Gambaran Penerimaan Rekam Medis Elektronik di Rumah Sakit Santa Elisabeth Medan

Penerimaan Rekam Medis Elektronik merupakan salah satu pendukung dalam penerimaan sistem informasi bagi pelayanan kesehatan. Tujuan Penelitian ini adalah untuk mengetahui gambaran penerimaan rekam medis elektronik berdasarkan manfaat, kemudahan dan sikap pada pelayan kesehatan. Jenis penelitian yang digunakan adalah penelitian deskriptif. Sampel pada penelitian ini adalah sebanyak 78 responden dengan teknik pengambilan sampel adalah total sampling. Pengambilan sampel dengan menggunakan teknik data primer. Instrumen adalah lembar kuesioner. Analisa data dilakukan secara univariat. Hasil penelitian diperoleh persentase kemudahan penerimaan rekam medis elektronik sebesar 67,9%, manfaat penerimaan rekam medis elektronik sebesar 60,3% dan sikap penerimaan rekam medis elektronik sebesar 14,1%. Manfaat dikatakan baik dikarenakan penerimaan rekam medis dapat bermanfaat untuk menyediakan informasi dengan jelas serta penerimaan rekam medis elektronik dapat menyediakan laporan dengan cepat. Kemudahan dikatakan baik dikarenakan penerimaan rekam medis elektronik lebih mudah digunakan serta cukup berguna. Penyebab sikap penerimaan rekam medis elektronik dikatakan kurang baik dikarenakan petugas masih memiliki tingkat risiko dalam penerimaan rekam medis elektronik. Diharapkan bagi petugas kesehatan di Rumah Sakit Santa Elisabeth Medan dapat meningkatkan sistem penerimaan rekam medis elektronik dan dilakukannya sosialisasi kepada petugas yang melakukan sistem penerimaan rekam medis elektronik

The entrepreneurial ladder, gender, and regional development

Gender differences at five levels of entrepreneurial engagement are explained using country effects while controlling for individual-level variables. We distinguish between individuals who have never considered starting up a business, those who are thinking about it, and nascent, young, and established entrepreneurs. We use a large international dataset that includes respondents from 32 European countries, three Asian countries, and the United States. Findings show that cross-country gender differences are largest in the first and final transitions of the entrepreneurial process. In par

Penyuluhan Alur Pendaftaran Pasien di Rumah Sakit pada Anak Asrama Medan

Pendaftaran pasien merupakan proses awal terjadinya rekam medis di setiap fasilitas pelayanan kesehatan, di tempat pendaftaran pasien akan di data identitas pribadi pasien serta keperluan kunjungannya ke rumah sakit. Selain mencatat data identitas pasien, akan diperlukan juga pendataan lain mengenai penanggung jawab pasien, asuransi, pekerjaan, dan lain sebagainya. Dalam sistem pendaftaran, pasien akan diterima sebagai pasien rawat jalan, dan rawat inap. Tujuan dilaksanakannya kegiatan pengabdian masyarakat ini untuk meningkatkan pengetahuan anak asrama tentang alur pendaftaran pasien di Rumah Sakit atau fasilitas pelayanan kesehatan. Kegiatan pengabdian dilakukan dalam beberapa tahap yaitu tahap persiapan, tahap pelaksanaan, serta tahap evaluasi. Kegiatan pengabdian masyarakat dilaksanakan pada bulan Agustus 2022. Hasil pengabdian diperoleh nilai pretest 61,90 dan nilai posttest. 77, 14. Terjadi peningkatan pengetahuan anak asrama setelah dilakukan penyuluhan tentang alur pendaftaran pasien di Rumah Sakit 15,24 poin, yang berarti bahwa penyuluhan tentang alur pendaftaran pasien di rumah sakit yang dilaksanakan berdampak terhadap peningkatan pengetahuan peserta penyuluhan

PENINGKATAN PENGETAHUAN TENTANG KESELAMATAN DAN KESEHATAN KERJA DI GEMA KASIH GALANG

ABSTRAKKaryawan Mebel di Pusat Rehabilitasi Kusta Gema Kasih Galang banyak yang tidak menggunakan alat pelindung diri seperti masker, kacamata kerja, sepatu kerja dan sarung tangan saat bekerja. Hanya mengandalkan baju dan celana dari rumah saja padahal lingkungan kerja banyak debu dan serpihan potongan kayu. Mereka merasakan aman dan nyaman karena belum pernah mengalami kecelakaan kerja. Tujuan dari program penyuluhan kesehatan ini adalah untuk mengetahui tingkat pengetahuan karyawan mebel tentang pentingnya keselamatan dan kesehatan saat bekerja dan pentingnya penggunaan alat pelindung diri. Metode yang dilakukan berupa penyuluhan kesehatan kepada 15 orang karyawan Mebel di Pusat Rehabilitasi Kusta Gema Kasih Galang. Evaluasi telah dilakukan dengan memberikan pre test dan post test. Hasil evaluasi sebelum dilakukan penyuluhan tentang keselamatan dan kesehatan kerja (K3) adalah mayoritas tingkat pengetahuan peserta kurang yaitu sebanyak 10 orang (66,6%) belum mengetahui konsep dari Keselamatan dan Kesehatan Kerja (K3) dan belum mengetahui tentang jenis-jenis Alat Pelindung Diri (APD). Setelah dilakukan penyuluhan tentang keselamatan dan kesehatan kerja (K3) menunjukkan adanya peningkatan pengetahuan karyawan sebanyak 13 orang (86,6%) yang memiliki pengetahuan baik dan menggunakan alat pelindung diri saat bekerja. Perbandingan pengetahuan peserta sebelum dan sesudah dilakukan penyuluhan tentang keselamatan dan kesehatan kerja (K3) adalah terjadinya peningkatan pengetahuan peserta sebesar 73,3% untuk kategori baik.             Kata kunci: keselamatan dan kesehatan kerja; pusat rehabilitasi kusta gema kasih; alat pelindung diri ABSTRACTMany Furniture employee in the Gema Kasih Galang Leprosy Rehabilitation Center Furniture don’t use personal protective equipment such as masks, work glasses, work shoes and gloves at work.  Only rely on clothes and pants from home even though the work environment is full of dust and pieces of food.They feel safe and comfortable because they have never had an accident at work. The purpose of this health education program is to find out the level of knowledge of furniture employees about the importance of safety and health at work and the tmportance of using personal protective equipment. The method used is in the form of health education to 15 furniture employees at the Gema Kasih Galang Leprosy Rehabilitation Center. Evaluation has been done by giving pre test and post test. The results of the evaluation before counseling on occupational safety and health (K3) was that the majority of the participants’ knowledge level was lacking as many as10 people (66,6%) did not know the concept of occupational safety and health (K3) and did not know about the types of personal protective equipment (PPE). After counseling on occupational safety and health (K3) showed an increase in employee knowledge as many as 13 people (86.6%) who had good knowledge and used personal protective equipment while working. Comparison of knowledge of participants before and after counseling on occupational safety and health (K3) is an increase in participants’ knowledge of 73.3% for the good category.    Keywords: occupational safety and health; kasih galang leprosy rehabilitation center; personal protective equipmen

New entry and strategic group emergence in the soccer betting market: pricing behaviours, group interaction and efficiency implications

The arrival of online trading in European football betting markets has brought significant structural change to the sector in recent years, with the emergence of two strategic groups of bookmakers, characterised by distinctive operating behaviours. We examine the impact on market efficiency of interactions between these two groups, by comparing 51,000 individual odds offered by leading bookmakers at nine separate points on game outcomes, across 2,132 games in six European leagues. This longitudinal analysis reveals that interactions between these groups enable information to be transmitted from informed bettors to market prices, thereby increasing market efficiency

Towards a better understanding of the full impact of the left digit effect on individual trading behaviour: unearthing a trading profit effect

Investors’ perceptions of price have been shown to be disproportionately affected by the left-most digit(s). However, a similar left digit effect (LDE) in relation to another important determinant of investors’ behaviour (i.e. trading profit) has not been explored. We examine over 7,314,570 million trades made by 25,766 individuals and find a LDE in profit that is 1.71 times stronger than that related to closing price; suggesting that individuals focus more on left digits in profit than price when deciding when to close a trade. In addition, we observe a positive synergistic relationship between the LDE related to profit and price, suggesting that its total influence may result in losses of billions of dollars per financial year for investors. We suggest that these results make a strong case for educating investors against this bias

Can deep learning predict risky retail investors? A case study in financial risk behavior forecasting

The paper examines the potential of deep learning to support decisions in financial risk management. We develop a deep learning model for predicting whether individual spread traders secure profits from future trades. This task embodies typical modeling challenges faced in risk and behavior forecasting. Conventional machine learning requires data that is representative of the feature-target relationship and relies on the often costly development, maintenance, and revision of handcrafted features. Consequently, modeling highly variable, heterogeneous patterns such as trader behavior is challenging. Deep learning promises a remedy. Learning hierarchical distributed representations of the data in an automatic manner (e.g. risk taking behavior), it uncovers generative features that determine the target (e.g., trader’s profitability), avoids manual feature engineering, and is more robust toward change (e.g. dynamic market conditions). The results of employing a deep network for operational risk forecasting confirm the feature learning capability of deep learning, provide guidance on designing a suitable network architecture and demonstrate the superiority of deep learning over machine learning and rule-based benchmarks

SMAD6 variants in craniosynostosis : genotype and phenotype evaluation

PURPOSE: Enrichment of heterozygous missense and truncating SMAD6 variants was previously reported in nonsyndromic sagittal and metopic synostosis, and interaction of SMAD6 variants with a common polymorphism near BMP2 (rs1884302) was proposed to contribute to inconsistent penetrance. We determined the occurrence of SMAD6 variants in all types of craniosynostosis, evaluated the impact of different missense variants on SMAD6 function, and tested independently whether rs1884302 genotype significantly modifies the phenotype. METHODS: We performed resequencing of SMAD6 in 795 unsolved patients with any type of craniosynostosis and genotyped rs1884302 in SMAD6-positive individuals and relatives. We examined the inhibitory activity and stability of SMAD6 missense variants. RESULTS: We found 18 (2.3%) different rare damaging SMAD6 variants, with the highest prevalence in metopic synostosis (5.8%) and an 18.3-fold enrichment of loss-of-function variants comparedwith gnomAD data (P < 10-7). Combined with eight additional variants, ≥20/26 were transmitted from an unaffected parent but rs1884302 genotype did not predict phenotype. CONCLUSION: Pathogenic SMAD6 variants substantially increase the risk of both nonsyndromic and syndromic presentations of craniosynostosis, especially metopic synostosis. Functional analysis is important to evaluate missense variants. Genotyping of rs1884302 is not clinically useful. Mechanisms to explain the remarkable diversity of phenotypes associated with SMAD6 variants remain obscure

Diagnostic value of exome and whole genome sequencing in craniosynostosis

BACKGROUND: Craniosynostosis, the premature fusion of one or more cranial sutures, occurs in ∼1 in 2250 births, either in isolation or as part of a syndrome. Mutations in at least 57 genes have been associated with craniosynostosis, but only a minority of these are included in routine laboratory genetic testing. METHODS: We used exome or whole genome sequencing to seek a genetic cause in a cohort of 40 subjects with craniosynostosis, selected by clinical or molecular geneticists as being high-priority cases, and in whom prior clinically driven genetic testing had been negative. RESULTS: We identified likely associated mutations in 15 patients (37.5%), involving 14 different genes. All genes were mutated in single families, except for IL11RA (two families). We classified the other positive diagnoses as follows: commonly mutated craniosynostosis genes with atypical presentation (EFNB1, TWIST1); other core craniosynostosis genes (CDC45, MSX2, ZIC1); genes for which mutations are only rarely associated with craniosynostosis (FBN1, HUWE1, KRAS, STAT3); and known disease genes for which a causal relationship with craniosynostosis is currently unknown (AHDC1, NTRK2). In two further families, likely novel disease genes are currently undergoing functional validation. In 5 of the 15 positive cases, the (previously unanticipated) molecular diagnosis had immediate, actionable consequences for either genetic or medical management (mutations in EFNB1, FBN1, KRAS, NTRK2, STAT3). CONCLUSIONS: This substantial genetic heterogeneity, and the multiple actionable mutations identified, emphasises the benefits of exome/whole genome sequencing to identify causal mutations in craniosynostosis cases for which routine clinical testing has yielded negative results