Information system is a system that combines technology used to help human life. Not only helps facilitate information sistem activities, it also saves time, space and costs. Utilization of a website is useful in all fields because there are many and very broad and user-friendly features that can spoil the user's eyes. Activities that function to meet the needs of the general public are the meaning of public services as well as those related to other commodities such as goods, services and management provided by the organizers. In the health sector in public services, it is very necessary, especially in the service reservation process which still uses a queuing sistem in the form of taking queue numbers in the hospital lobby and waiting for hours, causing queues of visitors. The purpose of this study was to design a reservation information system at the hospital in order to increase the use of facilities and resources. The design of this hospital reservation information system is based on a website that was built using the user centered design method and tested using the SUS (Sistem Usability Scale) method which is in accordance with the criteria for the Sistem Usability Scale method which involves several respondents for information system acceptance
Background: Carotid artery stenosis (CAS) may manifest with stroke, transient ischemic attack (TIA), or more covert non-hemispheric symptoms. While symptoms can be subtle, brain MRI abnormalities may already reflect substantial changes. This study aimed to determine the association between brain MRI abnormalities and symptomatic CAS. Methods: A retrospective cross-sectional study was conducted to subjects with symptomatic ICA stenosis admitted to a private secondary hospital in Jakarta, Indonesia, from January to December 2022. Symptoms were categorized to stroke/TIA and non-hemispheric symptoms (vertigo, headache, presyncope, etc.). Properties of CAS were recorded using digital subtraction angiography report. Brain abnormalities were recorded using MRI report. Results: Brain MRI abnormalities were detected in 96.2% CAS cases and similar between stroke (96.2%) and non-hemispheric symptoms (96.0%). The abnormalities tended to be in bilateral hemisphere (61.0%), predominantly periventricle (41.9%), basal ganglia (26.1%), and internal capsule for mild CAS (16.8%). Ipsilateral brain lesions were significantly associated with severe CAS (20.9% versus 10.8% for non-ipsilateral brain lesion, p=0.042) and stroke (45.9% versus 24.0% in non-hemispheric symptoms, p=0.035). Non-ipsilateral brain lesions were significantly associated with mild CAS (49.6% versus 40.7% for ipsilateral brain lesion, p=0.042) and non-hemispheric symptoms (72.0% versus 50.3% in stroke, p=0.035). Conclusions: Brain MRI abnormalities were very prevalent in CAS. There were no specific markers of brain MRI abnormalities associated with CAS. Brain abnormalities had been found since mild CAS, which presented in bilateral hemisphere as non-hemispheric symptoms. This study underlines the importance for the assessment of CAS in subjects since non-hemispheric symptoms with brain ischemic-related pathologies.
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