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Gagal ginjal merupakan masalah kesehatan masyarakat yang semakin meningkat setiap tahunnya. Penderita gagal ginjal kronik yang selalu ketergantungan pada mesin dialisa seumur hidup akan mengakibatkan terjadinya perubahan dalam kehidupan pasien seperti perubahan biologis, psikologis, sosial dan spiritual. Kondisi seperti ini akan menyebabkan pasien memiliki konsep diri negatif seperti sifat rendah diri, takut,cemas, bahkan depresi. Tujuan penelitian untuk mengetahui hubungan antara konsep diri dengan kejadian depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross sectional. Sampel yang digunakan dalam penelitian ini sebanyak 61 responden, dengan teknik accidental sampling. Data dikumpulkan dengan menggunakan kuesioner dan kemudian dianalisis menggunakan Chi-square. Hasil penelitian konsep diri pasien gagal ginjal kronik yang menjalani hemodialisa sebagian besar memiliki konsep diri negatif (67,2%), kejadian depresi mayoritas pasien gagal ginjal kronik yang menjalani hemodialisa mengalami depresi sebesar (82%). Hasil uji Chi-square didapatkan nilai p-value 0,02 (

Introduction: Prevention effort of progestogen-only prevalence rate injectable discontinuation has not got the national target and it always increases. The prevalence rate is one of causes Total Fertility Rate (TFR) increasing. The study analyzed the risk factors associated with the progestogen-only injectable discontinuation case.Methods: This study used analytic observational with cross sectional design which was carried out in Puskesmas Mojo Surabaya on March – April 2019. Population are 646 discontinuation acceptors and 5,751 non discontinuation acceptors of progestogen-only injectable. The inclusion criteria were acceptors of progestogen-only injectable discontinuation case, have a husband, not yet menopause. The exclusion criteria were acceptor of progestogen-only injectable discontinuation who used other contraception. Total samples are 44 samples obtained by with consecutive sampling. Independent variables were desire pregnancy, myths, weight change, spotting, amenorrhea, husband support. Dependent variable was the progestogen-only injectable discontinuation case. The data are collected by questionnaire, analyzed by chi-square test with α < 0.005 and multivariate analysis with independent variable p

Penelitian ini bertujuan untuk mengungkap hubungan antara self esteem dan pengalaman belajar yang bermakna dengan kemampuan adaptasi terhadap dunia kerja pada siswa Kompetensi Keahlian Teknik Komputer dan Jaringan (TKJ) SMKN Kota Malang. Metode penelitian yang digunakan adalah kuantitatif dengan rancangan korelasional. Populasi penelitian ini meliputi siswa kelas XI TKJ yang telah melaksanakan Praktik Kerja Lapangan (PKL) yang berjumlah 317 siswa. Sampel penelitian sebanyak 167 siswa yang ditentukan dengan berpedoman pada nomogram Harry-King dengan taraf kesalahan 5%. Penentuan anggota sampel secara random dan proporsional dari tiap sekolah. Hasil penelitian menunjukkan bahwa terdapat hubungan antara self esteem dan pengalaman belajar yang bermakna dengan kemampuan adaptasi siswa SMK terhadap dunia kerja. Hal ini dibuktikan dari hasil uji hipotesis yang menunjukkan bahwa F hitung > F tabel yaitu 44,999 > 3,05 dan nilai p hitung ≤ p standar yaitu 0,000 < 0,05 sehingga H 0 ditolak, artinya terdapat hubungan positif dan signifikan secara simultan antara self esteem dan pengalaman belajar yang bermakna dengan kemampuan adaptasi terhadap dunia kerja pada siswa Kompetensi Keahlian TKJ SMKN Kota Malang.

This paper is addressed to discuss the development of epidemic model of SIRA ( Susceptible-Infected-Removed-Antidotal ) for virus spread analysis purposes on a computer network. We have developed the existing model by adding a possibility of antidotal computer returned to susceptible computer. Based on the results, there are two virus-free equilibrium points and one endemic equilibrium point. These equilibrium points were analyzed for stability issues using basic reproduction number and Routh-Hurwitz Method. Abstra k . Paper ini ditujukan untuk mendiskusikan pengembangan model epidemik SIRA ( Susceptible-Infected-Removed-Antidotal ) untuk tujuan analisis penyebaran virus pada jaringan komputer. Model dikembangkan dari model sebelumnya dengan menambahkan kemungkinan komputer antidotal dapat kembali menjadi komputer rentan. Berdasarkan hasil-hasil yang diperoleh, terdapat dua titik ekuilibrium bebas virus dan satu titik ekuilibrium endemik. Titik-titik ekulibrium tersebut telah dianalisis kesetimbangannya berdasarkan nilai reproduksi dasar dan metode Routh-Hurwitz.

This paper presents a model for natural systems used in Wastewater Treatment Plant (WWTP) Sewon Bantul. The model is modeling development, derived from the physical and biochemical phenomena involved in the biological treatment process. The numerical solution of the resulting on 13 simultaneous systems of nonlinear equations by the Quasi_Newton. Data validation is measured by facultative pond at the inlet and outlet of the pond to the concentration of bacteria, algae, zooplankton, organic matter, detritus, organic nitrogen, NH3, organic phosphor, dissolved phosphorus, Dissolved Oxygen (DO), total coliform, faecal coliform and Biochemical Oxygen Demand (BOD). A simulation model is presented to predict ke performance regime steady state of domestic wastewater treatment facultative stabilization pond. The high degree of significant of at least 10% indicates that the effluent parameters can be reasonably accurately predicted.

Penelitian bertujuan untuk mengetahui penggunaan tepung limbah kecambah kacang hijau pada pakan terhadap bobot relatif dan panjang organ saluran pencernaan itik Magelang jantan. Materi penelitian yang digunakan adalah 120 ekor itik Magelang jantan umur 4 minggu dengan rata-rata bobot badan awal 930,66 ± 136,29 g. Penelitian dilakukan dengan menggunakan rancangan acak kelompok (RAK) dengan 4 perlakuan dan 5 ulangan. Perlakuan berupa penggunaan tepung limbah kecambah kacang hijau yaitu dengan level 0, 5, 10 dan 15%. Parameter yang diukur yaitu bobot relatif dan panjang organ pencernaan itik Magelang jantan. Data diolah dengan analisis varians dan bila hasil menunjukkan pengaruh nyata maka dilanjutkan dengan uji jarak berganda Duncan. Hasil penelitian menunjukkan bahwa penggunaan tepung limbah kecambah kacang hijau berpengaruh nyata terhadap bobot relatif ventrikulus (P0,05). Simpulan penelitian adalah penggunaan tepung limbah kecambah kacang hijau meningkatkan bobot relatif ventrikulus tertinggi pada level 5% (T1) yaitu 2,15%, tetapi tidak meningkatkan bobot relatif dan panjang organ pencernaan yang lainnya pada itik Magelang jantan.

The majority of an immune system infected by HIV (Human Immunodeficiency Virus) is CD4+ T cells. The HIV-1 transmission through cell to cell of CD4+ T cells supports the productive infection. On the other hand, infected CD4+ T cells stimulate cytotoxic T-lymphocytes cells to control HIV-1 infection. We develop and analyze a mathematical model incorporating the infection process through cell to cell contact of CD4+ T cells, CTL compartment and the combination of RTI and PI treatments. By means of the alternative reproduction ratio, it is analyzed the stability criteria and the existence of endemic equilibrium. Numerical simulations are presented to study the implication of the combination of RTI and PI therapy. The results indicate that RTI drug shows more significant effect in reducing HIV-1 infection compared to PI drug.

In the globalization Era, it is word wide accepted that the total of carier women is significant in numbers, in accordance with Educational level, they could have important, positions. They could work in many areas, even higher than men workers. Thus, this is be coming challenges for married and carier women as well raising children. Current research entitles analysis of determinant factors of carier women on raising children pattern in Pontianak. Carier women and having chidren are charged as research respondens and as many as 6o respondents randomly taken, as others criterions working in private sectors, single carier maried women with children. Linier regression analysis is used to analyze the data, the findings showed that, the internal factors show a strong significant factor to affect the carier women on raising children pattern 73,9%, while 26,1% was inflrenced by the external factors. Statistical output also described that women level educations plays crucial role in raising chidren pattern.

Perilaku kekerasan adalah suatu bentuk perilaku yang bertujuan untuk melukai seseorang secara fisik maupun psikologis bisa dilakukan secara verbal, diarahkan pada diri sendiri, orang lain, dan lingkungan. Token Ekonomi adalah suatu wujud modifikasi yang dirancang untuk meningkatkan perilaku yang diinginkan dan pengurangan perilaku yang tidak diinginkan dengan pemakaian token (hadiah-hadiah).Penelitian ini bertujuan untuk mengetahui nilai rata-rata kemampuan mengontrol diri pasien rawat inap di LKS-ODK Kemiling Bandar Lampung sebelum dan setelah dilakukan terapi token.Jenis penelitian ini adalahquasy experimental dengan rancangan pretest-posttest one group design.Jumlah sampel sebanyak 20 orang, dipilih dengan purposive sampling.Instrumen yang digunakan berupa lembar observasi.Hasil yang didapat adalah rata-rata nilai kemampuan mengontrol perilaku kekerasan sebelum dilakukan terapi token adalah 20,05, dan rata-rata nilai kemampuan mengontrol perilaku kekerasan setelah mendapat terapi token adalah 36,20. Hasil uji dependen sample t-test didapat bahwa ada pengaruh kemampuan mengontrol perilaku kekerasan sebelum dan setelah dilakukan terapi token (p value 0,00). Diharapkan petugas kesehatan dapat lebih meningkatkan intervensi pada asuhan keperawatan untuk pasien-pasien gangguan jiwa, khususnya perilaku kekerasan dengan menerapkan terapi aktivitas kelompok dan terapi token secara terprogram dan terstruktur.

The Data obtained at Panca Jaya of Mesuji Regency on January-June of 2016, out of 430 women of childbearing age who did pap smear and IVA, as many 2 people (0,46%) was detected of having cervical cancer stage 1b, 57 people (13,4%) experiencing pre-cervical cancer lesions which were marked by inflammation, vaginal discharge, redness in the cervix, there was a lump in the cervix and the rest with the normal condition. This study was to be known the influence of cervix cancer socialization toward the motivation of women’s participation in doing Visual Inspection with Acetic Acid (IVA). This research was quantitative research, with Quasi-Experiment research. The population in this research was the women who were at working area of Adi Luhur Community Health Centre, Pancajaya sub-District of Mesuji Regency, on January of 2017 as many 2361 people. Total samples were 96 respondents. Sample taking was proportional random sampling method. Data were collected using questionnaire. The research was done on the date of Mei 1st-20th July 2017. The data was analyzed by univariate (mean) and bivariate (t-test). The result showed that the average score of motivation before the socialization was 42,79 with deviation standard of 7,367. The average score of motivation after the socialization was 62,00 with deviation standard of 6,059. There was the influence of socialization about cervix cancer with the motivation of participating on examination of IVA on women to do Visual Inspection with Acetic Acid (IVA) (t-test> t-table 21,125>1.714, p-value

Rapid development of shipbuilding and ship repair industry in recent years has been increasingly transforming the way organizations apply the long term strategic thinking of “cradle to grave” maintenance approach in order to maximize their growth in a dynamic marine industry. With increased ship complexity, size and revolutionary design, organizations strive to balance ideal maintenance philosophies against on-going efforts of cost reduction whilst maintaining high availability of vessels. Despite aspiration and efforts to improve the ship availability, the Royal Malaysian Navy [RMN] vessels which are currently maintained under the In Service Support [ISS] Contracts are hardly tackling the human and equipment related aspects due to limited knowledge and available data on ship Downtime Influence Factors [DIFs]. The current research carried out an explorative study across various engineering disciplines to generate RMN ship maintenance DIFs and their severity measures via a 3-Stage Modified Delphi approach. 30 Experts experienced in daily implementation of naval ship maintenance contracts were involved. In the first stage, Focus Group Discussions [FGDs] amongst Experts were conducted to produce the DIFs, followed by questionnaire distribution to measure the severity of the DIFs in the second stage. In the third stage, the Severe DIFs were confirmed and ranked based on a Risk Assessment method. The study revealed 50 DIFs to RMN ship availability and deduced the top 15 Severe DIFs pinpointing the key problem areas to prioritize efforts in improving RMN ship availability.

Pollution is a man-made phenomenon. Some pollutants which discharged directly to the environment could create serious pollution problems. Untreated wastewater will cause contamination and even pollution on the water body. Biological Oxygen Demand (BOD) is the amount of oxygen required for the oxidation by bacteria. The higher the BOD concentration, the greater the organic matter would be. The purpose of this study was to predict the value of BOD contained in wastewater. Mathematical modeling methods were chosen in this study to depict and predict the BOD values contained in facultative wastewater stabilization ponds. Measurements of sampling data were carried out to validate the model. The results of this study indicated that a mathematical approach can be applied to predict the BOD contained in the facultative wastewater stabilization ponds. The model was validated using Absolute Means Error with 10% tolerance limit, and AME for model was 7.38% (< 10%), so the model is valid. Furthermore, a mathematical approach can also be applied to illustrate and predict the contents of wastewater.

This objective of the study was to describe The Esteem Need . How does healthy self esteem manifest in Margaret Tate’s life viewed from term the psychology self esteem theory. The data analyzed by using the kind of qualitative research. This study tells about Margaret Tate is the professionally well-respected but personally loathed senior editor at a prestigious New York publishing house . Margaret learns that she is being deported back to Canada on expiration of her work visa. To avoid that deportation she and Andrew are engaged and about to get married. In private with Margaret, Andrew agrees to her proposal on the guarantee that he immediately gets promoted to editor and that his own manuscript. From the result of the research showed that Psychological needs have been part of the human needs for life, especially Self-Esteem Needs. It is a powerful of human need and It is life process; the feeling of being worthy, deserving; Experience that we are appropriate to life and to the requirements of life. Keywords : psychology, self-esteem, life proccess, awarness

Pain is one of the most common complaints in patients after experiencing a surgery. Surgery is a biphasic event against the human body that implies pain management. In post-surgery patients feel severe pain and 75% of patients have unpleasant experiences due to inadequate pain management.Based on the results of activity reports in Dr. Hi. Abdul Moeloek Public Hospital in Lampung Province in July-December 2016 obtained data operation BPH as many as 51 inhabitants. The objective of this research was to find out the effect of progressive relaxation to an intensity of pain for BPH (Benigna Prostate Hyperplasia) post-surgery patient. This was a quasi-experiment research by using one group pretest and posttest design. 20 respondent samples were taken by using accidental sampling. Data were collected by using observation sheet and analyzed by using univariate and bivariate analyses with Wilcoxon sign test. The results showed that the mean value of pain before the progressive relaxation therapy equal to 5.20 with standard deviation 0.834. While the mean value of pain scale after it was 3.60 with standard deviation 0.681. Analysis with Wilcoxon sign test derived p-value 0.000 (ρ-value 0.000 < α 0.05), and the conclusion there was a significant effect the mean value of pain in the post-surgery patient’s BPH (Benigna Prostate Hyperplasia) after progressive relaxation therapy. The researcher expects that the progressive relaxation therapy can be used by more operational methods.

Ship performance is prevalently evaluated during calm water condition though contrarily the ships operated in actual rough sea environments. The paper elaborates a mathematical model of marine diesel engine propulsion system to estimate real performance of ships in calm water through the proposed computer-simulated model. A post Panamax container ship and LNG tanker are employed as target ships of this study. The analysis of the model includes propeller rotating speed and torque from which the required engine power is estimated to achieve the target speed. These input and output are real-time control system of propeller rotating speed reflecting the characteristics of marine diesel engine. The result has established ultimate limit of affecting features of a real-time control system to control ship speed, power and propeller torque. Further use of the model is advantageous to analyse different condition of ship speed for finding better design characteristics.

This paper presents the analysis of data related to domestic wastewater characteristics from area situated in Yogyakarta city of Sewon Wastewater Treatment Plant (WWTP). BOD load, which has not been used, is 416 kg/day (8.16%) in the ability of WWTP operational with the average rate of degradation for 1.85 day -1 and the retention time for 4.27 day and also the ability to degrade average organic materials for 86,54%. Simple regression models are presented for the prediction of basic wastewater characteristics, such as water consumption (l/person day), wastewater production (m 3 /day), Biochemical Oxygen Demand (BOD) load (l/person/day) and BOD concentration (mg/l). The models are based on simple socio- economic variables, with special attention to easily obtainable variable of total family income (number of minimum salaries earned per month). Most of the models are able to give an excellent prediction of the desired wastewater variables. Additionally, behavior of the main wastewater characteristics according to the day is analyzed used to variation data period 1.5 years. Based on the results obtained, it is suggested that the classical figures of BOD concentration of 413.69 mg/l and per capita BOD load 96.69 l/person/day do apply to typical population predominant in Yogyakarta city. The actual BOD data concentration are frequently lower than 300 mg/l, while the BOD load is frequently lower than 96 l/person/day. Sewon IPAL is eficient enough in dealing with the process of wastewater treatment. The result obtained can be used for design purposes in the area studied, and possibly in areas of similar characteristics.

Hasil survei Perkumpulan Keluarga Berencana Indonesia (PKBI) cabang Bandar Lampung tahun 2014, dismenorhea menempati urutan pertama keluhan yang sering dialami wanita, sebesar 65,3% selain siklus menstruasi yang tidak teratur. Prevalensi dismenorhea lebih tinggi pada kelompok usia remaja 10-20 tahun sebesar 71,4%. Tujuan penelitian ini diketahui pengaruh dari neptune krill oil pada manajemen disminorea pada remaja putri kelas X di SMA Negeri 1 Pringsewu tahun 2016. Jenis penelitian ini adalah kuantitatif dengan menggunakan rancangan desain eksperimen dengan menggunakan pendekatan one group pre and post test . Populasi dalam penelitian ini adalah seluruh remaja putri kelas X di SMA Negeri 1 Pringsewu yang berjumlah 193 orang, sampel dalam penelitian ini berjumlah 30 orang. Teknik sampling dalam penelitian ini menggunakan teknik accidental . Analisis data yang digunakan dalam penelitian ini univariat dan bivariat dengan uji t-test .Tingkat nyeri dismenorhea sebelum diberi Neptune krill oil pada siswi kelas X SMA Negeri 1 Pringsewu memiliki rata-rata tingkatan nyeri yaitu 8,190 (pada skala 1-15), Tingkat nyeri dismenorhea setelah diberi Neptune krill oil pada siswi kelas X SMA Negeri 1 Pringsewu memiliki Rata-rata tingkat nyeri yaitu 4,747 (pada skala 1-15). Ada pengaruh pemberian Neptune krill oil terhadap intensitas nyeri dismenorhea pada siswi kelas X SMA Negeri 1 Pringsewu Tahun 2016 ( p-value =0,000). Diharapkan remaja putri dapat mengetahui bahwa salah satu cara untuk mengurangi nyeri dismenorhea adalah dengan mengkonsumsi Neptune krill oil . Sehingga remaja putri dapat menerapkannya dirumah saat mengalami dismenorhea.

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p

Multiple decrement model in life insurance is a decrement model where the decrement of amount participants of insurance do not only because of just one cause of decrement but because of two or more causes of decrement, so that can provide various benefit in one policy of insurance program. In this paper, using two causes of decrement, that is disability and death. In construction of a multiple-decrement table, can be associated from the tables of single-decrement which have known. The number of premium payments for life insurance depends on what kind of insurance program that have been taken. A life insurance, the number of premium depends on of age, even though on term insurance, except age is policy time period. Keywords: Insurance, Multiple Decrement Model

Penelitian ini dilakukan untuk mengetahui respon peternak terhadap pencegahan dan pengobatan penyakit cacing gilig pada ternak kambing dan mengetahui faktor – faktor yang mempengaruhi respon peternak terhadap pencegahan dan pengobatan penyakit cacing gilig. Alat dan bahan yang digunakan yaitu alat tulis, kuisioner, folder, EK, obat cacing dan tablet vitamin B komplek.Responden berjumlah 30 orang. Data di ambil dari pra test dan post test dengan cara melakukan wawancara langsung mengenai pencegahan dan pengobatan penyakit cacing gilig dengan alat bantu kuisioner. Berdasarkan analisis regresi didapatkan persamaan linear berganda sebagai berikut : Y = 28.946 + 5.084X1 – 0,215X2 + 0,171X3+ 0,548X4 + e Dari model regresi diatas dapat di artikan bahwa setiap peningkatan nilai X1 (pendidikan) sebesar 1% akan menambah respon sebesar 5.084, setiap peningkatan nilai X2 (umur) sebesar 1% akan mengurangi respon sebesar 0,215, setiap peningkatan nilai X3 (pengalaman beternak) sebesar 1% akan menambah nilai respon sebesar 0,171, dan setiap peningkatan nilai X4 (jumlah kepemilikan ternak) sebesar 1% akan menambah nilai respon sebesar 0,548.Hasil uji statistik secara keseluruhan menunjukan bahwa faktor pendidikan, umur, pengalaman beternak dan jumlah kepemilikan ternak secara bersama – sama berpengaruh sangat nyata atau sangat signifikan terhadap respon peternak terhadap pencegahan dan pengobatan penyakit cacing gilig pada ternak kambing.Kajian ini disimpulkan bahwa terjadi peningkatan aspek pengetahuan sebesar 14,87 dengan EP 82,6% dan EPP 77,36% , aspek sikap sebesar 10,47 dengan EP 90,88% dan EPP 82,12% serta aspek keterampilan sebesar 5,1 dengan EP 86,6% dan EPP 79,19% dan peningkatan nilai respon dari aspek pengetahuan, sikap, dan keterampilan sebesar 30,39% yaitu dari respon rendah menjadi respon tinggi terhadap pencegahan dan pengobatan penyakit cacing gilig pada ternak kambing. Pendidikan merupakan faktor yang paling berpengaruh sangat signifikan 0,001 α (P ≤ 0,01) terhadap tingkat respon peternak (5,084).