This research aimed to investigate the effectiveness of Learning Center (LC) to improve students's TOEFL score. Learning Center was designed as a site where students were able to learn TOEFL by computer-based. The research participant involved six classes in each departement, State Polytechnic of Bali. The students were trained on Learning Center (LC) program and given chance to study TOEFL test in whole part by their self or individually. To measure its effectiveness, two test were applied, those are pretest and post-test. The treatment in Learning Center (LC) was done two times. The result of pre-test and post-test were compered and analyzed. The test and Learning Center (LC) material were developed and validated by the experties before used. The result of measurement fostered that the Learning Center (LC) was effective to improve the TOEFL score by the students.

This study was analytical observasional with cross sectional design. From 2017 to 2021, 45 cervical cancer survivors who had  radical hysterectomy were enrolled. The subjects were divided into four groups: radical hysterectomy only, hysterectomy combined chemotherapy, hysterectomy combined chemoradiotherapy, hysterectomy combined radiotherapy. The Female Sexual Funxtion Index questionnaire were used to collect data of sexual activity including desire, arousal, lubrication, satisfaction, orgasm and dyspareunia. The mean age was 46.29 (SD± 7.6). The FSFI between four groups were significantly difference in  desire (p 0.006), arousal (p0.003), lubrication (p0.001), and sexual satisfaction (p0.033). Mann-Whitney test is used to analyze associations between two groups. The most affected domain between radical hysterectomy and radical hysterectomy combined radiotherapy were desire (p 0.006), sexual satisfaction (0.013). Domain arousal was significant difference between radical hysterectomy and radical hysterectomy combined chemotherapy (p  0.005). Lubrication was difference between radical hysterectomy and radical hysterectomy combined chemoradiotherapy.