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Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

The causes of maternal death were bleeding (28%), infection (11%), eclampsia (24%), and obstructed or prolonged labor (5%). One of the causes of bleeding as a cause of AKI is perineal rupture. Perineal rupture is influenced by several factors, including: Maternal factors include maternal age, parity, pregnancy spacing, inappropriate delivery methods. Compliance with menstrual guidance is very necessary for the success of the birthing process to prevent perineal rupture. The aim of this study was to determine the relationship between maternal compliance with counseling and perineal rupture at Batara Siang Regional Hospital. The method used was analytical observational with a cross sectional approach, the sampling technique was purposive sampling with a total sample of 32 mothers giving birth. Results: There is a significant relationship between compliance with gentle guidance and the incidence of perineal rupture in mothers giving birth, seen from the results of non-parametric statistical analysis using the Spearman rank test and using SPSS 16 to obtain a significance or sign value. (2-failed) of 0.001.

Micro, Small, and Medium Enterprises (MSMEs) in Sijeruk village, Banjarmangu district, Banjarnegara regency have shown significant development. However, there remain several challenges faced by UMKM entrepreneurs, including limited marketing outreach, financial reports intertwined with household finances, and inadequate innovation in product development and packaging. This community service initiative aims to address these issues effectively.

Character education strengthening occurs not only theoretically in the classroom but also through habituation in daily life. Using drama as a method for character education can be effective because drama is closely linked to character development. This article aims to discuss the affirmation of drama appreciation learning in relation to the importance of character education for fourth-semester students at STKIP Darussalam Cilacap. The researcher applies a literature review methodology, focusing on the use of texts and library literature as primary sources. The results indicate that regular drama appreciation learning activities have a positive impact on students' development. The findings highlight the significant contribution of drama appreciation learning to character education at STKIP Darussalam. It teaches students moral values, ethics, and responsibilities. Additionally, interaction during drama activities plays a key role in enhancing students' tolerance towards differing opinions, backgrounds, and cultures, creating a holistic educational environment. The presence of drama as an art form, both at the elementary school level and as part of higher education curricula, should impact by reflecting the reinforcement of character education in the digital era, which increasingly overlooks essential foundational aspects of life, such as efforts to build good personal and moral character. 

Background: Toilet training is an attempt to train children to be able to control bowel movements. In Indonesia, it was found that 16% of children aged 6 years were still unable to do toilet training independently. One of the important factors in the success of children in doing toilet training is the parenting style applied by parents in educating children at home. Objective: to find out the relationship between parenting style and toilet training ability in pre-school aged children in Kutuh Kelod Banjar Ubud. Method: This study used an observational analysis design with a cross sectional approach. The study population was pre-school age children in Banjar Kutuh Kelod Ubud with sampling techniques using purposive samling. The instrument of this study used the observation sheet toilet training ability and parenting questionnaire. Analysis of toilet training capabilities with parenting using the Spearmans Rho test. Results: The study showed that most of the parents' parenting styles were democratic as many as 24 people (40%). The results of the Spearmans Rho test were parenting and toilet training abilities with a value of p = 0,000. Conclusion: This study found that there was a significant relationship between parenting care and toilet training abilities of preschoolers.Keywords: Parenting; toilet training; pre-school children

This research aims to find out whether there is a positive and significant influence between Grab's service quality and consumer satisfaction during the Covid-19 pandemic. The population in this research is Grab users in Purworejo whose number is unknown, while the number of samples in this research is 40 people. Data collection techniques in this research are observation, questionnaires, documentation and literature study. Data analysis techniques use simple correlation tests, simple linear regression, determination tests and t tests. The results of a simple correlation test show that service quality X and customer satisfaction Y have a significance value of 0.659, which means that the two variables have a strong correlation. Based on a simple linear regression test, the resulting regression coefficient X is 0.410, which states that if there is an increase of 1 point in the value of the regression coefficient The results of the determination test showed that the coefficient of determination (R2) had a value of 0.435, this means that 43.5% of consumer satisfaction was influenced by the service quality variable, while 56.5% was influenced by other variables that were not studied, for example competition with other online motorcycle taxis, tariffs. or price, customer experience in using grab services, etc. Based on the t test, tcount is 5.408 while ttable is 2.02439. With these data, tcount > ttable, so it can be concluded that the Ha hypothesis is acceptable, namely that there is a significant influence between service quality variables on customer satisfaction and can be accepted. 

Service quality is the main milestone in the company's running activities. In general, providing good and maximum service will encourage consumers to make purchasing decisions. This has a very good impact on the company's goal, namely to increase sales output. The aim of this research is to determine "The Influence of Service Quality on Purchasing Decisions at Flow Distro Prembun". Samples were taken using the Simple Random Sampling technique. The average number of Kios Insan Busana consumers per month can reach 400 people. As research subjects, 25% of all consumers at the Insan Busana Kiosk were taken, namely 100 consumers. From the t test, it can be concluded that the Service Quality variable has a positive and significant effect on the purchasing decision variable because it has a significance of 0.000 (P> 0.05) and the tcount > ttable (8,781 > 1.984). So hypothesis 0 which states that there is no positive and significant influence between service quality and purchasing decisions is rejected and the working hypothesis (Ha) which states that there is a positive and significant influence between service quality and purchasing decisions is accepted.  

The aim of this research is to determine the effect of promotional programs on consumer purchasing decisions at the Cellcom Kaliboto Bener Purworejo cellphone shop. Data collection and surveys were carried out using questionnaires. Sampling used purposive sampling technique, totaling 32 people. This research uses data analysis methods, simple linear regression, coefficient of determination and t test (partial). Based on the research carried out, the result of the regression equation is Y= 15.889 + 0.768X, which means that if the promotional program variable is equal to zero then the level or magnitude of the variable the purchase decision at Cellcom was 15,889. The contribution of promotional program variables to purchasing decisions is 0.478 or 47.8%, while the remaining 52.2% is influenced by other factors, namely price, product quality, product design, service and others. Partially there is a positive and significant influence between promotional programs on purchasing decisions.  

Economic developments in the business world are very fast and increasingly strong, resulting in demands for companies to continue to carry out various kinds of innovations to improve performance and expand company businesses so that they are able to compete and survive in the business world. Research with the title "The Influence of Good Corporate Governance (GCG) on Company Financial Performance”. This research uses a population of pharmaceutical sub-sector manufacturing companies listed on the Indonesia Stock Exchange (BEI) for the 2017-2018 period. The purpose of this research is to examine the influence of Institutional Ownership on Company Financial Performance, to examine the influence of Managerial Ownership on Company Financial Performance and to examine the influence of Institutional Ownership and Managerial Ownership on Company Financial Performance. The data sources used are secondary data and a purposive sampling method to determine the sample. will be used and produce a final sample of 10 manufacturing companies. After carrying out the sampling criteria, 6 companies were used as samples. The data in this research were analyzed using the SPSS program. The analysis used was descriptive analysis, classical assumption testing, statistical analysis and hypothesis testing. Based on the data analysis carried out, it was concluded that institutional ownership had a positive effect on financial performance, managerial ownership had no significant effect on financial performance, institutional ownership and managerial ownership had a positive effect on financial performance. 

This research aims to determine the influence of e-service quality on the decision to repurchase Prameks train tickets. The population in this study were KAI Access users who bought Prameks train tickets. The sampling technique in this study used purposive random sampling. The number of samples in this study was 96 people. The data analysis technique uses simple linear regression analysis, coefficient of determination test, t test which is processed using SPSS version 25. The results of the research show that the simple regression equation Y= 3.859+0.961X results in a constant coefficient of 3.859. The results of the price coefficient of determination show that the contribution of the e-service quality variable is 57.4%, while 46.2% is influenced by other variables not studied. Based on the t test, the e-service quality variable shows that Ho is rejected and Ha is accepted because the significance value obtained is (0.000 < 0.05). 

Background: Smoking is a habit is detrimental to health. Cigarettes are known to contain many poisons ad harmful chemicals that can cause various diseases such as heart disease, stroke and cancer. At present Indonesia is still the third country with the most active smokers in the world. This atudy aims to determine smoking behavior in adolescent in Ketintang Village, Surabaya City. Method: This type of research is quantitative, with a cross sectional approach. The total population is 206 respondents. The sample was taken by accidental sampling. This instrument uses a questionnaire. The Data was analysed by using chi square statistical test with significance level ? ? 0.05. Results: The results showed predisposed factors knowledge (? = 0,019),  behavior (? = 0,000), and perception (? = 0.000). Conclusion: The implication of this study is that the society and parents are expected to guide and pay more attention to adolescent relationships. provide information about the dangers of smoking for himself and those around him.  

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Remote temperature monitoring is needed in hazardous area conditions or fast data retrieval is needed without being limited by distance. This condition can be overcome by monitoring and measuring the temperature from a remote location using internet technology that is currently developing, namely the Internet of things. There are many implementations of remote temperature monitoring systems, but the measurement results of these sensors sometimes have very significant differences even for measuring the temperature of the same object. This study aims to analyze the implementation of an effective and efficient remote temperature monitoring system. The temperature measurement process uses the LM35 and MLX 90614 sensors based on Internet of things technology using the Message Queue Telemetry Transport (MQTT) protocol. After obtaining the results of temperature measurements using different sensors, the measurement results are analyzed and compared with standard temperature measuring instruments to obtain an effective and efficient implementation. Based on the analysis, the results of temperature measurements using the MLX 90614 sensor are effective and efficient sensors.

Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.

Background: Adequate level knowledge is necessary in providing proper first aid on chronic disease emergency. This community service aimed to improve the level of knowledge on chronic disease emergency management in Tibubeneng Village, North Kuta, Badung-Bali. Method: An-online-ninety-minutes-health education session was delivered to 22 participants using a PowerPoint and video media. Wilcoxon statistical analysis applied to know the mean difference of the knowledge level before and after the health education session. Result: Finding indicated no significant effect of health education of knowledge level improvement on chronic disease emergency management (p=0.78). Recommendation: We suggest conducting routine health education and interactive sessions such as simulation to enhance the knowledge on chronic emergency disease management.        

This study aims to determine the effect of leverage, fixed asset intensity, and firm size on tax aggressiveness. The population in this study are manufacturing companies listed on the Indonesia Stock Exchange (IDX) for the 2017-2020 period. The sample of this research was taken using non-probability sampling method with purposive sampling technique and certain criteria. The method used in this research is panel data regression analysis. The results of this study indicate that leverage has a significant positive effect on tax aggressiveness, while the intensity of fixed assets has no effect on tax aggressiveness, and firm size has a significant positive effect on tax aggressiveness. The implications of the results of this study provide input to companies in making decisions to minimize the tax burden paid so that companies can be more aggressive towards taxes.

This study was conducted to determine the factors that influence the farmer's exchange rate (the ratio of the price index received by farmers to the price index paid by farmers) in the food crops sub-sector in Riau Province. The data collected in this study is data published by the Central Statistics Agency of Riau Province. The data obtained were then analyzed using SPSS 22. The test results show that the level of expenditure has a negative and significant effect on the exchange rate of farmers in the food crop sub-sector, this can be seen from the value of tcount (-2.475) < ttable (2.44691) with a significant value of 0.048 < 0.05. Harvested area has a significant positive effect on the exchange rate of farmers in the food crop sub-sector, this can be seen from the value of tcount (4.441) < ttable (2.44691) with a significant value of 0.004 <0.05. Meanwhile, the food import variable has no significant effect on the exchange rate of farmers in the food crop sub-sector, this can be seen from the value of tcount (2.273) < ttable (2.44691) with a significant value of 0.063 > 0.05, with a value of Fcount (12.476) > Ftable , (4,35).

Taxes becomes very important because taxes provide a large contribution to state revenues. This study aims to analyze the influence of profitability, leverage, firm size, sales growth dan audit quality to tax avoidance.  The sample of this study were Indonesia Stock Exchange registered manufacture companies in 2017 until 2019 thus 213 data were used in this study. descriptive statistical test and multiple regression tests with the SPSS 26 were used to analyze the data. This study showed that the independent variabel profitability has a significant positive effect on tax avoidance, leverage has a significant negative on tax avoidance. On the other hand, firm size, sales growth and audit quality does not affect the tax avoidance variable

This study was conducted to determine the effect of non-performing loans and the effect of bank interest rates on the performance of a bank with net income in the range of 2013 to 2019. This study uses SPSS and interviews as primary instruments in obtaining and analyzing data, the results of this study is that NPL has no significant effect on Bank Mega's net profit, and Bank Indonesia's interest rate also does not have a significant effect on Bank Mega's net profit, then it is also found that NPL and Bank Indonesia's Interest Rate simultaneously contribute 9.3% to profit Bank Mega's net and the remaining 90.7% is influenced by other unknown factors.    Keywords: Non Performing Loan, Bank Indonesia interest rate, net profit

This study aims to determine the effect of Online Consumer Review on Purchase Intention with Brand Awareness as an Intervening Variable at Shopee into STEKOM University’s students. The primary data was obtained by distributing questionnaires to buyers who have shopped at Shopee which consists of 23 questions. Samples of 130 respondents taken by random sampling technique. The analytical tool used in data processing uses Multiple Linear Regression with the help of SPSS version 25. The results show that Online Consumer Reviews ( Online Reviews on Website, Consistency of Online Reviews and Website Popularity) have a positive effect on brand awarensess at Shopee. Online Consumer Reviews (Online Reviews on Website, Online Consistency of Reviews and Popularity of Website) variables also have a positive and significant effect on Purchase Intention.  Meanwhile, the Brand Awareness variable is not able to mediate Online Consumer Reviews on Purchase Intentions at the Shopee shopping platform.