166 research outputs found

    KOMUNIKASI VISUAL SEBAGAI UPAYA MEMPROMOSIKAN PANORAMA HOTEL DI JL RAYA PENGOSEKAN UBUD

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    Abstrak Bali khususnya Ubud merupakan daerah pariwisata yang terkenal. Tempat – tempat asri seperti Ceking, Monkey forest, Petulu, Hingga Pasar Tradisional pun menjadi obyek wisata yang sangan berpotensi. Hal tersebut dimanfaatkan oleh masyarakat untuk membuka usaha yang bergerak dibidang pariwisata. Mulai dari restoran, Villa, Galeri, sampai perusahaan Perhotelan. Salah satu perusahaan – perusahaan perhotelan yang berdiri di Ubud adalah Panorama Hotel. Karena sulitnya persaingan, pihak Panorama Hotel memandang pentingnya perancangan media promosi untuk membangun citra perusahaan serta mempromosikan produknya. Media tersebut antara lain poster, iklan majalah, stiker, folder, x-banner, brosur, post card dan lain – lain yang dianggap efektif untuk mempromosikan perusahaan kepada wisatawan. Dalam proses perancangan media, konsep nature dianggap cukup relevan digunakan pada proses perancangan media komunikasi pada perusahaan Panorama Hotel dalam membangun image yang diinginkan oleh pihak manajemen yaitu natural, fres, selaras dengan alam sesuai dengan nama perusahaan yaitu Panorama. Kata Kunci: Media promosi, Panorama Hotel, konsep Natur

    Peningkatan Kualitas Pembelajaran Matematika Melalui Metode Eksperimen Dengan Penggunaan Alat Peraga Manik-Manik Pada Siswa Kelas IV SD N 2 Cepokosawit Tahun Ajaran 2013 / 2014

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    Penelitian ini bertujuan untuk meningkatkan kualitas pembelajaran matematika siswa kelas IV SD N 2 Cepokosawit melalui metode eksperimen dengan alat peraga manik-manik. Penelitian dilatarbelakangi dengan rendahnya kualitas belajar siswa dalam perolehan nilai rata-rata kelas dan perolehan ketuntasan belajar. Penelitian ini termasuk penelitian tindakan kelas yaitu jenis penelitian yang dilakukan oleh guru untuk memecahkan permasalahan pembelajaran di kelas. Subjek penelitian ini adalah guru dan siswa kelas IV SD N 2 Cepokosawit yang berjumlah 14 siswa. Teknik pengumpulan data dalam penelitian ini melalui observasi, tes, dokumentasi dan catatan lapangan. Hasil observasi pra siklus menunjukkan bahwa kemampuan siswa dalam menyelesaikan soal penjumlahan dan pengurangan bilangan bulat masuk dalam kategori rendah. Setelah diterapkannya metode eksperimen dan penggunaan alat peraga manik-manik menunjukkan peningkatan. Pada waktu sebelum tindakan siswa yang dikatakan tuntas hanya 8 siswa ( 57,14 %), pada siklus I siswa yang dikatakan tuntas sebanyak 9 siswa ( 64,28 %) dan pada siklus II sebanyak 11 siswa ( 78,57 %). Nilai rata-rata kelas juga menunjukkan kualitas peningkatan yaitu sebelum dilakukan tindakan nilai rata-rata kelas adalah 63 dan siswa yang memperoleh nilai di atas rata-rata sebanyak 8 siswa (57,14%), setelah diadakan siklus I nilai rata-rata kelas adalah 67,8 dan siswa yang memperoleh nilai di atas rata-rata sebanyak 9 siswa (64,28%), dan pada siklus II nilai rata-rata kelas 73 dan siswa yang memperoleh nilai di atas rata-rata sebanyak 10 siswa (71,4%)

    Pengaruh Pemahaman Guru Tentang Penerapan Ktsp Dan Motivasi Guru Mengajar Terhadap Nilai Belajar Siswa Kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014

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    Tujuan penelitian ini adalah untuk mengetahui 1) Untuk mengetahui pengaruh positif yang berarti dari pemahaman guru tentang penerapan KTSP terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014. 2) Untuk mengetahui pengaruh positif yang berarti dari motivasi guru mengajar terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014. 3) Untuk mengetahui pengaruh positif yang berarti dari pemahaman guru tentang penerapan KTSP dan motivasi guru mengajar terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014. Jenis penelitian ini adalah penelitian diskriptif kuantitatif. Penelitian ini mengambil lokasi di SMP Negeri 16 Surakarta. Populasi dalam penelitian ini secara nyata dapat diidentifikasi dengan jelas karena sifat dan identitas guru terdeteksi oleh manajemen sekolah. Sampel diambil sebanyak 15 guru dengan teknik simple random sampling. Teknik pengumpulan data menggunakan teknik angket. Teknik analisis data yang digunakan untuk menguji hipotesis adalah analisis regresi linear berganda, uji t dan uji F, selain itu dilakukan pula perhitungan sumbangan relatif dan sumbangan efektif. Kesimpulan penelitian ini adalah 1) Ada pengaruh positif yang berarti dari pemahaman guru tentang penerapan KTSP terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014, hal tersebut dapat diterima. Berdasarkan analisis regresi linier berganda (uji t) diketahui bahwa thitung > ttabel, yaitu 3,260 > 2,179 dan nilai signifikansi < 0,05, yaitu 0,007 dengan sumbangan efektif sebesar 32,1%. 2) Ada pengaruh positif yang berarti dari motivasi guru mengajar terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014, hal tersebut dapat diterima. Berdasarkan analisis regresi linier berganda (uji t) diketahui bahwa thitung > ttabel, yaitu 3,491 > 2,179 dan nilai signifikansi < 0,05, yaitu 0,004, dengan sumbangan efektif sebesar 36,3%. 3) Ada pengaruh positif yang berarti dari pemahaman guru tentang penerapan KTSP dan motivasi guru mengajar terhadap nilai belajar siswa kelas VIII SMP Negeri 16 Surakarta Tahun Pelajaran 2013/2014, hal tersebut dapat diterima. Hal ini berdasarkan analisis variansi regresi linier berganda (uji F) diketahui bahwa Fhitung > Ftabel, yaitu 12,999 > 3,885 dan nilai signifikansi < 0,05, yaitu 0,001. Dengan koefisien determinasi sebesar 68,4% sedangkan 31,6% sisanya dipengaruhi oleh variabel lain yang tidak diteliti

    Profesionalisme Kinerja Aparatur Pemerintah Kecamatan Banjarsari Kota Surakarta (Studi Kasus Profesionalisme Kinerja Aparatur Pemerintah di Kecamatan Banjarsari Kota Surakarta Tahun 2016)

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    This study aims to describe professionalism of performance the government apparatus Subdistrict Banjarsari of Surakarta City include the implementation of the professionalism of performance the government apparatus in Subdistrict Banjarsari of Surakarta City, obstacles encountered, and the solution given. This study used a qualitative research with case study strategy. Data collected by observation, interview, and documentation. Test the validity of the data by triangulation of data sources and data collection techniques. Analysis of the data using interactive analysis techniques through data collection, data reduction, presentation, and conclusion. The results showed that the professionalism of Subdistrict Banjarsari of Surakarta City have been implemented with good efficiency and effectiveness by government apparatus in Subdsitrict Banjarsari of Surakarta City to realize the goals and purpose government of Subdistrict Banjarsari of Surakarta City. The solution that has been done is to promote coaching for the government apparatus Subdistrict Banjarsari of Surakarta City to create the effectiveness and efficiency according to the functions of government; goals; purpose; and the development of the Subdistrict Banjarsari of Surakarta City, and optimize the job and the quality of work according to ability and the knowledge their respective for government apparatus in Subdistrict Banjarsari of Surakarta City

    The predictive and prognostic potential of plasma telomerase reverse transcriptase (TERT) RNA in rectal cancer patients

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    Background: Preoperative chemoradiotherapy (CRT) followed by surgery is the standard care for locally advanced rectal cancer, but tumour response to CRT and disease outcome are variable. The current study aimed to investigate the effectiveness of plasma telomerase reverse transcriptase (TERT) levels in predicting tumour response and clinical outcome. Methods: 176 rectal cancer patients were included. Plasma samples were collected at baseline (before CRT\ubcT0), 2 weeks after CRT was initiated (T1), post-CRT and before surgery (T2), and 4\u20138 months after surgery (T3) time points. Plasma TERT mRNA levels and total cell-free RNA were determined using real-time PCR. Results: Plasma levels of TERT were significantly lower at T2 (Po0.0001) in responders than in non-responders. Post-CRT TERT levels and the differences between pre- and post-CRT TERT levels independently predicted tumour response, and the prediction model had an area under curve of 0.80 (95% confidence interval (CI) 0.73\u20130.87). Multiple analysis demonstrated that patients with detectable TERT levels at T2 and T3 time points had a risk of disease progression 2.13 (95% CI 1.10\u20134.11)-fold and 4.55 (95% CI 1.48\u201313.95)-fold higher, respectively, than those with undetectable plasma TERT levels. Conclusions: Plasma TERT levels are independent markers of tumour response and are prognostic of disease progression in rectal cancer patients who undergo neoadjuvant therapy

    Mapping of Mycobacterium tuberculosis Complex Genetic Diversity Profiles in Tanzania and Other African Countries

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    The aim of this study was to assess and characterize Mycobacterium tuberculosis complex (MTBC) genotypic diversity in Tanzania, as well as in neighbouring East and other several African countries. We used spoligotyping to identify a total of 293 M. tuberculosis clinical isolates (one isolate per patient) collected in the Bunda, Dar es Salaam, Ngorongoro and Serengeti areas in Tanzania. The results were compared with results in the SITVIT2 international database of the Pasteur Institute of Guadeloupe. Genotyping and phylogeographical analyses highlighted the predominance of the CAS, T, EAI, and LAM MTBC lineages in Tanzania. The three most frequent Spoligotype International Types (SITs) were: SIT21/CAS1-Kili (n = 76; 25.94%), SIT59/LAM11-ZWE (n = 22; 7.51%), and SIT126/EAI5 tentatively reclassified as EAI3-TZA (n = 18; 6.14%). Furthermore, three SITs were newly created in this study (SIT4056/EAI5 n = 2, SIT4057/T1 n = 1, and SIT4058/EAI5 n = 1). We noted that the East-African-Indian (EAI) lineage was more predominant in Bunda, the Manu lineage was more common among strains isolated in Ngorongoro, and the Central-Asian (CAS) lineage was more predominant in Dar es Salaam (p-value<0.0001). No statistically significant differences were noted when comparing HIV status of patients vs. major lineages (p-value = 0.103). However, when grouping lineages as Principal Genetic Groups (PGG), we noticed that PGG2/3 group (Haarlem, LAM, S, T, and X) was more associated with HIV-positive patients as compared to PGG1 group (Beijing, CAS, EAI, and Manu) (p-value = 0.03). This study provided mapping of MTBC genetic diversity in Tanzania (containing information on isolates from different cities) and neighbouring East African and other several African countries highlighting differences as regards to MTBC genotypic distribution between Tanzania and other African countries. This work also allowed underlining of spoligotyping patterns tentatively grouped within the newly designated EAI3-TZA lineage (remarkable by absence of spacers 2 and 3, and represented by SIT126) which seems to be specific to Tanzania. However, further genotyping information would be needed to confirm this specificity

    Estimating the workload associated with symptoms-based ovarian cancer screening in primary care: an audit of electronic medical records

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    BACKGROUND: Ovarian cancer is the most lethal gynaecological malignancy in the United Kingdom (UK). Studies have found that many women with ovarian cancer have symptoms for several months before diagnosis. Using a symptoms-based tool to diagnose ovarian cancer (OC) earlier is appealing, but may increase general practitioner (GP) workload because the symptoms are typically vague and non-specific. This study aimed to provide estimates of the GP workload associated with offering symptoms-based ovarian cancer screening. METHODS: A cross-sectional analysis of electronic records from four general practices in England, UK. We downloaded anonymous data on women aged 45–74 who consulted over one week to estimate the proportion who would be offered ‘screening’ according to the UK National Institute for Health and Care Excellence (NICE) guidelines and a symptoms index (Index 2) over one year. We used previous consultations (censoring women with no prior symptom at the date of their last recorded consultation) to estimate the proportion of women presenting with a new (not recorded in previous 12 months) NICE symptom each year. RESULTS: Data were obtained from 19,558 women. The proportion presenting over one week varied between practices (5%-14%), however, the proportion with an OC symptom was similar (17% overall). Over one year, an estimated 51.8% (95% CI 44.0%-59.7%) would present with an OC symptom, 26.6% (95% CI 19.3%-35.1%) with a NICE symptom and 20.3% (95% CI 13.7%-28.5%) with an Index 2 symptom. Each year, an estimated 11.9% (95% CI 5.0%-18.3%) of women would present with a new NICE symptom. CONCLUSION: One in two women aged 45–74 present to primary care at least once a year with an OC symptom, 11.9% with a new NICE symptom. This would be comparable to 2 to 8 yearly screening (depending on what symptoms triggered testing)

    Determinants of per diem Hospital Costs in Mental Health

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    INTRODUCTION:An understanding of differences in hospital costs between patient groups is relevant for the efficient organisation of inpatient care. The main aim of this study was to confirm the hypothesis that eight a priori identified cost drivers influence per diem hospital costs. A second aim was to explore further variables that might influence hospital costs. METHODS:The study included 667 inpatient episodes consecutively discharged in 2014 at the psychiatric hospital of the Medical Centre-University of Freiburg. Fifty-one patient characteristics were analysed. Per diem costs were calculated from the hospital perspective based on a detailed documentation of resource use. Mixed-effects maximum likelihood regression and an ensemble of conditional inference trees were used to analyse data. RESULTS:The study confirmed the a priori hypothesis that not being of middle age (33-64 years), danger to self, involuntary admission, problems in the activities of daily living, the presence of delusional symptoms, the presence of affective symptoms, short length of stay and the discharging ward affect per diem hospital costs. A patient classification system for prospective per diem payment was suggested with the highest per diem hospital costs in episodes having both delusional symptoms and involuntary admissions and the lowest hospital costs in episodes having neither delusional symptoms nor somatic comorbidities. CONCLUSION:Although reliable cost drivers were identified, idiosyncrasies of mental health care complicated the identification of clear and consistent differences in hospital costs between patient groups. Further research could greatly inform current discussions about inpatient mental health reimbursement, in particular with multicentre studies that might find algorithms to split patients in more resource-homogeneous groups

    Association between maternal depression symptoms across the first eleven years of their child’s life and subsequent offspring suicidal ideation

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    Depression is common, especially in women of child-bearing age; prevalence estimates for this group range from 8% to 12%, and there is robust evidence that maternal depression is associated with mental health problems in offspring. Suicidal behaviour is a growing concern amongst young people and those exposed to maternal depression are likely to be especially at high risk. The aim of this study was to utilise a large, prospective population cohort to examine the relationship between depression symptom trajectories in mothers over the first eleven years of their child’s life and subsequent adolescent suicidal ideation. An additional aim was to test if associations were explained by maternal suicide attempt and offspring depressive disorder. Data were utilised from a population-based birth cohort: the Avon Longitudinal Study of Parents and Children. Maternal depression symptoms were assessed repeatedly from pregnancy to child age 11 years. Offspring suicidal ideation was assessed at age 16 years. Using multiple imputation, data for 10,559 families were analysed. Using latent class growth analysis, five distinct classes of maternal depression symptoms were identified (minimal, mild, increasing, sub-threshold, chronic-severe). The prevalence of past-year suicidal ideation at age 16 years was 15% (95% CI: 14-17%). Compared to offspring of mothers with minimal symptoms, the greatest risk of suicidal ideation was found for offspring of mothers with chronic-severe symptoms [OR 3.04 (95% CI 2.19,4.21)], with evidence for smaller increases in risk of suicidal ideation in offspring of mothers with sub-threshold, increasing and mild symptoms. These associations were not fully accounted for by maternal suicide attempt or offspring depression diagnosis. Twenty-six percent of non-depressed offspring of mothers with chronic-severe depression symptoms reported suicidal ideation. Risk for suicidal ideation should be considered in young people whose mothers have a history of sustained high levels of depression symptoms, even when the offspring themselves do not have a depression diagnosis
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