Analysis of Factors Affecting Nursing Services with Inpatient Satisfaction at Harapan / Pematangsiantar Hospital

Improving quality of nursing services became a major issue in health development both in national and global, because of growing demands on health services organization to give satisfaction with nursing services maximally by providing the best service to facilitate the ease of fulfilling the needs and realize the satisfaction. This study was a quantitative research design survey analytic used cross-sectional approach. It was conducted at Harapan Hospital Pematangsiantar. The population were 280 respondents  and  a sample obtained by 74 respondents. Data analysis of univariate, bivariate using chi - square and multivariate using logistic regression at 95% confidence level (α =.05). The result showed that more respondents who gave a rating of good in the aspect of reliability, followed by the aspect of responsiveness, tangible, assurance, and empathy the influence aspects in this study were reliability        (p=.002), assurance (p=.014), tangible (p=.011), empathy (p=.030), responsiveness (p=.024). The most influential aspects of this study was  the reliability with  Exp(B)/OR=20.667 that aspect of reliability that respondents perceived to have the opportunity 20.667 times to produce patient satisfaction. It is concluded that there was an influence of reliability, assurance, tangible, empathy, responsiveness to patient satisfaction in Harapan Hospital. It is recommended to hospital to further improve the quality of nursing service, to improve the welfare of nurse through provision of appropriate  incentives hope the nurse, provide training, and installing  CCTV in every  room and monitoring of the level of patient satisfaction on a regular basis  through a survey so that can improve the quality of  hospital services as a whole.

Investigating Machine Learning Based Prediction of Protein Interactions

Protein interactions are crucial in the cell for performing cellular functions and the study of protein interactions is a very important domain of research in bioinformatics. In reference to protein interactions, biologists are usually interested in three core problems: determining pairwise protein interactions, determination of binding affinity, and identification of the interface. Computational methods to solve these protein interaction problems have emerged as an active research area due to tedious, costly, and time-consuming experimental procedures. Our aim in this work is to develop novel machine learning based methods for protein interaction, binding affinity and interaction prediction with improved generalization performance. In this dissertation, we have developed host-pathogen protein interaction predictors using machine learning. One of our findings is that existing methods for protein interaction prediction that use K-fold cross-validation for performance assessment report over-estimated accuracy values as K-fold cross-validation does not take pairwise protein similarity between training and test examples into account. To control this data redundancy at pathogen protein level, we have proposed and advocated the use of an alternate evaluation scheme called Leave One Pathogen Protein Out (LOPO) cross-validation along with some biologist centric metrics for designing protein-protein interaction prediction methods. We have also designed a novel machine learning model called CaMELS (CalModulin intEraction Learning System) for interaction and interaction site prediction of Calmodulin (CaM) which is a very important and highly conserved protein across all eukaryotes. CaMELS relies on a novel implementation of multiple instance learning solver for protein binding site prediction that leads to significant improvement in predictive performance. One of our collaborators has confirmed the effectiveness of CaMELS through wet-lab experiments as well. We have also focused on the more generic problem of predicting binding affinity in protein interactions and presented various sequence-based machine learning models. xxiv For this purpose, we have developed a novel machine learning method which is based on the framework of Learning Using Privileged Information (LUPI). Our state-of-the-art method uses protein 3D structure as privileged information at training time while expecting only protein sequence information during testing. This makes our machine learning method flexible by allowing it to leverage protein structure information during training while requiring only protein sequence information during testing. We have also developed a webserver for an existing state-of-the-art protein-protein interface prediction method called PAIRPred. The accuracy of this webserver has also been validated by our collaborators through wet-lab experiments as well.