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This research analyzes strategies and policy innovations in managing natural resources and renewable energy laws in Indonesia. Using a qualitative approach, this study examines the implemented environmental policies, the roles of central and regional governments, and the challenges in their implementation. The results show that Indonesia has implemented various policies and regulations to support sustainable natural resource management. Law No. 32 of 2009 on Environmental Protection and Management is the main foundation, followed by its derivative rules. However, policy implementation still faces challenges such as land conflicts, environmental degradation, and overexploitation of natural resources. In the context of renewable energy, the government has issued fiscal and non-fiscal incentives to promote its adoption. Presidential Regulation No. 112 of 2022 is an example of a policy that provides various tax incentives and licensing facilities for renewable energy projects. This study concludes that Indonesia needs a comprehensive and collaborative approach to address challenges and optimize natural resource management and renewable energy development. Recommendations include simplifying bureaucratic procedures, increasing transparency in procurement processes, and strengthening investment guarantee mechanisms to enhance private sector participation in renewable energy infrastructure development.  

 Ileus Obstruction is a blockage that occurs in the intestinal flow both mechanically and functionally. The imaging examination that is often used to diagnose obstructive ileus is colon in loop. Colon in loop examination is a radiological examination technique to determine the condition of the large intestine by inserting contrast media retrogradely. The colon in loop examination technique is generally carried out using several projections including Antero Posterior (AP), Postero Anterior (PA), Lateral, Right Postero Oblique (RPO), Left Postero Oblique (LPO), Right Antero Oblique (RAO), Left Antero Oblique ( LAO). The contrast medium usually used is Barium Enema or Barium Sulfate (BaSO₄). This article was created using a case study approach to determine effective examination and projection procedures for pediatric Colon In Loop examinations with clinical Ileus Obstruction carried out at the radiology installation of Syarifah Ambami Rato Ebu Hospital, Bangkalan Regency, Madura. This examination was carried out with water soluble contrast media and used two projections, namely AP and Lateral, according to the doctor's request because the patient was a baby and from this projection he could depict the entire colon.    

Inventory management at Puskesmas BLUD "X" is a mandate from  Peraturan Pemerintah Nomor 27 Tahun 2014 and Peraturan Pemerintah Nomor 28 Tahun 2020 concerning BMN / BMD Management and its amendments. Peraturan Menteri Dalam Negeri Nomor 19 tahun 2016 concerning Guidelines for Regional Property Management (BMD). Moreover, Peraturan Menteri Dalam Negeri Nomor 47 Tahun 2021 concerning procedures for implementing BMD bookkeeping, inventory, and reporting, Kebijakan Akuntansi Pemerintah Daerah on inventory, Standar Akuntansi Pemerintah on inventory.  In this study, it was found that inventory management at the Puskemas BLUD "X"  was still inadequate and not in accordance with applicable regulations. The purpose of this study was to determine the error factor in the management of medical supplies Puskesmas BLUD "X" which is not in accordance with applicable regulations. The methods used in this study are comparative descriptive qualitative with the type of case study, and data collection techniques through triangulation (interviews, observations, and documentation).  The result of this study is that inventory management at the Puskesmas BLUD "X" is still inadequate due to several factors, namely the non-functioning  of operational standards in terms of  recording, the quality of the internal control system is still weak,  and the weak use of the SIM Persediaan Puskesmas, where these factors affect the results of the calculation of medical inventory expenses presented in the financial statements.

This study aims to determine the effect of interest rates on profit growth of PT Bank Rakyat Indonesia Tbk Salubarani Branch Tana Toraja Regency. The data used in this study are secondary data and use data collection procedures, especially the documentation method. The data used in this study are financial statement data of PT Bank Rakyat Indonesia Tbk Salubarani Branch, Tana Toraja Regency. The results showed that the effect of interest rates on profit growth was very influential. The higher the interest given, the higher the profit growth.

The method used by the author in this study is a qualitative method, this method is used to observe, understand and describe a study about the increase in tariffs for PDAM Tirta Mayang in Jambi city. The drinking water tariff is the cost of drinking water services that must be paid by the customer for each use of drinking water provided by the organizer. In the Regulation of the Minister of Home Affairs Number 23 of 2006 concerning Technical Guidelines and Procedures for Determining Drinking Water Tariffs at Regional Drinking Water Companies (PDAMs). The tariff for the level of basic drinking water needs must be affordable by customers whose purchasing power is equal to or less than the Provincial Minimum Wage. In the event that household expenditures to meet basic drinking water standards do not exceed 4% (four percent) of the income of the customer community, the tariff meets the affordability criteria. Tariffs must be applied fairly. the calculation and determination of drinking water tariffs is based on the principles of affordability and fairness. Quality of service, full cost recovery, efficiency of water use, transparency, accountability and protection of raw water.

Magnetic Resonance Imaging is a medical device that combines computer technology, strong magnetic fields and radio waves to emulate representations of human body parts and produce more detailed and clear images, one of which is Facial Tic on the Brain. The MRI Brain examination aims to see the anatomy and abnormalities in the brain. This study aims to determine the MRI Brain examination procedure and the role of the Axial 3D Fiesta sequence in cases of Facial Tic. Use of the 3D Fast Imaging Employing Steady State Acquisition (FIESTA) sequence for evaluation of the head nerves. The research method used is descriptive research with a case study approach. Data collection was carried out from July 2023 to August 2023 using a GE 1.5 Tesla MRI aircraft. The subject consisted of a patient with clinical Facial Tic. Data collection was carried out through observation, interviews and documentation. The research results were obtained according to theory using sagittal T1, Coronal PD/T2, Axial PD/T2/T1/FLAIR/EPI, Axial 3D incoherent GRE T1, Axial/oblique SE MT, Axial DWI, Diffusion Tensor Imaging (DTI), Axial perfusion sequences. imaging, while in the field using localizer sequences, Axial DWI, Axial T2 Flair, Axial T2, Axial T1, Axial T2* GRE, Sagittal T1, Coronal T2, and Axial 3D Fiesta

Background: Urinary tract stones are the growth of hard, stone-like masses in the human urinary tract. The prevalence of urinary tract stones (BSK) in Indonesia is still not known for certain, but estimates suggest that there are around 170,000 cases of BSK every year. CT Scan is a radiological examination modality for diagnosing urinary tract stones with a sensitivity level of around 95%-100% and a specificity level of around 96%-98% for detecting urinary tract stones, so CT Scan is considered the gold standard in diagnosing this condition. Research Objectives: This study aims to determine the management of CT Scan Urography in clinical urinary tract stones in the Radiology Installation of Bhayangkara Hospital, Makassar. Method: This research used descriptive qualitative research with a case study approach, the research subjects consisted of 3 radiographers, 1 radiologist, and 1 sending doctor. Data collection was carried out through several stages, namely observation, interviews and documentation. Results: The results of research at the Radiology Installation of Bhayangkara Hospital, Makassar. The procedure for CT Scan Urography examinations in clinical urinary tract stones is that the patient drinks 750 ml of fresh tea until he feels like he wants to urinate, then the examination is carried out. The role and effect of giving plain tea can increase HU (Hounsfield Unit) density and also speed up diuresis, thereby helping to shorten examination time. The excess caffeine content of plain tea can speed up the process of increasing urine volume, thereby shortening the examination time..

Background: Cerebral venous thrombosis (CVT) is a form of stroke when blood clots develop in the (venous sinus) of the brain. This condition causes the blood that flows into the brain to be unable to flow out. This can cause reduced blood flow to the brain and damage or kill brain cells if not treated properly. The research aims to determine the digital subtraction angiography (DSA) examination procedure of cerebral veins with trans-radial access in cases of cerebral venous thrombosis (CVT). Method: This type of research is qualitative research with a case study approach. Data was collected on July 20 2023.The research subjects were doctors, interventional radiology doctors, and scrub nurses. By conducting observations, interviews and documentation of the implementation team involved. Results: From the results of observations, documentation and interviews with the implementing team, results were obtained regarding the Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with transradial access in cases of Cerebral Venous Thrombosis (CVT), including several sub-topics. The Cerebral Digital Subtraction Angiography (DSA) examination procedure with Transradial access is the right action for patients regarding immobility and shorter hospital stays. Conclusion: The Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with transradial access in cases of Cerebral Venous Thrombosis (CVT) includes patient preparation, tools and materials, examination techniques and post-action care. The Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with Transradial access is the right action for patients regarding patient immobility and shorter duration of hospital stay. The implementation team consists of a radiology specialist, a scrub nurse and no radiographers involved in the DSA examination room.

This research discusses the main forms of handling of divorce cases that occur internationally. The aim of this research is to identify and comprehensively analyze the main challenges in handling international divorce cases, seen from the perspective of international private law. The main challenge is identifying and overcoming legal obstacles that arise when the parties involved come from different jurisdictions. These factors include differences in private international law, legal norms, and complex legal procedures. In addition, cultural and language differences can complicate the process of handling divorce cases. Different jurisdictions and private international law procedures may also affect the rights and obligations of the parties involved. Therefore, a thorough understanding of these differences is essential to ensure fairness and effectiveness in the resolution of international divorce cases. By detailing these challenges, this research aims to contribute to further understanding of the complex legal issues in the handling of international divorce cases and unlock the potential for developing more coordinated and efficient legal frameworks in cross-border contexts.

This research aims to find out and examine the application of e-government in welcoming the era of the industrial revolution 4.0 which has recently been very influential in aspects of life in Indonesia. This is very interesting to study because during this transition period all countries and especially Indonesia have implemented the role of industry 4.0 in government components. The research method used in this research uses a type of normative legal research, with the research approaches used being a statutory approach and a case approach. The results of the first research analysis show that the development of the e-government system in Indonesia has begun to increase in quantity, but in terms of quality it is still inadequate because the implementation of e-government has not been evenly distributed throughout the region and it still only functions as a provider of static information. Second, there are fundamental obstacles in the implementation of e-government. -government in the industrial revolution 4.0 is at the regional government level, including; the initiative and meaning of e-government implementation by autonomous regional governments is still individual; implementation via the regional website is not yet supported by an effective management system and work processes due to the readiness of regulations, procedures and limited human resources; Many local governments identify the implementation of e-government as simply creating a local government website (web presence). Third, the projection of e-government in the future, whether the industrial revolution 4.0 is still ongoing or in the future after undergoing regeneration, must have the best formulation, including: ( 1) Good legal regulatory order and legal protection. (2) The government is proclaiming education, especially in the IT sector, as the formation of qualified human resources from now on. (3) Adequate infrastructure and availability of access media. (4) Formation of good character and work ethic for human resources for government officials. (5) Changing the mindset of the apparatus to become a disruptive mindset of the apparatus in Indonesia. (6) The industrial revolution 4.0 is based on a mental revolution. (7) Creating reliable Intrepreneurial Leadership. (8) Strengthening religious education.  

Financial Accounting Standards are accounting standards compiled by official institutions. SAK contains accounting rules and procedures, one of which is the principle of presentation and disclosure (PPP). Business combination is a phenomenon of the Company to gain control over another company operating as a business. This research uses descriptive analysis to collect data relevant to the topic of discussion, conducted by reviewing the financial statements of PT Bank BRI (Persero) Tbk. which can be accessed through the Indonesia Stock Exchange website. The result of this research is that the parent company implements a business combination system by identifying the acquired party based on its acquisition value. This research aims to apply and develop the information collected to find the best solution to study the process of business combination operations in the company.

Divorce between spouses of different nationalities has become an increasingly common phenomenon in the context of globalization. International civil law plays a key role in addressing the legal issues arising from divorce between different nationalities. This article discusses the legal repercussions arising from such divorces, focusing on several important aspects. Determination of the applicable law is a major concern in cases of non-citizenship divorce. The Lex Loci principle is the rule used to determine the law governing divorce, with special considerations regarding both spouses being from different countries. The recognition of divorce in different jurisdictions is an important concern. The process of official recognition of divorce in different countries often requires special procedures and certain requirements. Issues related to child custody become particularly significant if the couple has children together. International civil law considers aspects such as child residence, custody, and child-related decision-making. A valid divorce certificate may be required for various purposes, including a change in marital status in each spouse's country. The process of obtaining a divorce certificate may vary in each spouse's home country. Pensions and inheritance may also be affected by divorce, and the application of international civil law principles is necessary to determine the associated rights.

The Effect Of Use Of Lung Mask Fixation On The Accuracy Of Targeted Irradiation In Lung Cancer Intensity Modulated Radiation Therapy (Imrt) Technique In The Department Of Radiation Oncology, Jakarta General Hospital. Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. While normal cells in the lungs usually develop and reproduce to form healthy lung tissue, these abnormal cells actually reproduce more quickly and are never able to become normal lung tissue. As a result, lumps of cancer cells are formed, which are often referred to as tumors. (4) Radiotherapy is a form of therapy that has been proven to be useful in treating cancer. The aim of radiotherapy is to provide safe, accurate and efficient radiation doses to treat various types of cancer and also non-malignant disorders (7). Carrying out radiotherapy for lung cancer involves the use of immobilization devices, one of which is a thermoplastic mask. This mask functions to reduce the patient's body movements, including movements caused by breathing (9). Verification is a critical stage in the radiotherapy process. The purpose of this verification is to ensure that there are no significant differences in the exposure carried out (14). Giving the right dose of radiotherapy radiation is very necessary to achieve successful therapeutic treatment. The accuracy of dosing and the accuracy of the patient's position influence the dose distribution that will be received by the patient. This verification is based on the International Atomic Energy Agency (IAEA) Human Health Series No. 31 of 2016 with a displacement value of 0.3cm (15). EPID (Electronic Portal Imaging Device) is an additional device connected to the LINAC (Linear Accelerator) radiotherapy device. EPID functions as a verification tool for radiation dose and geometry which is very important in the radiotherapy process (16). The accuracy of the patient's position during radiation treatment greatly influences the accuracy of the IMRT technique. Before irradiation, verification is carried out using an EPID (Electronic Portal Imaging Device) to ensure the correct target position on the tumor. This helps measure the x, y, and z axis coordinates along the radiation area before the radiation procedure begins.

Taxes are an important element in the country because they have the largest source of income. However, in reality it is still relatively low. This research aims to determine the influence of income levels, tax rates and payment systems on UMKM taxpayer compliance. This research data was obtained from Kediri City Micro Enterprise Data for 2022. Data analysis techniques were carried out using instrument tests, classical assumption tests, multiple linear regression analysis, and hypothesis analysis to test the influence partially (t test) and simultaneously (F test). The results show that income levels and payment systems have a positive effect on taxpayer compliance with a significance value of 0.000, tax rates have a positive effect on UMKM taxpayer compliance with a significance value of 0.002. KPP Pratama Kediri City must provide the best service and provide counseling so that taxpayers understand the procedures for paying taxes. With the development of technology, it is hoped that taxpayers will be more compliant in paying their obligations. It is hoped that future researchers adding other variables that influence the level of taxpayer compliance, especially for UMKM.

This study aims to explore the impact of the Standard Operating Procedures (SOP) on employee performance at the West Aceh Regional Financial and Asset Management Agency (BPKD). The research sample consisted of 85 BPKD Aceh Barat employees who were selected using a purposive sampling technique. Data was collected through a questionnaire that had been tested for validity and reliability. Data analysis was performed using simple linear regression and the SPSS program. The results showed that SOP had a positive and significant impact on the performance of BPKD Aceh Barat employees. The value of t count is 5.015 and t table for this study is 2.00, indicating that t count is greater than t table. Thus, it can be concluded that SOPs have a significant influence on employee performance at BPKD Aceh Barat.

Febrile seizures are one of the manifestations of health problems that often occur in children aged three months to 5 years and can potentially cause harmful complications in children. Complications of febrile seizures occur due to a lack of parental skills in providing proper first aid to children with febrile seizures. Health education about febrile seizures is thought to improve parents' skills in performing first aid measures for children with febrile seizures. This study aims to explain the effect of health education about febrile seizures on increasing the skills of mothers in providing first aid to children with febrile seizures.This study uses a quasi-experimental design with a one-group pre-posttest design without a control. The samples involved in this study were mothers with children aged three months - 5 years in Blukon Village, Lumajang District, who met the inclusion and exclusion criteria determined by the researchers with a total of 48 people. The intervention applied in this study was providing health education about febrile seizures. Data collection used observation sheets as a checklist for first aid management in children with febrile seizures, carried out before and after the intervention. Data were analyzed using the Wilcoxon signed rank test with the help of IBM SPSS 25 software.The pre-test results showed that the mean ± SD of the mother's skill in performing first aid for children with febrile seizures was 2.41 ± 0.84. The mean ± SD score of mothers' skills in providing first aid to children with seizures increased after attending health education about febrile seizures to 6.47 ± 0.68. The results of data analysis showed that the provision of health education about febrile seizures had a significant effect on increasing the skills of mothers in performing first aid for children with febrile seizures with a ρ-value = 0.000 or less than 0.05.In controlling patterns of delivering health education about febrile seizures, this research calls for increased effort and assistance from local health workers. First aid procedures for children experiencing febrile seizures will become more instinctive or skillful when understanding is followed by frequent demonstrations. .                                                                                  

Procedure For Magnetic Resonance Spectroscopy Examination Technique In Brain Tumor Cases At The Radiology Installation Of Pertamina Central Hospital Jakarta. MR spectroscopy is one way of describing metabolites in tumor tissue without being invasive. Single spectroscopic approach, which is used in Magnetic Resonance Spectroscopy and is the most common spectral collection method in MRI modalities. MRi is the establishment of a medical diagnosis based on the principle of magnetic resonance. MRI aircraft produce images in various pieces namely coronal, sagittal, and transverse by not at all using x-rays that produce radiation and also using radioactive substances. Brain tumors are abnormally growing brain tissue cells originating from the brain or meningens, which are benign or malignant tumors that make massive pressure. MRS is a unique non-invasive sequence that helps in the identification of lesion molecules and the difference between malignant and benign lesions. In MRI examination of the brain with tumor cases there are several sequences used, namely Se / Fse Pd / T2, Se / Fse / incoherent spoiled, (DWI) diffusion weighted imaging (1) According to Elmaoglu (2), imaging techniques that can be used for MRI brain tumor cases include axial T1 spin echo, T2 fast recovery fast spin echo, T2 FLAIR, coronal T1 and T1 Axial post contrast injection,  T1 coronal, and T1 sagittal, diffusion weighted imaging (DWI), magnetic resonance angiography, and magnetic resonance spectroscopy. In taking SVS LESION localizer must be precise on tumor tissue not taking part that is not part of the tumor, analyze tumor area and take SVS NORMAL localizer on other healthy tissue.

There was a clear mission and goal when this law was created. The goals and objectives set are not just the product of legislative ideas but rather goals and targets that can be accepted and supported by the entire community. There are several conditions, namely: these regulations must: (1) be implemented correctly (2) be enforced as intended (3) not deviate from applicable principles and (4) support community goals. This scientific work research is normative legal research (normative juridical). This study examines community involvement in drafting laws discussed in normative juridical research and using the theory of law formation according to Philipus M. Hadjon, Aan Seidman, Robert B. Seidman, and Nalin Abeyserkere, Meuwissen, and Hans Kelsen and Hans Nawiasky. The main characteristic of direct political involvement is direct interaction between citizens and decision-makers, not through representative procedures. If a community-friendly Job Creation Law is to be designed, it must undergo review. Legislative laws are formed in large part by a multitude of elements that are fundamental to both national and state life. The principles of clarity, fairness, and usefulness are usually found in laws created through community involvement and oversight. In contrast, less participatory and adaptable regulations may conflict with principles of social benefit and justice.

Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) is an invasive diagnostic technique used to evaluate the condition of the coronary blood vessels in patients with acute transmural myocardial infarction (MI). Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and its role in the management of Severe (MS) Patient preparation involves patient education about procedures, fasting before examination, renal function checks, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Narrowing of the heart's mitral valve is a pathological condition in which this narrowing inhibits blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) plays an important role in clinical evaluation and therapeutic planning. Background: Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. This can increase pressure in the left atrium and reduce the amount of blood pumped throughout the body. Because MS is associated with increased left atrial pressure and can affect overall cardiac hemodynamics, it is important to understand how this condition may interact with coronary artery pathology. This research method is a literature review study, where literature exploration is carried out in various databases with keywords such as Coronary Angiography, Severe Mitral Stenosis Cases. Results: Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and their role in the management of (MS) Severe Patient preparation involves patient education about the procedure, fasting before examination, renal function testing, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Severe (MS) patients require special attention in this preparation. Equipment preparation includes a stable catheterization table, a fluoroscopic imaging system, various types of catheters, appropriate contrast agents, resuscitation equipment, pre-procedure medications, and hemostasis equipment. The medical team involved in CAG examination in Severe (MS) patients involves an interventional cardiologist, radiological technologist, catheterization nurse, catheterization technician, and additional support personnel such as the anesthesia team and resuscitation team. The examination procedure includes patient preparation, vascular access, catheter insertion into the coronary arteries, evaluation and imaging of the coronary arteries, and completion of the procedure. CAG examination has an important role in the detection of coronary artery disease. CAG examination in patients with (MS) Severe requires careful preparation and involves the collaboration of a well-coordinated medical team to provide optimal results and a significant contribution in the management of (MS) Severe. Conclusion: Narrowing of the mitral valve, severe mitral stenosis (MS) is a pathological condition where this narrowing inhibits blood flow from the left atrium to the left ventricle. This condition is most often caused by rheumatic heart disease, which results in inflammation and ultimately thickening and narrowing of the mitral valve. Coronary Angiography (CAG) examination in Severe Mitral Stenosis (MS) cases has an important role in detecting coronary artery disease.

The purpose of this research is to measure the performance of 12th grade students at SMA Negeri 1 Ciruas in the subject of biodiversity and to assess the 12th grade students ability to solve problems through environmentally based learning activities. The research procedure involves using pre-tests and post-tests. The pre-test is used to determine the students initial abilities. The post-test is conducted to assess the students problem solving abilities after learning through Problem Based Learning using Student Discussion Sheets (LKPD). Student performance data, obtained from answering Student Discussion Sheets (LKPD), is analyzed descriptively and qualitatively. Scores obtained from all assessed aspects are then converted to determine the groups assessment criteria. The problem solving abilities of 12th grade students at SMA Negeri Ciruas fall into the "Good" category, and there is an improvement in scores between the pre-test and post-test evaluations.