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A 63 year old male patient came to the emergency room with complaints of weakness since 5 days of SMRS. Complaints are accompanied by nausea, vomiting, pain throughout the stomach, and liquid bowel movements. The patient also complained of low back pain that spread to both legs and made it difficult to walk. The patient also feels that he is urinating a little and seems to be stuck. Two weeks ago the patient had a fever accompanied by a cough. On physical examination, BP 90/60 mmHg, HR 111 x/minute, RR 20 x/minute, BMI 20.3 kg/m2, suprapubic area tenderness, right CVA tapping pain. Investigations Hb 11.73 g/dl, urea: 73 mg/dl, creatinine: 3.45 mg/dl, tubex: negative, dengue Ig M: negative, dengue Ig G: positive. Abdominal ultrasound examination revealed multiple nephrolithiasis dextra. On chest X-ray examination, there was an increased bronchovascular pattern, an air bronchogram (+) with an impression of bronchitis. The finding of multiple nephrolithiasis dextra indicates that the patient's kidney failure is chronic in nature, however, DHF that is not treated properly causes worsening of kidney function, giving rise to the condition of ACKD.

Structure is the arrangement or combination of language elements into a patterned language. Thus, phonology is the sound system in Indonesian or it can also be said that phonology is the science of language. This research aims to find similarities and differences between Indonesian and English phonetics. The method used in this article is qualitative descriptive because the researcher will explain descriptively the differences between Indonesian and English at the phonological level.

Morphology is one of the linguistic sciences that discusses the ins and outs of word formation such as compositum. Compositum is a combination of two words but the elements of compositum can be two or more words. Compositum has a word component as its forming element which has a special pattern so that it is different from other word combinations, such as idioms and phrases. The difference can be seen in terms of the level of meaning. Compositum can be classified into several types, namely based on the cohesiveness of meaning, the type of words of the elements, the distribution system, the complexity, and the language origin of the elements. Based on the cohesiveness of meaning, compositum consists of semicompound and non-compound compositum. Semicompound compositum is a compound word whose meaning is still related to the meaning of one of its elements. Meanwhile, a non-compound (tenuous) compositum is a compound word whose meaning is still related to the meaning of all its elements. Thus, many readers still do not know how semicompound and uncompound composites can be formed in Kahlil Gibran's poetry collection. In learning, there are still many educators who have not conveyed about compositum so that students do not know and have difficulty in determining compositum. Descriptive qualitative is the method used in this research. The purpose of this research is to analyze and describe semi-compound and non-compound compositum in a collection of poems by Kahlil Gibran. Based on the results of the analysis, there are 33 data including compositum based on the unity of meaning, namely 11 data showing semicompound compositum and 22 data including non-compound compositum.  

Women are often identified with a beauty, as is the case in the selection of the language style of the Qur'an. The diction used by the Qur'an in visualizing women, starting from their creation, association with an angel, as well as the description of their physical characteristics show how noble and honorable they are. The glory of the woman is a symbol of liberation from dehumanization and discrimination against women in jahiliyah and a form of human equality in the eyes of Allah Swt. The purpose of this study was to determine the concept of text interpretation in comprehensively interpreting women and to know the comparison of the formulation of classical interpretation and modern interpretation of the existence of women in the Qur'an and to know what the formulation of intertextuality of the verses visualizing women. The method in this study uses library research that focuses on library data, which are primary sources to classical commentaries and works of Nasr Hamid Abu Zayd as one of the figures of "hermeneutics of liberation" and other secondary sources. The results of this study concluded related agrumen Nashr Hamid Abu Zayd regarding the Qur'an is a cultural product, the author is more inclined to the opinion of Quraish Shihab, that the Qur'an is kalâmullah, not a creature. The concept of interpretation of the text of Nasr Hamid Abu Zayd in reading the verses visualizing women in the Qur'an is to do a more in-depth reading by prioritizing objectivity and considering the historical and socio-cultural facts from which the text of the Qur'an was revealed. This study has implications in reconstructing the pattern of inheritance relay understandings of women in the verses visualization of women who tend to the interpretation and understanding of patriarchal bias.

Malahayu Reservoir is located in Malahayu Village, Banjarharjo District, Brebes Regency. Malahayu Reservoir was built in 1935. Malahayu Reservoir is planned to have a water storage capacity of 69 million m³ with a water surface area of 9.25 km². The main purpose of the construction of this reservoir is to supply irrigation water with a total area of 12,674 Ha, consisting of DI Kabuyutan of 4,166 Ha, DI Jengkelok of 6,173 Ha, and DI Babakan of 2,335 Ha. However, the water supply in Malahayu Reservoir continues to decrease, allegedly due to the high amount of sediment. The current problem is the occurrence of sediment in the Malahayu Reservoir. The pattern of operation using this reservoir needs to be studied because it is considered less optimal and because there needs to be a review of the use of reservoir water using newer data. That way, an operating pattern is needed to determine the reliability of reservoirs in their use as irrigation water providers. This study began by analyzing the secondary data obtained. Data is processed to obtain the amount of reservoir discharge and water needs for irrigation water. And the study ended with a simulation of the reservoir operation pattern. From the results of this study, it is expected to help provide solutions for the operation pattern of Malahayu Reservoir as an optimal reservoir. To improve the performance of the Malahayu Reservoir, supporting data such as reservoir operational systems and performance, hydrological data, reservoir operating procedures and patterns, and irrigation data are needed. The results of the analysis showed that the operation of the Malahayu Reservoir was less than optimal. Simulation of reservoir operation shows that the volume of water in Malahayu Reservoir is below the Minimum Operating Level (MOL), which is the minimum volume of water that should be in the reservoir. According to the records of the Cimanuk-Cisanggarung River Basin Center (BBWS), the condition of water supply in the Malahayu Reservoir continues to decline since this reservoir was built during the Dutch colonial rule until now.

The barodak rapancar traditional ceremony is one of the traditional rituals Samawa tribal wedding. Barodak rapancar is a tradition of the bride and groom scrub with traditional ingredients called odak. In the ceremony This rapancar baroque has hidden messages as seenin symbols or tools used in its implementation. But alongthe flow of globalization this tradition is gradually fading, this is because some people, especially the younger generation, do not knowthe meanings contained in the barodak tradition of rapancar. In the Sumbawa district itself, there is a customary tradition of marriage for the Samawa tribe, especially in the Batudulang Village community, which is located in Batulanteh District, the Batudulang Village community still preserves the cultures passed down by their ancestors, one of which is the marriage. The aim of the research to be achieved is to know the philosophical meaning contained in odak in the Barodak Rapancar tradition in the marriages of the Samawa people. Based on the results of the analysis and information that has been found by the reviewers, it can be concluded that several things related to this research are as follows: The Barodak Rapancar tradition is one of the Sumbawa traditional marriage processes. The barodak tradition is scrubbing using traditional materials and the Rapancar process of coloring the hands using traditional ingredients. The barodak tradition consists of three stages, namely the bridal shower (maning bride), bridal odak and odak odak (odak disposal). The Barodak Rapancar tradition is one of the Sumbawa traditional marriage processes. The barodak tradition is scrubbing using traditional materials and the Rapancar process of coloring the hands using traditional ingredients. The barodak tradition has three stages, namely the bridal shower (maning bride), the bridal shower and the odak ball (throwing odak). The philosophical meaning of Odak in the Barodak Rapancar ritual is as follows where Odak symbolizes the sincerity of one heart and determination, while Barodak Rapancar itself has the meaning of Barodak asa form of self-cleaning in the framework of carrying out a sacred promise or agreement, badaet cleans up the residue of evil on the bride and groom before the wedding day, while rapancar is intended to provide a bright pattern of light so that it gives the color of joy and love and is a sign that the two couples are married.

This data mining association processes 1224 Gamefantasia ticket redemption transaction data. The goal is to find a pattern of association between goods as a recommendation for structuring the display of goods at the cashier counter and increasing ticket exchange transactions. Modeling uses a comparison of two algorithms, namely the Apriori algorithm and FP-Growth. The data analysis method with the CRISMP-DM method is then processed by RStudio software. The results of the study with the same parameters support 0.02 and confidence 0.1 FP-Growth algorithm formed 53 rules, the strength of the association rule 6.2%, the accuracy was1245%. Whereas the Apriori algorithm forms only 12 rules, the strength of the association rules is 2.1% and the accuracy is 7.8%. Thus, it can be concluded that the use of the FP-Growth algorithm has better results than the Apriori algorithm because it has the highest accuracy in finding transaction patterns.

A calendar is a system for naming a period of time and is known as a Calendar Date. The Gregorian calendar is used throughout the world including Indonesia, this calendar is calculated from the birth of Jesus from Nazareth, the calculation uses the pattern of the sun's movement. The Gregorian calendar has 12 months in a year and 7 days in a week. The Hijri calendar is a calendar system based on the circulation of the moon around the earth, called Hijiriah because of its first year when the migration of the Prophet Muhammad from Mecca to Medina took place in 662 AD. Due to the different intervals or repetitions between the day and the weton where the day will return to the same day after 7 days while the weton will return to the same weton after 5 days, it is quite difficult to find out the day and weton on a certain date that is hundreds or thousands of days apart from the current date. The Gregorian calendar program with weton is used to find out the day and weton of a date by specifying the month and year, a 1 month calendar will be displayed along with the day and weton

The use of learning media that is less than optimal is the basis of this research with the aim of developing learning media for Android applications and knowing the process of student answers. This type of research is development research with a model adapted from Borg and Gall with a  sample of class VIII-2 students of Santa Maria Private Middle School Medan, totaling 25 people. From the results of the study, it was obtained (1) the quality of the developed learning media met the valid, practical, and effective categories with an assessment by media experts of 3.82 and material experts of 3.87, practicality from the student response with a score of 3.61 and the teacher's response with a score of 4, and the effectiveness of classical student learning completeness reaches 92% of students and an n-gain score of 0.62 which means an increase in mathematical visual abilities is included in the moderate category. (2) The process of student answers shows that students have been able to identify problems, understand problems, generalize patterns and explain what is obtained, which means that students have fulfilled each indicator of mathematical visual ability, namely looking, seeing, imagining, showing and telling.

This research was about the partnership program of CSR conducted by the state owned entreprise through the economic empowerment of SMEs with the provision of capital to improve the revenue to create prosperity. This study was aimed to analyze the implementation of CSR partnership program. This study used the qualitative approach with documentation type and the documentation technique. The data analysis was done through data collection, data reduction, data display and conclusion. The results of this study stated that the implementation of the partnership program of CSR had a legal basis in the implementation and conducted through partnerships based on some business patterns. The CSR partnership program had the allocations funds from SOEs net income, deposits, administrative services/revenue share/margin, interest on deposits, etc. While recommendation that this research is that The Ministry of SOEs should make the procedures for implementing the partnership program that contains stages in providing funds for potential partnership established partners, implementing organizations and evaluation activities

Stroke is the presence of clinical signs that develop rapidly due to focal brain function disorders. Stroke occurs suddenly but has long-term effects such as disability, emotional problems, depression and also changes in social relationships. A stroke occurs when the blood supply to the brain stops suddenly, thereby blocking the supply of oxygen, which is a vital necessity for the brain, causing a decrease in normal brain function. Cases of stroke need to be handled by the patient's family quickly and precisely so that the patient gets help according to the condition of the stroke he is experiencing. Based on this, a study is needed related to nursing care for stroke patients. The method used in this study is a descriptive method with a case study approach that is carried out on the pattern of nursing care in stroke patients. From the research results obtained from patients, namely patients complaining of no appetite, difficulty lifting the left leg and difficulty speaking. There are 3 nursing problems that arise in patients, namely nutritional imbalances less than body requirements, impaired physical mobility and, impaired verbal communication. This is based on the results of interviews and observations found due to lack of knowledge of the patient's family on how to treat stroke patients.

Stroke is the presence of clinical signs that develop rapidly due to focal brain function disorders. Stroke occurs suddenly but has long-term effects such as disability, emotional problems, depression and also changes in social relationships. A stroke occurs when the blood supply to the brain stops suddenly, thereby blocking the supply of oxygen, which is a vital necessity for the brain, causing a decrease in normal brain function. Cases of stroke need to be handled by the patient's family quickly and precisely so that the patient gets help according to the condition of the stroke he is experiencing. Based on this, a study is needed related to nursing care for stroke patients. The method used in this study is a descriptive method with a case study approach that is carried out on the pattern of nursing care in stroke patients. From the research results obtained from patients, namely patients complaining of no appetite, difficulty lifting the left leg and difficulty speaking. There are 3 nursing problems that arise in patients, namely nutritional imbalances less than body requirements, impaired physical mobility and, impaired verbal communication. This is based on the results of interviews and observations found due to lack of knowledge of the patient's family on how to treat stroke patients.

Colorectal carcinoma, a malignant neoplasm originating from the epithelial cells of the large intestine or rectum, poses a significant health problem worldwide. The estimated global incidence of colorectal cancer was 2.17 million cases in 2019. Meanwhile, in Indonesia, colorectal cancer ranks fifth among the most common cancer cases with a mortality rate of 9.5%. Demographic characteristics, including age, gender, ethnicity, and geographic location, have been extensively studied in relation to colorectal carcinoma. Understanding the patterns of differentiation and demographic characteristics associated with this disease is crucial for the diagnosis, treatment, and overall prognosis of patients. This study is a descriptive observational study that examines the demographic characteristics and differentiation of colorectal carcinoma patients. The study sample consists of a subset of the research population at Ciawi Regional General Hospital who underwent surgery from June 2021 to May 2023. A total of 21 respondents met the inclusion criteria, with a mean age of 54 years, and were predominantly female (57.1%). The results of this study indicate that poorly differentiated colorectal carcinoma generally occurs at a younger age compared to well and moderately differentiated cases. In terms of gender, females are more likely to experience colorectal carcinoma compared to males. Further research is needed to uncover the interactions between tumor biology, demographics, and clinical outcomes, with the ultimate goal of improving the prognosis and survival rates for individuals with colorectal carcinoma.    

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

Communication becomes very important in people's lives, because with indirect communication we can understand the attitudes, behaviors and actions of the environment around us. Communication that occurs between the Batak and Javanese tribes that occurs is called intercultural communication which involves two or more people with different cultural backgrounds. Communication and interaction between Batak and Javanese tribes in Environment II Untemanis is intertwined with the process of understanding each other's differences. This study is intended to determine the pattern of intercultural communication between Batak and Javanese tribes in Environment II Untemanis, Losung Batu Village, North Padangsidimpuan District, Padangsidimpuan Regency, North Sumatra. This research uses qualitative methods with a descriptive approach. The subjects in this study amounted to 14 informants determined purposively, consisting of the head of ligkungan II Untemanis, traditional leaders / hatobangon, and Batak and Javanese people who were at least domiciled for 3-4 years. Data collection is carried out by interview, observation and documentation techniques. In analyzing data, this study uses data reduction, data presentation and conclusions. The results of this study show that communities in Environment II Untemanis coexist harmoniously through a process of adjustment and then accept each other's differences. In the process of communication and interaction these two tribes use mixed languages, namely Batak, Javanese and Indonesian. Despite having different cultural backgrounds, Batak and Javanese people in this environment live without any discrimination. The existence of high tolerance in Environment II Untemanis makes community life harmonious and open to each other. The pattern of communication that occurs between the Batak and Javanese tribes in this environment is a circular pattern. The creation of a circular pattern that indicates a reciprocal process due to supporting factors, namely the ability to communicate, mutual acceptance and respect between cultures, and the adaptability of the Batak and Javanese people.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.  

The purpose of this research is to provide understanding of English phonology to the learners who are new with English phonology. The method used in this research is literature review. This discussion explores the study of English sounds, known as English phonology. It covers important topics for beginners, such as understanding the basic units of sounds (phonemes) and their variations (allophones). The chat also introduces processes like assimilation, dissimilation, and deletion that affect how sounds change in spoken English. Additionally, it explains vowel and consonant reduction, which impact how certain sounds are pronounced. Lastly, the chat provides an overview of classifying consonant and vowel sounds based on their characteristics. By learning about these aspects, beginners can improve their pronunciation, understand different sound patterns, and enhance their overall communication skills in English.

Historically, the outer space structure of the Sentani traditional defense settlement is an ancestral formation aimed at protecting its citizens from outside intervention and defending themselves from tribal wars. The phenomenon of this ancestral formation is maintained until now as a pattern of traditional Sentani defense settlements. From the previous research has been stated, research on traditional settlement patterns on the meaning of defense and the sacredness of outer spatial planning has never been carried out. No research reveals that the sacred outer space in the traditional Sentani settlement is a phenomenon formed by a sacred defense space to protect indigenous peoples from intervention and tribal wars. The research method used is a qualitative approach using the Intrisic Case Study Approach model with the nature of descriptive research. Data analysis in this study used the method of Discovering Cultural Themes. The locus of this research is the oldest village written in historical references and the Sentani traditional village on Lake Sentani today. The data collection method used observation, in-depth participant interviews, measurable pictures, and photographs. The study results found that the structure of the sacred outer space of the traditional settlements formed by the ancestors is still maintained today as a pattern of traditional Sentani defense settlements. The structural pattern of the sacred space forms a defense space in the traditional Sentani settlement forming a sacred outdoor layout for the Sentani indigenous people with one entrance for visitors or guests to the traditional village, namely a wooden pier for the boat landing. The sacred outer spatial arrangement is indicated by the position of the "Obe Imae" traditional house as the center of activity and customary activities are located at the very front, the two customary zones as the seat of tribal chiefs (traditional devices), the third community zone as the residential space of indigenous peoples, the fourth zone ancestors (traditional graves) and the fifth highest worship zone, namely the church as a place of worship to God.

In psychology, temperament broadly refers to consistent individual differences in behavior that are based on biology and are relatively independent of learning, value systems, and attitudes. Every child is born with a different temperament or biological behavior, depending on the temperament or biological behavior of their parents. However, in the process of character formation, this temperament will change in the course of life according to the parenting patterns of parents and even the environment in which they live. The development of children in the social, cognitive and emotional fields is very important in their future life when starting life or maturing. Parenting patterns are divided into 4 which can certainly influence a child's growth and development, namely: authoritarian (authoritarian), indulgent (permissive), authoritative (democratic), neglectful (ignorant). The aim of this research is to determine the influence of parental parenting on children's temperament. This research sample used 4 teenagers who had different parenting patterns.

Children who grow up in orphanages have the same rights as children who are in a family environment. Communication carried out by caregivers to provide motivation to foster children in terms of self-confidence. Based on this, orphanage caregivers need to carry out good communication patterns in increasing the confidence of foster children. The theory used in this study is the theory of social penetration popularized by Irwin Altman and Dalmas Taylor. This theory discusses the development of relationships through 4 stages, namely the orientation stage, the exploratory exchange stage, the affective exchange stage, and the stable exchange stage. This research uses a qualitative approach. Researchers use the constructivist paradigm, where knowledge is the result of human construction. Data collection techniques in this study through direct observation, in-depth interviews and documentation. The results showed that the pattern of communication of caregivers to foster children in increasing self-confidence in the Asyiyah orphanage was a wheel pattern, and a star pattern. The relationship between caregivers and foster children goes through 4 stages, namely the orientation stage, the exploratory exchange stage, the affective exchange stage, and the stable exchange stage. Factors that influence the increase in self-confidence in foster children are environmental factors and educational factors.