Rancang Bangun Sistem Informasi Simpan Pinjam sebagai Monitoring Unit Kerja untuk Mengukur Kinerja Angsuran Pembayaran

Koperasi merupakan badan usaha dengan jenis usaha simpan pinjam yang anggotanya pegawai pemerintah dari beberapa unit kerja. Proses yang dilakukan mulai dari pengajuan sampai laporan pinjaman masih  menggunakan sistem semi komputerisasi, dimana dilakukan dengan  menggunakan microsoft excel dan word yang tentunya tidak efektif dan efisien. Sistem  tersebut belum memberikan informasi yang cepat dan akurat . Tujuan dari penelitian ini yaitu untuk mengetahui  cara pelayanan dan pengolahan data simpan pinjam, menciptakan sistem penanganan dan pengolahan data simpan pinjam yang ektif dan efisien, menciptakan sistem yang mampu memberi laporan dengan  cepat dan akurat. Adapun permasalahan dalam penelitian ini yaitu sistem belum berjalan secara efektif dan efisien karena proses dilakukan secara semi komputerisasi menggunakan microsoft excel dan word. Dari permasahan tersebut, maka perlu adanya sistem informasi yang  mempermudah proses pengolahan data serta laporan pinjaman yang dapat memberi informasi yang akurat, efektif dan efisien. Metode pengumpulan data yang digunakan yaitu: observasi, wawancara dan studi pustaka. Metode Analisis  menggunakan PIECES diantanranya : kinerja, informasi, ekonomi, efisiensi, dan pelayanan. Metode Perancangan menggunakan UML meliputi: Use Case Diagram, Sequence Diagram, Activity Diagram dan Class Diagram, bahasa pemrograman PHP, Framework Bootstrap, database MySQL dan konektivitas  Xampp . Pada Metode Testing menggunakan Blackbox Testing.   Kata Kunci      Simpan Pinjam, Monitoring, Peminjaman

Hierarchy of Indonesian History Subjects in the Implementation of the Independent Curriculum

A nation can be built on the foundation of its education. The quality of an education reveals the progress and decline of a country. A country that has a strong educational foundation will also be able to create superior and globally competitive human resources. However, considering the changes in the character of students who continue to move dynamically following the times, the Ministry of Education and Culture initiated the 2013 Independent Curriculum. A question that arises is the position of history education in the independent curriculum. The current study uses a descriptive causative research method to describe data that have been collected without any intention of making generalized conclusions. The result of this study is the impact on teachers of history subjects related to reducing the number of lesson hours, but the solution adopted is to coordinate P5 (Pancasila student profile strengthening project) as a substitute for reduced hours. As for students, more emphasis is given on contextual learning that is close to the real life of students in order to create meaningful learning. Keywords: Indonesian history, independent crriculu

Pemberdayaan Ibu Rumah Tangga melalui Pelatihan Dekorasi Kue Sebagai Peluang Usaha di Desa Balai Makam

Pelatihan dekorasi kue telah menjadi inisiatif untuk memberdayakan ibu rumah tangga di Desa Balai Makam sebagai peluang usaha yang menjanjikan. Pada pelatihan ini, peserta diajarkan berbagai teknik dekorasi kue, penggunaan alat-alat dekoratif, dan pemilihan desain yang sesuai. Model pelatihan ini dilakukan dalam bentuk kelompok yang masing-masing berangotakan 3-4 orang yang didampingi oleh satu mentor dari salah satu tim pengabdian masyarakat. Kegiatan ini diikuti oleh 15 orang ibu rumah tangga, ketua PKK, dan kader pemberdayaan masyarakat. Seluruh rangkaian kegiatan mulai dari pembukaan hingga evaluasi, membutuhkan waktu selama 2 jam. Pelatihan ini bertujuan untuk meningkatkan kemampuan ibu rumah tangga dalam menciptakan dekorasi kue yang kreatif dan menumbuhkan motivasi kewirausahaan sebagai upaya mendukung pertumbuhan ekonomi lokal. Hasil dari penelitian ini yaitu seluruh kelompok mampu menyelesaikan tugas dekorasi kue. Antusias peserta sangat tinggi dalam mengikuti kegiatan ini. Meskipun terdapat beberapa kendala seperti keterbatasan alat dan bahan. Kesimpulan dari kegiatan ini diharapkan peserta mampu membuka peluang usaha untuk mendukung kesejahteraan keluarga.Kata kunci : Dekorasi kue, Ibu rumah tangga, Peluang Usaha, Pemberdayaa

Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

<p>Abstract</p> <p>Background</p> <p>The main objective of this research is to identify, categorize, and analyze barriers perceived by physicians to the adoption of Electronic Medical Records (EMRs) in order to provide implementers with beneficial intervention options.</p> <p>Methods</p> <p>A systematic literature review, based on research papers from 1998 to 2009, concerning barriers to the acceptance of EMRs by physicians was conducted. Four databases, "Science", "EBSCO", "PubMed" and "The Cochrane Library", were used in the literature search. Studies were included in the analysis if they reported on physicians' perceived barriers to implementing and using electronic medical records. Electronic medical records are defined as computerized medical information systems that collect, store and display patient information.</p> <p>Results</p> <p>The study includes twenty-two articles that have considered barriers to EMR as perceived by physicians. Eight main categories of barriers, including a total of 31 sub-categories, were identified. These eight categories are: A) Financial, B) Technical, C) Time, D) Psychological, E) Social, F) Legal, G) Organizational, and H) Change Process. All these categories are interrelated with each other. In particular, Categories G (Organizational) and H (Change Process) seem to be mediating factors on other barriers. By adopting a change management perspective, we develop some barrier-related interventions that could overcome the identified barriers.</p> <p>Conclusions</p> <p>Despite the positive effects of EMR usage in medical practices, the adoption rate of such systems is still low and meets resistance from physicians. This systematic review reveals that physicians may face a range of barriers when they approach EMR implementation. We conclude that the process of EMR implementation should be treated as a change project, and led by implementers or change managers, in medical practices. The quality of change management plays an important role in the success of EMR implementation. The barriers and suggested interventions highlighted in this study are intended to act as a reference for implementers of Electronic Medical Records. A careful diagnosis of the specific situation is required before relevant interventions can be determined.</p

Gene duplications and evolution of vertebrate voltage-gated sodium channels

Author Posting. © The Author(s), 2006. This is the author's version of the work. It is posted here by permission of Springer for personal use, not for redistribution. The definitive version was published in Journal of Molecular Evolution 63 (2006): 208-221, doi:10.1007/s00239-005-0287-9.Voltage-gated sodium channels underlie action potential generation in excitable tissue. To establish the evolutionary mechanisms that shaped the vertebrate sodium channel a-subunit (SCNA) gene family and their encoded Nav1 proteins, we identified all SCNA genes in several teleost species. Molecular cloning revealed that teleosts have eight SCNA genes, comparable to the number in another vertebrate lineage, mammals. Prior phylogenetic analyses had indicated that teleosts and tetrapods share four monophyletic groups of SCNA genes and that tandem duplications selectively expanded the number of genes in two of the four mammalian groups. However, the number of genes in each group varies between teleosts and tetrapods suggesting different evolutionary histories in the two vertebrate lineages. Our findings from phylogenetic analysis and chromosomal mapping of Danio rerio genes indicate that tandem duplications are an unlikely mechanism for generation of the extant teleost SCNA genes. Instead, analysis of other closely mapped genes in D. rerio supports the hypothesis that a whole genome duplication was involved in expansion of the SCNA gene family in teleosts. Interestingly, despite their different evolutionary histories, mRNA analyses demonstrated a conservation of expression patterns for SCNA orthologues in teleosts and tetrapods, suggesting functional conservation.The authors’ work was supported by NIH grants (NS 38937; AEN, ADT and ABR, NS 25513; HHZ and YL and NSF IBN 0236147; MCJ)

Risk factors and a predictive model for under-five mortality in Nigeria: evidence from Nigeria demographic and health survey

<p>Abstract</p> <p>Background</p> <p>Under-5 mortality is a major public health challenge in developing countries. It is essential to identify determinants of under-five mortality (U5M) childhood mortality because these will assist in formulating appropriate health programmes and policies in order to meet the United Nations MDG goal. The objective of this study was to develop a predictive model and identify maternal, child, family and other risk factors associated U5M in Nigeria.</p> <p>Methods</p> <p>Population-based cross-sectional study which explored 2008 demographic and health survey of Nigeria (NDHS) with multivariable logistic regression. Likelihood Ratio Test, Hosmer-Lemeshow Goodness-of-Fit and Variance Inflation Factor were used to check the fit of the model and the predictive power of the model was assessed with Receiver Operating Curve (ROC curve).</p> <p>Results</p> <p>This study yielded an excellent predictive model which revealed that the likelihood of U5M among the children of mothers that had their first marriage at age 20-24 years and ≥ 25 years declined by 20% and 30% respectively compared to children of those that married before the age of 15 years. Also, the following factors reduced odds of U5M: health seeking behaviour, breastfeeding children for > 18 months, use of contraception, small family size, having one wife, low birth order, normal birth weight, child spacing, living in urban areas, and good sanitation.</p> <p>Conclusions</p> <p>This study has revealed that maternal, child, family and other factors were important risk factors of U5M in Nigeria. This study has identified important risk factors that will assist in formulating policies that will improve child survival.</p

The burden of breast, cervical, and colon and rectum cancer in the Balkan countries, 1990–2019 and forecast to 2030.

Background Despite effective prevention and control strategies, in countries of the Balkan region, cancers are the second leading cause of mortality, closely following circulatory system diseases. Objective To describe trends in the burden of breast, cervical, and colon and rectum cancer in the Balkan region and per country between 1990 and 2019, including a forecast to 2030. Methods We described the 2019 Global Burden of Disease (GBD) estimates for breast, cervical, and colon and rectum cancers in eleven Balkan countries over the period 1990–2019, including incidence, years lived with disability (YLD), years of life lost (YLL), and disability-adjusted life years (DALYs) rates per 100,000 population and accompanied 95% uncertainty interval. With the Autoregressive Integrated Moving Average, we forecasted these rates per country up to 2030. Results In the Balkan region, the highest incidence and DALYs rates in the study period were for colon and rectum, and breast cancers. Over the study period, the DALYs rates for breast cancer per 100,000 population were the highest in Serbia (reaching 670.84 in 2019) but the lowest in Albania (reaching 271.24 in 2019). In 2019, the highest incidence of breast cancer (85 /100,000) and highest YLD rate (64 /100,000) were observed in Greece. Romania had the highest incidence rates, YLD rates, DALY rates, and YLL rates of cervical cancer, with respective 20.59%, 23.39% 4.00%, and 3.47% increases for the 1990/2019 period, and the highest forecasted burden for cervical cancer in 2030. The highest incidence rates, YLD rates and DALY rates of colon and rectum cancers were continuously recorded in Croatia (an increase of 130.75%, 48.23%, and 63.28%, respectively), while the highest YLL rates were in Bulgaria (an increase of 63.85%). The YLL rates due to colon and rectum cancers are forecasted to progress by 2030 in all Balkan countries. Conclusion As most of the DALYs burden for breast, cervical, and colon and rectum cancer is due to premature mortality, the numerous country-specific barriers to cancer early detection and quality and care continuum should be a public priority of multi-stakeholder collaboration in the Balkan region

Working relationships between obstetric care staff and their managers: a critical incident analysis

Background Malawi continues to experience critical shortages of key health technical cadres that can adequately respond to Malawi’s disease burden. Difficult working conditions contribute to low morale and frustration among health care workers. We aimed to understand how obstetric care staff perceive their working relationships with managers. Methods A qualitative exploratory study was conducted in health facilities in Malawi between October and December 2008. Critical Incident Analysis interviews were done in government district hospitals, faith-based health facilities, and a sample of health centres’ providing emergency obstetric care. A total of 84 service providers were interviewed. Data were analyzed using NVivo 8 software. Results Poor leadership styles affected working relationships between obstetric care staff and their managers. Main concerns were managers’ lack of support for staff welfare and staff performance, lack of mentorship for new staff and junior colleagues, as well as inadequate supportive supervision. All this led to frustrations, diminished motivation, lack of interest in their job and withdrawal from work, including staff seriously considering leaving their post. Conclusions Positive working relationships between obstetric care staff and their managers are essential for promoting staff motivation and positive work performance. However, this study revealed that staff were demotivated and undermined by transactional leadership styles and behavior, evidenced by management by exception and lack of feedback or recognition. A shift to transformational leadership in nurse-manager relationships is essential to establish good working relationships with staff. Improved providers’ job satisfaction and staff retentionare crucial to the provision of high quality care and will also ensure efficiency in health care delivery in Malawi