Cost effectiveness of bilateral prophylactic mastectomy with and without different breast reconstruction techniques versus screening in women with high risk of breast cancer in the Canadian province of Ontario

We aimed to investigate the cost-effectiveness of bilateral prophylactic mastectomy (BPM) with and without different reconstruction for the purpose of determining which strategies represent value for money. We developed a decision analytic model to project the lifetime clinical and economic consequences of different strategies. The decision model was parameterized using 10-year follow up and cost data from Ontario administrative health databases and Ontario Cancer registry. Compared to the organized screening-based strategy, surgical strategies ranged from being more effective and cost-saving and up to being associated with an incremental cost effectiveness ratio (ICER) of $63,010 per quality-adjusted life year (QALY) gained, with BPM with immediate one-stage acellular dermal matrix (ADM)-assisted implant breast reconstruction having the greatest incremental QALY of 1.157 and lowest ICER of$9,615. BPM with immediate one-stage ADM-assisted implant breast reconstruction is the most cost-effective strategy and appears to offer the highest value for money

PENGARUH LATIHAN SIRKUIT TERHADAP PENINGKATAN KELINCAHAN PADA SISWA EKSTRAKURIKULER FUTSAL SMP ISLAM DIPONEGORO SURAKARTA TAHUN PELAJARAN 2015/2016

Badria Eko Apriyanto. PENGARUH LATIHAN SIRKUIT TERHADAP PENINGKATAN KELINCAHAN PADA SISWA EKSTRAKURIKULER FUTSAL SMP ISLAM DIPONEGORO SURAKARTA TAHUN PELAJARAN 2015/2016. Skripsi, Fakultas Keguruan dan Ilmu Pendidikan Universitas Sebelas Maret Surakarta, Januari 2016. Tujuan penelitian ini adalah (1) Untuk menguji ada tidaknya pengaruh latihan sirkuit terhadap peningkatan kelincahan dan (2) membandingkan kemampuan kelincahan antara siswa dengan latihan sirkuit dan siswa dengan latihan konvensional pada siswa ekstrakurikuler futsal di SMP Islam Diponegoro Surakarta tahun pelajaran 2015/2016. Metode penelitian yang digunakan dalam penelitian ini adalah quasi experiment atau disebut juga eksperimen semu dengan menggunakan rancangan pre-test dan post-test group. Subjek penelitian yaitu siswa ekstrakurikuler futsal SMP Islam Diponegoro Tahun Pelajaran 2015/2016 dengan jumlah 20 siswa, terdiri dari 10 siswa kelompok eksperimen dan 10 siswa kelompok konvensional. Teknik pengumpulan data dalam penelitian ini dengan memodifikasi tes bentuk “T” Test. Data dianalisis dengan teknik statistik deskriptif dan inferensial. Berdasarkan hasil penelitian menunjukkan bahwa: (1) ada pengaruh latihan sirkuit terhadap peningkatan kelincahan dan (2) ada perbedaan, hasil peningkatan kelincahan siswa latihan dengan latihan sirkuit lebih baik daripada siswa dengan latihan konvensional pada siswa ektrakurikuler futsal SMP Islam Diponegoro tahun pelajaran 2015/2016. Dari uji reliabilitas tes awal sebesar 0,89 (acceptable). Hasil tes awal kelompok eksperimen dengan latihan sirkuit diperoleh nilai rata-rata 11,1580 dan tes akhir nilai rata-rata 10,8680 sedangkan hasil tes awal kelompok kontrol dengan latihan konvensional diperoleh nilai ratarata 11,2680 dan tes akhir nilai rata-rata 11,1510. Simpulan penelitian ini adalah (1) ada pengaruh latihan sirkuit terhadap peningkatan kelincahan dan (2)ada perbedaan, hasil peningkatan kelincahan siswa yang latihan dengan latihan sirkuit lebih baik daripada siswa dengan latihan konvensional pada siswa ekstrakurikuler futsal SMP Islam Diponegoro tahun pelajaran 2015/2016. Kata kunci: Kemampuan, kelincahan futsal, latihan sirkuit

Knowledge of the Anxiety Level of Clients with Chronic Kidney Failure

Introduction: Anxiety is an individual's response to an unpleasant situation. The response that arises in anxiety is worry, restlessness, and can be accompanied by physical complaints. Conditions are experienced subjectively and communicated in interpersonal relationships. The level of knowledge possessed makes a person better able to cope with changes in their health status. Objective: This study aims to determine the relationship between knowledge and the anxiety level of chronic kidney failure clients. Method: This research uses an analytical survey method with a cross-sectional study approach. The number of samples used was 33 respondents. The results of the study show a p-value of 0.001. Conclusion: There is a relationship between knowledge and the anxiety level of clients with chronic kidney failure, so it is better for health workers who have direct contact with kidney failure patients to provide more interventions to increase patient knowledge

Conceptual design of deoiling processes : business process reengineering (BPR) and computer support tools

Deoiling of petroleum wastewater is a major concern in petroleum process engineering. The conventional design procedure for deoiling systems consists of nine consecutive stages involving different people or groups. This thesis considers reengineering the conventional procedure, with the aim of increasing the efficiency of the process and productivity of people involved. The thesis then investigates the development of the appropriate computer support tools for the new procedure. The reengineering of the procedure is based on concepts proposed by Hammer (1990). The resulting procedure consists of four stages, where parallelism of the different tasks in the conventional procedure is explicitly considered. A model of the new procedure is described in UML (Unified Modelling Language). The advantage of using UML instead of using just natural language description is that UML uses graphical representation that is easy to use and less prone to ambiguity. Based on the new procedure, a decision support system called CODES (Conceptual DEsign of deoiling Systems) was designed and implemented. CODES supports the stages of wastewater assessment, equipment options at different locations, treatment disposal options and recommendations for final process configuration. Two Case Studies using operating field data are reported. The Case Studies using CODES proved to be straightforward to use and produced appropriate comments on the performance of the existing designs and proposed alternatives to satisfy the design requirements. CODES results agreed with knowledge from previous plant trials. The contribution of this thesis to the deoiling design process is twofold. Firstly, a critical review of the conventional procedure has resulted in a new one, which has potential benefits of improving a company's efficiency by reducing the number of people and activities involved, and shortening the design time. Secondly, the feasibility of applying the new procedure and CODES is successfully demonstrated through the case studies. Limitations and areas of extensions are also identified

Quaternary Affine-Invariant Codes

This thesis concerned with extended cyclic codes. The objective of this thesis is to give a full description of binary and quaternary affine-invariant codes of small dimensions. Extended cyclic codes are studied using group ring methods. Affine-invariant codes are described by their defining sets. Results are presented by enumeration of defining sets. Full description of affine-invariant codes is given for small dimension

PENGARUH PERPUTARAN KAS, PIUTANG, PERSEDIAAN, DAN PERTUMBUHAN PENJUALAN TERHADAP PROFITABILITAS

Penelitian ini bertujuan untuk menguji  pengaruh Perputaran Kas, Perputaran Piutang, Perputaran persediaan dan pertumbuhan penjualan Terhadap profitabiltas pada Sektor Industri Barang Konsumsi yang terdaftar di Bursa Efek Indonesia Periode 2016- 2021. Dengan perbedaan hasil penelitian dari penelitian sebelumnya. Populasi yang digunakan adalah 64 perusahaan di industri barang konsumsi yang terdaftar di Bursa Efek Indonesia (BEI). Penentuan sampel dilakukan dengan pendekatan metode purposive sampling, berdasarkan kriteria penentuan sampel yang telah, terdapat 31 perusahaan selama periode 2016-2021. Penelitian ini juga menggunakan pendekatan kuantitatif dan Teknik Analisis Regresi Linear Berganda. Hasil dari penelitian ini menunjukkan bahwa perputaran kas berpengaruh signifikan terhadap profitabilitas, perputaran piutang berpengaruh signifikan terhadap profitabilitas, perputaran persediaan berpengaruh signifikan, pertumbuhan penjualan berpengaruh signifikan terhadap profitabilitas. Pertumbuhan penjualan berpengaruh signifikan, pertumbuhan penjualan berpengaruh signifikan terhadap profitabilita

MERIT SYSTEM:

The merit system is human resource management, which is used as a form of qualification by looking at workability to fill the position. This study looks at the effectiveness of implementing the open selection for JPT Pratama Aceh in 2022 in the new normal era and the factors influencing implementing the JPT Pratama selection. This study uses a qualitative descriptive approach with data collection techniques through the variable records of books, papers, journals, newspapers, and so on. The research analysis technique uses an interactive analysis model. The results of the study show that the implementation of open selection for JPT Pratama within the Government of Aceh in 2022 includes the announcement of open selection, participant registration, paper writing, LGD, psychometric tests, interview tests, and announcement of selection results. Then, three factors influence the effectiveness of implementing open selection for JPT Pratama in the Government of Aceh: accountability, infrastructure, technology and transparency

L’appropriation du feedback multi sources par les managers et son impact sur leur intention d’agir : Cas de la SDA-Sonelgaz

L’intention d’agir dans le sens du feedback multisources dépendrait essentiellement de l’appropriation des évalués de ce feedback, qui se  manifeste par son acceptation et par la conscientisation perçue. En se basant sur le modèle d’Ilgen et al. 1979 adapté par Plunier et al. 2012, la présente étude, guidée par une approche méthodologique quantitative, a tenté d’explorer la relation entre l’appropriation du feedback et  l’intention des managers d’agir dans le sens du feedback auprès de 34 managers de la SDA-SONELGAZ dans un contexte d’évaluation multisources de la performance. Bien que les résultats du questionnaire de l’appropriation du feedback ont confirmé son acceptation et une conscientisation perçue par les managers, le test Khi2 des hypothèses a confirmé partiellement l’existence de liens de dépendance entre les deux variables de l’étude inversement au modèle de référence testé dans le contexte de l’évaluation du potentiel. Mots Clés : Appropriation, Feedback multi sources, évaluation multi-sources, Évaluation de la performance, ressources humaines   English Title: Managers' Multi-Source Feedback Appropriation and its impact on their willingness to act. case study of: SDA-SONELGAZ The willingness of managers to act in concordance with multi-sources feedback depends essentially on their appropriation of this feedback which could be manifested in terms of acceptance and awareness. Based on Ilgen et al. model adapted by Plunier et al. 2012, the present study, guided by a quantitative approach, tried to explore the relation between managers’ feedback appropriation and their willingness to act in concordance with this feedback among 34 managers of SDA-SONELGAZ in a context of performance multi-sources appraisal. Although the analysis of feedback appropriation questionnaire confirmed its acceptance by managers, the hypotheses Khi2 test invalidated the existence of a dependency relation between the two variables of the study inversely to the initial model tested in a context of potential evaluation. Key words: Appropriation, Multisource Feedback, Multisource Évaluation, Performance Appraisal. Human resources

GREEN SYNTHESIS OF ISOPULEGOL FROM CITRONELLAL CATALYSED BY ZEOLITE BASED SOLID ACID CATALYSTS

Zeolit alam (NZ) telah dimodifikasi dengan penambahan asam (H-NZ) dan diaplikasikan sebagai katalis asam padat untuk green sintesis isopulehol dari minyak sereh wangi. Sintesis ini menlibatkan reaksi siklisasi sitronelal menjai disopulegol pada suhu 50 sampai 120oC. Aktivitas katalis H-NZ terbukti lebih tinggi dari katalis H-ZSM5 yang tersedia di pasar dan lebih unggul dari katalis asam padat berbasis bentonit. Perolehan terbaik sebesar 87% isopulegol diperoleh menggunakan katalis H-NZ pada 100oC selama 3 jam tanpa penggunaan pelarut reaksi