Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda).Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarifpelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda.Kata kunci: Kebutuhan, pembiayaan kesehatan daerah, jaminan kesehatanAbstractHealth insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.Keywords: Needs, district health financing, health insurance

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to highrisk pregnancies. Petahunan village in Pekuncen has the the highest incidence of highrisk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.

Abstract-Header is a component inside an exhaust system which delivers the exhaust gas flow produced by engine combustion process. UGM's FSAE car Bimasakti, which took part in a racing competition, needs components with excellent performance including the header component. The present study is aimed at obtaining the geometry of the header exhaust system that can optimize the power and torque of the engine KTM 450 SX-F while still complying with the Student Formula SAE competition's regulations. This research used an engine and one-dimensional gas dynamics simulation software known as the Ricardo WAVE. This software was used to simulate the powertrain system model of the 5th generation Bimasakti. From the initial model, changes towards the header geometry with variations in diameters and pipe lengths were conducted. After the best design has been obtained, developments towards at the above-mentioned design with additions of expansion chamber, stepped pipe, and diffuser shapes were then conducted. The obtained results showed that larger diameter of header can produce the better power and torque value at both low and high RPMs, whereas smaller diameter size would produce a better power and torque value at medium RPM. The effect of the use of longer header length can produce a better power and torque value at medium RPM, while shorter length would produce a better power and torque value at high RPM. Also, it is obtained that the addition of expansion chamber shape will reduce the engine's power and torque, while the addition of stepped pipe and diffuser shapes will increase the power and torque value at high RPM.Keyword-Header, Exhaust System, Ricardo WAVE, FSAE I. INTRODUCTION The automotive world is always bustling with enthusiasts and constantly developing in terms of performance and standards. Advancement in the automotive industry is also driven by a variety of sports competitions such as Formula, Rally, Moto GP, Motocross, and others. Formula car racing is a competition that is currently the pinnacle of the automotive world research. There are various classes of formula cars, one of which is student formula SAE a competition designed for students from all universities across the world. The formula student competition organized by the parent organization of the automotive world is the Society of Automotive Engineers (SAE) and must comply with the regulations [1].Engine is one of the most critical components in a vehicle. This component produces power that is then transmitted to the drivetrain system to spin the wheel. In racing competition, the performance generated by the engine must be maximized. However, the effort to maximize engine performance often clash with the rules of the competition. Therefore, various research and experiments are conducted in order to generate optimum engine performance while maintaining compliance with the current regulations.Although combustion in the cylinder is the factor that affects engine performance the most, the design of intake system and exhaust system piping has been wid...

Masalah kesehatan reproduksi remaja khususnya kejadian Infeksi Menular Seksual (IMS) yang disebabkan perilaku seksual di luar nikah di Kabupaten Banyumas konsisten setiap tahunnya. Jumlah kejadian IMS yang terdeteksi merupakan kasus IMS yang memanfaatkan pelayanan kesehatan perorangan di Puskesmas. Faktanya kejadian IMS yang tidak terdeteksi oleh puskesmas lebih banyak jumlahnya seperti fenomena gunung es. Data pelayanan kesehatan remaja di Kabupaten Banyumas menunjukkan kasus IMS remaja yang konsisten adalah di puskesmas  II Kembaran. Permasalahan kejadian IMS remaja yang disebabkan oleh perilaku seks diluar nikah menjadi masalah utama pelayanan kesehatan reproduksi remaja perdesaan di Puskesmas II Kembaran  Kabupaten Banyumas. Pengabdian kepada masyarakat dilakukan melalui pelatihan pendidik sebaya kesehatan reproduksi remaja di wilayah kerja puskesmas II Kembaran. Hasil pengabdian kepada masyarakat menunjukkan  adanya peningkatan pengetahuan tentang kesehatan reproduksi remaja dan pencegahan infeksi menular seksual, sebelum dan sesudah pelatihan. Pembentukan jejaring kesehatan reproduksi remaja yang dibutuhkan disepakati remaja adalah organisasi karang taruna dan media sosial jejaring What Aps. Promosi kesehatan reproduksi remaja yang dilakukan pendidik sebaya mampu meningkatkan pengetahuan tentang kesehatan reproduksi dan pencegahan infeksi menular seksual remaja perdesaan

BACKGROUND: Amino acids are important for proliferation and maintenance of tumor cells. Breast cancer patients were found to have significant changes in the number of amino acids, which are assumed to be correlated with the molecular subtypes of breast cancer. Therefore, current study was conducted to analyze plasma amino acids in breast cancer patients with luminal A and B subtypes.METHODS: Breast cancer and control subjects were recruited, and venous blood was collected for the measurement of plasma amino acids. Total 19 plasma amino acids were measured using reverse-phase high-performance liquid chromatography with C18 column. Mean comparison for normally distributed and homogeneous data was further analzyed using independent sample T-test, with p<0.05 was considered as significant.RESULTS: From total 19 amino acids, only 7 amino acids; cysteine, glutamic acid, histidine, ornithine, threonine, tyrosine, valine, were statistically different between the healthy control and breast cancer subjects. Eventhough no amino acids was found to be statistically different between breast cancer subjects with luminal A and B subtypes, but some amino acids were found to be significantly different when correlated to various breast cancer risk factors.CONCLUSION: Amino acid profile of patients with Luminal A and B subtypes of breast cancer differs compared to healthy controls and is also correlated with breast cancer risk factors. Increase in cysteine level in Luminal A subtype patients and decrease of alanine and leucine in Luminal B subtype patients can be used as a biomarker.KEYWORDS: amino acid, plasma, breast cancer, risk factor, biomarker