Standard Operating Procedures Research Articles

Vegetable Recipe Variations in Urban and Periurban Bangladesh: Recipe Survey, Recipe Standardization, And Nutrient Analysis

Recipe variation has social, economic, geographical, cultural, and other roots. The Analysis of each recipe’s composition is not plausible from a chemical as well as an economic point of view. Instead, a standardized recipe from a set of similar recipes could be ideal for cooking and chemical analysis of the nutrient composition of cooked recipes. This type of data has been found to be scanty in conventional food composition tables (FCT) across the globe. Recipe calculation from raw ingredients has always been problematic because cooking is regarded as an unpredictable process on every occasion. Therefore, analysis of cooked recipes is preferred for FCTs which are used for more authentic and accurate in menu planning for individual or community health purposes. The present study seeks to partially fill the information gap on compositional data for vegetable and leafy vegetable recipes consumed by the lower to middle-income urban and peri-urban households of Bangladesh because they have been observed to be the main consumer of these recipes. The study was conducted into three phases. In phase I, a recipe survey was conducted among purposely selected housewives (n=100) representing Dhaka (n=33), Rangpur (n=37), Rajshahi (n=18) and Chattogram (n=12) divisions. In phase II, 10 selected homemade vegetable and leafy vegetable recipes were selected and standardized from the most cited recipe list obtained from consecutive recipe surveys. In phase III, chemical analyses for proximate nutrients were carried out followed by compilation of vitamin and mineral values from local and global food composition databases. The result revealed that the Moisture, Ash, Protein, Fat, Total Dietary Fiber and Available Carbohydrate content (g/100 g) and Calorie of the samples ranged from 71.57-83.68%, 1.30-4.94%, 1.17-5.86%, 0.20-9.18%, 2.63-7.28%, 1.43-14.66%, and 64.94 to 126.28 Kcal respectively. Method validation and analytical quality assurance program was carried out along with all standard operating procedure (SOP) to ensure quality data generation. Therefore, the data obtained in this study can be taken as reliable data which will enrich the food composition database of Bangladesh. Bioresearch Commu. 10(2): 1565-1572, 2024 (July)

Nutrient Composition of Nine Festival Dishes Obtained from A Recipe Survey Among Lower to Middle-Income Households in Selected Urban Areas

Background and Objectives: Estimation of nutrient content of a recipe by a recipe calculation method may be cost‐effective and alternative to the chemical analysis for a range of applications, laboratory analysis of standardized recipes is considered a more authentic and accurate source of recipe nutrient data. Food composition data (FCD) regarding festival foods and dishes is very scanty in local and global food composition tables (FCT). The present study, thus, conducted a recipe survey on the ingredient profile of festival recipes consumed by lower to middle-income households in Bangladesh followed by proximate analysis of standard recipes obtained by collapsing similar recipes. Unanalyzed nutrients were obtained by data compilation from local and global food composition databanks (FCDB). Methodology: A cross-sectional recipe survey was conducted sequentially on festival foods and dishes among purposefully selected housewives residing at different areas of Dinajpur district and Dhaka city. The study instrument was a structured pre-tested questionnaire. Nine homemade festival recipes out of 40 recipes cited viz., plain polao, beef bhuna, fish fry, chicken bhuna, payesh, beef biriyani, chinese vegetable, chicken roast and baked fish were selected and standardized according to the method established in our laboratory. The selected recipes were prepared and analyzed for proximate composition along with an estimation of the cooking yield factor. Content of moisture, ash, protein, total fat, total dietary fiber (TDF), available carbohydrates, and calorie values of nine selected dishes were determined using standard operating procedures (SOP) established on the basis of AOAC methods. Precision and accuracy of analytical values were checked as part of Quality Assurance Program (QAP). Data compilation of missing values for vitamins and minerals was conducted according to FAO data compilation toolkit. Result: Moisture content ranges from 30.42-70.75%, protein content ranges from 2.60-35.70%, fat content ranges from 2.61-22.53%, ash content ranges from 0.6241-8.8%, TDF ranges from 0.58-8.49%, carbohydrates ranges from 0.65-45.7% and energy content ranges 101.5-368.4 kcal/100g fresh sample. The cooking yield ranges from 40.96-96.82%, which is highest in plain polao and lowest in fish fry. Conclusion: The data generated from this study can be used as reliable data which will enrich the national food composition table. Bioresearch Commu. 10(2): 1516-1523, 2024 (July)

Implementation Of The Village Financial System Applicationon The Performance Of The Village Government

The aim of this research is to analyze the implementation of the Village Financial System (SISKEUDES) application in improving the performance of village officials. This research was conducted in Sandi Ulakan, Ulakan, Tapakih District. Where data collection is carried out by observation, interviews and documentation. The results of this research indicate that Sandi Ulakan Village has implemented the Village Financial System (SISKEUDES). Village financial management in Sandi Ulakan Village is in accordance with Standard Operating Procedures, namely Regulation of the Minister of Home Affairs of the Republic of Indonesia Number 20 of 2018 concerning Village Financial Management. Village financial management in Sandi Ulakan Village includes planning, implementation, administration and reporting. Through research conducted, village financial management using the village financial system in Sandi Ulakan improves the performance of village officials .

Evaluation Of The Implementation Of Elementary Teacher Certification Policies Through Teacher Professional Education Programs In Gorontalo City

This study aims to comprehensively evaluate the implementation of the elementary school teacher certification policy through the teacher professional education program in Gorontalo City from four different aspects. The evaluation shows that in terms of context, the implementation of this policy is considered very good with an achievement of 92%, which is in accordance with the Standard Operating Procedures as the organizer of PPG activities. In addition, in terms of input, the evaluation showed excellent results with a percentage of 97%, supported by the availability of adequate Human Resources and the qualifications of instructors in accordance with government requirements. In terms of process, the study found excellent performance with an achievement of 95%, showing that PPG activities were carried out in accordance with the SOP set by the Ministry of Research, Technology and Higher Education. On the product side, the evaluation showed excellent results with a percentage of 93%, emphasizing that a well-organized process in implementing the PPG program contributed to the quality of the final product produced. Overall, these findings confirm that the teacher certification policy through the teacher professional education program in Gorontalo City has been successfully implemented from all aspects evaluated, providing an important view for the development of future education policies and the importance of compliance with operational standards to achieve optimal results in teacher professional education.

Feasibility and acceptance of ready-made standard operating procedures in calf care on German dairy farms

Calf loss continues to be a considerable problem on German dairy farms. Untrained personnel or the lack of best practice routines are potential reasons. Standard operating procedures (SOP) may increase process consistency and can improve animal health and animal welfare. We developed SOP for 8 important tasks in calf care and provided them online to interested dairy farmers and their employees. Five questionnaires were embedded to collect data on demographics, use, perception, and feasibility of SOP. Main objectives of the study were to investigate (1) if there is a gap between the existence of SOP and the wish for SOP, (2) if participants (n = 301) consider ready-made SOP as feasible for their farm and (3) suitable to train new personnel, and (4) if they state their confidence in task execution higher after the courses. We experienced a strong discrepancy between the existence (13.1%) and the wish for SOP (69.4%). Most of the participants rated ready-made SOP as feasible for their farm (66.5%). Eighty-five percent fully agreed or agreed to the statement that SOP are a suitable tool for training new employees. Interestingly, 64.2% of employees mentioned, that they wanted to be involved in the creation of SOP specific to their farm. The SOP-based e-learning courses increased the confidence in performing tasks in calf care, especially concerning tasks that were performed less often such as tube feeding, emergency care, and testing of colostrum quality.

Improving Remote Leadership on PT. XYZ Business Development Expansion Team

This study analyzes and enhances the effectiveness of remote leadership within PT. XYZ’s Business Development Expansion team, crucial to the company’s growth. Despite PT. XYZ’s expansion beyond Jabodetabek, the remotely managed business development team’s performance has lagged compared to the directly managed Jabodetabek team. Using the DMAIC framework, this research identifies and addresses inefficiencies in remote leadership. Data was collected through interviews and company documents, employing methods such as fishbone analysis and the 5 Whys technique. Key findings indicate issues in leadership and management, tools and technology, and skills and impact. Problems include the absence of Standard Operating Procedures (SOPs), lack of Key Performance Indicators (KPIs), poor integration with support divisions, centralized data management, complex products, inadequate training, and lack of an integrated system for remote operations. The study recommends creating comprehensive SOPs, establishing specific KPIs, improving communication with support departments, decentralizing data management, simplifying product offerings, conducting regular training, and implementing an integrated management system to enhance remote leadership practices.

The application of healthcare failure mode and effect analysis in reducing medication errors in the emergency department of Regional Public Hospital

Introduction: Medication or medication error is an essential issue in the world of health, both in the world and in Indonesia. The emergency department is a health service unit that provides emergency services 24 hours non-stop, which is very likely for medication errors to occur. Most medication incident errors can be prevented. One method that can be used is of healthcare failure mode and effect analysis (HFMEA). Applying HFMEA in hospitals helps avoid and identify possible or potential problems or errors in healthcare services. Methods: This qualitative study used the HFMEA approach to conduct risk analysis regarding medication events and errors in the emergency department (ER), at Regional Public Hospital, Central Java. Brainstorming and focus group discussion were conducted with all members of the HFMEA team at the regional public hospitals’ ER in Central Java following HFMEA guidelines. Results: Four process flows in ER drug or medication administration services were identified, encompassing 14 service sub-processes and 57 failure modes. Of the 57 failure modes, only 34 were subjected to hazard analysis, and only 24 failure modes required control measures. From these data, four control strategies were obtained. Conclusion: This study found 24 failure modes need to be addressed and suggested four control strategies, including enterprise risk management formats according to the needs of ER’ health workers, improving ER service management, improving standard operational procedures for medical services, and improving pharmacy management.

Pekerja Ekonomi Gig: Pengalaman Kerja Pengemudi Ojek Online Maxim dan Grab di Wilayah Timur Indonesia

This study aims to examine the work experience of online Ojek drivers in Kupang City who use the Maxim and Grab platforms. This research is motivated by the rapid development of online ojek services in Indonesia, including in Kupang City, as well as its important role in providing new economic opportunities. This research uses a qualitative approach with phenomenological methods to explore the subjective experiences of the drivers. In-depth interview techniques and participatory observation were used to collect data from 22 informants consisting of Maxim and Grab drivers. The results showed significant differences between the drivers' work experiences on the two platforms. Grab drivers prefer the strict Standard Operating Procedures (SOPs) that provide a sense of security, while Maxim drivers appreciate the flexibility of working hours offered. The main challenges faced by drivers include digital map inaccuracies, sudden order cancellations, accident risks, and poor road conditions. The rating system plays an important role in determining a driver's income, with high ratings increasing the number of orders. This research makes an important contribution to the literature by providing an in-depth comparative analysis of the work experience of online ojek drivers in a medium-sized city like Kupang. The findings also offer practical recommendations for online Ojek companies to improve driver welfare and provide useful data for policymakers in formulating regulations that support the welfare of online Ojek drivers.

Development of Physiotherapy Standard Operating Procedures for Tennis Elbow Cases in Badminton Players

Development of Physiotherapy Standard Operating Procedures for Tennis Elbow Cases in Badminton Players

LUNGBANK: a novel biorepository strategy tailored for comprehensive multiomics analysis and P-medicine applications in lung cancer.

LUNGBANK was established as part of Project LUNGMARK, pioneering a biorepository dedicated exclusively to lung cancer research. It employs cutting-edge technologies to streamline the handling of biospecimens, ensuring the acquisition of high-quality samples. This infrastructure is fortified with robust data management capabilities, enabling seamless integration of diverse datasets. LUNGBANK functions not merely as a repository but as a sophisticated platform crucial for advancing lung cancer research, poised to facilitate significant discoveries. LUNGBANK was meticulously designed to optimize every stage of biospecimen handling, from collection and storage to processing. Rigorous standard operating procedures and stringent quality control measures guarantee the integrity of collected biospecimens. Advanced data management protocols facilitate the efficient integration and analysis of various datasets, enhancing the depth and breadth of research possibilities in lung cancer. LUNGBANK has amassed a comprehensive collection of biospecimens essential for unraveling the intricate molecular mechanisms of lung cancer. The integration of state-of-the-art technologies ensures the acquisition of top-tier data, fostering breakthroughs in translational and histological research. Moreover, the establishment of patient-derived systems by LUNGBANK underscores its pivotal role in personalized medicine approaches. The establishment of LUNGBANK marks a significant milestone in addressing the critical challenges of lung cancer research. By providing researchers with high-quality biospecimens and advanced research tools, LUNGBANK not only supports Project LUNGMARK's objectives but also contributes extensively to the broader landscape of personalized medicine. It promises to enhance our understanding of lung cancer initiation, progression, and therapeutic interventions tailored to individual patient needs, thereby advancing the field towards more effective diagnostic and therapeutic strategies.

Analysis, Design, and Development of the Maintenance Reminder Staff Training Module to Improve Objection Handling Skills of Newly Hired Toyota Dealer Personnel

This study describes the analysis, design, and development of a Maintenance Reminder Staff (MRS) training module to improve objection handling skills of newly hired Toyota dealer personnel. The study's objective is to address the pressing concerns that are being raised by customers, particularly with regards to MRS' competence in satisfactorily answering all queries related to maintenance servicing and appointment booking. The MRS training module is designed to bridge the gap in MRS knowledge on the Standard Operating Procedures (SOPs) and to improve their communication skills, particularly on negotiation and handling objections. The training module content enhancement was guided by the step-by-step process of the well-established ADDIE instructional design model, particularly by its first three phases: Analysis, Design, and Development. Data was presented and analyzed using descriptive statistics to show its impact (be it positive or negative) on the research's objectives. This study highlights Dealer Training and Development (DTD) Department’s initiative to transition into a more holistic training approach, indicating a significant step towards improving the quality of education received by dealer personnel.

Retracted:An integrated protocol based on workflows of imaged capillary isoelectric focusing (icIEF) for in-depth protein heterogenous characterization: High-efficient fractionation and online mass spectrometry detection

Herein we describe an integrated protocol to study the charge heterogeneity of therapeutic proteins. The protocol integrating two workflows, based on imaged capillary isoelectric focusing (icIEF) with fractionation and mass spectrometry (MS) online detection on the same platform, is validated, and can be used for protein charge variant characterization at intact MS and in-depth peptide mapping of collected fractions by high performance liquid chromatography (HPLC). The developed protocol was evaluated based on systematic methodology validation, which is demonstrated to be a robust platform that suits for the heterogeneity characterization of diverse therapeutic proteins with Standard Operating Procedures (SOP), outstanding reproducibility and excellent sensitivity. Especially, the constructed protocol can perform both functions of icIEF fractionation and MS online detection in a unique icIEF platform with high throughput, easy method development and less reagent consumption as comparing to traditional technologies, which “Green Chemistry Concept” helps biopharma industry address urgent challenges during the whole process of discovery, quality control and manufacture release.

The role of electrochemotherapy in the treatment of locally advanced or recurrent eyelid-periocular basal cell carcinoma: long-term results.

While electrochemotherapy (ECT) is increasingly utilized as a highly effective method in the treatment of tumors in the head and neck region, there is significantly less data available for eyelid-periocular skin tumors. Our group reported the first extensive case series of eyelid-periocular basal cell carcinoma (BCC) patients with short-term follow-up treatment with ECT. The present study aims to report our long-term results of eyelid-periocular BCC cases treated with ECT. The treatments were performed according to the ESOPE (European Standard Operating Procedures on Electrochemotherapy) guidelines using the Cliniporator™ device. All patients received bleomycin-based ECT, administered intratumorally or intravenously. Tumor response was evaluated using the RECIST 1.1 criteria. The results of 19 patients treated with ECT are presented. Four patients had locally advanced primary tumors, while 15 patients had recurrent tumors. Bleomycin was administered intratumorally in four patients and intravenously in 15 patients. The overall response was 100%, while the complete response rate proved to be 95%. In three cases (15.8%), recurrence was observed during the mean follow-up period of 78.9 months. ECT can effectively treat locally advanced or recurrent BCC in the eyelid-periocular skin region. Excellent tumor control can be achieved with good functional and cosmetic results without systemic adverse events with long interval follow-up.

Peranan Implementasi Standar Operasional Prosedur (SOP) Meningkatkan Efisiensi dan Efektivitas Operasional pada PT. Nusatama Berkah, Tbk

Standard Operating Procedures (SOP) is a system designed to facilitate, streamline, and control one's work. With the existence of Standard Operating Procedures (SOP), it will make the stages in the implementation of an activity run properly and correctly, so that it can increase the efficiency and effectiveness of the company's operations. PT. Nusatama Berkah, Tbk does not yet have Standard Operating Procedures (SOP) in each department, so there is often miscommunication between employees and departments that causes the efficiency and effectiveness of the company's operations still not maximized. A study on the role of implementing Standard Operating Procedures (SOP) in improving the efficiency and effectiveness of operations at PT. Nusatama Berkah, Tbk aims to know the importance of Standard Operating Procedures (SOP) for each organization. The method used in this study is a qualitative descriptive approach with Data Collection Techniques with interviews, assistance, observation, and documentation. The results of the study show that it is necessary to recommend Standard Operating Procedures (SOP) for each department with good assistance in its production. The performance of employees has improved since the availability of Standard Operating Procedures (SOP), so the availability and implementation of Standard Operating Procedures (SOPs) for each organization or company is said to be essential for improving the efficiency and effectiveness of the Company's operations.

THE EFFECTIVENESS OF LAVENDER AND ROSE AROMA THERAPY ON THE LEVEL OF MOTHER'S ANXIETY IN FACING SC LABOR

Introduction : According to Mochtar (2011) Section Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front of the abdomen or vagina or also called hysterotomy to give birth to a fetus from inside the uterus. Adaptive response Positive results will be obtained if the individual can accept and manage anxiety. This study aims to determine the effectiveness of lavender and rose aroma therapy on the level of anxiety in mothers in dealing with cesarean delivery at the hospital. Surya Medika. Method : The research design used in this study was Quasy Experimental with a pre-post test design. The sample was selected using purposive sampling method. Samples were taken as many as 40 respondents. Divided into 2 groups of 20 respondents in the intervention by giving lavender aroma therapy and 20 respondents in the intervention by giving rose aroma therapy. The independent variables were lavender and rose scented terpai. The dependent variable is the expenditure of t. Data collection on the level of maternal anxiety. SOP (Standard Operating Procedure) Lavender Aroma Therapy, SOP (Standard Operating Procedure) Rose Aroma Therapy and questionnaire sheet. Wilcoxon test results obtained p value = 0.000 for lavender and rose aroma therapy where <0.05 which means that there is an effect on breast milk production. Result & Analysis : The results of the Mann Whitney U Test statistical test showed an insignificant value of p = 0.426 where > 0.05 which means H1 was rejected, so there was no significant difference between giving lavender aroma therapy and rose aroma therapy to anxiety levels. Discussion : Giving lavender aroma therapy and giving rose aroma therapy can be used to reduce SC anxiety levels. Lavender aroma therapy was more effective on the mother's golden level in dealing with cesarean delivery, compared to rose aroma therapy

High-Profile Convoy Disruptions: Exploring Socioeconomic and Environmental Ramifications of Road Closures

Congestion persists despite various demand management techniques, particularly for handling recurrent congestion. However, non-recurrent congestion from events like VIP movements poses unique challenges, especially during peak hours. This study investigates the environmental and economic impacts of road blockages due to VIP movements in developing countries, focusing on Pakistan. Considering practiced standard operating procedures associated with VIP movements, this study finds significant delays and economic burdens in debt-ridden economies. It uses discrete choice modeling and microsimulation techniques to evaluate the value of travel time and quantifies road blockage effects on fuel consumption, travel time, and carbon emissions. Data from central blockage locations in Rawalpindi and Islamabad reveal a value of travel time estimated at 1.77 USD/h, with income and gender significantly influencing mode choices during VIP movements. Moreover, road blockages exceeding two minutes substantially negatively impact the environment and economy, particularly in developing nations. Urgent action is needed for effective mitigation strategies and sustainable transportation policies to address the detrimental effects and promote alternative transportation modes. Recommendations include limiting VIP blockages to a maximum of two minutes and implementing policies to discourage private car usage. Despite limitations, the study emphasizes the critical role of sustainable transportation policies in enhancing the well-being of road users in developing nations.

Implementation of An Integrated Referral System (SISRUTE) At Bumi Panua Pohuwato Hospital

advanced level but the monitoring and evaluation system of these services is the data needed in planning future health development. This research aims to look at the implementation of an integrated referral system at Bumi Panua Regional Hospital. This research uses a qualitative descriptive design. The sample in this study was the service sector at Bumi Panua Regional Hospital, the Head of the Sisrute Team as the person in charge as the Key Informant and the Ordinary Informant, the doctor in charge, the Head of the medical services sector and members of the Sisrute team. The research results show that the Standard Operating Procedures (SOP) are running well, but several obstacles cause the SOP to go off the predetermined path. The referral process via SISRUTE is not yet supported by a clear and detailed SOP and flow. The application of SISRUTE has been running according to the flow set by the Ministry of Health, but there is a lack of human resources for SISRUTE operators or users at the Puskesmas, unfamiliarity with SISRUTE, accumulation of patients in the ER and errors in entering codes. In-application references cause SISRUTE flows to overlap. Conclusion: The SISRUTE application often experiences problems, routine maintenance that was suddenly carried out by the center without prior notification, server downtime, and hardware that had not been updated, which hampered referral services on the SISRUTE application and required offline or manual referrals.

Empowering public health: building advanced molecular surveillance in resource-limited settings through collaboration and capacity-building.

The rapid detection and continuous surveillance of infectious diseases are important components of an effective public health response. However, establishing advanced molecular surveillance systems, crucial for monitoring and mitigating pandemics, poses significant challenges in resource-limited developing countries. In a collaborative effort, research institutions from Benin joined forces with Mali's National Institute of Public Health to implement a state-of-the-art molecular surveillance system in Mali. This approach was characterized by collaboration, multidisciplinarity, and tutoring. Key activities included a comprehensive assessment of infrastructure and human resources through document reviews, interviews, and laboratory visits; the development and validation of Standard Operating Procedures (SOPs) for advanced molecular surveillance following an inclusive approach; capacity-building initiatives for 25 biologists in Mali on sequencing techniques; and international tutoring sessions for eight Malian professionals held in Benin. These collective efforts enabled Mali to establish an advanced molecular surveillance system aligned with the WHO's global strategy for genomic surveillance. This manuscript aims to share experiences, insights, and outcomes from this initiative, with the hope of contributing to the broader discussion on strengthening global health security through collaborative approaches and capacity-building efforts, particularly in developing countries.

DEI-06. IMPROVING ACCESS TO POST-MORTEM BRAIN TUMOR TISSUE DONATION BEYOND THE INPATIENT HOSPITAL SETTING

Abstract Between May 2021 and December 2023, approximately 33% of patients were being treated inpatient at the time of consent for post-mortem tissue donation through Gift From A Child. In the past, a major obstacle preventing families from donating post-mortem tissue was the inability to leave the hospital. Care teams and patient families are often concerned that in order to donate, the patient would have to pass away at the hospital. This creates a situation where the desire to donate comes at the cost of patient care and comfort. Through GFAC, children can pass at home, hospital, or hospice and still donate tissue successfully. The ability to donate post-mortem tissue is independent of patient location, ensuring that the focus of the family and care team remains on the child’s care rather than donation logistics. Additionally, patients can successfully donate tissue independent of status at the time of inquiry (declining, stable, urgent). The ability to quickly access a resource at a low burden to the family has been crucial in allowing tissue donation to happen. This also improves patient equity by eliminating access to hospital resources as a reason for a patient family to be required to live near a hospital. This is oftentimes a tremendous financial difficulty for patient families. Through establishing standard operating procedures and appointing tissue navigators, GFAC has streamlined what was previously an extremely complicated process mired in logistical obstacles. Patient families now have access to an efficient process for tissue donation. Previously, families would need to navigate complicated logistics unsupported, now they (or someone on their behalf) only need to contact GFAC or a Research Center of Excellence via phone or email and consent for donation. This ensures that post-mortem tissue can be donated easily, efficiently, and from wherever the patient family chooses.

Effect of measurement procedure errors on assessing lung fluid via remote dielectric sensing system

The study assessed the impact of procedural errors on the remote dielectric sensing system (ReDS), a non-invasive lung fluid assessment technology, in an Asian cohort. Healthy volunteers underwent ReDS measurements following manufacturer’s instructions, with two consecutive measurements one minute apart. A subset of 20 participants had modified procedure settings. Reliability was measured using intraclass correlation coefficient (ICC). The study included 86 healthy volunteers, and all ReDS measurements fell within the recommended normal range. The intra-rater reliability of ReDS measurements was excellent, with an ICC of 0.968. Among the subset of 20 subjects, deviations in height and weight did not significantly affect ReDS values. However, deviations in chest size by ± 3 cm had a noticeable impact on ReDS measures, and incorrect station selection led to fluctuations in ReDS readings. In conclusion, the ReDS system demonstrated excellent intra-rater reliability and applicability in an Asian cohort. Procedural errors, such as chest size measurement and station selection, significantly influenced ReDS measurements. Adherence to standardized operating procedures is crucial to ensure accurate and consistent results. These findings highlight the importance of adherence to manufacturer instructions when utilizing ReDS for lung fluid assessment, thereby enhancing its reliability and clinical applicability.