Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Bayi prematur sulit untuk mencapai kemampuan minum akibat imaturitas sistem pencernaannya. Kondisi ini menyebabkan perawatan yang lebih lama di rumah sakit. Penelitian ini bertujuan untuk mengetahui efektivitas gabungan stimulasi oromotor dan pemberian nonnutritive sucking terhadap kecepatan minum bayi mencapai fullfeed, peningkatan volume minum, peningkatan berat badan, dan kesiapan minum bayi prematur. Rancangan penelitian ini adalah randomized control trial dengan desain paralel yang melibatkan jumlah sampel sebanyak 52 bayi prematur. Responden yang mendapatkan stimulasi oromotor dan pemberian nonnutritive sucking sebanyak 26 bayi prematur (kelompok intevensi) dan yang mendapatkan perawatan rutin RS sebanyak 26 bayi prematur (kelompok kontrol). Hasil penelitian mengidentifikasi rerata kecepatan minum bayi mencapai fullfeed pada kelompok intervensi dan kontrol (10,04, 9,73, p<0,001), Peningkatan berat badan yang signifikan pada kelompok intervensi dan kontrol (2,392,2,204,p< 0,001), dan terdapat rerata peningkatan volume minum pada kelompok intervensi dan kontrol (33,65, 29,9, p<0,001). Intervensi stimulasi oromotor dan pemberian nonnutritive sucking dapat menjadi alterrnatif tindakan perawat untuk mengatasi masalah kesulitan minum pada bayi prematur. ......Premature babies find it difficult to achieve the ability to drink due to the immaturity of their digestive system. This condition leads to a longer stay in the hospital. This study aims to determine the combined effectiveness of oromotor stimulation and non-nutritive sucking on the speed of feeding babies to reach full feed, increasing drinking volume, increasing body weight and readiness to drink premature babies. The design of this study was a randomized control trial with a parallel design involving a sample of 52 premature infants. Respondents who received oromotor stimulation and nonnutritive sucking were 26 premature babies (intervention group) and 26 premature babies who received routine hospital care (control group). The results of the study identified that there was an increase in the speed of infant feeding reaching full feed in the intervention and control groups (10.04, 9.73, p<0.001), weight gain in the intervention and control groups (2,392.2,204, p<0.001), there was an increase in volume drinking in the intervention and control groups (33.65, 29.9, p<0.001). and an increase in drinking readiness after the intervention in the intervention and control groups showed an increase (10.04% ,9.73%). Oromotor stimulation and the provision of nonnutritive sucking can be an alternative action for nurses to overcome the problem of drinking difficulties in premature infants.

Abstrak :
Bayi prematur mempunyai banyak risiko gangguan kesehatan yang dapat dialami akibat fungsi dan sistem tubuh yang belum sempurna. Mandi merupakan tindakan non invasif yang dilakukan setiap hari dan dapat mengakibatkan stres pada bayi. Respon stres yang ditunjukkan oleh bayi prematur selama prosedur memandikan dapat berupa menangis, tremor, kehilangan suhu tubuh, dan perubahan tanda-tanda vital. Tujuan penelitian ini adalah memberikan gambaran penerapan Model Konservasi Levine pada asuhan keperawatan bayi prematur dengan risiko gangguan termoregulasi melalui teknik memandikan swaddled bath. Penelitian ini menggunakan metode studi kasus terhadap lima bayi prematur yang berisiko mengalami gangguan termoregulasi melalui pendekatan proses keperawatan. Gangguan termoregulasi dapat menghambat proses adaptasi bayi prematur dalam mencapai keutuhannya, sehingga diperlakukan intervensi berbasis Model Konservasi Levine melalui empat prinsip konservasi. Hasil penelitian menunjukkan bahwa Model Konservasi Levine dapat digunakan dalam asuhan keperawatan bayi prematur dengan masalah termoregulasi melalui penggunaan teknik memandikan swaddled bath. ......Premature babies have many risks of health problems that can be experienced due to immature body functions and systems. Bathing is a non-invasive action that is performed every day and can cause stress to the baby. The stress respone shown by premature babies during the bathing procedure can be in the form of crying, tremors, loss of body temperature, and changes in vital signs. The purpose of this study was to provide an overview of the application of the Levine Conservation Model in nursing care of premature infants with a risk of thermoregulation disorders through the swaddled bath technique. This research used a case study method of five premature babies who were at risk of experiencing thermoregulation disorders through the nursing process approach. Disorders of thermoregulation can hinder the adaptation process of premature babies in achieving their wholeness, so interventions based on the Levine Conservation Model are treated through four principles of conservation. The results of this study indicate that the Levine Conservation Model can be used in nursing care of premature infants with thermoregulation problems through the use of the swaddled bath technique.

Abstrak :
Karsinoma serviks uteri merupakan tumor ganas yang sering ditemukan di Indonesia dan pada umumnya penderita datang dalam keadaan ianjut dimana radioterapi merupakan terapi pilih. Penilaian respon radiasi dapat dipelajari secara klinis maupun secara histopatologik. Secara histopatologik, selama ini penilaian dilakukan secara kasar yaiutu dengan melihat ada tidak sel tumor yang viable. Respon radiasi antara lain dipengaruhi oleh tingkat prolifersi sel, penilaiannya dapat dilakukan dengan berbagai metode antara lain dengan metode Ag NOR. AgNOR merupakan Salah satu cam penilaian proliferasi sel dengan cars menghilung nuclear organizer region (NOR). Pada penelitian ini nilai AgNOR digunakan untuk melakukan hubungannya dengan derajat respon radiasi secara hisropomlogik. Penghitungan nilai AfNOR dilakukan dengan 2 cara yaitu (1) rata-rata nilai AgNOR pada nukleus (mAgNOR) dan persentase AgNOR (PAgNOR). Penilaian derajat respon radiasi secara histopalogik dilakukan menurut metode Shimosato yang membuat derajat respon radiasi dari jaringan yang resisten sampai paling sensitif terhadap radiasi dengan gradasi 1A sampai 4C. Hasil dan kesimpulan, dari 20 kasus karsinoma serviks yang diperiksa, didapatkan 2 kasus dengan derajat respon radiasi 1,5 kasus dengan derajat respon radiasi 4B dan 1 kasus dengan derajat respon radiasi 4C. Karena perbandingan kasus yang tidak seimbang, kasus-kasus ini dikemlompokkan lagi menjadi 2 kelompok yaitu: (1) kelompok denga respon radiasi baik (13 kasus) dan (2) kelompok dengan derajat respon radiasi buruk (7 kasus). Walaupun terlihat kecenderungan nilai mAgNOR yang lebih tinggi ppada kasus dengan derajat respon radiasi lebih tinggi, nilai mAgNOR yang tidak berbeda bermakna pada kelompok-kelompok yang diperiksa, kemungkinan disebabkan karena mAgNOR tidak secara sppesifik mewakili fraksi pertumbuhan yang tinggi sehingga tidak langsung terkait dengan radiosensitifitas jaringan. Dari penelitian ini ditemukan nilapAgNOR yang lebih tinggi secara bermakna pada kelompok dengan responn radiasi baik debandinglan dengan kelompok dengan derajat respon radiasi buruk (p=0,05). Hasil ini menunjukkan bahwa nilai pAgNOR lebih spesifik dan ditelti lebih lanjut dengan digabungkan dengan metoda sehic diharapkan dapat dipakai sebagai salah satu cara untuk memprediksi respon radiaso karsinogen serviks uteri. ......Cervical uterine cancer is one of tlte most common malignant tumors in Indonesia, patients usually presented in an advance stage where radiotherapy is a therapy of choice. Evaluation of radiotherapy is done both clinically and histopathologcally. Ust; histopathologic assessment was done roughly bythe presence of viable tumor cells. Radio response is influenced by cell proliferation rate and the assessment can be done with methods. ie. Ag NOR method. AgNOR is one of cell proliferation marker that cour nuclcolar organizer region (NOR). In this study, AgNOR counts was used to soc corelation with grade ofhistopathological radiation response. AgNOR counts was carried in 2 wajrs: (1) mean of AgNOR counts in the nuclei (mAgNOR0 and (2) percentag AgNOR (PAgNOR). Evaluation of histopathologic radiation response grade was a following Shimosato that made gradation radiation response from radioresistant to alt radiosensitiv tissue in IA to -1C grade. Result and conclusion, from 20 cases of Cervical cancer studied based on Shimosato method. 2 cases were of grade 1, 5 cases of grade ZA. l case of grade 5, 2 cases of grade 49., 9 cases of grade 4B and 1 of gade 4C . Due to unequal number of cases in each group, it was grouped into 2 groups, good radiation response. which is iound in 13 cases and (2) poor radiation response a cases. Altough there is higher number mAgNOR counts irt group with higher grade radiation response. It was not statistically significant, most likely because in mAgNOR is specitically representing high growth fraction, therefore was not correlated directly with tis radiosonsitivitly. From this study, it was showed that pAgNOR counts was hit significantly in group with good radiation response compared to group with poor radia response (p=0.05). The result showed that pAgNOR count is more speciiic, therefore it car used in more research combine with another method make this method will used as one method for the prediction of radiation response in cert-?ical uterine carcinoma.

Abstrak :
Peningkatan kualitas pelayanan keperawatan diupayakan melalui pemberdayaan tenaga keperawatan. Tenaga perawat pelaksana merupakan tenaga kerja yang berinteraksi 24 jam dengan klien. Dalam pelayanannya diperlukan manajemen waktu yang berasal dari motivasi kerja seorang perawat pelaksana tersebut. Sehingga penelitian ini dibuat bertujuan untuk : 1) mendapatkan gambaran motivasi kerja : kebutuhan berprestasi, kebutuhan mempengaruhi, kebutuhan afiliasi dan manajemen waktu, 2) melihat hubungan antara motivasi kerja : kebutuhan berprestasi, kebutuhan mempengaruhi dan kebutuhan afiliasi dengan manajemen waktu, dan 3) melihat hubungan yang paling signifikan antara aspek motivasi kerja dengan manajemen waktu yang dapat dikontrol oleh karakteristik perawat. Metode penelitian ini menggunakan deskriptif korelasi dengan cara pengumpulan data cross sectional. Analisis univariat menggunakan uji deskriptif, bivariat dengan menggunakan chi square dan multivariat dengan menggunakan regresi logistik ganda. Tempat penelitian adalah instalasi rawat inap RSU PMI Bogor dengan jumlah sampel 138 perawat pelaksana. Hasil penelitian menunjukkan bahwa sebagian perawat pelaksana mempunyai motivasi kerja : kebutuhan berprestasi yang tinggi (51,4%), kebutuhan mempengaruhi yang tinggi (69,6%) kebutuhan berafiliasi yang tinggi (67,4%). Kebutuhan berprestasi dan kebutuhan mempengaruhi mempunyai hubungan yang bermakna dengan manajemen waktu. Kebutuhan berafiliasi tidak mempunyai hubungan yang bermakna dengan manajemen waktu. Kebutuhan mempengaruhi mempunyai hubungan paling dominan dengan manajemen waktu. Perawat pelaksana dengan kebutuhan mempengaruhi yang tinggi mempunyai peluang 5,7 kali melakukan manajemen waktu yang lebih baik daripada yang kebutuhan mempengaruhi yang rendah. Perawat pelaksana dengan kebutuhan berprestasi yang tinggi mempunyai peluang 2,7 kali melakukan manajemen waktu yang baik daripada yang kebutuhan berprestasinya rendah. Perawat pelaksana dengan kebutuhan mempengaruhi yang tinggi dengan dikontrol kebutuhan berprestasi yang tinggi mempunyai peluang manajemen waktu yang baik sebesar 78%. Berdasarkan basil penelitian ini maka bidang keperawatan disarankan untuk 1) segera melakukan program jenjang karir untuk meningkatkan motivasi kerja : kebutuhan berprestasi, 2) meningkatkan pengetahuan dan keterampilan melalui peningkatan pendidikan formal untuk meningkatkan motivasi kerja kebutuhan mempengaruhi, 3) mengoptimalkan acara kekeluargaan perawat untuk meningkatkan motivasi kerja : kebutuhan berafiliasi, dan 4) membuat pelatihan manajemen waktu secara terjadwal untuk meningkatkan manajemen waktu perawat dalam melaksanakan pelayanan dan dokumentasi asuhan keperawatan. Saran lain juga bagi peneliti lain dalam membuat penelitian hubungan motivasi kerja dengan manajemen waktu di rumah sakit lain secara kuasi eksperimen maupun eksperimen guna melihat kuat dan lemahnya hubungan yang terjadi antara variabel motivasi kerja dengan manajemen waktu perawat.

---

Improvement of nursing services quality strived to enableness of nurse sources or empowerment of nursing personnel. Nurse as a personnel where represent of service of treatment which have 24 hour interaction with client (patient). In its service delivery needed time management that corning form work motivation of a nurse. Therefore, this research was proposes in order to 1) obtain the description of work motivation aspect are need of achievement, need of power, need of affiliation with time management, 2) to see relationship of work motivation need of achievement, need of power, need of affiliation with time management and 3) to see who has most significant relationship between work motivation and time management was controlled with nurse characteristics. Instrument of this research was using questioners measurement by description correlation data based questioners cross sectional. Univariat analysis based on description analysis, Bivariat based chi squire and multivariat used double logistic regression. The research was taking place in hospitalized patient at PMI Hospital Bogor with 138 nurses as sample. The result was indicated that most of nurse have work motivation about 51.4% need of high achievement, about 69.6% nurse have work motivation need of power and nurse who have work motivation need of affiliation about 67.4% . A. need of achievement and need of power have significant relationship as work motivation with time management, while need of affiliation doesn't have significant relationship with time management. A nurse who have motivation need of power ability had 5.6 better in time management than nurse who have less motivation need of power. Nurses who have work motivation need of achievement had 2.7 better time management than a nurse who has less motivation need of achievement. While a nurse who have motivation need of power and controlled by need of achievement in working had 78% better quality time management. Based on this research nurse board as an element of hospital are recommended 1) to make multilevel career program in order to increase nurse motivation : need of achievement, 2) to increase formal education nurse as motivation : need of power, 3) to have family gathering nurse board to bring inspire new spirit motivation : need affiliation and also recommended 4) to have management trainee schedule regularly for time management in service delivery of nursing and documentation nurse care. A following up research is advised other hospital to use quassi experiment method or experiment to see strength and weakness of relationship occurring between work motivation variable and time management.

Abstrak :
[Saat ini, jumlah kandungan minyak dan gas konvensional yang tersedia semakin terbatas sedangkan cadangan semakin rendah. Oleh karena itu diperlukan eksplorasi akan sumber daya baru, salah satu solusinya adalah dengan memperluas eksplorasi hidrokarbon dengan cara konvensional maupun unconvensional, dan untuk mengurangi tingginya kegagalan dalam tahapan eksplorasi ini maka diperlukan pembelajaran petroleum system terutama source rock. Source rock yang memiliki potensi tinggi harus mempunyai kandungan kerogen yang cukup untuk dapat mengenerateminyak maupun gas ke perangkap-perangkap hidrokarbon disekitarnya.Dalam penelitian ini memaparkan aplikasi metode Passey dan untuk memetakan source rock dengan kandungan TOC yang berbeda-beda di setiap kedalaman dan responnya pada seismik inversi, kemudian dihitung potensinya sehingga didapat peta penyebaran source rock dan total hidrokarbon yang sudah tergenerate ke perangkap-perangkap struktur maupun yang masih tersisa di dalam source rock itu sendiri.Penelitian ini pun mengintegrasikan data geokimia, analisa petrofisika, dan teknik seismik inversi dalam mengkarakterisasi zona yang berpotensi. Tahapan awal eksplorasi dalam penentuan sweetspot adalah dengan menggunakan metode passey untuk menghasilkan data log pseudo TOC. Kedua, melakukan analisa petrofisika untuk mendapatkan parameter fisis yang sensitif pada formasi target.Ketiga adalah dengan mengaplikasikan seismik inversi Impedansi akustik (AI) untuk mengetahui persebaran batuserpih yang mengandung potensi gas berdasarkan nilai TOC dan parameter fisis yang sensitif pada formasi target.Keempat melakukan penghitungan sumber daya yang sudah tergenerate dan yang masih tersisa dalam tubuh shale sebagai source rock;Currently, the amount of available conventional gas and oil content are more limited while the amount of reserves has been decreased. Therefore we need an exploration of new resources, one solution is to expand the exploration of hydrocarbons by means of conventional or unconvensional, and to reduce the high failure in the exploration phase of the learning required for this petroleum system primarily source rock. Source rock that has high potential must have a sufficient content of kerogen to oil or gas can be generate to the hydrocarbon traps nearby. In this research exposes Passey Method and application method to map the source rock TOC content varies with each depth and seismic inversion, the response was then calculated its potential so obtained a map of the spread of source rock and hydrocarbon that already total generated to structures trap as well as those still remaining in the source rock itself. In this study integrates geochemical data, analysis of petrophysic, and seismic inversion technique to characterize potential zones. Early stages of exploration in the determination of sweetspot is using Passey Method to generate pseudo TOC. Second, petrophysical analysis to obtain physical parameters that are sensitive to the target formation. Third is by applying accustic impedance seismic inversion to determine the distribution of shale rock that contain gas potential based on the value of TOC and physical parameters that are sensitive to the target formation. Fourth do calculating resources have generated and remaining in a shale as source rock;Currently, the amount of available conventional gas and oil content are more limited while the amount of reserves has been decreased. Therefore we need an exploration of new resources, one solution is to expand the exploration of hydrocarbons by means of conventional or unconvensional, and to reduce the high failure in the exploration phase of the learning required for this petroleum system primarily source rock. Source rock that has high potential must have a sufficient content of kerogen to oil or gas can be generate to the hydrocarbon traps nearby. In this research exposes Passey Method and application method to map the source rock TOC content varies with each depth and seismic inversion, the response was then calculated its potential so obtained a map of the spread of source rock and hydrocarbon that already total generated to structures trap as well as those still remaining in the source rock itself. In this study integrates geochemical data, analysis of petrophysic, and seismic inversion technique to characterize potential zones. Early stages of exploration in the determination of sweetspot is using Passey Method to generate pseudo TOC. Second, petrophysical analysis to obtain physical parameters that are sensitive to the target formation. Third is by applying accustic impedance seismic inversion to determine the distribution of shale rock that contain gas potential based on the value of TOC and physical parameters that are sensitive to the target formation. Fourth do calculating resources have generated and remaining in a shale as source rock, Currently, the amount of available conventional gas and oil content are more limited while the amount of reserves has been decreased. Therefore we need an exploration of new resources, one solution is to expand the exploration of hydrocarbons by means of conventional or unconvensional, and to reduce the high failure in the exploration phase of the learning required for this petroleum system primarily source rock. Source rock that has high potential must have a sufficient content of kerogen to oil or gas can be generate to the hydrocarbon traps nearby. In this research exposes Passey Method and application method to map the source rock TOC content varies with each depth and seismic inversion, the response was then calculated its potential so obtained a map of the spread of source rock and hydrocarbon that already total generated to structures trap as well as those still remaining in the source rock itself. In this study integrates geochemical data, analysis of petrophysic, and seismic inversion technique to characterize potential zones. Early stages of exploration in the determination of sweetspot is using Passey Method to generate pseudo TOC. Second, petrophysical analysis to obtain physical parameters that are sensitive to the target formation. Third is by applying accustic impedance seismic inversion to determine the distribution of shale rock that contain gas potential based on the value of TOC and physical parameters that are sensitive to the target formation. Fourth do calculating resources have generated and remaining in a shale as source rock]

Abstrak :
Penyakit Dekompresi (DCS) merupakan keadaan patologis yang mempengaruhi penyelam, astronot, pilot dan pekerja udara terkompresi akibat dari gelembung yang timbul dalam tubuh selama atau setelah penurunan tekanan ambien. Divers Alert Network melaporkan kasus DCS pada penyelam rekreasi sebanyak 651kejadian (23%) dari 2,866. Chichi Wahab, dkk melaporkan sebanyak 62 orang (53%) dari 117 menderita Penyakit Dekompresi pada penyelam tradisional. Reaksi Inflamasi merupakan salah satu penyebab DCS. Di Indonesia belum ada penelitian tentang pengaruh penyelaman dekompresi terhadap perubahan fungsi endotel sebagai pemicu terjadinya DCS. Penelitian ini menggunakan desain eksperimental rancangan pola silang. Data subjek adalah data primer yang di dapat melalui kuesioner, pemeriksaan fisik dan laboratorium. Sampel dipilih dengan cara random sistematik, diambil 20 orang sebagai subjek penelitian dan dibagi menjadi dua kelompok secara random. Kelompok A diberi perlakuan dengan tekanan 280 kPa pada hari pertama dan pada hari kedua diberi perlakuan masuk RUBT tanpa tekanan. Kelompok B yang diberi perlakuan tanpa tekanan pada hari pertama dan diberi perlakuan dengan tekanan 280 kPa pada hari berikutnya. Tiap Subjek Penelitian dilakukan pemeriksaan Interleukin-1α dengan menggunakan ELISA sandwich teknik kuantitatif sebanyak 3x yaitu sebelum diberikan perlakuan, setelah diberikan perlakuan dengan tekanan 280 kPa dan setelah perlakuan tanpa tekanan. Hasil penelitian menunjukkan bahwa terjadi peningkatan ekspresi Interleukin-1α baik setelah mendapatkan perlakuan dengan tekanan, maupun perlakuan tanpa tekanan, namun kenaikan ekspresi Interleukin-1α lebih besar setelah mendapat perlakuan dengan tekanan. Rerata kenaikan ekspresi Interleukin-1α setelah diberikan perlakuan dengan tekanan sebesar 0.01±0.01 pg/ml. Kesimpulan dan Saran: Dibuktikannya peningkatan ekspresi Interleukin-1α yang bermakna pada subjek penelitian setelah diberikan perlakuan dengan tekanan 280 kPa.

---

Decompression Illness (DCS) is a pathological condition that affects divers, astronauts, pilots and workers who work in compressed air, as a result of bubbles arising in the body during or after drop in ambient pressure. Divers Alert Network reported cases of DCS in recreational divers as many as 651 events (23%) of 2.8663. Chichi Wahab et al reported 62 people (53%) of 117 suffered from decompression illness in traditional divers. Inflammatory reaction is one of many causes of DCS. In Indonesia, there is no research on the effects of decompression dives to changes in endothelial function as a trigger of DCS. This study used experimental study design with Cross Over. Primary data was collected through questionnaires, physical examination and laboratory. Samples were selected, systematic randomly 20 people as research subjects each for two groups. The subjects were randomly assigned to a group. Group A was treated with a pressure of 280 kPa on the first day and on the second day entered the RUBT without pressure. Group B were treated with no pressure on the first day and was treated with pressure of 280 kPa on the next day. Each study subject was examined Interleukin-1α using ELISA sandwich quantitative techniques 3 times: before the study, after being given treatment with a pressure of 280 kPa and after treatment without pressure. The results showed that an increase expression of Interleukin-1α better after getting treatment with pressure, or treatment without pressure, but the increase expression of Interleukin-1α larger after being treated with pressure. The mean increase e expression of Interleukin-1α after being treated with pressure is 0:01 ± 0.01 pg/ml. Conclusions and Recommendations : Good evidence increasing expression of Interleukin-1α meaningful research on the subject after being given treatment with pressure of 280 kPa.

Abstrak :
ABSTRAK
Dosis di atau dekat interface massa sulit diprediksi secara akurat oleh treatment planning system (TPS) yang menggunakan algoritma perhitungan dosis sederhana. Kesalahan prediksi ini dapat menyebabkan dosis yang diserap massa mengalami kenaikan atau penurunan. Selain kesalahan prediksi dosis di interface massa, adanya gerak pada saat penyinaran berlangsung juga dapat menyebabkan dosis yang diterima massa berubah. Penelitian ini bertujuan untuk melakukan verifikasi dosis di interface massa hasil perencanaan TPS Pinnacle3 dengan algotitma adaptive cone convolution terhadap hasil pengukuran langsung menggunakan film Gafchromic EBT3. Verifikasi dilakukan pada fantom CIRS statik dan dinamik amplitudo gerak 5 mm, 10 mm, dan 20 mm yang dipindai menggunakan teknik fast CT dan slow CT. Hasil verifikasi menunjukkan bahwa, algoritma adaptive cone convolution sebagian besar menaksir dosis lebih rendah -0,63% hingga 9,14% untuk pemindaian fast CT dan 0,16% hingga 19,80% untuk pemindaian slow CT di titik interface massa fantom statik. Pada fantom dinamik, algoritma menaksir dosis lebih tinggi hingga -89% untuk hasil pemindaian fast CT dan beragam mulai -16,51% hingga 40,51% untuk hasil pemindaian slow CT. Perbedaan dosis yang diterima interface massa ini menyebabkan dosis yang diterima massa mengalami penurunan pada hasil pemindaian fast CT, kecuali amplitudo gerak 10 mm, dan mengalami kenaikan pada hasil pemindaian slow CT untuk amplitudo gerak fantom yang semakin besar

---

ABSTRACT
In lung cancer cases, the Treatment Planning System (TPS) difficult predict the dose at or near mass interface. This error may affect the minimum or maximum dose received by lung cancer. In addition, the error of the target dose also increased during radiotherapy for target motion. The objectives of this work to verify dose plan at mass interface calculated by adaptive cone convolution algorithm in Pinnacle3. The measurements were done using Gafchromic EBT 3 film in static and dynamic CIRS phantom with amplitude in superior-inferior motion of 5 mm, 10 mm, and 20 mm. Static and dynamic phantom scanned with fast CT and slow CT before planned. The results show that adaptive cone convolution algorithm mostly predict mass interface dose lower than measured dose -0,63% to 8,37% for static phantom in fast CT scanning and -0,27% to 15,9% for static phantom in slow CT scanning. On dynamic phantom, algorithm was predict mass interface dose higher than measured dose up to -89% for fast CT and varied from -16,51% until 40,51% for slow CT. This interface dose differences causing the dose mass decreased in fast CT, except 10 mm motion amplitude, and increased in slow CT for greater amplitude of motion

Abstrak :
Ketidakpatuhan terapi diabetes melitus (DM) dapat menimbulkan komplikasi kronis. Konseling dan booklet adalah bentuk edukasi yang dapat diberikan pada pasien DM tipe 2. Penelitian ini bertujuan untuk mengevaluasi efektivitas pemberian konseling dan booklet terhadap tingkat kepatuhan melalui penurunan kadar hemoglobin terglikasi (HbA1C) dan penurunan skor kuesioner Morisky Medication Adherence Scale (MMAS-8) pada pasien DM tipe 2. Penelitian merupakan pre-experimental yang dilaksanakan secara prospektif di RSUD dr. Adjidarmo pada bulan maret sampai bulan mei tahun 2014. Sampel penelitian adalah pasien DM tipe 2 berjumlah 30 orang yang masuk kriteria inklusi dan eksklusi dan diberikan intervensi konseling dan booklet. Kepatuhan diukur terhadap skor MMAS-8 dan kadar HbA1C sebelum dan sesudah 10 minggu pemberian intervensi. Skor MMAS-8 sebelum intervensi adalah sebesar 2,63±1,50, dan sesudah intervensi terjadi penurunan menjadi 0,7±1,18. Kadar HbA1C sebelum intervensi adalah sebesar 11,31±2,95, dan sesudah intervensi terjadi penurunan menjadi 8,12±2,79. Hasil pengukuran dianalisis dengan menggunakan uji Wilcoxon untuk MMAS-8 dan HbA1C. Hasil analisis menunjukkan ada perbedaan yang signifikan (p<0,001) terhadap kadar HbA1C dan skor MMAS-8 antara sebelum dan sesudah intervensi, dengan demikian penelitian ini mengindikasikan bahwa pemberian konseling dan booklet efektif meningkatkan kepatuhan pasien DM tipe 2. ......Non-compliance on diabetes mellitus medication leads to chronic complications. Counseling and booklet is a form of education that can be given to patients with type 2 diabetes. The Study aimed to evaluate the effectiveness of counseling and booklet on the level of compliance through reduced levels of glycated hemoglobin (HbA1C) and questionnaire scores of Morisky Medication Adherence Scale (MMAS-8) in patients with type 2 diabetes mellitus. This study was a pre-experimental prospectively conducted from march to may 2014 at RSUD dr. Adjidarmo. The samples were type 2 diabetic patients were 30 people who entered inclusion and exclusion criteria and given counseling intervention and booklet. Compliance is measured against the MMAS-8 scores and HbA1C levels before and after 10 weeks of administration of the intervention. MMAS-8 scores before and after intervention is 2,63±1,50 and 0,7±1,18. HbA1C levels before and after is 11,31±2,95 dan 8,12±2,79. The measurement results were analyzed using the Wilcoxon test for MMAS-8 and HbA1C. The analysis showed significant difference (p<0,001) of the value of HbA1C and MMAS-8 scores between before and after intervention, this study therefore indicates that the provision of counseling and booklet improve patient compliance with type 2 diabetes.

Abstrak :
ABSTRAK
Indonesia dicanangkan oleh pemerintah menjadi pusat fashion muslim dunia 2020. Untuk mendukung inisiatif ini, penelitian ini diharapkan dapat berkontribusi menambah informasi mengenai hal-hal yang mempengaruhi intention to buy produk baju muslim wanita. Salah satunya yang berkaitan adalah faktor sub-kultur relijiusitas. Penelitian ini tentang pengaruh relijiusitas terhadap consumer attitudes dan purchase intention produk baju muslim wanita. Metode yang digunakan adalah deskriptif kuantitatif melalui analisa data dengan structural equation model. Hasil yang diharapkan adalah bahwa relijiusitas akan berpengaruh signifikan terhadap consumer attitudes dan consumer attitudes akan berpengaruh secara positif dan signifikan terhadap intention to buy

---

ABSTRACT
Indonesia is designated by government to be the world?s Moslem fashion center in 2020. To support the initiative, the researcher would like to contribute in adding insight on factors that influence intention to buy of moslem women clothing in Indonesia. One of the related factor is sub-cultur factor religiosity. Therefore, I conduct a research on the influence of religiosity of moslem women on consumer attitudes towards fashion and intention to buy of Moslem women clothing. The methodology used is quantitative descriptive through data analysis method by structural equation model tool. The expected result of the research is religiosity will have significant impact on consumer attitudes towards fashion and consumer attitudes towards fashion will have positive and significant impact on intention to buy for moslem women clothing