In recent years, the number of shipyards in Indonesia has increased significantly to anticipate the increasing demand and the government policy regarding the Cabotage Principles and Masterplan for Acceleration and Expansion of Indonesia’s Economic Development (MAEIED), and three Archipelagic Sea-Lanes (ASL’s) in Indonesia. However, shipbuilding and ship repair works have been centered in the western part of Indonesia. Therefore, this study aims to develop a potential strategy of shipyards in the eastern part of Indonesia to compete in the current market situation. The Analytical Hierarchy Process (AHP) method was used to model the strategy hierarchy and analyze the weight of sub-criteria as the internal and external factors of the shipyard competitiveness. Then, the Blue Ocean Strategy method was used to analyze the competitiveness strategy. To improve competitiveness, the shipbuilding industries in the eastern part of Indonesia have to focus intensively on reforming and upgrading several internal environment factors such as coordination and response, business network, high skill manpower, and complex ship types building ability. Besides, the shipyards also have to focus on external environmental factors, particularly on five factors that have a high influence on improving competitiveness, namely shipping company partners, networks and partnership with suppliers, government policies, human resource development, and cluster formation of shipyards.
Nowadays, the container transportation service increases rapidly and then this condition emphasizes the container ship growth. The containers stowage only on deck can cause a serious problem subjected to ship stability. The objective of present study is to analyze the stability of a container ship due to containers stowage on deck. Also, twelve cases based on weight conditions C1 to C2 were simulated in order to distinguish the impact of the weight on stability parameters KG, GZ, vanishing stability angle, and stability range. The results show the weight condition affects on the magnitude of KG and LCG wherein the position of centre of gravity point is behind amidship and the decrease of LCG due to the decrease of consumable weight ≥ 50% is average 2.06%. The effect of the decrease of consumable weight ≥ 50% can make stern trim condition (C3, C5, C6, C8, C9, C11, and C12). The containers stowage on deck impacts on reducing the KG as well the magnitude GZ becomes small. In addition, the vanishing stability and stability range become small. Nevertheless, the stability parameters due to the containers stowage on deck fulfil the requirement of Intact Stability Code. Overall KG values due to the weight condition (C1 to C12) are significantly lower than the limiting KG. This means that overall KG due to weight conditions fulfill the stability criterion.
Pasien lanjut usia atau geriatri rentan terhadap berbagai masalah klinis yang timbul akibat proses degeneratif dan berpengaruh dalam menjalankan kegiatan pribadi sehingga membutuhkan bantuan dari orang lain yang disebut caregiver. Seorang caregiver, selain membantu kegiatan pribadi pasien geriatri, juga berperan penuh dalam proses penyembuhan pasien. Hal ini dapat mengakibatkan caregiver akan memiliki beban mental yang harus diperhatikan agar proses caregiving pada pasien lanjut usia dapat berjalan dengan lancar. Penelitian ini dilakukan untuk mengidentifikasi aspek penguasaan emosional individu caregiver serta menelaah perannya dalam proses pengobatan pasien geriatri, terutama pada kepatuhan penggunaan obat. Penelitian ini menggunakan rancangan cross sectional yang melibatkan 131 responden. Pengumpulan data dilakukan melalui wawancara terhadap caregiver pasien usia lanjut yang mendapatkan layanan kesehatan di Puskesmas daerah Sulawesi Selatan. Instrumen kuesioner Pearlin Mastery Score digunakan untuk mengukur penguasaan emosional individu caregiver, dan pill count method untuk mengetahui tingkat kepatuhan pasien. Analisis data menggunakan statistik deskriptif terkait data demografi pasien dan caregiver serta Spearman-rho untuk mengetahui hubungan antar variabel. Hasil analisis menunjukkan angka koefisien korelasi sebesar 0,417** yaitu tingkat hubungan antara variabel penguasaan emosional caregiver terhadap tingkat kepatuhan pasien geriatri adalah sebesar 0,417 atau korelasi sedang dengan hubungan antar variabel searah dan bernilai signifikan (p<0,05). Semakin tinggi tingkat penguasaan emosional caregiver maka semakin tinggi tingkat kepatuhan pasien geriatri. Kata kunci: Geriatri, Caregiver, Preventive Health Behaviour, Kepatuhan Penggunaan Obat
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