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Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

Appropriate financial management is key in managing regional finances that are vulnerable to risk. Even though financial risk exists, this does not always indicate a violation. Good financial management in the regions is the key to demonstrating the effectiveness and efficiency of the use of public funds. This study uses a qualitative approach with primary data sources through interviews and direct observation in the field. The research results show that the South Magelang District OPD has implemented accounting procedures in accordance with regulations, achieving a full level of accountability with optimal transparency in administration and financial accountability. However, continued efforts are needed in financial management, supervision and reporting to maintain public trust and increase the effectiveness of financial management in the future.  

This research aims to conduct an in-depth analysis of the administrative process for container Delivery Order (DO) handling implemented at Batu Ampar Port, Batam. The primary focus is to identify the procedural stages and evaluate the obstacles encountered during the DO issuance process. The Delivery Order is a crucial import document that serves as a transit permit, enabling service users to retrieve imported goods from the port area. The research methodology employs field research (field research) supported by a literature review (library research), allowing for the practical and thorough collection of operational data. The findings indicate that the administrative DO handling workflow commences with the receipt of documents from the shipping company representatives or service users, followed by the segregation of documents based on the company, recording the number of DOs, and culminates in the printing and validation of Form 2B, which serves as the official proof of cargo collection. This entire process demands close coordination among work units, particularly the administration and container depot sections. The study concludes that the effectiveness of DO management significantly impacts the smooth distribution of imported goods from the port. Common constraints frequently encountered include data inconsistency between the Bill of Lading and the received DO, as well as limitations in facilities and human resources within the administrative process. Recommended solutions include increasing supervision and refining the communication system between the applicant and the officials to ensure that the DO issuance process proceeds smoothly, promptly, and in compliance with established procedures.  

The Web-Based Academic Service Management Information System at SMA Negeri 2 Kodi Utara was developed to improve the effectiveness and efficiency of academic data management at the school. Currently, academic data management, including grade input, class schedules, teacher information, and academic reports, is still done manually, often causing delays and potential errors in recording. This study aims to design and create a web-based information system that can assist educational institutions in managing academic services in an integrated and real-time manner. The software development method used is the Waterfall model, which includes the phases of needs analysis, system design, implementation, testing, and maintenance. The programming language used is PHP with a MySQL database system. The result of this study is an academic management information system that can facilitate various academic activities, such as managing student data, teacher data, grades, class schedules, and academic reports. This system also makes it easier for teachers to input grades and provides fast and accurate access to academic information for students and the principal. With this system, the academic administration process at SMA Negeri 2 Kodi Utara becomes more organized, efficient, and transparent.

Hypertension is one of the most common non-communicable diseases, with a high incidence rate that has become a major global health concern. It is often referred to as a “silent killer” because many patients are unaware of their condition until serious complications arise. In Indonesia, the prevalence of hypertension is relatively high, yet many sufferers remain undiagnosed or do not receive proper medical treatment. Several risk factors contribute to hypertension, including age, heredity, high-salt diet, obesity, lack of physical activity, and unhealthy lifestyles such as smoking and alcohol consumption. Without proper management, hypertension may lead to severe complications such as stroke, heart failure, and chronic kidney disease. Management of hypertension generally involves pharmacological therapy, such as the administration of antihypertensive drugs, as well as non-pharmacological interventions through lifestyle modifications. Nurses play a crucial role in patient education, monitoring, and preventing complications through comprehensive nursing care. The purpose of this study is to describe the nursing care provided to Mr. R, who experienced a cardiovascular system disorder, namely hypertension, in the Dahlia Ward of RSUD dr. Soeselo, Tegal Regency. The research method used was descriptive with a case study approach, allowing for a systematic and clear presentation of the patient’s condition. The case findings showed that the patient’s main complaint was a headache radiating to the nape of the neck. Based on nursing assessment, two nursing diagnoses were identified: acute pain and lack of knowledge regarding the disease and its management. Interventions were determined using national standards such as SDKI, SLKI, and SIKI, which are expected to reduce symptoms and improve the patient’s understanding of hypertension.

Effective, efficient, and accountable public services are one of the fundamental pillars of good governance. At the village level, the success of these services is highly dependent on the performance of government officials, particularly in administrative services that directly address the community’s basic needs. This study aims to analyze employee performance in administrative services at the Maliran Village Head Office, Ponggok Subdistrict, Blitar Regency, and to identify obstacles faced during the service process. A descriptive qualitative research method was employed, with data collected through observation, interviews, and documentation. The findings indicate that employee performance can be categorized as fairly good based on ten performance indicators: work quality, work quantity, timeliness, effectiveness, independence, reliability, responsiveness, assurance, empathy, and tangible evidence. These aspects reflect that village officials are generally able to carry out their duties in meeting the administrative needs of the community. However, several obstacles remain, including reliance on digital technology that is not supported by adequate infrastructure, particularly the frequent occurrence of power outages which disrupts the continuity of services. The study highlights the importance of strengthening digital infrastructure, enhancing technical training for village officials, and ensuring the availability of backup systems to anticipate service interruptions. These efforts are essential to improve service delivery, strengthen public trust, and support the realization of good governance at the village level.

Errors in the pre-analytical phase are a dominant factor causing inaccurate laboratory test results, including blood serum cholesterol analysis. Pre-examination specimen handling is crucial to ensure the quality of measurement results. This study aimed to compare serum cholesterol levels in blood frozen before centrifugation with those immediately centrifuged. The research method was analytical using a cross-sectional design. A total of 35 respondents were involved, consisting of laboratory staff, emergency room staff, pharmacists, and administration at Sinar Kasih GKST Tentena Hospital. Blood samples were obtained via venipuncture after participants had fasted for 10–12 hours. Each sample was then separated into two groups: those immediately centrifuged and those frozen 20–30 minutes before centrifugation. Data collection was carried out by examining serum cholesterol levels using an Erba Mannheim Chem-7 photometer. The results showed that the average cholesterol level in frozen samples was higher (161.4 mg/dL) compared to samples immediately centrifuged (140.45 mg/dL). The Mann-Whitney statistical test yielded a p-value of 0.006 (p<0.05), indicating a significant difference between the two treatments. This confirms that pre-analytical handling of blood specimens significantly impacts the validity of cholesterol test results. Therefore, careful attention to the pre-analytical stage is essential to ensure the accuracy of laboratory results.

Colitis is an inflammatory characterized by thickening of the mucosal wall of the colon. The Colon In Loop examination is one of the diagnostic procedures for colitis, utilizing contrast media to assess the functional condition of the colon. At the Radiology Installation of RSUD (Regional General Hospital) Banyumas, the radiological procedure for Colon In Loop was performed on post-colostomy patients, thus differs from previous studies. This study aims to identify the examination procedure of Colon In Loop at RSUD Banyumas, the rationale for using Anteroposterior (AP) and Lateral projections, and the reason for not performing evacuation before the administration of negative contrast media. This qualitative descriptive study employed a case. The subjects included three radiographers, one radiology nurse, and one radiology specialist. The object of study was the Colon In Loop Post Colostomy examination procedure in colitis cases. Data were collected through observation, interviews, documentation. Data analysis involved data reduction and data presentation. confirmed with theory, and narrative presentation leading to conclusions. Result shows contrast media consisting of 250 grams of barium sulfate dissolved in 1000 ml of water (25% w/v). The examination is performed in stages followed by AP and Lateral projection imaging to evaluate contrast distribution in the colon. Negative contrast media administration is performed without prior evacuation to enhance patient comfort and reduce examination time. When administering negative contrast media, evacuation is not performed before air is introduced. This is done based on the patient's condition, to shorten the examination time, and due to considerations regarding the quality of barium sulfate; thus, evacuation could impair barium adherence to the colon mucosa. In conclusion, AP and lateral projections are considered adequate for establishing a diagnosis of colitis. The omission of evacuation is based on patient condition, time efficiency, and the suboptimal quality of barium. It is recommended to perform evacuation and increase barium concentration to improve adherence to the colon mucosal wall.

The background for the establishment of Law Number 27 of 2022 concerning Personal Data Protection raises a critical question that the Indonesian government must address, who will oversee and safeguard the security of citizens' data in public administration systems. The purpose of this study is to examine the implementation of One Data Indonesia through Presidential Regulation Number 39 of 2019 (Perpres No. 39 of 2019) regarding One Data Indonesia, which remains a strong foundation for regulating government data governance. Unfortunately, this regulation does not yet include security aspects, which should be one of the principles of One Data Indonesia. This study explores Perpres No. 39 of 2019 as a critique of the regulation. The findings highlight the importance of incorporating security aspects to protect the sovereignty of government data used in public administration, especially in electronic processes conducted domestically. The principle of data security is a crucial component of the implementation of One Data Indonesia, which will be integrated with various other policy products, such as the Presidential Regulation on Electronic-Based Government Systems, the Presidential Regulation on Accelerating Digital Transformation and Integration of National Digital Services, the Law on Information and Electronic Transactions, the Law on Personal Data Protection, and other relevant regulations.

This study aims to analyze the implementation of the Unit Dose Drugs Dispensing Sistem (UDDDS) based on the SERVQUAL theory at the Inpatient Pharmacy Installation of RS “X”. The research method used a quantitative design with SERVQUAL questionnaires given to pharmacists and nurses, supplemented by in-depth interviews to explore perceptions of the UDDDS implementation. Data analysis was conducted using univariate, bivariate, and multivariate methods. The results of the study indicate that all SERVQUAL dimensions significantly influence the quality of UDDDS services. Based on multiple linear regression analysis, the dimension of Assurance had the most dominant influence on service quality, with a B value of 8.464 and a contribution of 35%. This was followed by Empathy (B = 7.475, 31%), Tangibles (B = 7.547, 28%), Responsiveness (B = 4.847, 20%), and Reliability (B = 3.475, 16%). These findings suggest that the Assurance dimension, which includes trust and confidence in healthcare professionals, plays a crucial role in improving service quality at the Inpatient Pharmacy Installation. Overall, the findings indicate a significant relationship between the implementation of UDDDS and improvements in hospital service quality, particularly in terms of timely medication administration, reduced medication returns, and increased healthcare worker satisfaction. The reduction in medication returns reflects the efficiency of the drug distribution sistem, while the increased satisfaction of healthcare workers shows that UDDDS contributes to better service quality. These findings emphasize the importance of strengthening the Assurance dimension through improving the competence, ethics, and professionalism of healthcare workers. Additionally, integrating UDDDS into the hospital's quality indicators is essential for establishing a sustainable quality culture. This will support the overall improvement of service quality at the hospital.

This research explores the Media Relations strategies implemented by the Partai Amanat Nasional (PAN) faction in the context of political communication during the administration of President Prabowo Subianto. Building a positive image in politics through effective relationships with the mass media is essential. The purpose of this study is to identify the strategies employed by the PAN faction in managing relations, developing strategies, and expanding networks with the media. The public image of the PAN faction is shaped through media coverage. This research applies Media Relations strategy theory, which includes managing relationships, developing strategies, and network building, as well as image formation theory, which encompasses perception, cognition, motivation, and attitude. A qualitative method with a descriptive study approach was used, and data were collected through interviews and documentation. The findings reveal that 1.) The PAN faction actively engages in communication through media gatherings, press conferences, doorstop interviews, advertorial collaborations, and media involvement in discussions. 2.) The faction disseminates information using both conventional and digital media, emphasizing engagement and transparency. 3.) PAN also builds partnerships with external organizations through audience meetings, seminars, training, and discussions as efforts to expand its communication network. 4.) Supporting factors include the openness of the media team and the availability of communicative spokespersons, while obstacles arise from the rapidly changing dynamics of social media and limited control over external media content. 5.) The National Mandate Party faction builds its image through strategic and responsive communication across both digital and traditional media. However, challenges

The Indonesia National Single Window (INSW) is an integrated system designed to facilitate, accelerate, and simplify port administration processes through real-time data exchange among relevant agencies. The purpose of this study is to analyze the effectiveness of implementing the INSW system in synchronizing data between customs and other related agencies within the ship agency process at PT. Samudera Shipping Agency Dumai. The research method employed is qualitative, with data collected through library research and field studies. The field study was conducted through direct observation and interviews at PT. Samudera Shipping Agency Dumai, while the library research involved reviewing various related sources, including journals, books, and government regulations. The results of the study indicate that the INSW system makes a significant contribution to harmonizing data between agencies, which positively impacts administrative efficiency, information transparency, and the reduction of data errors, particularly in interactions with customs. The system also supports improved coordination among related parties, such as quarantine offices, harbor masters, and port authorities, thereby enabling more effective services. However, several challenges still hinder optimal performance, including human resource readiness, limited internet connectivity, and dependence on the stability of the central system. These obstacles may lead to technical issues such as system errors, delays in document verification, and even risks of power outages, which could potentially cause delays in data submission and result in sanctions from authorities. In conclusion, the INSW system has proven effective in expediting and simplifying ship agency processes at PT. Samudera Shipping Agency Dumai. Nevertheless, to achieve greater effectiveness, continuous training for human resources, improvement of digital infrastructure, and the development of a more modern, transparent, and internationally competitive system are required.

The Department of Education and Culture of Situbondo Regency is a government agency responsible for providing administrative services to schools within its jurisdiction. However, based on field survey results, the current system still faces significant challenges due to its lack of integration. For instance, the process of collecting physical documents and tracking application status remains inefficient, leading to various obstacles such as service delays, risks of data loss, inconvenience for applicants, and limited transparency and accountability in data management. To address these issues, this study proposes the design of a web-based school administrative service information system. The system development process employs the Structured Systems Analysis and Design Method (SSADM), which emphasizes systematic and structured procedures to ensure functionality and efficiency. The results of this study highlight the importance of adopting information technology within government institutions, particularly the Department of Education and Culture of Situbondo Regency, as a means of supporting administrative activities. The proposed web-based system is expected to streamline administrative processes, improve service delivery, and enhance transparency in managing school-related data. Moreover, by integrating digital solutions into governance, the system can contribute to strengthening the quality of education management and supporting better decision-making processes. Ultimately, the design of this information system demonstrates the potential of technology to transform public sector services and foster accountability in education governance.

A 37-year-old woman, G3P2A0, at 16 weeks of gestation, came to the community health center for her first antenatal check-up. The patient had no characteristic clinical symptoms, but the triple elimination screening results showed reactivity for HBsAg, with negative HIV and syphilis results. An ultrasound examination revealed a viable intrauterine fetus with normal findings. The patient had not received Hepatitis B immunization or vitamin supplements previously, and the patient's partner had not undergone Hepatitis B screening despite having a work-related risk factor. The patient was given iron and vitamin supplements and referred to the hospital for further evaluation. Comprehensive education was provided regarding modes of transmission, risks of maternal and fetal infection, prevention of vertical transmission, as well as the importance of Hepatitis B immunization and the administration of HBIG to the newborn within 12 hours after birth. This case emphasizes the importance of early antenatal screening, comprehensive education, psychosocial support, and collaboration between the patient, family, and healthcare providers to prevent vertical transmission of Hepatitis B. The education provided included essential preventive measures and infection control steps to protect both the mother and the baby. Proper management and follow-up monitoring are necessary to ensure the health of the mother and baby and prevent further complications.

This research was conducted on fourth-grade students of SD Negeri 01 Karang with the aim of analyzing the effect of the implementation of the Javanese culture-based Project Based Learning (PjBL) model on students' communication skills in the 2025/2026 academic year. The research subjects were 25 students, consisting of 12 male students and 13 female students. This type of research is quantitative with a One Group Pre-Test Post-Test Design. The research procedure began with the administration of a pre-research questionnaire to determine the level of instrument validity, and the results of the validity test showed that there were 10 questionnaire items that met the valid criteria for use in data collection. Data analysis was carried out through a normality test using the One-Sample Shapiro-Wilk formula and a hypothesis test using the Paired Sample T-Test formula. The results of the analysis showed a significance value <0.000 with a probability <0.05, so it can be concluded that the research hypothesis is proven, namely there is a significant effect of the implementation of the Javanese culture-based PjBL model on improving the communication skills of fourth-grade students. These findings confirm that project-based learning linked to local cultural contexts not only improves communication skills but also helps students better understand and appreciate their local cultural values. Thus, cultural integration in the PjBL model is an effective strategy for improving the quality of learning, both academically and strengthening students' cultural identities.

The rapid development of technology has greatly assisted human work in various fields, including education. One tangible outcome of technological progress is the availability of Microsoft Office applications, which consist of Microsoft Word, Microsoft Excel, and Microsoft PowerPoint. Microsoft Word functions as a word processing software that allows users to create, edit, and format documents, while Microsoft Excel is used for managing numbers and data, and PowerPoint plays an important role in preparing engaging presentations. However, the teachers at SD Masehi Kadu Eta are not yet able to operate Microsoft Word, Excel, and PowerPoint optimally, as the school has never conducted any specific training. Therefore, this community service program focused on providing training on how to utilize Microsoft Office for teachers at SD Masehi Kadu Eta. The training aimed to improve teachers’ knowledge and skills in using information technology, particularly in operating Microsoft Word, Excel, and PowerPoint. Through this program, teachers gained not only new experiences but also basic skills that can support their daily tasks, such as preparing school administration documents, creating reports, and developing more systematic teaching materials. The results of the program showed that the training provided significant benefits. Teachers demonstrated strong enthusiasm, actively participated in every session, and showed improvement in their understanding of Microsoft Office applications. They also expressed their expectations for similar activities to be carried out regularly so that their skills could continue to improve and better equip them to face the ongoing development of information and communication technology in the future.

Liver cirrhosis is a chronic disease characterized by progressive fibrosis, altered liver architecture, and the formation of regenerative nodules. Although it develops slowly, cirrhosis often leads to serious complications such as ascites, variceal bleeding, jaundice, and hepatic encephalopathy. According to the Global Burden of Disease Study 2019, cirrhosis is among the leading causes of death worldwide, with more than 1.4 million deaths annually. In Indonesia, the prevalence of cirrhosis is reported at 0.4% (Riskesdas, 2021) and shows an increasing trend over the years. This case study aims to describe the application of comprehensive nursing care in a patient diagnosed with liver cirrhosis using the nursing process approach. The research design was a case study conducted on Mr. R, who was admitted to Dahlia Ward at RSUD dr. Soeselo, Tegal. Data collection was carried out through interviews, observations, physical examinations, and medical record reviews. The results revealed that the main nursing problems identified were ineffective peripheral perfusion, ineffective breathing pattern, and knowledge deficit. Nursing interventions provided included positioning the patient in semi-fowler, monitoring vital signs, educating the patient about low-sodium diet and fluid restriction, and collaborating in the administration of diuretics and albumin. After three days of nursing care, the evaluation indicated clinical improvement, evidenced by reduced edema, decreased shortness of breath, and increased patient understanding of his disease and treatment plan. In conclusion, nursing care with a comprehensive process approach has a significant positive impact on the condition of patients with liver cirrhosis. Nurses play an essential role in assessment, planning, implementation, evaluation, and providing health education to prevent complications and improve patients’ quality of life.

This community service activity was carried out in Sladi Village with the goal of improving the digital literacy of village officials through the utilization of Artificial Intelligence (AI) plugins in Microsoft Word and Excel. The main issue faced by the village officials was their limited ability to use digital technology, which resulted in administrative tasks being carried out manually and inefficiently. Therefore, this digital literacy training aimed to enhance the skills of village officials in utilizing digital tools, especially AI, to support their administrative work. The method used in this activity was Participatory Action Research (PAR), which involved the stages of diagnosing, action planning, action taking, evaluating, and specifying learning. Evaluation of the activity was conducted using Likert scale questionnaires and open-ended questions to collect feedback from participants regarding their understanding and responses to the training provided. Data analysis was carried out using SPSS to calculate the mean, standard deviation, and qualitative findings from the open-ended questions. The evaluation results showed that the benefits of the activity (mean = 4.2) and the intention to implement AI (mean = 4.2) received the highest scores, indicating that the participants found the training highly beneficial and were motivated to apply AI in their daily tasks. On the other hand, the understanding of AI in Excel (mean = 3.7) and the assessment of the material (mean = 3.7) showed that further in-depth learning was needed to improve participants' comprehension and skills. Overall, the activity successfully improved the skills of village officials and raised collective awareness to transition towards a more efficient and adaptive digital village administration. This training is expected to positively contribute to the digital transformation in the village.

Accelerating the formation of cooperatives at the village and sub-district levels is a priority for the Indonesian government, as emphasized in Presidential Instruction Number 9 of 2025, which focuses on strengthening economic independence and equitable development across regions. In this context, the existence of a Management Information Sistem (MIS) plays a strategic role in increasing the efficiency and transparency of cooperative management, including through the use of the official digital platform, the Merah Putih website (https://merahputih.kop.id). This study was conducted using a literature review approach, including the selection of relevant academic articles and government policy documents, with the aim of examining the role of MIS in accelerating the formation and management of village cooperatives. The results of the study indicate that the implementation of MIS and the use of the Merah Putih website can significantly contribute to the effectiveness of administration, coordination among members, and accountability of cooperative financial reporting. However, there are still obstacles that require attention, particularly related to technological readiness, human resource skills, and access to digital infrastructure in rural areas. The implications of these findings emphasize the need for the development of a MIS that is adaptive to the needs of village cooperatives and sustainable policy support that encourages digitalization in the cooperative sector. Thus, this research not only provides an overview of the potential use of information technology in accelerating the strengthening of village cooperatives, but also offers an important contribution to the implementation of government policies in realizing inclusive and sustainable economic development in Indonesia.

Epilepsy is one of the most common chronic neurological disorders and can affect women of reproductive age, including during pregnancy. Pregnancy in women with epilepsy (WWE) presents various clinical challenges due to the complex interaction between physiological changes in pregnancy, fluctuations in antiepileptic drug (AED) levels, and the increased risk of seizures. Seizures during pregnancy not only pose a threat to maternal safety but also carry potential complications for the fetus, such as hypoxia, trauma, and impaired uteroplacental blood flow. Therefore, the management of epilepsy during pregnancy requires a careful and comprehensive approach. This report presents the case of a 41-year-old woman, G4P2A1, at 37–38 weeks of gestation, who presented to the emergency obstetric unit at Cut Meutia General Hospital with complaints of contractions following three episodes of seizures within the previous 24 hours. The patient had a 16-year history of epilepsy and was on regular neurologist follow-up, but she had discontinued her AEDs three weeks prior due to medication unavailability. She underwent an elective cesarean section with concurrent fimbriectomy as a permanent contraceptive method. Postoperatively, the patient experienced status epilepticus and decreased consciousness for approximately 24 hours. A multidisciplinary approach involving neurologists was implemented, including AED administration, enteral nutrition, close monitoring of vital signs and urine output. The patient's condition gradually improved, and she was discharged on the seventh day in a stable condition with well-healed surgical wounds. This case highlights the importance of optimal seizure control during pregnancy. Preconception counseling, appropriate AED selection, and regular drug level monitoring are essential in minimizing maternal and fetal complications. A multidisciplinary collaboration between obstetricians and neurologists plays a crucial role in achieving favorable outcomes.