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    Pengaruh Stigma dalam Intensi Mencari Bantuan Kesehatan Mental pada Generasi Z

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    Banyak Generasi Z yang merasakan stres maupun gejala depresi akan tetapi mereka tidak segera mencari bantuan. Salah satu faktor yang memengaruhi seseorang tidak mencari bantuan adalah adanya stigma. Penelitian ini bertujuan untuk mengetahui peran ke-empat dimensi pada stigma diri (aware, agree, apply, dan harm) dalam memprediksi intensi mencari bantuan kesehatan mental pada Generasi Z. Metode yang digunakan dalam penelitian ini adalah kuantitatif dengan desain survei cross-sectional yang hasil datanya dianalisis menggunakan teknik analisis regresi linear berganda. Partisipan merupakan 162 Warga Negara Indonesia berusia 12-27 tahun. Partisipan menyelesaikan kuesioner Self-Stigma of Mental Illness Scale-Short Form (SSMIS-SF) dan Mental Help-Seeking Intention Scale (MHSIS). SSMIS-SF milik (Corrigan, dkk,. 2012) yang telah diadaptasi ke dalam bahasa Indonesia oleh (Rizqi, 2019)(19 item, α = 0,90). MHSIS milik (Hammer dan Spiker, 2018) yang telah diterjemahkan ke dalam bahasa Indonesia oleh (Kartikasari & Ariana, 2019) (3 item, α = 0.919). Analisis menggunakan uji Regresi Linear Berganda dengan bantuan software Jamovi 2.3. for Windows. Hasil analisis berganda menunjukkan bahwa hanya dimensi Aware yang signifikan memprediksi intensi mencari bantuan kesehatan mental pada Generasi Z (B=0,2313; 95% CI [0,0808; 0,3818]; SE=0,0762; t=3,035; p>0,05), sedangkan dimensi Agree, Apply, dan Harm tidak secara signifikan memprediksi variabel tersebut. Namun, besar sumbangan stigma diri dalam memprediksi intensi mencari bantuan kesehatan mental hanya sebesar 8,3%, dan sisanya dipengaruhi oleh variabel lain yang tidak diteliti dalam penelitian ini

    Pengaruh Dukungan Sosial terhadap Kecemasan Perempuan Korban Kekerasan Seksual

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    Penelitian ini memiliki tujuan untuk mengetahui pengaruh dukungan sosial terhadap kecemasan pada perempuan korban kekerasan seksual. Kecemasan menurut Taylor adalah perasaan tegang dan gelisah dengan tidak adanya kemampuan mengatasi suatu masalah atau merasa tidak aman. Perasaan yang tidak menentu ini umumnya tidak menyenangkan dan menimbulkan perubahan pada fisiologis dan psikologis. Penelitian ini menggunakan teknik pengumpulan data dengan survei. Penelitian dilakukan dengan menggunakan survei online yang melibatkan 104 responden dengan rentang usia 18 hingga 40 tahun. Instrumen pengukuran yang digunakan untuk pengumpulan data adalah skala dukungan sosial oleh Cohen dan Hoberman, skala kecemasan yang dikembangkan oleh Taylor. Teknik analisis yang digunakan dalam penelitian ini adalah regresi linier sederhana.Hasil penelitian menunjukkan bahwa dukungan sosial memiliki peran yang signifikan terhadap kecemasan yang dialami oleh perempuan korban kekerasan seksual. Model tersebut mampu memprediksi sebesar 13,8% varians dari kecemasa

    Pengaruh Kepemimpinan terhadap Manajemen Kinerja, Good Governance, Kepuasan Internal dan Eksternal Pada Program Studi dalam Fakultas Ekonomi di Jawa Timur

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    Background. Rapid changes in business environment have increased the needs of graduates who have capabilities of anticipating to the changes. The faculty, especially at the level of study program, has an important role in affecting the quality of graduates because the study program is the core element in the higher education institution which involves directly in planning, organizing, executing, and controlling the teaching learning activities. This dissertation is to examine the effect of leadership on performance management and good governance and also to examine the effect of performance management and good governance on internal and external satisfaction. Method. The data for this causal research is collected by using questionnaire. Unit of analysis in this research is all study program in all accredited Faculty of Economics in East Java. The respondents are academic staffs, students, and administrative staffs in the study program. There were 83 of 125 accredited study program which has been succesfully contacted and agreed to participate in the research. There were 900 students and 285 academic staffs filling up the questionnaires. The data analysis is conducted by using Path Analysis with the SPSS 11.5 verssion software to measure construct validity and reliabilty and to test causal relationships between variables in the model. Results. The findings of the research showed that (I) leadersh ip affects performance management significantly, (2) leadership affects good governance significantly, (3) leadership affects internal satisfaction significantly, (4) performance management affect internal satisfaction, (5) good governance significantly affects external satisfaction, (6) internal satisfaction does not affect external satisfaction. Conclusion. Based on the findings in this research, it is suggested that the study programs take into account the implementation of performance management in order to undertake improvement continously considering that performance management supports the quality assurance activity. It is also suggested that the faculty implements good governance formally. However, the implementation should empower the study program to undertake the improvement

    GAMBARAN PROSES BELAJAR ANAK SLOW LEARNER YANG BERMAIN ALAT MUSIK KARAWITAN

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    Anak merupakan harta yang sangat berharga bagi setiap orang tua. Setiap anak memiliki kualitas, menjadi kelangsungan hidup, membawa nama masa depan bagi keluarga, dan menjadi tonggak untuk kemajuan untuk pembangunan bangsa. Namun tidak semua anak terlahir dengan kesempurnaan, memiliki kesempatan, dan dukungan sosial yang sama ada juga beberapa anak yang memiliki kebutuhan khusus atau yang sering disebut sebagai Anak Berkebutuhan Khusus (ABK). Anak berkebutuhan khusus slow learner merupakan anak yang membutuhkan spesial treatment dalam segi pembelajaran karena slow learner merupakan kondisi dimana anak mengalami kesulitan belajar baik itu lambat dalam belajar, lamban dalam keterampilan, dan lambat memahami suatu informasi yang diperoleh atau ditangkapnya. Studi ini mengungkapkan sebuah kasus khusus 3 orang anak slow learner di tiga SD Negeri yang berbeda di Surabaya mengenai bagaimana proses pembelajaran anak slow learner dengan alat musik karawitan secara sistematis dan komprehensif. Hasil menunjukkan bahwa ketiga partisipan melakukan proses pembelajaran alat karawitan yang sama dari awal hingga akhir saat ini menyukai belajar. Ketiga partisipan pun juga sama – sama mendapatkan support dari temannya dan juga orang tua terutama ibu partisipan memiliki kendala atau hambatan di tempo, saat perpindahan dari cepat ke lambat atau sebaliknya dan juga menempatkan pukulan di setiap lagu. Maka dapat di ambil kesimpulan bahwa proses pembelajaran alat musik gamelan yang dilakukan dengan baik dan tepat maupun mendapatkan support dari lingkugannya yang positif nantinya bisa menimbulkan hal yang postif juga untuk partisipan

    Faktor-Faktor Strategis yang Mempengaruhi Kualitas Pelayanan dan Kinerja Perguruan Tinggi Negeri dan Swasta di Indonesia

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    The significant increases in number of tertiary educational institutions (TEIs) and deregulation in area of education render the competition level in educational industry get increased consistently. The TEIs must anticipate any effect resulting from the changing environment in order that they are able to perform their roles as the provider of intellectual asset. The objective of the research is to study some strategic factors influencing the service quality and TEIs' performance in Indonesia. The strategic factors are including the organization learning, market analysis capacity, technological leadership, empowerment, and employee satisfaction. The sample of the research covers three groups, namely tertiary educational institutions, service provider, and service users. The tertiary educational institutions of 30 TEIs present in Jakarta, Bandung, Jogya, Surabaya, Malang, Denpasar, Makassar, Kendari, Palu, and Banjarmasin cities. The service providers are derived from the sample of 381 respondents consisting of administrators in Faculty of Economy/University-Uvel Economics Schools, Chairman of Accounting Departments, permanent lecturers in Faculty of Economy and their employees. The service users of 1004 students of the 30 TEIs. Data were gathered by distributing questionnaires and then collecting them which took place in April through December 2001. The data were then analyzed making use of the Structural Equation Model (SEM) aided by AMOS 4.0. The research results showed that the service quality was direct influenced by some factors such as organizational learning, and employee satisfaction, and indirect effect by market analysis capacity, and empowerment, while technological leadership didn't significant to influence the service quality. The strategic factors which imposed Significant effect on the TEIs' performance were learning organization, market analysis capacity and service quality, while other factors such as technological leadership, empowerment and employee satisfaction are proven not to have obvious effects. From the results above, it can be concluded that to increase service quality and performance of the TEIs, the strategic measures are greatly needed to allow for the organizational learning and the improved capability of analyzing the market. The strategic measures in the learning activity are undertaken by instilling high motivation to the members of organization in order that they are already to increase their. knowledge and skills accompanied by certain commitment, while to increase the market analysis capacity the members are consistently demanded to perform market analysis. This is expected to allow them being able to deliver appropriate service in accordance with needs and desires of market. The strategies in the empowerment and employee satisfaction are optimalization the police of the right man on the right place for lecturer and employee are consistently by their skills and education. Leadership style, communication process and execution of education and training for front-line employees need to be investigated further in future research. In addition, in-depth research concerning the effect which empowerment and employee satisfaction have on employees' motivation and performance is other interesting topic to which we should pay our attention

    Dampak Pemasaran Jasa Rumah Sakit terhadap Nilai, Kepuasan, dan Loyalitas Pasien: Penelitian Pada Pasien Rawat Inap Rumah Sakit Umum di Tiga Ibukota Propinsi di Pulau Jawa

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    The objective of this research is to prove the causal relationship between patient value as indicated by the means-end chain theory, and to test the causal relationship among patient value, patient satisfaction and patient loyalty. In (his research, patient loyalty is operationalised using cognitive learning theory. Samples of this research are patients in public and private general hospitals in Bandung, Semarang and Surabaya, which are chosen by random sampling method. The object of this research are patient value (consists of attributes value, c')nsequences value and goals value), patient satisfaction in every type of patient value and patient loyalty. Hypotheses are tested by means of Structural Equation Modeling (SEM), using LISREL 8.30 program. Inferential statistic is used to test hypotheses ~.t a = 0,05 level of significance. These are eleven hypotheses to be tested. The result of this research confirms that hypothesis I and hypothesis 2 are accepted, there is positive causal relationship between attribute value and consequence value & between consequence value and goal value. Hypothesis 3 and hypothesis 4 are accepted, therds positive relationship between attribute value and attribute satisfaction & b~tween consequence value and consequence satisfaction. Hypothesis 5 is rejected, because the effect of goal value to goal satisfaction is not significant. The next five hypotheses are relationships : (I) between attribute value and patient loyalty, (2) between consequence value and patient loyalty, (3) between goal value and patient loyalty, (4) between attribute satisfaction and patient loyalty, (5) consequence satisfaction and patient loyalty. These relationships are accepted, there is positive causal relationships. Hypothesis II is rejected, there is no significant relationship between goal satisfaction and patient loyalty. These results indicate that patient loyalty can be built by delivering excellent values to patients, that makes patient satisfied

    Efek Model Pendekatan Asuhan Keperawatan (Pakar) terhadap Perbaikan Respons Kognisi dan Biologis pada Pasien Terinfeksi HIV

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    PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study is to examine the effect of PAKAR toward cognitive and Biological responses on PWH infection. Psychoneuroimmunology paradigm was used in this study. Quasy-experimental pre-post test non randomized control group design was used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UP/PI) Dr. Soetomo hospital in Surabaya were selected and nonrandomized assignment divided into 2 groups of 20, experiment and control group. In vitro- test were used to measure biological response change: cortical, CD4, IFNy, and Anti-HIV. The cognitive responses; spiritual, social, and self-acceptance were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response, while non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result showed that there were significantly differences on cognitive responses between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and self-acceptance responses on anger and bargaining. In addition, biological response were significantly differences between the groups with F = 0.497 and p= 0.000. The cortical and Anti-HIV variables were the pattem contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR. The increase of CD4 caused the increase IFN-y that was able to increase cytotoxic ofNK-cell. Conclusion: PAKAR model is able to treat cognitive response by building the positive coping style in order to solve their problems. This leads to induce immune response modulation that showed by the increase of the number of CD4. So, the damage of CD4 will be stabilized by PAKAR model that in turn can cause the increase ofCD4. Recommendation: PAKAR model is necessarily needed to be applied in nursing care PWH infection in all setting of health services in Indonesia. The model can be applied to care patient with chronic illnesses such as cancer, diabetes mellitus etc. It is recommended to conduct research towards the effect of PAKAR on stress biological, especially HSP 70 and others in order to protect apoptosis through cytokine mechanism

    Analisis Aspek Hukum tentang Pengelolaan Hutan Berkelanjutan

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    The purpose of this dissertation is to develop the concept of sustainable forest management in Indonesia which covered: Instruments of law to protect damage in the sustainable forest management, the institutionalization function of the supporting sustainable forest management principles, and the forestry law enforcement from the aspect of administrative and criminal law. The scope of the study for legal analysis of sustainable forest management aspect from level of jurisprudence that covered: dogmatic of law, and theory oflaw. The method used in the research is the normative method (Theoritic and positive law aspect), with legal analysis (definition of law forestry, norm of law forestry, and system oflaw forestry). The legal analysis to sustainable forest management is one of the instrument to use the law functionally. The regulation law it implemented through Tata Guna Hutan (TGH) activity which is an effort of regulation and forest determination according to its feasibility function. The institutionalization at intersectoral sustainable forest management were done integrated by using CIS principles (Coordination, intergration, and syncronization) by whom are in charge in the use of forest area. The enforcement of forestry law in the sustainable forest management is studied from the administrative and criminal law aspect. From the aspect of administrative law, it is regulated by preventive law to protect forest damage through the application of forest management licence, forest management controlling, and the enforcement of administrative sanction. From the aspect of criminal law, the law of forestry enforcement is regulated by repressive law toward the violation of Act Nr. 41 of 1999 Concerning Forestry article 78 Jo article 18 Government Regulation Nr. 28 of 1985 Concerning Forest Protection and the article 40 of Act Nr. 5 of 1990 Concerning Conservation of the Living Resources and their Ecosystems, which implementation was done by legal institutions (Police, Judge, and Prosecutor) with the purpose to protect sustainable forest function and the state rights to the forest

    INOVASI SCAFFOLD TULANG DENGAN PENAMBAHAN BIOPOLIMER UNTUK MENDUKUNG KEMANDIRIAN BANGSA DI BIDANG KESEHATAN

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    1. Serbuk HA dengan sumber kalsium dari tulang sotong berdasarkan uji secara invitro sel dan invivo dengan hewan coba tikus putih menunjukkan hasil yang sangat baik sebagai bahan pengisi fraktur tulang yang membantu proses penyembuhan fraktur tulang. 2. Inovasi scaffold tulang dalam bentuk 3 dimensi berpori dari bahan nanoHA dengan penambahan biopolimer kitosan, CMC (nanoHA/kitosan/CMC) dan kondroitin sulfat (nanoHA/kitosan/ kondroitin sulfat) memiliki karakteristik yang baik sebagai scaffold tulang. Scaffold nanoHA/kitosan/kondroitin sulfat lebih tinggi sifat mekaniknya dibandingkan dengan scaffold nanoHA/kitosan/CMC. Uji secara invivo pada kelinci, scaffold nanoHA/kitosan/kondroitin sulfat terbukti mempercepat proses regenerasi tulang. 3. Inovasi scaffold dalam bentuk nanofiber dengan penambahan biopolimer kolagen dan gelatin serta polimer sintetik PCL yang dibuat melalui proses elektrospining memberikan hasil yang baik. Scaffold nanofiber HA/PCL/gelatin memiliki sifat mekanik yang lebih tinggi dibandingkan dengan scaffold nanofiber HA/PCL/kolagen. Berdasarkan uji invitro interaksi sel osteoblas ATCC 7F2 dengan scaffold nanofiber HA/PCL/ gelatin menunjukkan bahwa scaffold tersebut berpotensi sebagai kandidat scaffold tulang karena terjadi proliferasi sel yang baik dengan adanya kenaikan persentase viabilitas sel pada hari ke-l, ke-3 dan ke-5. Begitu juga ditunjukkan dengan terjadinya perlekatan sel yang merata pada area scaffold setelah 5 hari penyemaian

    Analisis Faktor-Faktor Yang Mempengaruhi Status Nutrisi Pasien Penyakit Ginjal Kronik Dengan Hemodialisa Di RSUD Ibnu Sina Gresik

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    Kondisi malnutrisi sering dijumpai pada pasien dengan hemodialisa. Status nutrisi pada pasien penyakit ginjal kronik dengan hemodialisa dapat dipengaruhi oleh berbagai macam faktor. Penelitian ini bertujuan untuk mengetahui faktorfaktor yang berpengaruh pada status nutrisi pasien penyakit ginjal kronik dengan hemodialisis di RSUD Ibnu Sina Gresik. Desain penelitian ini menggunakan deskriptif analitik. Populasi dalam penelitian ini 170 pasien hemodialisa reguler RSUD Ibnu Sina Gresik yang diambil sampel sebanyak 119 pasien dengan metode purposive sampling. Pengumpulan data menggunakan kuesioner, untuk lama menjalani hemodialisa pada data umum, nafsu makan dengan SNAQ (Simplified Nutritional Appetite Questionnaire), pertanyaan dukungan keluarga, dan status nutrisi dengan perhitungan IMT. Analisa data univariat, bivariat, dan regresi linear sederhana. Hasil penelitian ini menunjukkan status nutrisi sebagian besar dalam kategori normal sebanyak 68 pasien (57,1%), lama menjalani hemodialisa sebagian besar ≥ 12 bulan sebanyak 109 pasien (91,6%), nafsu makan sebagian besar baik sebanyak 102 pasien (85,7%), dan dukungan keluarga juga sebagaian besar baik 102 pasien (82,4%). Tidak ada pengaruh lama menjalani hemodialisa nilai sig. 0,308; ada pengaruh nafsu makan nilai sig. 0,000; ada pengaruh dukungan keluarga nilai sig 0,021 terhadap status nutrisi pasien PGK dengan hemodialisa signifikasi value 0,05. Kesimpulan dari penelitian ini ada pengaruh faktor nafsu makan dan dukungan keluarga terhadap status nutrisi pasien penyakit ginjal kronik dengan hemodialisa sedangkan lama menjalani hemodialisa tidak ada pengaruh. Saran untuk penelitian selanjutnya dapat menggunakan kuesioner MIS (Malnutrition Inflamation Score) agar lebih valid dan dapat meneliti 80% faktor lain yang belum diteliti dalam penelitian ini

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