3,841 research outputs found

    The Difference of Satisfaction Level in BPJS Health Insurance Patient and Non Insurance Patient Toward Health Service

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    National Health Insurance (JKN) developed in Indonesia is part of the National Social Insurance System (SJSN). One way to assess the services quality is to measure the patient satisfaction level. This research is a quantitative research with the cross sectional research design. The subjects of this research were the BPJS health insurance patients and non insurance patients with 200 people as the samples. The data was analyzed by the independent t-test, gap analysis, CSI (Customer satisfation index) and IPA (Importance performance analysis). The result showed that significant (ρ value >0,05) in all dimensions which mean that there is no difference of patient satisfaction level in Social Security Organizing Body (BPJS) participants and non insurance patients toward health services in Negara General Hospital. The biggest satisfaction in non insurance patients is on the Assurance variable (-1,002) and the smallest satisfaction is on the Tangibles variable (-1,357) and the biggest satisfaction of BPJS health insurance patients is on Assurance variable (-1,085) and their smallest satisfaction is on Responsiveness variable (-1,367). The non insurance patients gap is (-0,217) and the BPJS health insurance patients gap is (-1,206), both of them were classified into low satisfaction level. The result of Importance performance analysis value of non insurance patient showed Responsiveness attributes that should be prioritized and improved while in BPJS health patients showed Responsiveness and Reliability attributes that should be prioritized and improved by Negara General Hospital

    Double-core evolution and the formation of neutron-star binaries with compact companions

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    We present the results of a systematic exploration of an alternative evolutionary scenario to form double neutron-star binaries, first proposed by Brown (1995), which does not involve a neutron star passing through a common envelope. In this scenario, the initial binary components have very similar masses, and both components have left the main sequence before they evolve into contact; preferably the primary has already developed a CO core. We have performed population synthesis simulations to study the formation of double neutron star binaries via this channel and to predict the orbital properties and system velocities of such systems. We obtain a merger rate for DNSs in this channel in the range of 0.1 - 12/Myr. These rates are still subject to substantial uncertainties such as the modelling of the contact phase.Comment: MNRAS, accepte

    Modification of Rice Husk-Based Activated Carbon using Sodium Lauryl Sulfat (SLS) for Lead (Pb) Ions Removal

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    A rice husk-based active carbon modified using SLS surfactant showed an increase on Pb ionic metal removal with the efficiency of 99.96%. Activated carbon is commonly applied as adsorben in waste water treatment, in particularly, waste water containing heavy metals and dye molecules. Even though it is commonly used, the adsorption efficiency of activated carbon to the heavy metal waste is still low. Therefore, in the present work, carbon from rice husk was modified using surfactant which further it is called surfactant modified active carbon (SMAC). Firstly, rice husk-based carbon was activated using 40% H3PO4 for 2, 6, 10, 14, 15 and 16 hours. The activated carbon was then modified by contacting it into SLS in different concentration 10, 20, 30, 40, 50, 60 and 70 ppm for 5 hours. Finally, the SMAC was then applied to remove Pb ionic metal. Moreover, several characterisation techniques were performed including FTIR, SEM, UV-Vis and AAS

    Obstetric and Gynecologic Departments, Faculty of Medicine Udayana University, Bali-Indonesia

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    The high risk of human papillomavirus (HPV) have already known widely and accepted as a causative agent for cervical cancer. Epidemiologically, predominant high-risk is HPV-16 and squamous cell carcinomas (SCC) is the most common histological type. HPV genotype probably correlates to histologic type. This study aims to determine how many fold is the risk of SCC on HPV-16 infection. This is a case control with SCC HPV-16 positive as the cases and SCC HPV-16 negative as the controls. Tissues diagnosed as SCC and non SCC was paraffin-embedded. SPF-10 and specific E7-primer types by LiPA were employed for genotyping of HPV-16. c2 was applied to analyze the correlation. A number of 65 SCC consisted of 33 cases and 32 controls were observed in this study. The risk of SCC on HPV-16 infection was 3.40-fold (95% CI = 1.44-8.03; p = 0.004) compare with HPV-16 negative. Controls in this study consist of 18 (27.69%) of HPV-18, 9 (13.85%) of HPV-52, and 5 (7.69%) of other HPV types. The mean-age of case group and control group infected by HPV were 52.28 ± 12.43 and 47.70 ± 8.02 year, respectively (p = 0.02). HPV-16 infection caused SCC is 3.5 more than other high risk group

    Comparative Study of Milk Production and Feed Efficiency Based on Farmers Best Practices and National Research Council

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    This study aimed to compare local dairy farmer ration formula with national research council in producing higher feed efficiency and milk production. This study had two stages. The first stage was in vitro study of dairy farmer rations which have different raw materials (R3, R4, and R5) with NRC based ration (R2) and Demo Farm ration (R1). The variables measured in this stage were proximate composition, volatile fatty acid, ammonia, dry matter and organic matter digestibility. The first stage used a randomized block design with five treatments, three groups of ruminal fluid, and three replications. The second stage used nine lactating cows with three periods of lactation (one, three, and other) and used a randomized block design with three treatments, three groups, and one replication. Parameters measured were dry matter intake, manure score, milk production, body weight gain, body condition score, and technical and economical efficiencies. The first stage result showed that R1, R2, and R3 were three best rations in nutrient composition and fermentability (ammonia and volatile fatty acid concentrations were optimum for microbial growth and high digestibility), so in conclusion those three rations were the best rations and should be compared by in vivo method. The result of the second stage showed that all tested rations were not significantly different in milk production, performance and efficiency, so in conclusion those three rations have the same quality

    Karakteristik Briket Biocoal dengan Penambahan Sekam Padi dan Wax

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    Biocoal made by mixing Sub-Bituminous Tanjung Enim coal with rice skin biomass to make biocoal briquette that will have calorific value suitable for domestic consumption and also have a quicker initial burning time that has been a problem in applying briquette. The rice skin biomass was mixed in 10 gram – 50 gram compositions with 1 gram – 5 gram variations of wax to a fixed weight of 100 gram coal. The size of coal was also studied, which was 50 mesh, 70 mesh, 140 mesh and 220 mesh. The result shown that all briquettes had calorific values (5014 – 5891 cal/gram) that are in range of biocoal standard (5500 – 6000cal/gram)with a quicker initial burning time (2:35 – 16:58 minutes). The sulphur content was reduced because of biomass added (0,21% – 0,31%; standard 60 kgF/cm2). The inherent moisture (%IM) was in range 3,69% – 7,46% (standar

    Perlindungan Hukum terhadap Korban Penyalahguna Narkotika dengan Berlakunya Undang-undang Nomor 35 Tahun 2009 Tentang Narkotika

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    This Study in the legal protection of the victims of narcotics abusers aims todecrypt and analyze aspects of issues related to the concepts that underlie theneed for justification of legal protection of the victims and supervision of theimplementation of the decisions of rehabilitation, as well as decrypt and analyzethe legal form of protection. This study is a normative one using law approachand legal concept analysis. The results of the study indicate the legal protection ofvictims of drug abusers can not be detached from the underlying idea of legalprotection of the victims of narcotics abusers in the form rehabilitasi. Legalprovisions governing the rehabilitation of drug addicts measures stipulated inArticle 54, 56.103, and was associated with article 127 of Law No. 35 of 2009,SEMA No. 4 of 2010 as The Guideline on the implementation of the rehabilitationof narcotics abusers, but monitoring of the rehabilitation measures notaccommodated in such provisions so that there are gaps in the law enforcementmechanism of action monitoring narotics rehabilitation

    Frontal Facial Symmetry Detection Using Eigenvalue Method

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    Facial symmetry is correspondence of face components on the both sides of face, left and right of a dividing line or about a center or an axis. Most of the research use face component like eyes, nose and ears component to identify facial symmetry. In this paper we suggest to add mouth as another face component to increase accuracy in facial symmetry detection. The results of facial symmetry detection are used for authentication process, analysis in medical, psychology and anthropology scope. By using MATLAB 7.1 we develop a program that can analyze face,asymmetry or not with utilizing eigenvalue. The contribution of this analysis is to know whether eigenvalue is suitable or not in analyzing facial symmetry
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