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All Journal Jurnal Kesehatan Andalas Science and Environmental Journals for Postgraduate
Hasnaini, Hasnaini
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The Impact of Attractions and Accessibility on Visitor Motivation: A Case Study of Lampuuk Beach, Aceh Besar Hasnaini, Hasnaini; Sumanti, Sumanti
Science and Environmental Journal for Postgraduate Vol 7 No 1 (2024): Science and Environmental Journals for Postgraduate (SENJOp)
Publisher : Postgraduate School, Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/senjop.v7i1.277

Abstract

This study investigates the influence of attractions and accessibility on visitor motivation at Lampuuk Beach, Aceh Besar, Indonesia. Lampuuk Beach, known for its pristine white sand and surf-friendly waves, has seen a significant decline in visitors, with numbers dropping from 57,205 in 2018 to 7,906 in 2022. This decline is attributed to factors including the COVID-19 pandemic, economic challenges, and insufficient tourism infrastructure. Using a descriptive quantitative approach, this research analyzes data collected through accidental sampling of visitors at Lampuuk Beach. The study employs regression and path analysis, with attractions and accessibility as independent variables and visitor motivation as the dependent variable. Results reveal that attractions and accessibility collectively explain 88% of the variance in visitor motivation, with direct effects of 27.56% and 21.65%, respectively. Additionally, an indirect effect of 21.84% highlights the synergistic relationship between these variables. The remaining 28.95% is influenced by unexamined factors such as service quality and promotional efforts. This study underscores the critical roles of attractions and accessibility in driving visitor motivation, emphasizing the need for strategic improvements in these areas. Enhanced attractions and accessibility can bolster Lampuuk Beach's competitiveness as a premier tourist destination, ensuring sustainable growth and visitor satisfaction.
Mixed Medullary and Follicular Thyroid Carcinoma (MMFTC) Hasnaini, Hasnaini; Agus, Salmiah; Novianti, Hera
Jurnal Kesehatan Andalas Vol. 9 No. 3 (2020): Online September 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i3.1333

Abstract

Mixed medullary and follicular thyroid carcinoma (MMFTC) merupakan suatu kasus keganasan tiroid yang jarang terjadi. Tumor ini menunjukkan sel tumor yang berasal dari dua populasi sel yaitu sel folikuler dan  parafolikuler. Dilaporkan kasus MMFTC pada seorang pasien wanita usia 45 tahun yang datang dengan keluhan bengkak pada leher sejak tiga tahun lalu yang membesar dengan cepat dalam dua bulan, kemudian dilakukan tiroidektomi total. Pemeriksaan histopatologi menunjukkan tumor tersusun membentuk fasikulus terdiri atas proliferasi sel dengan inti bulat sampai spindel, kromatin kasar, nukleoli nyata dan adanya pseudoinklusi inti. Stroma mengandung massa amorf warna merah muda (amiloid) yang terpulas positif dengan Congo red. Tampak pula proliferasi sel-sel epitel folikel dengan inti bulat-oval, terang, adanya ground glass appearance, dan nuclear groove. Sel-sel ini tersusun membentuk struktur folikuler, yang sebagian bercampur di antara sel-sel dengan inti bulat sampai spindel. Pemeriksaan imunohistokimia tiroglobulin menunjukkan pulasan positif kuat pada sitoplasma sel tumor folikel tiroid. Perilaku tumor ini belum diketahui dengan baik karena insiden yang sedikit, namun diperkirakan tumor ini bersifat lebih agresif daripada karsinoma tiroid yang berdiferensiasi.Kata kunci: medullary, MMFTC, tiroid
Co-Authors Novianti, Hera Salmiah Agus Sumanti Sumanti, Sumanti