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Evaluasi Penggunaan SIMRS dengan Metode Technology Acceptance Model (TAM) di RSUD dr. Adnaan WD Payakumbuh Nugraha, Adi; Ifmaily, Ifmaily; Burhan, Ida Rahmah; Asyari, Dian Paramitha; Hasnah, Fadhilatul -
JIK-JURNAL ILMU KESEHATAN Vol 6, No 2 (2022): JIK-Oktober Volume 6 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v6i2.559

Abstract

Penggunaan teknologi informasi dan komunikasi di sektor perawatan kesehatan dan terutama di rumah sakit menawarkan potensi besar untuk meningkatkan kualitas layanan, efisiensi, efektivitas perorangan, serta dapat mengurangi biaya struktural. Sistem informasi dan komunikasi dapat dianggap sebagai intervensi kesehatan yang dirancang untuk meningkatkan perawatan yang diberikan kepada pasien, seperti halnya pengobatan baru. Technology Acceptance Model (TAM) merupakan model perilaku yang bermanfaat untuk menjawab pertanyaan mengapa banyak sistem teknologi informasi gagal diterapkan karena pemakainya tidak mempunyai minat perilaku (Behavioral Intention) untuk menggunakannya. Hasil penelitian menunjukkan bahwa Pelaksanaan SIMRS dari sisi penggunaan SIMRS yang sesungguhnya (actual usage ) pada pengguna di RSUD dr. Adnaan WD Payakumbuh yaitu dikenal istilah silakeh  belum dioperasikan di semua unit, dan belum terhubung ke semua poli, sistem ini baru dioperasikan di pendaftaran rawat jalan, rawat inap, IGD dan apotik.
PENGAMBILAN KEPUTUSAN PENGADAAN PRODUK SEGAR DAN KINERJA LAYANAN SUPLIER DI RITEL SUPERMARKET: SEBUAH PERSPEKTIF BUSINESS-TO-BUSINESS Utami, Hesty Nurul; Wiyono, Sulistyodewi Nur; Nugraha, Adi
Agricore Vol 9, No 1 (2024): Agricore Volume 9 Nomor 1
Publisher : Departemen Sosial Ekonomi Faperta Unpad dan Perhepi Komisariat Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/agricore.v9i1.55248

Abstract

Abstrak Penelitian ini mengeksplorasi bagaimana pengambilan keputusan supermarket dalam pengadaan produk segar dengan mempertimbangkan persaingan produk segar lokal dan impor dan bagaimana kinerja layanan suplier produk segar dari perspektif business-to-business (B2B). Pengambilan data dilakukan melalui metode wawancara dengan pihak manajemen sebuah ritel supermarket XYZ yang beroperasi secara nasional, dan data dianalisis menggunakan analisis deskriptif kualitatif. Pengambilan keputusan terkait pengadaan produk segar dilakukan melalui strategi forward purchasing mechanism, sehingga pengadaan ditentukan oleh jenis produk yang dapat dipasok dan produk baru dipasarkan melalui sistem trial and error untuk melihat respon konsumen. Kinerja layanan suplier produk segar dinilai manajemen supermarket masih terkendala jaminan kepastian pasokan, kualitas produk, tingkat layanan, serta varian produk yang ditawarkan. Kebijakan supermarket yang menunjukkan keberpihakan kepada suplier lokal untuk memasok produk segar perlu didukung oleh peningkatan pengetahuan suplier mengenai product handling untuk meningkatkan tingkat layanan suplier kepada supermarket yang akan mempengaruhi keberlanjutan hubungan kerjasama bisnis. Penelitian ini berkontribusi kepada kajian tentang kualitas layanan B2B dan pengambilan keputusan B2B untuk keunggulan bersaing bisnis produk pangan di pasar ritel modern. Kata kunci: kualitas layanan, pengambilan keputusan, hubungan business-to-business, ritel pangan, agribisnis Abstract This research takes the business-to-business perspective to explore supermarket decision-making in the procurement of fresh products by considering the competition between local and imported fresh products and the service performance of the fresh product supplier. The data was collected through interviews with the store management of a nationally operating XYZ supermarket, and the data was analysed using qualitative descriptive analysis. Decision-making related to the procurement of fresh products in the XYZ supermarket is based on the forward purchasing mechanism strategy and trial and error system to sell new fresh product varieties. Thus, product procurement decision-making is determined by the type of product that can be supplied and new product trials to get consumers' responses. The performance of fresh product supplier service is assessed, and supermarket management considers that fresh product suppliers still confront several obstacles related to the guarantees of product supply certainty, product quality, service level, and product variants offered. The supermarket policy's empowerment to choose local suppliers to supply fresh products also needs to be supported by increased supplier knowledge of product handling to improve the supplier's service level to the supermarket, which will affect the sustainability of business relationships. This research contributes to the research on B2B service quality and B2B decision-making for the competitive advantage of agri-food businesses in the modern retail market.Keywords: service quality, decision-making, business-to-business relationship, food retail, agribusiness
MODAL SOSIAL BEAS PERELEK : ANALISIS KEBERLANJUTAN DAN STRATEGI ELABORASI DI ERA MILENIAL Aidatul Fitriah, Nurul; Brilianza Azharul Mujahidin; Nugraha, Adi; Rindayani, Wiwiek
Jurnal Indonesia Sosial Sains Vol. 1 No. 03 (2020): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v1i03.23

Abstract

Indonesia is a country with high social capital. However, with the times and the high flow of globalization, it has caused the fading of the spirit of mutual cooperation and concern for others.. In West Java, reviving the beas perelek is a solution. However, a question arises whether this tradition can be applied in the era of the millennial generation as it is today. The purpose of this research is to describe the implementation and to analyze the potential for sustainability of the prize fund in West Java society and to provide recommendations for elaboration strategies in the application of the prize fund in the millennial era. This research method is qualitative with the tectic of collecting data from literature studies. The sustainability analysis technique uses the rapfish-MDS method and the SWOT method to formulate a free elaboration strategy for men in the millennial era. The results showed the continuity of the free tradition in the good category with continuing status. To improve its implementation, it is necessary to carry out an elaboration strategy so in accordance  with the era.
Analysis of The Implementation of Smoke-Free Policies in Government Work Environments: A Case Study of the Cirebon City Education Office Nugraha, Noval; Nugraha, Adi; Khumayah, Siti; Rohida, Leni
Jurnal Polisci Vol 3 No 2 (2025): Vol 3 No 2 November 2025
Publisher : ann4publisher@gmail.com

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/polisci.v3i2.966

Abstract

Background. Smoking behavior remains one of the most significant public health issues in Indonesia. The country ranks third in the world in terms of the number of smokers, after China and India. According to the Global Adult Tobacco Survey (GATS, 2021) report, the prevalence of adult smokers in Indonesia reaches 34.5 percent or around 70.2 million people, of which 65.5 percent are men and only 3.3 percent are women, indicating a significant gender gap in smoking behavior (Tjandrarini et al., 2021). Aims. This study aims to analyze the implementation of the Smoke-Free Zone (SFZ) policy in government work environments, particularly at the Cirebon City Education Office, focusing on supporting factors, obstacles, and the level of policy effectiveness. Methods. The method used is a qualitative case study, supported by direct observation and document analysis. In-depth interviews were conducted with ten key informants, including structural officials, staff, and supervisors. Result. The main problem in this study was the low level of compliance with the policy despite the issuance of regulations requiring it. The study showed that the Mayor's Circular Letter and no smoking signs had disseminated the SFZ policy normatively. Due to a lack of supervision, employee awareness, and clear sanctions, implementation has not gone well. Conclusion. Factors supporting implementation include leadership commitment and the availability of legislation, while factors hindering implementation include a strong smoking culture, limited supervisory resources, and a lack of designated smoking areas. Because the policy has not been consistently implemented, SFAs (Smoke-Free Areas) in the Cirebon City Education Office remain ineffective. Implementation. Recommendations include increasing education-based socialization, implementing administrative sanctions, and providing facilities in accordance with local regulations on SFAs.
PENGEMBANGAN ALAT DETEKSI ZONA SAMBARAN PETIR BERBASIS MULTISENSOR Nugraha, Adi; Romi Wiryadinata; Felycia; Muhammad Ilham Daifullah
Jurnal ELEMENTER (Elektro dan Mesin Terapan) Vol 11 No 2 (2025): Jurnal Elektro dan Mesin Terapan (ELEMENTER)
Publisher : Politeknik Caltex Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35143/elementer.v11i2.6799

Abstract

This study aims to develop a multisensor-based lightning strike zone detection device as an early warning system capable of identifying the risk level of lightning strikes in open areas in real time. The development specifically focuses on applying the Rolling Sphere Method to determine the boundaries between safe and hazardous zones based on open-space analysis. The sphere radius used in this method is processed into risk-zone calculation parameters, which are then implemented in a microcontroller system integrated with multisensors to monitor the user’s position and movement. The resulting zone mapping is visualized in the form of an ellipse illustrating a 50% lightning-strike probability within the safe area. The system provides automatic notifications through a smartphone when the user enters a hazardous zone (red zone), prompting immediate mitigation actions. Experimental results show that the device can accurately detect user movement and map risk zones with high precision. Thus, the proposed prototype has strong potential as an effective safety tool for reducing the risk of lightning-related injuries in open environments
RECENT ADVANCES IN STEM CELLS-BASED THERAPY FOR HIV ELIMINATION Herdyan, Deta Intan; Ferni; Nugraha, Adi
Journal of Stem Cell Research and Tissue Engineering Vol. 9 No. 2 (2025): Journal of Stem Cell Research and Tissue Engineering
Publisher : Stem Cell Research and Development Center, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jscrte.v9i2.85309

Abstract

The persistent latent reservoir of HIV remains the greatest barrier to achieving a functional cure. Stem-cell–based therapy has emerged as a promising approach to eliminate or durably suppress HIV by reconstructing the immune system with HIV-resistant cells. This review summarizes recent progress (2021–2025) in stem-cell–based therapeutic strategies for HIV elimination, including hematopoietic stem cell transplantation (HSCT), gene-edited autologous stem cells, and stem-cell–derived engineered immune effectors. A narrative literature review was conducted using PubMed and Google Scholar databases for articles published between 2021 and 2025. Keywords included “HIV cure,” “stem cell therapy,” “hematopoietic stem cell transplantation,” “CCR5 gene editing,” “CAR-T cells,” and “HSPC-based HIV therapy.” Allogeneic HSCT using CCR5Δ32/Δ32 donors provided proof-of-concept for HIV elimination. Recent reports demonstrate additional remission cases using cord blood or haploidentical grafts. Advances in CRISPR/Cas9-mediated CCR5 disruption of autologous hematopoietic stem and progenitor cells (HSPCs) achieved high editing efficiency and successful engraftment. Stem-cell–derived CAR-T and CAR-NK cells showed potent antiviral effects in preclinical and early clinical studies. However, challenges remain in eradicating viral reservoirs, preventing viral escape, and ensuring long-term safety of gene editing. Stem-cell–based therapies represent a rapidly evolving frontier toward an HIV cure. Emerging technologies in gene editing and engineered cell therapy promise scalable, safer, and potentially curative approaches, though significant translational and ethical hurdles must be addressed before widespread clinical application.
Masa Depan Kakao Indonesia: Pendekatan Integratif untuk Pengembangan Kakao Berkelanjutan Nugraha, Adi; Heryanto, Mahra A.; Kurnia, Ganjar
Agricore: Jurnal Agribisnis dan Sosial Ekonomi Pertanian Unpad Vol 10, No 2 (2025): Agribisnis dan Sosial Ekonomi Pertanian
Publisher : Departemen Sosial Ekonomi Faperta Unpad dan Perhepi Komisariat Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/agricore.v10i2.69847

Abstract

AbstrakKakao merupakan salah satu komoditas perkebunan strategis Indonesia yang berperan penting dalam perekonomian nasional dan penghidupan petani kecil. Namun, pengembangan kakao nasional menghadapi berbagai tantangan, termasuk penurunan produktivitas, perubahan iklim, fluktuasi harga global, serta tuntutan praktik produksi berkelanjutan dari pasar global. Penelitian ini bertujuan menganalisis dinamika sistem agribisnis kakao Indonesia secara integratif melalui proyeksi kuantitatif jangka panjang dan analisis sistem agribisnis. Pendekatan kualitatif digunakan dengan analisis data sekunder menggunakan model ARIMAX untuk memproyeksikan produksi, produktivitas, dan luas lahan kakao hingga tahun 2045. Hasil proyeksi kemudian diperdalam melalui analisis kualitatif berbasis system dynamics dengan penyusunan Causal Loop Diagram berdasarkan wawancara mendalam dan observasi lapangan di sentra kakao Luwu Utara. Hasil penelitian menunjukkan bahwa produksi kakao Indonesia berpotensi meningkat dalam jangka panjang, terutama melalui peningkatan produktivitas, meskipun tetap dipengaruhi flukutasi pasar dan faktor lingkungan. Analisis sistem menunjukkan bahwa keberlanjutan kakao nasional sangat dipengaruhi oleh interaksi antara produktivitas, kelembagaan petani, industri hilir, kebijakan pemerintah, dan dinamika pasar global. Penguatan sistem perbenihan, percepatan peremajaan, peningkatan kapasitas petani, serta pengembangan industri hilir menjadi faktor kunci dalam mendorong sistem produksi kakao berkelanjutan di Indonesia.Kata kunci: Kakao berkelanjutan, sistem agribisnis kakao, pembangunan perkebunan, system dynamics.AbstractCocoa is one of Indonesia’s strategic plantation commodities, playing a significant role in the national economy and the livelihoods of smallholder farmers. However, the development of the national cocoa sector faces various challenges, including declining productivity, climate change, global price fluctuations, and increasing demands for sustainable production practices from the international market. This study aims to analyze the dynamics of Indonesia’s cocoa agribusiness system in an integrative manner through long-term quantitative projections and agribusiness system analysis. A qualitative approach was employed, utilizing secondary data analysis with the ARIMAX model to project cocoa production, productivity, and cultivated area through 2045. The projection results were further elaborated through qualitative system dynamics analysis by constructing a Causal Loop Diagram based on in-depth interviews and field observations conducted in the cocoa-producing center of North Luwu. The findings indicate that Indonesia’s cocoa production has the potential to increase in the long term, primarily through improvements in productivity, although it remains influenced by market fluctuations and environmental factors. The system analysis reveals that the sustainability of the national cocoa sector is strongly shaped by the interaction among productivity, farmer institutions, downstream industries, government policies, and global market dynamics. Strengthening the seed system, accelerating replanting programs, enhancing farmers’ capacity, and developing downstream industries are key factors in promoting a sustainable cocoa production system in Indonesia.Keywords: Sustainable cocoa, cocoa agribusiness system, plantation development, system dynamics.
ANALISIS SISTEM KOMODITAS PALA INDONESIA Heryanto, Mahra Arari; Nugraha, Adi
Agricore: Jurnal Agribisnis dan Sosial Ekonomi Pertanian Unpad Vol 10, No 2 (2025): Agribisnis dan Sosial Ekonomi Pertanian
Publisher : Departemen Sosial Ekonomi Faperta Unpad dan Perhepi Komisariat Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/agricore.v10i2.69853

Abstract

AbstrakPala merupakan komoditas strategis Indonesia yang memiliki posisi dominan dalam pasar global, namun dinamika produksinya menunjukkan pola fluktuatif dalam jangka panjang. Penelitian ini bertujuan menganalisis bagaimana interaksi struktural dalam sistem komoditas pala global mempengaruhi dinamika produksi dan keputusan pada unit mikro petani. Penelitian menggunakan pendekatan kualitatif dengan studi kasus di sentra produksi pala di Kabupaten Fakfak (Papua Barat) dan Kabupaten Halmahera Tengah (Maluku Utara). Analisis dilakukan menggunakan pendekatan berpikir sistem dengan alat Causal Loop Diagram (CLD) untuk mengidentifikasi struktur umpan balik dalam sistem. Hasil penelitian menunjukkan bahwa sistem komoditas pala dibentuk oleh interaksi antara subsistem budidaya, pasar domestik, dan pasar internasional melalui mekanisme reinforcing dan balancing loops. Harga ekspor sebagai variabel eksternal memengaruhi harga produsen dan pendapatan petani, yang kemudian membentuk keputusan perawatan, penanaman baru, dan replanting. Namun, respons produksi bersifat tertunda akibat adanya jeda biologis 5–7 tahun pada fase Tanaman Belum Menghasilkan menuju Tanaman Menghasilkan. Interaksi antara penguatan berbasis insentif ekonomi dan penyeimbangan berbasis stok, biaya, pasokan global, serta penuaan tanaman menghasilkan pola perilaku siklikal dalam jangka menengah dan panjang. Dengan demikian, dinamika produksi pala Indonesia merupakan hasil struktur sistem yang endogen, di mana keputusan mikro petani tidak dapat dipisahkan dari tekanan pasar global dan karakter biologis tanaman berumur panjang.Kata kunci: struktur, perkebunan, dinamika produksi, komoditas.Abstract Nutmeg is a strategic commodity for Indonesia with a dominant position in the global market; however, its production dynamics exhibit long-term fluctuations. This study aims to analyze how structural interactions within the global nutmeg commodity system influence production dynamics and decision-making at the micro-level of farmers. A qualitative case study approach was employed in major nutmeg-producing regions, namely Fakfak Regency (West Papua) and Central Halmahera Regency (North Maluku). Data were analyzed using a system thinking approach through the development of a Causal Loop Diagram (CLD) to identify the endogenous feedback structure underlying the system The findings reveal that the nutmeg commodity system is shaped by interactions among the cultivation subsystem, the domestic market, and the international market through reinforcing and balancing feedback loops. Export prices, as an external variable, influence producer prices and farmers’ income, which subsequently shape decisions on crop maintenance, new planting, and replanting. However, production responses are delayed due to the biological lag of 5–7 years between the immature and productive stages of nutmeg trees. The interaction between economically driven reinforcing loops and balancing mechanisms related to stock availability, production costs, global supply, and plant aging generates cyclical behavior in medium- and long-term production dynamics. Indonesia’s nutmeg production dynamics therefore emerge from an endogenous system structure in which micro-level farmer decisions are inseparable from global market pressures and the biological characteristics of a long-lived perennial crop.Keywords: structure, plantation, production dynamics, commodity.