Analisis Kualitas Pelayanan Angkutan Umum (Transmusi) melalui Kinerja terhadap Kepuasan Masyarakat di Kota Palembang

Tujuan penelitian – Kualitas pelayanan sarana transportasi angkutan umum di kota Palembang saat ini belum memenuhi kebutuhan masyarakat, sehingga dibutuhkan penataan sistem transportasi dan pelayanan angkutan umum secara terpadu. Penelitian ini bertujuan untuk menguji kualitas pelayanan angkutan umum (transmusi) yang disediakan melalui kinerja terhadap kepuasan masyarakat.Desain/Metodologi/Pendekatan – Teknik analisis jalur digunakan untuk menganalisis hubungan sebab akibat yang terjadi pada regresi berganda. Jika variabel-variabel bebasnya mempengaruhi variabel terikat secara langsung akan tetapi juga berpengaruh secara tidak langsung dalam penelitian ini menggunakan variabel intervening.Temuan – Hasil pengujian untuk variabel kualitas pelayanan memiliki pengaruh langsung terhadap kinerja, untuk variabel kinerja berpengaruh langsung terhadap kepuasan masyarakat, untuk variabel kualitas pelayanan berpengaruh langsung yang terhadap variabel kepuasan masyarakat, sedangkan untuk variabel kualitas pelayanan melalui kinerja terhadap kepuasan masyarakat memiliki pengaruh tidak langsung, hasil pengujian persamaan substruktur menunjukan maka pengaruh langsung ditambah pengaruh tidak langsung adalah pengaruh total, sehingga diperoleh hasil dapat disimpulkan bahwa kinerja merupakan variabel (intervening atau itermediary).Keterbatasan penelitian – Fokus penelitian ini adalah pengguna angkutan umum Transmusi di kota Palembang. Perbedaan preferensi pada setiap daerah mungkin saja terjadi, sehingga penelitian lanjutan dapat dilakukan pada beberapa bagian daerah atau kabupaten lain yang juga menerapkan angkutan umum terpadu, seperti: Kabupaten Kayu Agung, Ogan Ilir, Prabumulih, serta Sekayu.Originality/value – Penelitian ini mencoba memberikan gambaran yang utuh tentang dimensi kualitas layanan serta pengaruhnya pada kepuasan masyarakat terkait layanan transportasi umum terpadu

Analisis Kualitas ISO 25010 Aplikasi Artificial Intelligence Troubleshooting Komputer Dengan FURPS

Artificial Intellegent Application Computer Troubleshooting is an application developed with the aim of being a tool to understand the damage to the computer. The method used in this test is ISO 25010 on the FURPS concept. The results show that the internal quality of this application has been achieved by meeting the requirements of FURPS. Keyword ISO 25010; Quality Analysis; Artificial Intellegent Aplication; Computer Troubleshooting; FURP

Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations

Purpose: Non-obstructive azoospermia (NOA) is a common, but complex problem, with multiple therapeutic options and a lack of clear guidelines. Hence, there is considerable controversy and marked variation in the management of NOA. This survey evaluates contemporary global practices related to medical and surgical management for patients with NOA. Materials and methods: A 56-question online survey covering various aspects of the evaluation and management of NOA was sent to specialists around the globe. This paper analyzes the results of the second half of the survey dealing with the management of NOA. Results have been compared to current guidelines, and expert recommendations have been provided using a Delphi process. Results: Participants from 49 countries submitted 336 valid responses. Hormonal therapy for 3 to 6 months was suggested before surgical sperm retrieval (SSR) by 29.6% and 23.6% of participants for normogonadotropic hypogonadism and hypergonadotropic hypogonadism respectively. The SSR rate was reported as 50.0% by 26.0% to 50.0% of participants. Interestingly, 46.0% reported successful SSR in <10% of men with Klinefelter syndrome and 41.3% routinely recommended preimplantation genetic testing. Varicocele repair prior to SSR is recommended by 57.7%. Half of the respondents (57.4%) reported using ultrasound to identify the most vascularized areas in the testis for SSR. One-third proceed directly to microdissection testicular sperm extraction (mTESE) in every case of NOA while others use a staged approach. After a failed conventional TESE, 23.8% wait for 3 months, while 33.1% wait for 6 months before proceeding to mTESE. The cut-off of follicle-stimulating hormone for positive SSR was reported to be 12-19 IU/mL by 22.5% of participants and 20-40 IU/mL by 27.8%, while 31.8% reported no upper limit. Conclusions: This is the largest survey to date on the real-world medical and surgical management of NOA by reproductive experts. It demonstrates a diverse practice pattern and highlights the need for evidence-based international consensus guidelines

Global Practice Patterns in the Evaluation of Non-Obstructive Azoospermia: Results of a World-Wide Survey and Expert Recommendations

Purpose: Non-obstructive azoospermia (NOA) represents the persistent absence of sperm in ejaculate without obstruction, stemming from diverse disease processes. This survey explores global practices in NOA diagnosis, comparing them with guidelines and offering expert recommendations. Materials and methods: A 56-item questionnaire survey on NOA diagnosis and management was conducted globally from July to September 2022. This paper focuses on part 1, evaluating NOA diagnosis. Data from 367 participants across 49 countries were analyzed descriptively, with a Delphi process used for expert recommendations. Results: Of 336 eligible responses, most participants were experienced attending physicians (70.93%). To diagnose azoospermia definitively, 81.7% requested two semen samples. Commonly ordered hormone tests included serum follicle-stimulating hormone (FSH) (97.0%), total testosterone (92.9%), and luteinizing hormone (86.9%). Genetic testing was requested by 66.6%, with karyotype analysis (86.2%) and Y chromosome microdeletions (88.3%) prevalent. Diagnostic testicular biopsy, distinguishing obstructive azoospermia (OA) from NOA, was not performed by 45.1%, while 34.6% did it selectively. Differentiation relied on physical examination (76.1%), serum hormone profiles (69.6%), and semen tests (68.1%). Expectations of finding sperm surgically were higher in men with normal FSH, larger testes, and a history of sperm in ejaculate. Conclusions: This expert survey, encompassing 367 participants from 49 countries, unveils congruence with recommended guidelines in NOA diagnosis. However, noteworthy disparities in practices suggest a need for evidence-based, international consensus guidelines to standardize NOA evaluation, addressing existing gaps in professional recommendations

Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations

Purpose: Non-obstructive azoospermia (NOA) is a common, but complex problem, with multiple therapeutic options and a lack of clear guidelines. Hence, there is considerable controversy and marked variation in the management of NOA. This survey evaluates contemporary global practices related to medical and surgical management for patients with NOA. Materials and Methods: A 56-question online survey covering various aspects of the evaluation and management of NOA was sent to specialists around the globe. This paper analyzes the results of the second half of the survey dealing with the management of NOA. Results have been compared to current guidelines, and expert recommendations have been provided using a Delphi process. Results: Participants from 49 countries submitted 336 valid responses. Hormonal therapy for 3 to 6 months was suggested before surgical sperm retrieval (SSR) by 29.6% and 23.6% of participants for normogonadotropic hypogonadism and hypergonadotropic hypogonadism respectively. The SSR rate was reported as 50.0% by 26.0% to 50.0% of participants. Interestingly, 46.0% reported successful SSR in 10% of men with Klinefelter syndrome and 41.3% routinely recommended preimplantation genetic testing. Varicocele repair prior to SSR is recommended by 57.7%. Half of the respondents (57.4%) reported using ultrasound to identify the most vascularized areas in the testis for SSR. One-third proceed directly to microdissection testicular sperm extraction (mTESE) in every case of NOA while others use a staged approach. After a failed conventional TESE, 23.8% wait for 3 months, while 33.1% wait for 6 months before proceeding to mTESE. The cut-off of follicle-stimulating hormone for positive SSR was reported to be 12-19 IU/mL by 22.5% of participants and 20-40 IU/mL by 27.8%, while 31.8% reported no upper limit. Conclusions: This is the largest survey to date on the real-world medical and surgical management of NOA by reproductive experts. It demonstrates a diverse practice pattern and highlights the need for evidence-based international consensus guidelines. Copyright © 2024 Korean Society for Sexual Medicine and Andrology.Egyptian Society of Cardiology; Società Italiana di Virologia, SIV; Österreichische Gesellschaft für Dermatologie und Venerologie, OGD