5 research outputs found
Pengukuran Kinerja Manajemen Rantai Pasok di Perusahaan Logistik dengan Model SCOR 11
No full textBusiness rivalry nowadays involves more than just one advantage of a good or service provided the owner of the good or service must also could enhance the advantages of the good or service itself. so that customers can get several benefits from a single good or service. Customers will begin to avoid similar items and services in favor of those made by businesses that can produce their goods with a multitude of advantages if a firm can accomplish this with quality that doesn't suffer. Companies that sell a variety of goods, one of which is in the logistics industry. The growth of e-commerce has raised this logistics company's value. If supply chain management is used in logistics organizations, it will be particularly relevant because there are numerous parties involved. PT. X is among the logistics firms having adopted supply chain management. As the logistics industry becomes more competitive, PT. X has also incorporated supply chain management. In order to evaluate PT Source's supply chain management performance, five criteria reliability, responsiveness, cost, agility and asset management along with make, delivery and return are taken into consideration. Reported to the testing results of this study, the reliability attribute's value at the process source is 100%, meaning it needs to be preserved. Subsequently, the attribute's value in the delivery process is 36.90%, and the attribute's response takes 9 days. The attribute fee is IDR 1,447,150,000.00 in the interim. Next, the asset management attribute is IDR 1,584,318,187.00, and the agility attribute is 3 days.Saat ini persaingan bisnis tidak lagi hanya satu manfaat dari suatu produk atau jasa yang dihasilkan namun perusahaan pemilik produk atau jasa juga harus mampu menambah manfaat dari produk atau jasa itu sendiri. Sehingga konsumen dapat memanfaatkan satu produk atau jasa untuk berbagai manfaat. Bisnis yang memiliki berbagai macam produk salah satunya adalah bisnis dalam bidang logistik. Ketika perusahaan menambah produk yang dihasilkan maka akan timbul sebuah permasalahan untuk operasionalnya. Banyaknya pihak yang terlibat, konsep supply chain management (SCM) akan sangat relevan jika diimplementasikan di perusahaan logistik. Salah satu perusahaan logistik yang telah menjalankan manajemen rantai pasok adalah PT. X. Namun dalam prakteknya masih banyak terjadi kegagalan dalam operasionalnya. Untuk mengukur keberhasilan SCM maka diperlukan penilaian kinerja yang ada di PT. X agar dapat dilakukan evaluasi serta pengembangan oleh perusahaan. Penilaian SCM akan dibantu dengan model SCOR 11. Terdapat beberapa proses yakni plan, source, make, deliver dan return beserta lima atribut yaitu realibility, responsiveness, cost, agility dan assets management. Hasil dari pengujian pada riset ini menunjukan Nilai pada atribut reliability pada proses source sebesar 100% yang artinya harus dipertahankan. Kemudian nilai atribut pada proses deliver sebesar 36.90%, atribut responsiveness pada proses deliver adalah 9 hari. Sedangkan atribut cost Rp 1.447.150.000,00. Kemudian pada atribut agility sebesar 3 hari dan pada atribut asset management sejumlah Rp 1.584.318.187,00
Pengembangan Framework Hazard Operability Study dan Safety Integrity Level untuk Menentukan Metode Inspeksi dengan Risk Based Inspection
No full textHazard Operability (HAZOP) Study merupakan salah satu teknik yang umum digunakan untuk mencari sebuah deviasi pada suatu alat. Sementara Safety Integrity Level (SIL) merupakan cara untuk mengetahui tingkat keamanan pada sistem yang terpasang sebuah Safety Instrumented System (SIS). Kedua teknik tersebut kerap digunakan oleh beberapa perusahaan dalam rangka meningkatkan keselematan operasi. Namun penelitian tidak dilanjutkan terhadap perawatan pada alat yang diteliti. Salah satu bagian dari perawatan adalah inspeksi. Risk Based Inspection (RBI) merupakan salah satu metode perawatan yang sering digunakan dalam industri. Penggabungan tiga metode tersebut menjadi sebuah framework diharapkan mampu memberikan rekomendasi yang tepat bagi sebuah perusahaan dalam menentukan metode inspeksi dengan mempriroitaskan komponen yang memiliki risiko tertinggi. Setelah framework berhasil dibangun maka akan diuji pada sebuah kasus di PT untuk membuktikan dampak serta manfaat yang didapat. Pembangunan framework dibagi menjadi tiga bagian pada ketiga metode yang ada yakni input, proses dan output. Terdapat 7 tahapan yang ada pada framework ini. Hasil dari pengujian didapatkan beberapa deviasi pada objek seperti high speed, no flow, low pressure dan high temperature. Dari tiga safety instrumented function yang ada, satu diantaranya bernilai SIL 1, yakni pada sistem interlock Speed. Memanfaatkan panduan dari American Petroleum Institute 581 document, pada tahap akhir menghasilkan bahwa komponen dari alat yang diteliti memiliki tingkat risiko medium dan inspeksi disarankan menggunakan cara radiography dan ultrasonic straight beam. Hasil tersebut mengindikasikan bahwa framework yang dibangun berhasil karena mampu menghasilkan rekomendasi metode inspeksi bagi perusahaan
Analisis Pengaruh Service Quality, Food Quality, Value/Price Terhadap Customer Satisfaction
No full textDevelopments in the food and beverage sector are increasingly rapid; coffee shop businesses will experience an increase of 60.5% in 2022. Business actors will always strive for the best service for their customers. So, stakeholders must know the relationship between the services provided so that customers are satisfied. The purpose of this study was to see the magnitude of the relationship between service quality, presentation quality, value/price to customer satisfaction at Djamoean Café Pamekasan. The method used this time is structural equation modeling (SEM) with SmartPLS. This research shows that service quality has an AVE value <0.70, meaning that the service quality variable is not included in further analysis, the VIF value for all latent variables is below the threshold of 5, so there is no multicollinearity problem in the structural model. The first hypothesis looks for a positive influence of service quality on consumer satisfaction. This test shows that service quality has a positive effect on consumer satisfaction with a P value <0.05. The service quality reliability test showed that the results were unreliable, so service quality had no significant effect, so the first hypothesis was rejected. Serving quality has a positive influence on consumer satisfaction. The test results show that serving quality has a positive influence on consumer satisfaction with a P-value <0.05. So that hypothesis number two can be accepted. Value/price shows P-value> 0.05, then value/price does not have a positive effect on customer satisfaction. So that hypothesis number three is rejected. The author advises Djamoean Cafe Pamekasan to always maintain the quality of taste and hygiene of food and drinks, and provide sufficient serving portions to always provide customer satisfaction.Perkembangan pada sektor food and baverage semakin pesat, usaha coffee shop khususnya mengalami peningkatan sebesar 60,5% pada tahun 2022. Pelayanan terbaik akan selalu diupayakan para pelaku usaha kepada pelanggannya, Maka stakeholder harus mengetahui hubungan pelayanan-pelayanan yang diberikan agar pelanggan terpuaskan. Tujuan penelitian ini untuk mengetahui besarnya hubungan antara kualitas pelayanan, kualitas sajian, nilai/harga kepada kepuasan pelanggan pada Djamoean Café Pamekasan. Metode yang digunakan yaitu structural equation modelling (SEM) dengan SmartPLS. Penelitian ini menunjukkan kualitas pelayanan memiliki nilai AVE < 0,70 artinya variabel kualitas pelayanan tidak diikutkan analisis selanjutnya, nilai VIF pada seluruh variabel laten dibawah ambang batas 5, maka tidak terdapat masalah multikolinieritas pada model struktural. Hipotesis pertama mencari pengaruh positif dari kualitas pelayanan terhadap kepuasan konsumen. Pengujian ini memperlihatkan kualitas pelyanan berpengaruh terhadap kepuasan konsumen secara positif dengan P value < 0,05, uji reliabilitas kualitas pelayanan didapatkan hasil tidak reliable, maka kualitas pelayanan tidak berpengaruh signifikan sehingga hipotesis pertama ditolak. Kualitas sajian mempunyai pengaruh yang positif kepada kepuasan konsumen, Hasil pengujian bahwa kualitas sajian berpengaruh secara positif terhadap kepuasan konsumen dengan P-value < 0,05 Sehingga hipotesis nomer dua dapat diterima. Nilai menunjukkan P-value > 0,05, maka nilai tidak mempunyai pengaruh yang positif kepada kepuasan konsumen sehingga hipotesis nomer tiga ditolak. penulis memberi saran kepada Djamoean Cafe Pamekasan harus selalu menjaga kualitas cita rasa dan higenitas makanan dan minuman, serta memberikan porsi sajian yang cukup agar selalu memberikan kepuasan bagi pelanggan
Patients with obstructive jaundice and biliary stricture ± mass lesion on imaging: Prevalence of malignancy and potential role of EUS-FNA
No full textBACKGROUND:: In patients with obstructive jaundice and biliary stricture, the role of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is debated for fear of missing a potentially resectable pancreatobiliary malignancy (PBM). We evaluated the prevalence of (1) PBM; (2) lesions that do not require a potentially curative cancer surgery; and (3) potentially resectable PBMs in patients with false-negative diagnosis by EUS-FNA. PATIENTS AND METHODS:: This is a retrospective analysis of 342 patients who underwent EUS-EUS-FNA from 2002 to 2009 after presenting with obstructive jaundice and a biliary stricture. Of these, 170 patients had no definitive mass on computed tomography and 172 patients had definitive mass on computed tomography without evidence of unresectability. Final diagnosis was based on surgical pathology or definitive cytology and clinical follow-up of ≥12 months. RESULTS:: The mean age of patients (176 male) was 68.0±12.5 years. A final diagnosis of malignancy was made in only 248 patients (72.5percent; 95percent confidence interval, 67.7, 77.2). The overall accuracy of EUS-FNA for diagnosing malignancy was 92.4percent (89.0, 94.8), with 91.5percent sensitivity (87.1, 94.5) and 80.9percent negative predictive value (72.0, 87.5). Among 21 patients with false-negative diagnosis, 8 had cholangiocarcinoma (2 resectable), 13 had pancreatic cancer (5 resectable). EUS-FNA provided information to potentially modify surgical management in 116 patients (33.9percent; 95percent confidence interval, 29.1, 39.0): 89 patients diagnosed as true negatives, 24 with distant malignant lymphadenopathy, and 3 with malignant lymphoma. CONCLUSIONS:: In above-defined patient subset, the risk of missing resectable tumors by EUS-FNA has been exaggerated because of artifactually low negative predictive value resulting from a high pretest probability of PBM. The actual miss rate for resectable PBM by EUS-FNA is rather small and was 2percent in present cohort. Information from EUS-FNA can potentially modify surgical management in up to one third of patients. Copyright © 2013 by Lippincott Williams and Wilkins.Agarwal B, 2004, AM J GASTROENTEROL, V99, P844, DOI 10.1111-j.1572-0241.2004.04177.x; Eloubeidi MA, 2003, AM J GASTROENTEROL, V98, P2663, DOI 10.1016-S0002-9270(03)01699-X; Harewood GC, 2002, AM J GASTROENTEROL, V97, P1386, DOI 10.1016-S0002-9270(02)04133-3; Hasan Muhammad K, 2012, Gastrointest Endosc Clin N Am, V22, P155, DOI 10.1016-j.giec.2012.04.016; Hewitt MJ, 2012, GASTROINTEST ENDOSC, V75, P319, DOI 10.1016-j.gie.2011.08.049; Krishna NB, 2009, GASTROINTEST ENDOSC, V70, P70, DOI 10.1016-j.gie.2008.10.030; Krishna NB, 2007, GASTROINTEST ENDOSC, V66, P90, DOI 10.1016-j.gie.2006.10.020; Lachter J, 2011, BMC GASTROENTEROL, V11, DOI 10.1186-1471-230X-11-117; Lin F, 2003, CANCER CYTOPATHOL, V99, P44, DOI 10.1002-cncr.11012; Micames C, 2003, GASTROINTEST ENDOSC, V58, P690, DOI 10.1016-S0016-5107(03)02009-1; Paquin SC, 2005, GASTROINTEST ENDOSC, V61, P610, DOI 10.1016-S0016-5107(05)00082-9; Ramchandani M, 2011, GASTROINTEST ENDOSC, V74, P511, DOI 10.1016-j.gie.2011.04.034; Sahai AV, 1998, GASTROINTEST ENDOSC, V48, P18, DOI 10.1016-S0016-5107(98)70123-3; Tamm EP, 2007, ABDOM IMAGING, V32, P660, DOI 10.1007-s00261-007-9298-x; van der Gaag NA, 2010, NEW ENGL J MED, V362, P129, DOI 10.1056-NEJMoa0903230; vanGulik TM, 1997, GASTROINTEST ENDOSC, V46, P417, DOI 10.1016-S0016-5107(97)70034-8; Williams DB, 1999, GUT, V44, P72034
The Global, Regional, and National Burden of Adult Lip, Oral, and Pharyngeal Cancer in 204 Countries and Territories
No full textImportance: Lip, oral, and pharyngeal cancers are important contributors to cancer burden worldwide, and a comprehensive evaluation of their burden globally, regionally, and nationally is crucial for effective policy planning. Objective: To analyze the total and risk-attributable burden of lip and oral cavity cancer (LOC) and other pharyngeal cancer (OPC) for 204 countries and territories and by Socio-demographic Index (SDI) using 2019 Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study estimates. Evidence review: The incidence, mortality, and disability-adjusted life years (DALYs) due to LOC and OPC from 1990 to 2019 were estimated using GBD 2019 methods. The GBD 2019 comparative risk assessment framework was used to estimate the proportion of deaths and DALYs for LOC and OPC attributable to smoking, tobacco, and alcohol consumption in 2019. Findings: In 2019, 370 000 (95% uncertainty interval [UI], 338 000-401 000) cases and 199 000 (95% UI, 181 000-217 000) deaths for LOC and 167 000 (95% UI, 153 000-180 000) cases and 114 000 (95% UI, 103 000-126 000) deaths for OPC were estimated to occur globally, contributing 5.5 million (95% UI, 5.0-6.0 million) and 3.2 million (95% UI, 2.9-3.6 million) DALYs, respectively. From 1990 to 2019, low-middle and low SDI regions consistently showed the highest age-standardized mortality rates due to LOC and OPC, while the high SDI strata exhibited age-standardized incidence rates decreasing for LOC and increasing for OPC. Globally in 2019, smoking had the greatest contribution to risk-attributable OPC deaths for both sexes (55.8% [95% UI, 49.2%-62.0%] of all OPC deaths in male individuals and 17.4% [95% UI, 13.8%-21.2%] of all OPC deaths in female individuals). Smoking and alcohol both contributed to substantial LOC deaths globally among male individuals (42.3% [95% UI, 35.2%-48.6%] and 40.2% [95% UI, 33.3%-46.8%] of all risk-attributable cancer deaths, respectively), while chewing tobacco contributed to the greatest attributable LOC deaths among female individuals (27.6% [95% UI, 21.5%-33.8%]), driven by high risk-attributable burden in South and Southeast Asia. Conclusions and relevance: In this systematic analysis, disparities in LOC and OPC burden existed across the SDI spectrum, and a considerable percentage of burden was attributable to tobacco and alcohol use. These estimates can contribute to an understanding of the distribution and disparities in LOC and OPC burden globally and support cancer control planning efforts
