Latihan Kegeldan Nyeri Saat Berhubungan Seksual Pada Perempuan Pasca Terapi Kanker

Radiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer

Perancangan Sistem Informasi Penggunaan Dana Kegiatan pada Badan Perencanaan Pembangunan Daerah Kabupaten Pesawaran

BAPPEDA Kabupaten Pesawaran dalam kegiatan sehari-harinya memiliki banyak program kegiatan yang menunjang kemajuan Kabupaten Pesawaran. Hal ini tentunya membutuhkan pembiyaan disetiap kegiatannya, penggunaan dana kegiatan meliputi belanja atk, perjalanan dinas, uang lembur, makan minum rapat kegiatan, belanja alat listrik, belanja spanduk, fotocopy, belanja matrai dan benda pos lainnya, belanja sewa gedung/tempat, belanja alat kebersihan, danhonorarium kegiatan. Namun masalah yang terjadi dalam pembuatan laporan penggunaan dana kegiatan sering terjadi kesalahan dalam perhitungan rincian biaya dan pencatatan kode rekening belanja yang dikeluarkan. Dari permasalahan tersebut, diperlukan sarana yang dapat meringankan tugas bagian bendahara pengeluaran,dalam menyelesaikan suatu masalah terutama masalah pengolahan dana kegiatan khususnya di pengajuan dana kegiatan, bukti kas pengeluaran dan bukti kas umum. Sistem pembuatan laporan penggunaan dana kegiatan pada Badan Perencanaan Pembangunan Daerah menggunakan Netbeans 8.0.1 dan database MySQL, untuk memudahkan bagian terkait dalam melakukan penginputan data pengajuan dana, bukti pengeluaran kas, bukti kas umum dan jurnal pengeluaran kas. Berdasarkan kuesioner yang disebarkan didapatkan hasil kepuasan responden terhadap sistem penggunaan dana kegiatan dengan pilihan jawaban sangat baik, baik, kurang baik, tidak baik kuesioner terdiri dari 12 pernyataan dan 30 orang pengguna. Dari hasil pengujian menunjukkan presentase yang di dapat sebesar 91,81 %

Upaya Peningkatan Kualitas Pelayanan Perpustakaan Dengan Integrasi Service Quality Dan Quality Function Deployment (Studi Kasus: Perpustakaan Umum Dan Arsip Kota Malang)

Perpustakaan Umum Kota Malang merupakan salah satu pelayanan publik yang disediakan oleh pemerintah Kota Malang yang bergerak dibidang pendidikan. Salah satu misi Perpustakaan Umum Kota Malang adalah meningkatkan kualitas jasa perpustakaan dan informasi kearsipan baik untuk masyarakat maupun institusi. Untuk dapat mewujudkan misi tersebut maka dibutuhkan suatu pengukuran kualitas jasa untuk dapat mengetahui kondisi kualitas jasa tersebut sehingga nantinya dapat meningkatkan kualitas jasa yang efektif dan efisien.Dalam penelitian ini metode Servqual diintegrasikan dengan metode Quality Function Deployment untuk dapat membantu pihak Pepustakaan Umum Kota Malang dalam mengetahui persepsi dan harapan pengunjung perpustakaan terhadap pelayanan yang telah diberikan oleh Perpustakaan Umum Kota Malang selama ini. Kuesioner Servqual digunakan untuk mengetahui gap antara persepsi dan harapan pengunjung terhadap atribut-atribut perpustakaan yang sesuai dengan 5 dimensi Servqual yaitu tangible, responsiveness, reliability, assurance, dan empathy. Setelah diketahui atribut yang memiliki nilai gap negatif maka akan menjadi voice of customer yang akan diolah dengan menggunakan metode quality function deployment untuk dapat menghasilkan prioritas rekomendasi perbaikan yang sesuai dengan kebutuhan pengunjung perpustakaan umum kota malang. Hasil dari penelitian ini adalah berdasarkan hasil uji validitas dan reliabilitas terdapat 18 atribut yang dinyatakan valid dan reliabel. Selanjutnya dilakukan penyebaran kuesioner Servqual yang didapatkan hasil bahwa seluruh atribut tersebut memiliki nilai gap negatif sehingga menjadi voice of customer dalam matrik house of quality. Berdasarkan hasil dari matrik house of quality, respon teknis yang menjadi prioritas perbaikan adalah jumlah ketersediaan fasilitas komputer internet gratis dan komputer katalog yaitu dengan nilai normalized contribution sebesar 15%. Rekomendasi yang disarankan untuk respon teknis tersebut adalah segera melakukan perbaikan perangkat komputer yang tersedia saat ini dan meningkatkan spesifikasi komputer untuk menunjang kecepatan internet

Analisis Efisiensi Pemasaran Bunga Mawar Potong (Studi Kasus di Desa Gunungsari, Kecamatan Bumiaji, Kota Batu)

Permintaan tanaman hias di Indonesia meningkat antara 15% sampai dengan 20% di tahun 2012 ini. Permintaan tanaman hias sendiri dapat berupa tanaman dalam pot, bunga potong, atau daun potong. Potensi bisnis dari tanaman hias ini juga sangat menjanjikan, dikarenakan meningkatnya pesanan di tiap tahunnya. Tanaman hias telah mendapat perhatian yang khusus baik di lingkungan Perumahan, maupun gedung-gedung perkantoran yang nantinya digunakan sebagai komponen dekorasi dan interior. Selain itu tanaman hias ini juga banyak digunakan dalam acara perkawinan serta upacara-upacara adat dan keagamaan. Salah satu jenis tanaman hias yang dikembangkan untuk pasar domestik dan ekspor adalah bunga mawar. Bunga mawar memiliki potensi sosial ekonomi yang tinggi. Salah satu negara produsen bunga-bungaan terbesar di dunia adalah Belanda, dan bunga mawar menempati urutan teratas serta paling besar dalam perolehan devisa negara tersebut. Di Indonesia sendiri, untuk permintaan dari bunga mawar sendiri cenderung meningkat. Terutama di kota-kota besar seperti Jakarta, Surabaya, Denpasar, dan lain-lain. Kondisi dari USAhatani bunga mawar ini dapat dilihat dari segi pemasarannya. Pemasaran merupakan kegiatan menyalurkan komoditas dari produsen kepada konsumen dengan menggunakan saluran pemasaran. Dalam setiap proses perpindahan komoditi dari satu lembaga ke lembaga yang lainnya mempunyai tujuan untuk menciptakan kegunaan tempat, kegunaan waktu, kegunaan bentuk, peralihan kepemilikan dari produsen ke konsumen dan sumber informasi mengenai komoditas yang diperjualbelikan

Pengaruh Level Protein Dan Asam Asetat Dalam Ransum Terhadap Tingkat Keasaman (Ph) Usus Halus, Laju Digesta Dan Bobot Badan Akhirayam Broiler (the Effect of Levels Protein and Acetic Acid on Feed Formula to Potensial Hydrogen (Ph) Intestine Small, Digest

This research aims to determine the effect of levels protein and acetic acid on feed formula to pH small intestine, digest rate and final body weight of broiler. The materials used in the research were 180 unsex broiler chickens Lohman strain MB 202 with an average weight 45,6 ± 4,8 g. The ration used consisting of broken maize, rice bran, soybean meal, Poutry Meat Meal (PMM), fish meal and premix. The experimental design used was a completely randomized design (CRD) factorial 2x3 with 3 replications. The first factor, the protein level in ration, is CP 21% (T1) and 20% (T2), the second factor is the addition of acetic acid on level 0% (V0), 0,75% (V1), 1,5% (V2). Parameters were observed include pH small intestine, digest rate and final body weight. Research used variance analised.The results showed that the protein level of the ration with the addition of acetic acid in the diet there is no significant interaction (p> 0.05) on the pH small intestine, digesta rate and final body weight. Conclusion The study is a combination of levels protein 21% and 20% with the addition of acetic acid 0%, 0.75% and 1.5% in the diet has not been able to change the pH small intestine, digesta rate and final body weight

The state of health in Indonesia's provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Background Analysing trends and levels of the burden of disease at the national level can mask inequalities in health-related progress in lower administrative units such as provinces and districts. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to analyse health patterns in Indonesia at the provincial level between 1990 and 2019. Long-term analyses of disease burden provide insights on Indonesia's advance to universal health coverage and its ability to meet the United Nations Sustainable Development Goals by 2030. Methods We analysed GBD 2019 estimated cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), life expectancy at birth, healthy life expectancy, and risk factors for 286 causes of death, 369 causes of non-fatal health loss, and 87 risk factors by year, age, and sex for Indonesia and its 34 provinces from 1990 to 2019. To generate estimates for Indonesia at the national level, we used 138 location-years of data to estimate Indonesia-specific demographic indicators, 317 location-years of data for Indonesia-specific causes of death, 689 location-years of data for Indonesia-specific non-fatal outcomes, 250 location-years of data for Indonesia-specific risk factors, and 1641 location-years of data for Indonesia-specific covariates. For subnational estimates, we used the following source counts: 138 location-years of data to estimate Indonesia-specific demographic indicators; 5848 location-years of data for Indonesia-specific causes of death; 1534 location-years of data for Indonesia-specific non-fatal outcomes; 650 location-years of data for Indonesia-specific risk factors; and 16 016 location-years of data for Indonesia-specific covariates. We generated our GBD 2019 estimates for Indonesia by including 1 915 207 total source metadata rows, and we used 821 total citations. Findings Life expectancy for males across Indonesia increased from 62·5 years (95% uncertainty interval 61·3–63·7) to 69·4 years (67·2–71·6) between 1990 and 2019, a positive change of 6·9 years. For females during the same period, life expectancy increased from 65·7 years (64·5–66·8) to 73·5 years (71·6–75·6), an increase of 7·8 years. There were large disparities in health outcomes among provinces. In 2019, Bali had the highest life expectancy at birth for males (74·4 years, 70·90–77·9) and North Kalimantan had the highest life expectancy at birth for females (77·7 years, 74·7–81·2), whereas Papua had the lowest life expectancy at birth for males (64·5 years, 60·9–68·2) and North Maluku had the lowest life expectancy at birth for females (64·0 years, 60·7–67·3). The difference in life expectancy for males between the highest-ranked and lowest-ranked provinces was 9·9 years and the difference in life expectacy for females between the highest-ranked and lowest-ranked provinces was 13·7 years. Age-standardised death, YLL, and YLD rates also varied widely among the provinces in 2019. High systolic blood pressure, tobacco, dietary risks, high fasting plasma glucose, and high BMI were the five leading risks contributing to health loss measured as DALYs in 2019. Interpretation Our findings highlight that Indonesia faces a double burden of communicable and non-communicable diseases that varies across provinces. From 1990 to 2019, Indonesia witnessed a decline in the infectious disease burden, although communicable diseases such as tuberculosis, diarrhoeal diseases, and lower respiratory infections have remained a main source of DALYs in Indonesia. During that same period, however, all-ages death and disability rates from non-communicable diseases and exposure to their risk factors accounted for larger shares of health loss. The differences in health outcomes between the highest-performing and lowest-performing provinces have also widened since 1990. Our findings support a comprehensive process to revisit current health policies, examine the root causes of variation in the burden of disease among provinces, and strengthen programmes and policies aimed at reducing disparities across the country. Funding The Bill & Melinda Gates Foundation and the Government of Indonesia. Translation For the Bahasa Indonesia translation of the abstract see Supplementary Materials section

Pengaruh Disiplin dan Komitmen Organisasi terhadap Kinerja Karyawan pada Azo Florist Cianjur

The phenomenon that occurs the company is faced with the problem of employees how to make employees, to be able to work by showing good performance. One of the factors that affect employee performance is work discipline, besides that, another factor that can affect employee performance is organizational commitment. The purpose of this study was to determine the respondents' responses and the effect of discipline, organizational commitment on employee performance at Azo Florist Cianjur either simultaneously or partially. This research method is quantitative with multiple linear regression analysis. The number of samples is 50 employees and using a saturated sample. The results showed that employees' responses to discipline were not good, organizational commitment was not good and responses to performance were not good, then simultaneously discipline and organizational commitment contributed or influenced employee performance by 65.5% and the remaining 34.5% was contributions from other variables not included in the model proposed in this study. While the influence of the coefficient of determination partially, it is known that the effect of discipline on employee performance is 12.0%. Meanwhile, organizational commitment has a more dominant influence on employee performance by 53.5%

Quality of Life Among Patients with Type 2 Diabetic Mellitus in Outpatient Department, General Public Hospital, West Java

Diabetic Mellitus causes many complications and profoundly affects patients' lives, impacting their physical, psychological, and social well being. These complications are debilitating and significantly impair their quality of life. However, little is known about the quality of life of patients with type 2 diabetic mellitus in West Java Province, Indonesia, a gap addressed by this study. A cross-sectional survey was conducted in a sample of 73 adult diabetes patients in the outpatient department of a general public hospital in West Java. The survey questionnaire included demographic data and the World Health Organisation (WHO) quality of life markers. The results indicate that of of 73 patients with type 2 diabetic mellitus agreed to join this study, 76.7% were age over 45 years old and 68% were female. The majority of the patients with type 2 diabetic mellitus reported a poor quality of life in 3 domains, physical domain (64.4%), psychological domain (53.4%), and environmental domain (52.1%). The social domain seems more favourable, with 54.8% of respondents reporting a good quality of life. This study indicates the importance of achieving better disease management to improve patient' quality of life.   Keywords: Type 2 diabetic mellitus, quality of life, WHOQOL-BRE

The Appropriate Calculation Cost of Goods Manufactured as Pricing Strategy for Small Sized Enterprises (SMEs)

This research aims to identify all production costs incurred in production, to calculate the cost of goods manufactured correctly using the Process Costing Method and decision making for determining the selling price of shoes. The research was taken in one of small-sized enterprises shoe factory in East Karawang. The research method is descriptive comparative with a qualitative approach. The descriptive method is used to describe the production costs incurred in the production process including the raw materials costs, supporting materials costs, labor costs, and factory overhead costs. In this research, the data used are primary and secondary data. The COGM calculation results in show that there is variance calculation between company system and process costing method. It is due to calculations that companies do not identify production costs in detail, therefore the company's COGM calculation is inaccurate. The COGM calculation appropriately can be the company's strategy to determine the selling price. so that company profits can continue to increase