract outperformed the inflorescence extract in promoting fibroblast proliferation and migration, particularly at earlier time points. These findings suggest that C. sativa extracts, particularly from the leaves, possess wound-healing properties and could be developed as novel therapeutic agents for promoting efficient wound repair and managing chronic non-healing wounds. HIGHLIGHTS This research is the inaugural exploration into the antibacterial properties and wound healing capabilities of the Cannabis sativa L. Hang Kra Rog Phu Phan ST1 cultivar, a unique variant of Cannabis sativa. This strain has received official recognition and registration from the Rajamangala University of Technology Isan, Thailand. Our findings reveal that extracts derived from the leaves and inflorescences of the Hang Kra Rog Phu Phan ST1 strain display potent antibacterial activity against five tested pathogenic bacteria, namely Staphylococcus epidermidis TISTR 518, Klebsiella pneumoniae TISTR 1383, Pseudomonas aeruginosa TISTR 2370, Staphylococcus aureus TISTR 1466, and Bacillus cereus TISTR 2373. Moreover, these extracts stimulate the growth and movement of human fibroblasts. These compelling results underscore the potential for harnessing this plant as an efficacious agent for wound healing. GRAPHICAL ABSTRACT

Analysis Of Birth Certificate Issuance Services For Children Resulting From Siri Marriages In The Population And Civil Registration Office Of Central Bengkulu District

This research focuses on the issue of issuing birth certificates to children from siri marriages in Bengkulu Tengah Regency. The purpose of this research is to understand the process of birth certificate issuance services for children from siri marriage, identify the obstacles that arise in the process, and evaluate the efforts made by the Population and Civil Registration Office of Bengkulu Tengah Regency in improving birth certificate issuance services for children from siri marriage. This research uses descriptive research methods, qualitative descriptive methods are research methods based on the philosophy of postpositivism used to research on natural object conditions where the researcher is a research instrument and the results of the writing are in the form of words or statements that match the actual situation. The data collection source describes the analysis method using reduction, presentation, and conclusion.The service procedures for making deeds have navigated the procedures and regulations that apply. 2. People who do not have a marriage certificate, show that the service of issuing birth certificates for children from siri marriage shows that it is good and gets satisfaction in the community and gets the result that the making of the late certificate is the fault of the community itself because it does not know the information and lack of knowledge by the community. Evidenced in the results of interv

Rejected sickness cash benefit claims after 180 days of sick leave in the Swedish rehabilitation chain: A nationwide register-based study.

Since a lack of financial security among vulnerable groups could further hamper health and well-being, this study scrutinises factors predicting rejected prolonged sickness cash benefit claims among people on compensated sick leave of more than 180 days with a rejection between days 181 and 365. All 246,872 claims for employed people on sick leave recorded in the Swedish official statistics register between January 2018 and June 2021 were analysed. Claim outcome was evaluated using logistic regression with odds ratios recalculated to relative risks (RR) with 95% confidence intervals (CI), mutually adjusted for sociodemographic, work and health-related factors. Overall, 46,611 (19%) of the claims were rejected, with slightly lower rates among women (RR=0.97; 95% CI 0.95-0.99). Musculoskeletal diseases had the highest rejection rates (RR=1.84; 95% CI 1.75-1.94) followed by injuries (RR=1.57; 95% CI 1.50-1.64) and symptoms (RR=1.51; 95% CI 1.46-1.56). Mental disorders also had above-average rates (RR=1.14; 95% CI 1.09-1.19), whereas the lowest rates were found among pregnancy-related diagnoses (RR=0.13; 95% CI 0.12-0.14) and neoplasms (RR=0.18; 95% CI 0.18-0.18). Higher rates were found among immigrants (RR=1.37; 95% CI 1.34-1.40), those with only primary education (RR=1.09; 95% CI 1.06-1.12) and among blue-collar workers. The regional variation was substantial (RR range 0.41-1.72). High rejection rates were found for complex diagnoses and diagnoses with presupposed work ability in physically lighter occupations and among groups with assumed precarious positions at the labour market. Systematic differences in rates were identified between geographic regions. More studies are warranted to conclude if the differences found could be justified by other factors.

Trends in suicide mortality rates in the Republic of Cyprus between 2004 and 2020: changes in age, gender and suicide method.

The Republic of Cyprus has recorded the greatest increase in suicide mortality among Eastern Mediterranean countries, with an average annual increase of 5.1% in 2000-2019. To investigate trends in suicide mortality rates between 2004 and 2020 in the Republic of Cyprus, with a focus on age, gender and suicide methods. Suicide deaths (ICD-10 taxonomy, including 'undetermined' code) and population denominators were obtained from the National Mortality Registry and Statistical Office, respectively. Directly standardised (European Standard) mortality rates were calculated for four gender and age groups. Annual change was estimated using Poisson regression models with interaction terms to assess differential trends over different time periods. There were 560 suicide deaths; these were four times more frequent in men, and approximately 80% were classified as 'violent' for both genders. The male suicide rate doubled from 4-5 to 9-10 per 100 000, mostly before 2012, representing a 9% annual change (rate ratio = 1.09, 95% CI 1.03, 1.15; P = 0.002). From 2013, the trend reversed (effect modification P < 0.001) with a 4% annual decrease (95% CI -9%, 1%). Declines were not uniform across all age groups; rates in males aged 45-64 years continued to rise, surpassing the previously high rate in males aged 25-44 years. Rates in females declined from 4-5 per 100 000 to 2-3 over the study period. Overall, the male-to-female suicide rate ratio was 5.33 (95% CI 3.46, 8.19) in 2017-2020, compared with 2.73 (1.88, 3.95) in 2004-2008. Although suicide rates remain relatively low, the gender differential has widened in the Republic of Cyprus. Further analysis of trends in relation to unemployment and other socioeconomic indicators is warranted.

Two Decades of Progress in Personalized Medicine of Colorectal Cancer in Serbia-Insights from the Institute for Oncology and Radiology of Serbia.

It is projected that, by 2040, the number of new cases of colorectal cancer (CRC) will increase to 3.2 million, and the number of deaths to 1.6 million, highlighting the need for prevention strategies, early detection and adequate follow-up. In this study, we aimed to provide an overview of the progress in personalized medicine of CRC in Serbia, with results and insights from the Institute for Oncology and Radiology of Serbia (IORS), and to propose guidance for tackling observed challenges in the future. Epidemiological data were derived from official global and national cancer registries and IORS electronic medical records. Germline genetic testing for Lynch syndrome was performed by Next Generation Sequencing. RAS and BRAF mutation analyses were performed using qPCR diagnostic kits. Epidemiology and risk factors, prevention and early detection programs, as well as treatment options and scientific advances have been described in detail. Out of 103 patients who underwent germline testing for Lynch syndrome, 19 (18.4%) showed a mutation in MMR genes with pathogenic or likely pathogenic significance and 8 (7.8%) in other CRC-associated genes (APC, CHEK2, MUTYH). Of 6369 tested patients, 50.43% had a mutation in KRAS or NRAS genes, while 9.54% had the V600 mutation in the BRAF gene. Although significant improvements in CRC management have occurred globally in recent years, a strategic approach leading to population-based systemic solutions is required. The high incidence of young-onset CRC and the growing elderly population due to a rise in life expectancy will be especially important factors for countries with limited healthcare resources like Serbia.

The Positive and Negative Effects of Sustainability on Real Estate Transaction Prices

In last decades, there is a trend to renew buildings and make them more sustainable. Studies have shown that energy measures (as an aspect of sustainability) often increase the value of real estate. The effect of other sustainability measures on real estate values, however, is unknown. This study examines the relationship between multiple sustainability aspects and the transaction prices of different types of real estate. For this study, we used official data on commercial real estate transactions from the Land Registry Office in the Netherlands and sustainability assessment scores from a Dutch sustainability consultant. In total, 10,652 real estate transaction prices between 2012 and 2023 and corresponding sustainability scores were used to perform regressions and hedonic imputation analyses. The results show that, opposed to energy, other aspects of sustainability often correlate negatively with transaction prices in the lower segment of sustainable real estate. These aspects correlate positively in the upper segment of sustainable real estate.

Analisis Atas Prosedur Pembiayaan Kredit Pemilikan Rumah BTN Platinum

To facilitate its role as a fund distributor to the public, the bank has established credit financing procedures. With these procedures, the bank can process credit financing in a uniform, systematic manner, in accordance with government regulations and the bank's own policies. Credit financing procedures also help the bank assess the feasibility of potential debtors and reduce the risks associated with credit financing. This paper aims to understand the procedures for Home Ownership Loans (Kredit Pemilikan Rumah, KPR) at PT. Bank Tabungan Negara (Persero) Tbk and to determine the alignment of these procedures with general credit financing procedures. This research was conducted at the Bogor Branch Office of PT. Bank Tabungan Negara (Persero) Tbk. The results show that the Home Ownership Loan (KPR) procedures at PT. Bank Tabungan Negara (Persero) Tbk comply with the general Home Ownership Loan (KPR) financing procedures, although there are minor differences due to the specific regulations of PT. Bank Tabungan Negara (Persero) Tbk. The requirements and conditions set by PT. Bank Tabungan Negara (Persero) Tbk are still relatively light and easy to fulfill. However, there are some challenges in the financing procedures, such as system errors and data discrepancies between the information provided by potential debtors and the data available at the civil registry office (disdukcapil). Keywords: Procedures, Credit, Home Ownership Loans

Experience of integrating lean technologies into the quality management system of a medical organization providing primary medical and sanitary care

Objective. To evaluate the effectiveness of implementation of lean production methods into the practical activity of primary health care on the example of the State Institution of Health Care «Saratov City Polycli nic № 2». Materials and methods. The study was divided into three stages: data collection through anonymous sociological surveys using phones or tablets, timing and improvement of the process, and a follow-up questioning of participants to assess their satisfaction. 296 residents of Saratov receiving primary health care at the polyclinic took part in the survey. The survey was conducted using a specially developed electronic questionnaire via Google Form. For mathematical processing, the results of the study were initially transferred into an electronic database; the results of the study were analyzed using the descriptive statistics method. Results. According to the survey, the majority of respondents are satisfied with the quality of outpatient medical care. This shows that organization of the medical care is focused on the patients` needs and desire to meet their demands. The organization of the front office and the premises of the polyclinic in accordance with the requirements for the new model of the organization providing primary medical care made it possible to achieve a high evaluation of the information stands and the waiting area. The study showed that ineffective organization of the registry office contributed significantly to the patients` low assessment. In our opinion, in order to solve the problem, it is necessary to optimize the work of the registry office by introducing modern technologies and equal distribution of duties among the employees. Conclusions. In order to improve the quality and accessibility of medical services, it is necessary to make certain changes in the organization of medical care. The level of patient satisfaction with the work of medical institutions may depend on various factors, such as waiting time for a doctor, the timing of medical services provision after the appointment, the availability of necessary diagnostic tests and specialists.

Integrated coastal vulnerability index for coastal flooding: A case study of the Croatian coast

The combination of accelerated urbanization and tourism-related activities, along with frequent coastal flooding, has generated pressure on the coastline of the Republic of Croatia (RH). In this paper, an integrated coastal vulnerability model (ICVI) for coastal flooding was developed. The ICVI was generated using a GIS multicriteria approach and derived from two sub-indices: the physical vulnerability index (CVIN) and the socio-economic vulnerability index (CVIS). In total, 30 criteria were used in the derivation of the ICVI, with twelve contributing to CVIS and eighteen to CVIN. The ICVI model is represented as a line divided into smaller segments, each segment indicating ICVI vulnerability levels ranging from 1 (very low) to 5 (very high). The accuracy of CVIN was evaluated using 159 geocoded coastal flood locations obtained from various websites and the official register of Hrvatske Vode flood events from 2008 to 2023. More than 80% of geocoded flood locations are situated in areas with very high (5) or high (4) CVIN. Furthermore, out of 32 settlements with officially registered flood events, 90.6% of them are located in areas with very high or high ICVI. Since all data used in the ICVI derivation were acquired from open-source databases and a user-friendly GIS-MCDA toolbox was utilized, this paper presents a cost-effective approach to modeling integrated coastal vulnerability. This model can guide decision-makers and provide them with new insights for implementing an effective integrated coastal zone management strategy.

PENGARUH DISIPLIN KERJA DAN LINGKUNGAN KERJA TERHADAP PRODUKTIVITAS PEGAWAI PADA KANTOR DINAS KEPENDUDUKAN DAN PENCATATAN SIPIL KABUPATEN TORAJA UTARA

This research aims to test and determine the influence of work discipline and work environment on employee productivity at the North Toraja Regency Population and Civil Registration Service Office. This research method uses quantitative research. Data collection techniques were through questionnaires. The population and sample in this study were all employees at the Population and Civil Registration Office of North Toraja Regency. Data were analyzed using the SPSS 26 program.The calculation results from the t test on the work discipline variable t count 3,420&gt; t table 1,688 and on the work environment variable the t count value 10,055 &gt; t table 1,688. This research shows that, partially work discipline has an effect on employee productivity, the work environment has an effect on employee productivity and simultaneously work discipline and work environment influence employee productivity at the North Toraja Regency Population and Civil Registration Service Office.

Оценка взаимосвязи брачно-миграционных характеристик населения Белгородской области в динамике за 130 лет

Background: The importance of studying the dynamics of the population-demographic structure of the population of the south of Central Russia over several generations dictates the need to conduct this study. The aim of the study: Assessment of the relationship between marriage and migration characteristics of the population of the Belgorod region over 130 years. Materials and methods: The object of the study is the Belgorod region (Belgorod, Grayvoronsky, Korochansky, Novooskolsky, Starooskolsky, Valuysky, Krasnogvardeysky and Alekseevsky (formerly Biryuchansky) districts (uezds). The dynamics of population-demographic indicators (migration parameters, isolation by Maleko distance, marriageable age, nationality of spouses) were studied over the past 130 years in the context of 5 time periods. The material was the data of 39,130 marriage records of acts of church and parish books of the Civil Registry Office Archive of the Belgorod Region of the late 19th century and civil status acts of the regional Civil Registry Office archive. In order to assess the relationship between the isolation parameters, Maleko distance and other population-demographic indicators, a correlation analysis (Spearman's rank correlation coefficient) was carried out. Results: Marriage and migration indicators are characterized by pronounced interrelated dynamics. Over the 130-year period, there was an increase in the proportion of heterolocal marriages (by 11 times), the level of local inbreeding (by 2 times), and the root-mean-square distances between the places of birth of spouses, taking into account long-distance migrations (by 6.9 times) and without them (by 13.3 times), effective migration pressure (1.5 times), age of marriage for men (from 24.12 to 30.98 years) and women (from 20.5 to 28.71 years), expansion of the national composition. The root-mean-square distances between the places of birth of spouses, taking into account long-distance migrations, were positively correlated with the proportion of men of other nationalities (r=0.90) and women of Ukrainian nationality (r=0.90), and the root-mean-square distances between the places of birth of spouses without taking into account long-distance migrations were negative correlations with the proportion of men (r= -0.90) and women (r=0.90) of Russian nationality and positive correlations with the proportion of women of other nationalities (r=0.90). Conclusion: In the Belgorod region, over the past 130 years, an increase in the root-mean-square distances between the places of birth of spouses, taking into account long-distance migrations, led to an increase in the proportion of men of other (except Russian and Ukrainian) nationalities and the share of women of Ukrainian nationality, and an increase in the root-mean-square distances between the places of birth of spouses without taking into account longdistance migrations led to a decrease in the share of men and women of Russian nationality and an increase in the share of women of other nationalities.

Improving Population Administration Services through the Implementation of the “Dimana Anda Kemana Anda Kami Layani” Program (Dinda Kanda Kalayani) by the Population and Civil Registration Office of Ngawi District

Improving Population Administration Services through the Implementation of the “Dimana Anda Kemana Anda Kami Layani” Program (Dinda Kanda Kalayani) by the Population and Civil Registration Office of Ngawi District

The German Business Panel: Firm-Level Data for Accounting and Taxation Research

ABSTRACT The German Business Panel (GBP) periodically surveys key decision-makers via a large sample of companies in Germany. The survey questions investigate managers’ accounting and taxation choices as well as the expected and perceived outcomes of those decisions. To obtain causal evidence, the survey supports the use of randomized survey experiments. The evidence from the GBP can meaningfully advance our understanding of issues that require data on internal processes as well as expectations, perceptions, and objectives behind ex-post reported accounting figures. The target population comprises the universe of legal entities included in the official German Statistical Business Register. We show that the dominance of small and medium-sized entities is a feature that Germany shares with many European countries, implying that GBP findings will be reasonably generalizable to European settings. We illustrate the usefulness of GBP data by presenting evidence from the initial waves of the GBP during the COVID-19 pandemic. The findings show how government aid programs contributed unevenly to the solvency of the most negatively affected companies, and how companies, rather than consumers, benefited from a temporary reduction of VAT rates. The paper also demonstrates how the scientific community can use the GBP data.

A new species of Choleoeimeria (Apicomplexa: Eimeriidae) from the invasive curious skink, Carlia ailanpalai (Sauria: Scincidae) from Guam, U.S. Territory.

The curious skink, Carlia ailanpalai Zug, occurs in the main group of the Admiralty Islands of Papua New Guinea but has also successfully invaded Guam, the Marianas, Yap, and Kosrae. A single coccidian, Eimeria zugi McAllister, Duszynski, Fisher, & Austin, 2013 was described from C. ailanpalai from Papua New Guinea. No additional coccidians are known from this host. Fourteen C. ailanpalai were collected from Cocos Island (Islan Dåno), Guam, U.S. Territory, and their feces examined for coccidians. A single skink (7%) was found to be passing oöcysts of a new species of Choleoeimeria. Oöcysts of Choleoeimeria cocosensis n. sp. are ellipsoidal to ovoidal with a bi-layered wall, measure (L × W) 21.1 × 12.9 µm, and have a length/width (L/W) ratio of 1.6; a micropyle and an oocyst residuum were absent but fragmented polar granule(s) was present. Sporocysts are ovoidal and measure 8.6 × 6.3 µm, L/W 1.4; Stieda, sub-Stieda, and para-Stieda bodies were absent. Sporocyst residuum was typically a loose aggregate of various-sized granules between and across the sporozoites but sometimes a dense irregular mass between and across the sporozoites. Sporozoites were elongate, with a centrally located nucleus and a large spheroidal to subspheroidal posterior refractile body, but without an anterior refractile body. The new species can be differentiated from all other choleoeimerians from skinks by possessing one of the smallest oöcysts known from the host family. We also provide an updated summation of the choleoeimerians from skinks of the world. This article was registered in the Official Register of Zoological Nomenclature (ZooBank) as urn:lsid:zoobank.org:pub:6EFDF027-0A92-43C4-9AD0-E555252E7741.

SP7.4 - Analyzing Geriatric Trauma Patterns: Prevalence, Injury Types, and Transfer Delays in Riyadh, Saudi Arabia

Abstract Aim To analyze geriatric trauma prevalence, injury pattern, transfer delays to trauma centers, and assess undertriage to non-trauma centers in Riyadh City. Method We conducted a retrospective review of 11,140 incident reports from 50 Red crescent Center in Riyadh City from the official data registry of the Red Crescent of Saudi Arabia from January 2021 to March 2023. Cases meeting "red criteria" (SBP &amp;lt; 110 mmHg or HR &amp;gt; SBP) were identified. Using QGIS, we mapped the regional distribution of dispatch and non-trauma centers. Network service zone analysis delineated level 1 and 2 trauma center service areas reachable within 15-, 30-, 45-, and 60-minute intervals. Dispatch centers were grouped to assess mistriaging of red criteria cases. Delays were defined as travel time &amp;gt;60 minutes to a non-trauma center. Data were analyzed using SPSS 26 and R statistics. Results Majority of geriatric trauma patients (65.6%, n=7312/11140) were classified under red criteria. Penetrating injuries were the most common (51.2%, n=5704/11140), followed by fall-related injuries (38%, n=4234/11140), and finally motor vehicle accidents (6%, n=669/11140). Among red criteria cases, majority of the patients (65.6%, n=2360/3419) transferred to level 1 and 2 trauma centers were delayed, most commonly seen in the 15-minute area of south and middle Riyadh and the 45-minute service area of northern and southern Riyadh. Nearly of quarter of the red criteria patients (23.54%, n=1721/7312) were transferred to a non-trauma center. Conclusions Addressing delays in accessing trauma centers and transfers to non-trauma facilities is imperative, warranting focused intervention. Addressing preventable delays and enhancing the capabilities of Red Crescent centers are vital for improving geriatric trauma care in Riyadh.

SOCIALISATION OF THE MOBILE APPLICATION FOR ONLINE POPULATION REGISTRATION AND CIVIL REGISTRATION SERVICES IN BANJARMASIN CITY

The Banjarmasin City Government has innovated its services by creating the "Banjarmasin Pintar" application, which is part of Banjarmasin's smart city programme. The mobile application PARAK ACIL (Population Registration and Civil Registration Services) Online is a public service application designed for residents to access services, particularly those provided by the Population and Civil Registration Office of Banjarmasin City. This study aims to examine the socialisation efforts conducted by the Population and Civil Registration Office of Banjarmasin City regarding the PARAK ACIL mobile application. The research employs a descriptive qualitative method. Data collection techniques include observation, interviews with 6 informants, and documentation. The data was analysed using Cresswell's method, which involves organising and preparing the data, reviewing the overall data, creating codes, and using those codes to develop descriptions, then connecting and interpreting the data. The results of the study indicate that the socialisation process of the PARAK ACIL Online mobile application in Banjarmasin City has been fairly optimal. However, there are still residents who prefer to visit the Population and Civil Registration Office in person, indicating the need for enhanced and modernised socialisation techniques that align with current trends. Keywords: Socialisation, Smart City, PARAK ACIL Online

Tinjauan Sistem Pendaftaran Rawat Jalan di Puskesmas Kelurahan Klender Tahun 2023

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.