This paper explains the new design of the three wheel bike for post-stroke patients as a equipment for physical therapy. The bike can be pedaled by foot and / or by hand simultaneously. Bike frame is made of aluminum alloy pipe and consists of front and rear frame. The front frame is equipped with a steering system that can regulate the moving of two wheels of diameter of 22 ". The rear frame is equipped with a fold mechanism, shock breaker, seat and chain stay pipes for clamping the rear wheel with diameter of 22 ". The rear frame is also equipped with a mechanism of transfer speed in three levels. Bike length is 1645 mm, width 615 mm and height 1035 mm. However, after folded the bike dimension became 725 mm long, 460 mm wide and 1035 mm high. By using CATIA software the strength frame material is simulated and analyzed. The bike design is evaluated from ergonomics aspect with RULA method. The proposed design is performed into a prototype. The prototype test is conducted. The result test show, that the bike is pedaled, either by hand or foot, strong, safe and comfortable to ride. In order to evaluate the design benefit, the pedal test is also conducted in various pedal velocities by 3 post stroke patients as respondent. During 6 minutes pedaling number of rider heartbeat is measured. The result shows all the number of heartbeat is not exceeded than 120 HR. That means the bike is enough light to pedal or the patient must not give extra power to ride the bike. Moreover, during 4 weeks therapy by cycling the bike, pedal velocity each respondents is increase significantly around 26-96%, this means the muscle contraction of respondents is reduce and developed bike can be used as alternative equipment for physical therapy of post stroke patient. Because light and foldable, the bike can be moved easily and put in the trunk of a car without problem.
Abstract. The rapid development and advancement of information technology has led to changes in the activities of human life in various fields, including changes in banking services to digital banking services. The service is intended to improve operational capabilities and service quality for customers. So, Islamic banks are also improving their business strategies to improve their services through digital banking services. Based on this, the public is required to understand the development of digital banking services. This study aims to analyze the influence of community environmental factors on understanding digital banking at Bank S also analyzed the level of understanding of the Jayapura village community towards Bank Sn. In this study using quantitative methods. The results showed that environmental factors had a significant effect on digital understanding in Jayapura village, Cidaun sub-district, Cianjur district. The level of understanding of the community in Jayapura village, Cidaun sub-district, Cianjur district has a low level of understanding, the community does not really understand, based on the two variables, the community's understanding is still in the doubtful category. Abstrak. Pesatnya perkembangan dan kemajuan teknologi informasi telah menyebabkan perubahan aktivitas kehidupan manusia di berbagai bidang, termasuk perubahan layanan perbankan ke layanan perbankan digital. Layanan tersebut bermaksud agar dapat meningkatkan kemampuan operasional dan kualitas layanan bagi pelanggan. Jadi, bank syariah juga meningkatkan strategi bisnis mereka untuk meningkatkan layanan mereka melalui layanan perbankan digital. Berdasarkan hal tersebut, masyarakat dituntut untuk memahami perkembangan layanan perbankan digital tersebut. Penelitian ini bertujuan untuk menganalisis pengaruh faktor lingkungan masyarakat terhadap pemahaman perbankan digital di Bank S juga menganalisis tingkat pemahaman masyarakat desa Jayapura terhadap digital banking Bank S. Pada penelitian ini menggunakan metode kuantitatif. Hasil penelitian menunjukkan bahwa Faktor ligkungan sangat berpengaruh signifikan terhadap pemahaman digital di desa Jayapura kecamatan Cidaun kabupaten Cianjur. Tingkat pemahaman masyarakat desa Jayapura kecamatan Cidaun kabupaten Cianjur memiliki tingkat tingkat pemahaman yang kurang, masyarakat belum begitu memahami, berdasarkan kedua varibel pemahaman masyarakat masih berada pada kategori ragu-ragu.
Introduction: Cervical cancer is a malignancy of the cervix caused by the human papillomavirus (HPV). Cervical cancer often has no symptoms. Most patients are known to be positive for cervical cancer at an advanced stage. This study aimed to determine the relationship between the use of oral contraceptives and sexual activity with the incidence of cervical cancer at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. Methods: This study was an analytic observational case-control study. A total of 37 subjects were researched as a case group and a total of 111 subjects as a control group. This study made observations of variable age, Education, work, use of oral contraceptives, and sexual activity for the first time. Data analysis was carried out using SPSS software univariate and bivariate. Results: Use of oral contraceptives ≥ 5 years was not significantly associated with the incidence of cervical cancer, p> 0.05. Age at first sexual intercourse <18 years was significantly associated with the incidence of cervical cancer, p<0.05. Age at first pregnancy <18 years was significantly associated with the incidence of cervical cancer, p<0.05. Conclusion: Sexual activity is a risk factor that plays a role in the incidence of cervical cancer at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.
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