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Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its significance, ensuring a more objective and systematic approach to patient recovery monitoring. This educational program involves a structured training session for healthcare workers, distribution of educational materials such as brochures and manuals, and evaluations both before and after the intervention to assess changes in knowledge and application. The results of the program indicate a significant increase in healthcare professionals’ understanding of how to apply the Bromage Score and improved quality in the monitoring of patient mobility after spinal anesthesia. The consistent and accurate implementation of the Bromage Score is crucial as it helps medical personnel determine an appropriate and safe time for patient mobilization, thus reducing the risk of complications such as falls, orthostatic hypotension, or delayed recovery. As a result, the program is recommended as a standard practice in healthcare settings to improve post-spinal anesthesia recovery outcomes and patient safety.

This research aims to analyze "The Influence of Distribution Channels on the Sales Volume of Purebred Chicken Eggs from Wijaya Kusuma Farm, Megulung Kidul Village, Pituruh District, Purworejo Regency". This research uses data collection and survey techniques using questionnaires and literature study. The sample used purposive sampling technique. The variables related to this research are distribution channels on sales volume using a simple linear regression analysis method. All statements were tested using validity and reliability tests which had a correlation > 0.300 (valid) and had an alpha coefficient > 6.0 (reliable). Based on a simple correlation, it shows that the relationship between the distribution channel variable and the sales volume variable is 0.591, meaning that the distribution channel variable has a moderate relationship with the sales volume variable. The simple regression equation Y = 16.078+ 0.341X results in a constant of 16.078. Analysis of the coefficient of determination shows that the contribution results from distribution channel variables are 15.3% and 84.7% are influenced by other factors. The t test shows that H1 the distribution channel variable partially has a positive and significant influence on the sales volume variable. This is indicated by thitung being greater than ttabel(2.787 > 2.016) and a significant level of (0.008 < 0.05).  

The informed consent form that not properly recorded, difficult to read, became a problem that occurs in the inpatient registration unit, so it was better to do it by typing to made it clearer and easier to read. the use of electronic informed consent forms provides easy distribution so that it can save time and costs. the use of electronic informed consent forms made it easier for officers in digital archiving on computers so they didn't save a lot of files. The aim of the study was to recommended that UPTD Puskesmas Baron made an informed consent information system interface design accorded to user needs, based on interface design, color, and input. This study used observations at the UPTD Puskesmas Baron, by observing 2 inpatient registration officers, conducting interviews with 2 inpatient registration officers. The result of this study was the informed consent form at the UPTD Puskesmas Baron was manual which was used as an approval for action in inpatient registration, that approval of action must be carried out by Permenkes No. which it must be exist with the suitability of the officer. This research has suggested implementation, socialization and training for the application of electronic informed consent forms.

Medical records are data used by hospitals that aim to support orderly administration in an effort to improve health services in hospitals. Research shows that there are still delays in providing medical record documents in hospitals spread throughout Indonesia where the provision of services that should be in accordance with SOPs is within 10 minutes, but the provision time is more than 30 minutes. Objective of This study is to examine the factors that cause delays in providing medical record reports for outpatient administration in hospitals spread across Indonesia. Methods of This study uses qualitative research with the type of literature review or literature review. This research was conducted by analyzing 15 peer-reviewed journal articles published between 2020-2021. Based on the results of the literature review above, the researcher underlines that the factors that cause the provision of medical records in several hospitals spread across Indonesia are man, material, method, machine, money factors. From the results of the literature review, researchers found factors that affect delays in the distribution of patient medical documents, namely human factors, machines, finances, materials and methods.

Efforts to increase economic growth in Indonesia, the discourse that is often discussed is the use of the creative economy concept. In connection with the government's efforts to realize creative economic development and create halal products, the position of the government in increasing MSMEs is urgently needed. The purpose of this community service is to provide training on the latest insights to all parties involved in developing micro-enterprises through the creative economy. The method of implementing the activity consists of several stages. In the preparatory stage the team conducted a location survey, strengthening and determining target locations, and preparing socialization materials. In addition, participants participated in assistance in making halal products. The implementation stage of the program is in the form of lectures or outreach, tutorial activities, discussions and MSME training assistance. The material presented in the socialization is in the form of an introduction to the production process of halal products and provides direction in making halal labels. The results and outputs of the activities after the socialization was carried out, namely first, introducing the production process for halal products to the public, in this case the socialization team provided an understanding of how important the distribution of industrial potential is through the creative economy. Second, provide assistance in the form of making halal labels where at this stage the socialization team provides an understanding that in Islam products cannot contain harmful ingredients because they will have a negative impact on consumers and society.

Rapid technological advances make print communication media begin to be shifted by information media that utilizes computer technology as a means of delivery. Technological developments change the teacher's task from being a teacher to a facilitator who provides convenience in learning. SD Negeri 004 Bangsal Aceh is one of the schools that still applies the mathematics learning process using textbooks so that students do not understand the lesson. Teachers are required to make changes in teaching patterns in the classroom, one of which is with animated videos. This study uses the Multimedia Development Life Cycle (MDLC) method covering concept, design, collecting material, assembly, testing and distribution. The final result of this research is an animated video of mathematics learning about the material of flat shapes. Animated videos are used as an interesting and effective means of information and learning media. Besides that, it can also improve students' understanding and skills in learning mathematics, especially the material of flat shapes

The purpose of this study was to determine the effect of promotion on the number of new student registrations at the Tangerang Nusantara Tourism Academy. This type of research is quantitative research. The population used is all prospective students who register in T.A 2021/2022 as many as 140 students of the Tangerang Nusantara Tourism Academy. the sample was selected as many as 80 respondents. determined by using a random sampling technique. The data collection technique used is the distribution of questionnaires in the form of a questionnaire through the google form application. By using simple linear regression analysis. Data analysis used descriptive statistics, namely by looking for correlation coefficients and simple linear regression using t test. This research was carried out on June 1 - August 31, 2022. Based on statistical results using the SPSS 22.00 application, the results showed "there was a significant effect of promotion on the number of prospective student registrations at the Tangerang Nusantara Tourism Academy" with a promotion percentage rate of 33.98% in increase the number of student registrations.

 The purpose of this study was to determine the Accounting Information System for Cash Receipts in CV. Merapi Kendal, Central Java. The type of research that will be used is associative with a quantitative approach. The population in this study were employees of CV. Merapi Kendal, Central Java, which found 183 people, while the sample used in this study was 40 respondents using purposive sampling technique. The method of data collection through the distribution of the analysis questionnaire used in this study was multiple linear regression The results showed that Internal Control, Human Resource Competence and Organizational Commitment had a positive and significant effect on Accounting Information Systems and the adjusted value of R square in the regression model obtained was 0.816, which means that 81.6 percent of Accounting Information System variables can be explained by the variable Internal Control, Human Resource Competence and Organizational Commitment while the remaining 18.4 percent is explained by other variables outside this study.

Main Objective: This research targets AP sizing entrenched on image structure to raise denoising performance using an improved method for classifying image pixels. Background problem: Digital images may be blended by noise while the addition or communication process, affecting the authentic image signal. Image noise can cause problems at several stages of image processing equally image distribution. Accordingly, image denoising is a significant activity to recover the initial clean image signal from the detected noise signal. Novelty: The proposed WAV method has been refined and improved regarding the classification scheme, and the APS, and the classification results can be used as a mask on the noise image to fix identical patches. Research Method: This study proposes a WAV reprojection algorithm, with the PS being set dynamically entrenched on the image structure. Image structures are consistently taken with an upgraded and enhanced analysis method entrenched in the structure tensor matrix. Analysis results are also used to develop the analysis of comparable patches in images. Finding/Result: Empirical outcomes present that the noise cancellation work of the suggested method is better than the authentic WAVRA, along with several other modifications of the NLMA. Conclusion: In intensity profiles, the proposed method mostly has fewer changes to the original image values than other methods, thus, this method can be continued again to color images, and can also be applied to various types of data such as medical images.   Keywords: Weighted Average (WAV), Noise Cancellation Image, Non-Local Means (NLM), Adaptive Patch

The use of masks during the Covid-19 pandemic is very important to protect yourself and others from the risk of transmitting this virus. As it is known that most of the transmission of Covid-19 is through droplets, it is felt necessary to protect yourself. Masks can be a barrier for droplets both coming from within and from others. The purpose of research was to determine the description of compliance with the use of masks in the community during the pandemic in Kota Tengah District. This research method uses a quantitative descriptive approach with a cross sectional design. Samples were taken using cluster random sampling technique, Data was collected using a questionnaire sheet and data analysis was carried out using a frequency distribution table. The results showed that most of the people of Kota Tengah district were obedient in using masks but there were still many who did not comply with using masks

Transportation includes several things in relation to moving from one place to another such as road infrastructure, modes of transportation, to the management of its management. The existence of the terminal cannot be separated from the transportation component, especially the public transportation system. The existence of terminals is often accused of being the cause of congestion, this is due to incomplete planning for land use patterns, road network patterns, population distribution patterns, movement needs, operational systems and service levels that lead to a low level of terminal effectiveness.This study aims to determine the effect of the role of the department of transportation, infrastructure, and employee performance on the effectiveness of the Magersari type C terminal in Magelang City. Data was collected using a research instrument in the form of a questionnaire. The sample in this study were 75 respondents, namely public transport drivers at the Magersari type C terminal. The method of analysis used multiple linear regression analysis. The regression formulation in this study is as follows:Y = 2,048 + 0,314X1 + 0,198X2 + 0,258X3 + µ. The results of multiple linear regression showed that there was a partial positive effect on the role of the transportation agency on the effectiveness of the terminal (tcount 3.195 > ttable 1.99346), infrastructure to the effectiveness of the terminal (tcount 2.598 > ttable 1.99346) and employee performance on the effectiveness of the terminal (tcount 2.882 > ttable 1.99346). The influence of the three research variables is very strong with the correlation coefficient of determination (Adjusted R2) = 0.538 which means that the variables of the role of the transportation service (X1), infrastructure (X2), and employee performance (X3) have an effect of 53.8% on the effectiveness of the terminal (Y ) and 46.2% (100% - 53.8%) influenced by variables outside this study.

Monitoring is a process of monitoring and analyzing information based on certain indicators. Every company engaged in distribution and promotion must carry out monitoring activities. Including PT. Single Paint Factory, Djaja Indah, Kediri Branch, which also continuously monitors the sales results of the sales consultants who work in several partner stores. The process of reporting sales results that have been carried out so far is still using conventional methods so that sometimes it interferes with the monitoring process due to delays in sending reports. To make this easier, the author makes a website-based monitoring application to help smooth the monitoring process of Sales Consultant sales results. To produce a quality application, the author uses the goal question metrics method as a method for measuring application quality. Goal Question Metric (GQM) is a method used to define application measurement models. The application of the GQM method in this study was carried out with the initial stage of factor analysis of the application quality model based on the ISO 25010 Quality Model. The next stage was making questionnaire questions regarding application characteristics and calculating the results of the questionnaire with the weighted summattion metric. From the results of measuring the quality of this monitoring application, the average quality value is 3.08, which means that this monitoring application is included in the application with good quality (Medium). The functionality available in the monitoring application is in accordance with the needs of users of the sales consultant monitoring application.

This research was conducted in one of the retail state sukuk distribution partners, namely Bank Syariah Mandiri (BSM) with the aim of knowing how the sales procedure and accounting treatment for the sale of retail type state sukuk issued by the government. The research method used in this research is descriptive qualitative analysis method, and this research uses technical analysis of case studies. The results obtained in this study are that Bank Syariah Mandiri as a sales distribution partner in carrying out sales procedures, there is one provision that is not in accordance with the State Retail Sukuk Information Memorandum, namely the provisions for securities account storage fees. Meanwhile, the accounting treatment for the sale of Sukuk Ijarah at Bank Syariah Mandiri is in accordance with PSAK Sharia 110 concerning Sukuk Accounting with disclosure of the explanation of the underlying assets by the Minister of Finance, not Bank Syariah Mandiri.

This research aims to determine the effects of return on investment, operating cash flow, management assets, debt to equity ratio, and firm size on dividends. This research involved 23 companies listed on Indonesia Stock Exchange as the research sample. The sampling technique used was purposive sampling method. The analysis used multiple linear regression with E-Views version 9. The results show that return on investmetnt has an influence on cash dividends, while operating cash flow, management assets, debt to equity ratio and firm size do not have an effect on cash dividends.

The spread of narcotics in Semarang City in 2019-2020 is possible to increase, especially in the West Semarang area. It was proven that in 2017 it was revealed 198 cases then in 2018 it became 287 cases. The author is interested in examining the factors that influence the spread of narcotics in the West Semarang area and the public reaction to the spread of narcotics in the West Semarang area. Research in this writing uses Sociological Juridical type with descriptive-analytical research specifications through primary and secondary data sources. Based on the results of the study, the factors that influence the spread of narcotics in the West Semarang area can be divided into two major factors, namely internal factors and external factors which can be analyzed using the analysis of Criminal Sociology Theory such as Ecological Theory, Cultural Conflict Theory, Economic Theory, Differential Association Theory. ), and Anomic Theory, while the public reaction regarding the distribution of narcotics can be seen from two views, namely from the community and law enforcement officials. Keywords : Criminological Theory; Spread; Narcotics.

Background: Implementation of the family planning program still faces several obstacles. Factors that cause PUS to be reluctant to participate in family planning include: In terms of service, up to now, there is still a lack of quality, as evidenced by family planning participants who stopped using contraception. As well as in terms of delivery of counseling, it puts forward rational, effective and efficient contraceptive choices. Research Objectives: to determine the relationship between family planning services and counseling on obstacles to the implementation of family planning programs in the Bajeng Community Health Center, Gowa Regency. Methods: This study used a Cross Sectional Study method. The sample in this study was PUS who did not participate in family planning. The sampling technique was purposive sampling. Data were processed using SPSS and descriptive and bivariate analysis using the chi-square test and presented in the form of a frequency distribution table. Results: This study shows that there is a relationship between family planning services and obstacles in the implementation of the family planning program where the p value is obtained. There is a relationship providing counseling to obstacles in the implementation of the family planning program where the value of p =, 000. This means that the p value <? (0.05) because the p value is less than 0.05. Conclusion: There is a Relationship between Family Planning Services and Counseling Providing Against Barriers to Implementing Family Planning Programs in the Work Area of the Bajeng Community Health Center.  

Earth, water and space as well as the natural resources contained therein under the control of the State are gifts from God Almighty whose functions and uses are for the prosperity of the people. Land for the Indonesian Nation is a source of livelihood and is regulated in the provisions of the Law. The Basic Agrarian Law No. 5 of 1990 lays the foundation on providing legal certainty for land rights for the Indonesian people. Legal certainty is obtained after the land registration process. Land rights that have legal certainty can be transferred or transferred. however, in the process, disputes over land rights still occur in the community. Blocking of Land Rights Certificates is taken as an administrative step in the dispute resolution process, but there is a period of only 30 days to record the blocking of Peru, it is known how the factors of land blocking, how to know the position of the holder of the Land Rights certificate when the block is being blocked and when the period is 30 blocking day is over but the dispute has not been resolved. The type of research used by the writer is juridical normative and descriptive analytical research specification by collecting data by means of literature study and interviews which are presented in a descriptive manner and analyzed in a descriptive qualitative manner. The results of the research and data analysis carried out show the factors that cause the blocking of Land Rights Certificates, namely: a. Gono-Gini distribution of assets, b. Land Rights Holders do not have good faith, c. Distribution of Inheritance, d. Lost Certificate, e. There is an investigation by the Police, f. Land rights confiscated by the State Receivables Affairs Committee (PUPN) in connection with the settlement of State Receivables. Legal protection & the position of the Land Rights Certificate Holder when the blockage is carried out is that the right holder cannot take legal action against the blocked land for 30 days after the block registration was carried out, article 19 UUUPA / PP 241997 regarding registration will not be lost The legal certainty of the rights holder remains attached to it as long as there has been no transfer of rights to the land they own. If the 30 day period of blocking is over but the dispute has not been completed, the blocking will not be removed by law and will remain in effect as long as there is no request for revocation by the applicant or the provisions -Other provisions which become the reasons for the removal of the block in accordance with article 14 of the Regulation of the Minister of ATR / Head of the National Land Agency No.13 of 2017 concerning the Procedure for Blocking and Confiscation, this is because in the Land Office (Semarang) there is no system that can identify or filter out expired blocks.   Keywords: Land Registration, Legal Certainty, Rightsholders, Blocking of Land Rights Certificates, Position of Rightsholders

The information system for purchases and cash disbursements is one of the entire information systems. In retail sales companies need control of purchases and cash disbursements that are precise and fast. In an effort to minimize sudden out-of-stock inventory, it is necessary to secure an inventory to cope with a sudden out of stock due to delays in purchasing goods that occur at CV. New Space. This is what encourages the author to conduct research on CV. Angkasa Baru and choose the title "Purchasing Information System and Cash Distribution at CV. New Space. In writing this research systemin formation, the author uses the Microsoft Visual Basic 6.0 application, the research writing method uses the Research and Development (R&D) model, while the stages of this research model go through the stages of observation or interviews with parties related to the data required in writing this thesis, stages of designing the application system, designing specifications, validation test stages, revision of validation until the system passes. The development method used by the author is the prototype method, where the system created will be tailored to the needs of the user, if there is a change in the system it will be repaired until the user is satisfied with the system.

Multimedia learning software development requires design methods, development tools, examination models and proficiency in Information Technology systems. It is necessary to formulate a Holistic Method which considers all related aspects in order to guide the quality of good design in designing Multimedia Learning. Implementing the findings of the Holistic Method formulation to build multimedia learning with good design quality. This study formulates the stages of multimedia development which include: Creative Brief, Design, Material Preparation, Compiling, Testing, Distribution. The multimedia software development process will be guided by 15 guiding elements which are grouped into 5 elements, include : content, appearance, utility aspect, user caracter, and didactic. These guiding elements are used to produce good quality learning multimedia designs. The methodology is called Holistic Multimedia Development Model (HMDM).

Over time, the Riau Kepualaun Provincial Tax Management Office which lives in Batam City underwent a name change to become a Regional Tax and Retribution Management Agency for the Riau Islands Province (BP2RD). This study aims to design a dashboard that can assist Eschelon officials in monitoring the performance of the State Civil Apparatus (ASN) at the Regional Tax and Retribution Management Agency of the Riau Islands Province. Because there is no system that displays information related to the work done and completed by an ASN, a dashboard design is needed. Data on the dashboard system is obtained from ASN performance data consisting of activity grouping data, activity weights, monthly targets in one year, and distribution of incentives and employee income benefits based on the achievement of target weights. The modeling system used is the Unified Modeling Language (UML), with the use case, activity, sequence and class diagram stages. While the development of this research system uses the Macro Process method in Object Oriented Analysis Design (OOAD) with the stages of Requirements, Analysis and Design, Implementation and Testing. The dashboard is designed based on a website, using the PHP programming language and using MySQL as the database. Qualitative research techniques, by collecting data and information descriptively. The results of this study display a dashboard in the form of text consisting of the number of employees, targets, target achievement, target percentage, target employee income allowances, and employee income allowances obtained, as well as a dashboard in the form of a pie chart and bar chart for target and achievement percentages respectively. target, it is hoped that this dashboard can assist Eschelon Officials in assessing and monitoring the performance of the State civil apparatus.