Predisposing Factors of the Head of Family with Bali ID Card to Join the National Health Insurance (JKN) Program: a Qualitative Study in Health Centre I North Denpasar

Background and purpose: Since 2010, The Government of Bali has implemented local health financing (JKBM) to provide free health care services for Bali\u27s citizen, meanwhile, since 2014 the central government has started to implement the National Health Insurance program (JKN) based on participant\u27s monthly contribution. Although JKBM still available until 2017, there is a phenomenon of people who have Bali ID card turned into JKN. This article explores predisposing factors of the family head with Bali ID cards so that they switched into JKN scheme with relatively the same medical services and facilities.Methods: Interviews were conducted with purposively selected participants through the exit interview by using in-depth interview guide to 13 participants of JKN, three region leaders, three participants of JKBM and one public health central officer. Data were analyzed thematically and presented in a narrative form.Results: The interviews showed that participants who switched to JKN are concerned with sustainability and the quality of services in JKBM program. Participants perceived high vulnerability to disease from previous experience using JKBM program.Conclusion: Based on the consideration of participants to switch the membership becoming independent JKN Class III, it can be recommended improve the cooperation among stakeholders to enhance the socialization of JKN especially through the involvement of listed participants who already used JKN program

THE RELATIONSHIP BETWEEN MUSCULOSKELETAL STRENGTH, PHYSIOLOGICAL CHARACTERISTICS, AND KNEE KINESTHESIA FOLLOWING FATIGUING EXERCISE

Fatiguing exercise may result in impaired functional joint stability and increased risk of unintentional injury. While there are several musculoskeletal and physiological characteristics related to fatigue onset, their relationship with proprioceptive changes following fatigue has not been examined. The purpose of this study was to establish the relationship between musculoskeletal and physiological characteristics and changes in proprioception, measured by threshold to detect passive motion (TTDPM), following fatiguing exercise. Twenty, physically active females participated (age: 28.65 ± 5.6 years, height: 165.6 ± 4.3 cm, weight: 61.8 ± 8.0 kg, BMI: 22.5± 2.3 kg/m2, BF: 23.3 ± 5.4%). During Visit 1, subjects completed an exercise history and 24-hour dietary questionnaire, and body composition, TTDPM familiarization, isokinetic knee strength, and maximal oxygen uptake/lactate threshold assessments. During Visit 2, subjects completed TTDPM and isometric knee strength testing prior to and following a fatiguing exercise protocol. Wilcoxon signed rank tests determined TTDPM and isometric knee strength changes from pre- to post- fatigue. Spearman’s rho correlation coefficients determined the relationship between strength and physiological variables with pre- to post-fatigue changes in TTDPM and with pre-fatigue and post-fatigue TTDPM in extension and flexion (α=0.05). No significant differences were demonstrated from pre-fatigue to post-fatigue TTDPM despite a significant decrease in isometric knee flexion strength (P<0.01) and flexion/extension ratio (P<0.05) following fatigue. No significant correlations were observed between strength or physiological variables and changes in TTDPM from pre- to post-fatigue in extension or flexion. Flexion/extension ratio was significantly correlated with pre-fatigue TTDPM in extension (r=-0.231, P<0.05). Peak oxygen uptake was significantly correlated with pre-fatigue (r=-0.500, P<0.01) and post-fatigue (r=-0.520, P<0.05) TTDPM in extension. No significant relationships were demonstrated between musculoskeletal and physiological characteristics and changes in TTDPM following fatigue. The results suggest that highly trained individuals may have better proprioception, and that the high fitness level of subjects in this investigation may have contributed to absence of TTDPM deficits following fatigue despite reaching a high level of perceptual and physiological fatigue. Future studies should consider various subject populations, other musculoskeletal strength characteristics, and different modalities of proprioception to determine the most important contributions to proprioceptive changes following fatigue

Pemantauan Kangkung di Dalam Showcase Hidroponik Cerdas Menggunakan Teknologi Internet of Things

Bercocok tanam menggunakan teknik hidroponik memberikan kontribusi baru bagi dunia pertanian terutama dalam penggunaan media air dan tidak membutuhkan lahan yang luas. Teknik ini telah banyak di implementasi sebagian masyarakat umum selain petani untuk budidaya sayuran segar di lingkungan rumahnya. Dengan menerapkan teknologi Internet of Things pada sistem hidroponik, pertumbuhan sayuran yang dibudidaya dapat dengan mudah di pantau dari jarak jauh menggunakan perangkat smartphone. Tujuan dari penelitian ini adalah membangun sistem pemantauan budidaya hidroponik yang diimplementasikan pada purwarupa smart showcase cerdas dan digunakan khusus didalam ruangan. Sistem pemantauan yang dirancang berbasis webserver dan menggunakan platfom IoT Thingsboard untuk visualisasi parameter berbasis grafik. Teknik mengumpulkan data secara online menggunakan google spreedsheet. Thingsboard sebagai user interface untuk memvisualisasikan parameter yang dipantau dalam bentuk grafik. Parameter yang dipantau adalah suhu, kelembapan didalam dan luar showcase dan kontrol lampu grow light sebagai pengganti intensitas cahaya matahari. Penelitian ini telah berhasil membuktikan bahwa pertumbuhan sayuran didalam showcase hidroponik cerdas dapat dipantau dari jarak jauh secara realtime. Pemantauan dilakukan selama ± 18 jam/hari dengan waktu pengambilan data selama 7 hari. Dalam proses pengambilan data terdapat error data 3.25% yang disebabkan koneksi internet terputus pada waktu yang berbeda-beda. Namun ini tidak menyebabkan kegagalan yang signifikan terhadap proses monitoring. Hal ini dibuktikan dengan 8 batang kangkung yang di uji, terdapat 4 batang yang mengalamai gagal tumbuh mulai dari hari ke 4 dan 4 batang lainya tumbuh dengan sempurna

Pathologic Complete Response of HER-2 Neu-Positive Invasive Ductal Carcinoma and Ductal Carcinoma In Situ following Neoadjuvant Chemotherapy plus Trastuzumab: A Case Report and Review of Literature

Pathologic complete response (pCR) after NC has been consistently associated with improved outcomes. Residual DCIS after NC does not portray worse prognosis compared to complete eradication of all disease but has clinical implications regarding surgical management. We report a case of pCR of DCIS associated with invasive carcinoma in an HER-2 + tumor after NC plus trastuzumab despite persistence of malignant-appearing microcalcifications mammographically. A 41-year-old Caucasian female presented with a 4 × 4 cm mass in the right breast and a 2.5 cm right axillary node. Mammogram showed a 2.5 cm mass and a 12 cm area of linear pleomorphic, suspicious calcifications in the upper part of the breast. Core biopsy revealed invasive ductal carcinoma and DCIS associated with calcifications (ER 85%, PR 6%, Her2neu 3+ by IHC). Axillary node FNA was positive for malignancy. The patient received doxorubicin/cyclophosphamide (AC) → paclitaxel plus T with complete clinical and radiologic response but no significant change in the microcalcifications. Final pathology showed no residual invasive carcinoma or DCIS despite the presence of numerous ducts with microcalcifications. Documented eradication of DCIS has not been reported following NC when malignant-appearing calcifications persist and this observation may have important clinical implications regarding surgical management

Face Detection with Effective Feature Extraction

There is an abundant literature on face detection due to its important role in many vision applications. Since Viola and Jones proposed the first real-time AdaBoost based face detector, Haar-like features have been adopted as the method of choice for frontal face detection. In this work, we show that simple features other than Haar-like features can also be applied for training an effective face detector. Since, single feature is not discriminative enough to separate faces from difficult non-faces, we further improve the generalization performance of our simple features by introducing feature co-occurrences. We demonstrate that our proposed features yield a performance improvement compared to Haar-like features. In addition, our findings indicate that features play a crucial role in the ability of the system to generalize.Comment: 7 pages. Conference version published in Asian Conf. Comp. Vision 201

PENGEMBANGAN WISATA BUDAYA PLUNTURAN DALAM MENINGKATKAN EKONOMI KREATIF

Ekonomi kreatif merupakan aktivitas ekonomi yang berfokus pada eksplorasi ide-ide kreatif yang memiliki nilai jual tinggi. Di Provinsi Jawa Timur sendiri ekonomi kreatif dibagi menjadi beberapa sub sektor, seperti aplikasi dan permainan; arsitektur; desain interior; desain komunikasi visual; desain produk; fashion; film, animasi, dan video; fotografi; kuliner; musik; penerbitan; periklanan; seni kriya; seni pertunjukan; seni rupa; televisi dan radio. Plunturan adalah salah satu desa yang terletak di Kabupaten Ponorogo, Jawa Timur. Desa Plunturan dikenal dengan beragam produk kesenian disetiap dusunnya. Beberapa diantaranya Reyog (Reyog Anak, Reyog Perempuan dan Reyog Taruna); Gajah-Gajahan; Jathilan; Ganongan; Tledekan; Karawitan; Wayang Kulit; Coke’an; Metik Desa; Metri Desa; Metri Tandur; Campursari; and Sego Angkruk. Masing-masing kesenian ditampilkan dalam festival desa yang digelar setiap sebulan maupun setahun sekali. Berdasarkan hal tersebut, Desa Plunturan sangat berpotensi untuk dikembangkan menjadi desa wisata budaya berbasis kearifan lokal karena dapat menarik berbagai wisatawan atau pengunjung untuk datang menyaksikan pagelaran kesenian. Pengembangan Wisata Budaya Plunturan dapat membuka peluang dan mendorong masyarakat desa untuk menciptakan kegiatan ekonomi baru. Kegiatan ekonomi tersebut rencananya akan ditampung dalam sebuah wadah, yaitu Pasar Tledekan. Dalam Pasar Tledekan, masyarakat Desa Plunturan dapat berjualan pernak-pernik kesenian, baju, kuliner khas Desa Plunturan atau Ponorogo, dan lain sebagainya. Selain itu, adanya wisata budaya Plunturan juga akan berpengaruh pada perkembangan UMKM Curug Gentong di Desa Plunturan yang sebelumnya sempat tidak terkelola dengan baik. Kata Kunci: Ekonomi Kreatif, Wisata Buday

Analisis Swot terhadap Profil Usaha Kerajinan Kain Tenun Desa Tanglad Kecamatan Nusa Penida Kabupaten Klungkung

Penelitian ini bertujuan untuk mengetahui profil usaha, serta strategi yang dapat diterapkan untuk mengatasi permasalahan profil usaha. Data dikumpulkan dengan metode wawancara dan dokumentasi, dianalisis dengan teknik kualitatif dan SWOT. Hasil penelitian menunjukkan bahwa profil usaha dapat ditinjau dari aspek produksi, aspek sumber daya manusia, aspek pemasaran, dan aspek keuangan. Aspek produksi meliputi alat produksi yang berupa ATBM, dengan bahan baku utama benang, pewarna tekstil, dan tali raffia. Produksi dilaksanakan dirumah pribadi, dengan keadaan sarana infrastruktur yang belum menunjang. Aspek sumber daya manusia meliputi pengembangan tenaga kerja yang dilaksanakan dengan memberikan pelatihan, perencanaan SDM berdasarkan pada kebutuhan dan kompensasi berupa upah. Promosi pernah dilakukan pada pestival budaya, hasil produksi berupa kain tenun, dengan harga yang bervariasi sesuai bahan baku. Usaha dijalankan dengan sumber dana yang berasal dari modal sendiri dan bantuan, serta tidak memiliki pembukuan. Dari analisis SWOT dapat diketahui bahwa produk yang dihasilkan adalah produk yang berciri khas sehingga dapat dijadikan kekuatan untuk menangkap peluang pasar dengan jumlah pesaing yang cukup tinggi. Dukungan pemerintah dapat dimanfaatkan untuk pengajuan perbaikan sarana infrastruktur dan pelatihan pembuatan pembukuan sedangkan kelompok tenun yang menyatukan para pengusaha kerajinan kain tenun di Desa Tanglad dapat dijadikan wadah dalam menyamakan presepsi setiap pengusaha.Kata Kunci : profil usaha, analisis SWOT This present study intended to determine the business profile, and the strategies which can be used to cope the problem of business profile. The data were collected through interviews and documentation in which analyzed using qualitative techniques and SWOT. The Results of this study showed that business profiles can be viewed from the aspect of production, human resources aspects, aspects of marketing, and financial aspects. Aspects of production includes a production tool of traditional machine, the main raw material of yarn, textile dyes, and raffia. The Production was done in the home which do not have good facilities yet. Aspects of human resources includes a workforce development revealed by giving training, based on the needs of human resource planning and payment. Promotion had ever done on cultural festivals, such as cloth weaving production, with various prices based on the raw material used. The businesses operated with funds derived from their own capital and assistance, and the bookkeeping was not involved yet. Based on the SWOT analysis, it could be seen that products produced are distinctively product that can be used as the power to seize market opportunities with a fairly high number of competitors. Government support can be used for infrastructure improvements filing and bookkeeping making training while weaving group that brings together entrepreneurs weaving craft in the Tanglad village woven fabric can be used as containers in the perception equating every entrepreneur. keyword : business profile, SWOT analyze keyword : business profile, SWOT analyz