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This study aims to determine the amount of deposition due to the volume of sediment mixed with solid household waste in the canal which is high enough to become shallow, resulting in a change in the geometric cross-section of the canal in the primary canal and damage to the irrigation network of D.I. Cipicung. The method used in this research activity uses a mathematical analysis technique from Chow and Grag theory in the form of sediment depth and geometric changes in the channel cross section. The results show that the volume of sediment deposited in the primary canal is Vq primary = 16.24 m3 (section length of 50.5 meters from a channel length of 300 meters) and the geometric change in the cross section of the primary channel is A = 1.24 m2. The amount of sediment volume that affects the geometric changes in the cross-section of the primary channel that needs to be repaired is that the canal linings are still alluvial with construction linings, removal of sediment that has been mixed with solid waste, and periodic maintenance.

Introduction. Tuberculosis (TB) is one of the oldest diseases known to attack humans, caused by the bacterium Mycobacterium tuberculosis. Multi-drug-resistant TB (MDR-TB) is a stage or condition in which Mycobacterium tuberculosis becomes minimally resistant to rifampicin administration and also insonicotinylhydrazine (INH). Extensive-drug-resistant TB (XDR-TB) is an MDR-TB with Mycobacterium tuberculosis immune characteristics against one of the fluoroquinolone class drugs and one of the second-line injection OAT (capreomycin, kanamycin, and amikacin). The aim of this study was to find out the description of variation in laboratory costs of MDR-TB/XDR patients on one treatment cycle. Method. The inclusion criteria were patients who had been diagnosed with MDR-TB/XDR and performed laboratory tests. The design of this study was a cross-sectional retrospective analytics using medical records of MDR-TB/XDR patients in MDR division. Results. There were 30 MDR-TB research subjects and 2 XDR-TB research subjects examined for laboratory examination. Comparison of laboratory mean of MDR-TB/XDR (p = 0,018). Discussion. There was a significant difference in the total cost of MDR-TB/XDR laboratory examinations in one treatment cycle. Conclusion. Laboratory examination of MDR-TB/XDR patients requires considerable cost, this is due to the side effects of OAT that require patient clinical monitoring.    

At this time, business is very easy to do because there are already systems that help the development of a business. There are several examples of business development systems, one of which is an ERP (Enterprise Resource Planning) system. With this system, it can help entrepreneurs to make a business plan so that it can run more effectively and efficiently. In addition to making business more effective and efficient, this system can also be combined with SCM (Supply Chain Management) so that these businesses can maximize the company's performance. There are lots of companies that use this ERP system, for example, CV Sumber Cipta Agung, which is engaged in producing food and beverages. CV Sumber Cipta Agung is a company engaged in the field of beverage manufacturers in the city of Batam which uses this system in developing its company to improve supply chain management (SCM) performance. The method used in this study is the method of interviews and literature review. CV Sumber Cipta Agung conducts its resource planning using SAP software and manages its supply chain system using the cross docking method.

Sacrificial offerings are something that cannot be separated from the beliefs of every believer. Christ willingly died on the cross to redeem His people. Therefore, how important the sacrifice of Jesus Christ is for humanity. For that, it is very important to understand the meaning of the sacrifice of penance. The meaning of the sin offering is an admission of guilt before God. the meaning of the sin offering must be known from the old and new testaments, namely the sin offering. The sin offering in the Old Testament was the sacrifice of a lamb to take away the sins of God's people. In the new covenant, the sin offering is Jesus Christ, who died on the cross as a sin offering in Ephesians 2:5-9. Therefore, it is very important for believers today to know and understand the true sacrifice and sin offering.

The existence of the cosmetics industry basically has a positive impact but also creates new problems because there is still inadequate management of liquid waste. The aim of the study was to find out how the coagulation and flocculation processes affect the quality of BOD, COD, and TSS in wastewater treatment plants. This research method uses a qualitative type method, based on its type with a cross sectional approach with an observational researchhmethode. The populationnof this study is the outlet of the Wastewater Treatment Plant which has undergone coagulation and flocculation processes. The samples used were outlets after the coagulation and flocculation processes were carried out at the WWTP in Cosmetic Industry X, Depok City. The results from the inlet levels of BOD 2,152 mg/l, COD 5,380 mg/l, and TSS 1,830 mg/l. The outlet levels of the Cosmetic Industry X Wastewater Treatment Installation in Depok City showed a BOD level of 15 mg/l, a COD level of 63 mg/l, and a TSS of 20 mg/l. In this study the contents of BOD, COD and TSS in cosmetic industry waste X in Depok city were included in the water quality status with good quality after coagulation and flocculation processes.

The condition of the feet of DM patients is one of the indicators that must be studied in monitoring the incidence of ulcers. In DM patients, ulcer problems can occur as a result of vascular and neurological damage. Both causes are initiated through poor metabolic control as assessed by blood glucose levels. The purpose of this study is to analyze several factors that are theoretically and empirically related to the condition of the feet. This cross-sectional study was conducted on the DM group in Palembang city (n = 50), by filling out a characteristic questionnaire, examining foot conditions, and measuring fasting blood sugar levels. The research findings revealed that of all the factors tested with Kendall Tau, blood sugar levels were the only one that was significant (p-value = 0.002) so that it could be significant as a predictor of the condition of the feet. Controlling these levels is important in controlling the incidence of ulcers in patients. The next step that can be taken is to carry out a thorough examination of the patient's neurovascular condition with the Ankle Brachial Index (ABI) and the Michigan Neuropathy Screening Instrument (MNSI).

Higher education aims to hone the abilities and competencies needed in the future. In the lecture process, students required to complete assignments. The large number of assignments makes students often cause burnout. The technique applied is quantitative techniques using cross-sectional design. Sampling using questionnaires with a variable number of tasks and a variable burnout rate the value of the regression coefficient for the number of tasks shows a value of 0.853, indicating that the variable number of tasks has a positive influence on the burnout rate. The variable significance value of the number of tasks is 0.28, where the value is 0.05. The results of the hypothesis test prove that the number of tasks had a substantial and positive caused on the burnout rate.

Tuberculosis (TB) is an infectious disease that can attack various organs, especially the lungs. People with Diabetes Mellitus are more susceptible to tuberculosis infection because there is damage to the function of immune cells. This study was conducted to determine the relationship between Diabetes Mellitus type 2 and the area of lesions in thoracic photos of tuberculosis sufferers at Konawe Hospital. This study used an observational analytical research design with a cross-sectional approach. The results of this study obtained 7.4% of Diabetes Mellitus type 2 patients with Tuberculosis in the broad lesion category and based on the results of the spearman test obtained a value (p = 0.036) (r = 0.405) which means that there is a significant relationship between Diabetes Mellitus type 2 and the area of the lesion in the thoracic photo of tuberculosis sufferers at Konawe Regency Hospital

Pekerjaan membersihkan jalan memerlukan penilaian potensi bahaya ergonomi. Tujuan dari penelitian ini adalah untuk mengevaluasi faktor bahaya ergonomi pada pekerjaan membersihkan jalan di Area ITS Raya dan menentukan potensi bahaya yang muncul dari pekerjaan tersebut. Penelitian ini menggunakan metode analitik kuantitatif dengan desain penelitian yang digunakan adalah cross sectional. Hasil penelitian diharapkan dapat membantu untuk mengetahui potensi bahaya pada pekerjaan membersihkan jalan dan memberikan rekomendasi untuk pengurangan risiko pada pekerjaan tersebut. Dari hasil penelitian dapat disimpulkan bahwa terdapat beberapa faktor bahaya ergonomi yang dapat berdampak pada kesehatan pekerja diantaranya adalah postur tubuh yang tidak tepat, kelelahan otot, dan beban kerja yang berlebihan. Oleh karena itu, perlu dilakukan peningkatan kesadaran dan pengetahuan pekerja dalam menjalankan pekerjaan membersihkan jalan agar dapat mengurangi risiko bahaya ergonomi pada pekerjaan tersebut.

PT. Pos Indonesia is one of the first companies engaged in the field of freight forwarding services in Indonesia.  Companies need cash to run their business, pay off obligations and distribute dividends to investors.  Therefore, maintaining cash liquidity by establishing an internal control system for cash is the most important concern for the company.  The purpose of this study is to determine the supervision and control of the KCP ceiling at PT Pos Indonesia.  This study used a qualitative method with primary and secondary data collection.  The analysis that the researchers did was to use a Cause-Effect Diagram to map the constraints and causes of excess PAGU in KC/KCU.  The results in the study found that there were still several ManKug who did not know that PT.  Pos Indonesia implements a cross-subsidy system in which if the profit unit retains its funds, it will have a significant impact on units with a deficit.  The conclusion from this research is cause and effect (Fish Bone) that there are 6 factors that influence the advantages of PAGU in KC/KCU namely Method, Human Resources, Internal (material), External (environment), System, and Time factors.

This study aims to find out the opinions of teachers and administrative staff regarding the management of BOS funds at the HKBP Sibolga Private Middle School in terms of the procedures for managing, using, and targeting BOS funds. This research is quantitative descriptive. The subjects of this study were all teachers and administration staff of the HKBP Sibolga Private Middle School for the 2020/2021 academic year, a total of 20 people. Data collection techniques used questionnaires and documentation to obtain data regarding the management of BOS funds related to the procedures for managing, using, and targeting BOS funds. The analysis technique uses cross tabulation and crosstab methods. The results showed that 90% of respondents (18 teachers and 2 administrative staff) stated that the procedures for managing BOS funds at HKBP Private Middle Schools complied with the 2021 BOS technical guidelines and only 10% of respondents (1 teacher and 2 administrators) stated it is not in accordance with. Regarding the use of BOS funds at HKBP Sibolga Private Middle School, 88.5% of teacher respondents (15 people and 1 uhsah administrative staff) stated that it was appropriate and only 11.5% (1 teacher) stated that it was not on target. So, it can be concluded that the majority of respondents are of the opinion that the management of BOS funds at the HKBP Sibolga Private Middle School for the 2021/2022 school year from the procedures for managing, using, and targeting BOS funds is in accordance with the technical guidelines for using BOS funds in 2022

Anemia pada ibu hamil harus dicegah atau diatasi karena jika hal tersebut terjadi, maka dapat meningkatkan risiko kelahiran prematur, kematian ibu dan anak, serta penyakit infeksi. Untuk mencegah anemia selama kehamilan, maka direkomendasikan untuk meminum tablet Fe. Namun efektifitas pemberian tablet Fe baru dapat dicapai apabila ibu hamil patuh dalam mengkonsumsinya. Dan salah satu faktor yang mempengaruhi kepatuhan ibu hamil dalam mengkonsumsi tablet Fe adalah motivasi dari ibu hamil itu sendiri. Tujuan: Untuk mengetahui hubungan antara motivasi dengan kepatuhan ibu hamil dalam mengkonsumsi tablet Fe di Klinik Borneo Kasih Palangka Raya. Metode Penelitian: Jenis penelitian ini adalah korelasional dengan mengunakan pendekatan Cross Sectional dengan teknik pengambilan sampel consecutive sampling, dengan jumlah 50 responden. Instrumen penelitian menggunakan kuesioner. Hasil Penelitian: Berdasarkan hasil penelitian dari jumlah 50 responden, didapatkan kategori motivasi tinggi sebanyak 41 responden (82%), tingkat kategori kepatuhan, patuh sebanyak 43 orang (86%) dan hasil uji Fisher Exact Test (yang merupakan alternatif dari uji chi-square) diperoleh nilai p=0.000 ≤0,05. Kesimpulan: Ada hubungan antara motivasi dengan kepatuhan ibu hamil dalam mengkonsumsi tablet Fe di Klinik Borneo Kasih Palangka Raya. Pentingnya dukungan keluarga seperti suami dalam memotivasi ibu hamil untuk mengkonsumsi tablet Fe, sehingga disarankan agar keluarga tetap memberikan dukungan agar selama masa kehamilannya ibu hamil memiliki motivasi tinggi dan patuh dalam mengkonsumsi tablet Fe.      

Hipertensi merupakan penyakit yang memerlukan terapi jangka panjang dalam penggunaan obat. Maka sangat diperlukan management hipertensi yang didasarkan pada kepatuhan terapi agar dapat mencapai dan mempertahankan tekanan darah sistolik dibawah 140 mmHg dan tekanan darah diastolik dibawah 90 mmHg serta dapat mengontrol faktor risiko. Metode Penelitian : Menggunakan Cross sectional. Teknik penentuan responden menggunakan Purposive sampling dengan menggunakan uji statistik Spearman Rank. Sampel adalah penderita hipertensi ringan-sedang yang berobat ke Poliklinik Pemerintah Kota Palangka Raya pada 8 November – 8 Desember 2022 berjumlah 46 responden dengan menggunakan alat ukur yaitu kuesioner. Hasil Penelitian : Hasil uji spearman rank menunjukkan bahwa didapat p value = 0,008 atau tingkat signifikasi p < 0,05 sehingga ada hubungan pengetahuan dengan kepatuhan minum obat penderita hipertensi di Poliklinik Pemerintah Kota Palangka Raya. Hasil uji spearman rank menunjukkan bahwa didapat p value = 0,049 atau tingkat signifikasi p < 0,05 sehingga ada hubungan sikap dengan kepatuhan minum obat penderita hipertensi di Poliklinik Pemerintah Kota Palangka Raya. Kesimpulan : Ada hubungan antara tingkat pengetahuan dengan kepatuhan minum obat penderita hipertensi dibuktikan dengan hasil p < α dengan tingkat signifikasi 0,05 menunjukkan hubungan yang signifikan dan bermakna antara tingkat pengetahuan dengan kepatuhan minum obat penderita hipertensi di Poliklinik Pemerintah Kota Palangka Raya. Ada hubungan antara sikap dengan kepatuhan minum obat penderita hipertensi dibuktikan dengan hasil p < α dengan tingkat signifikasi 0,05 menunjukkan hubungan yang signifikan dan bermakna antara sikap dengan kepatuhan minum obat penderita hipertensi di Poliklinik Pemerintah Kota Palangka Raya.

Perawat adalah salah satu sumber daya manusia yang berperan sangat penting di dalam pelayanan kesehatan yang ada di rumah sakit. Tantangan, beban kerja yang tinggi, kelelahan, stresor internal dan eksternal sering terjadi pada tenaga kesehatan bisa mempengaruhi kinerja dari perawat, perawat yang berkerja di ruang isolasi memiliki tingkat stres yang lebih besar dibandingkan dengan perawat ruangan lain. Masalah stres kerja merupakan masalah yang perlu mendapat perhatian karena akan berdampak pada produktivitas dan kinerja. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat stress dengan kinerja perawat di Ruang Isolasi Covid-19 RSUD dr.Doris Sylvanus Palangka Raya. Metode: Jenis penelitian ini adalah korelasional dengan mengunakan pendekatan Cross Sectional menggunakan Uji Statistik Spearman Rank dengan Teknik Pengambilan data Total Sampling sebanyak 56 Responden yang berkerja di ruang isolasi Covid-19 RSUD dr. Doris Sylvanus Palangka Raya dengan menggunakan kuesioner. Hasil: Berdasarkan Hasil uji statistik Spearman Rank diperoleh nilai p value= 0.001. Jadi, dapat disimpulkan bahwa terdapat hubungan yang bermakna antara tingkat stress dengan kinerja perawat yang berkerja di ruang isolasi RSUD dr.Doris Sylvanus PalangkaRaya dengan nilai R (Korelasi= 0.431) yang berarti menunjukan adanya hubungan yang kuat antara tingkat stress dengan kinerja, sedangkan arah koefisien korelasi dinyatakan dalam bentuk positif (+) yang berarti ada hubungan yang searah antara variabel tingkat stress dengan variabel kinerja (p value= 0.001, R= 0.431, ɑ= 0.05). Kesimpulan: Terdapat hubungan yang bermakna antara tingkat stress dengan kinerja perawat yang berkerja di ruang isolasi RSUD dr.Doris Sylvanus Palangka Raya.

Before the patient is delivered to the operating room, the sign-in action is carried out in the reception room by the health worker before the patient is escorted to the operating table, the sign-in compliance includes identifying the patient, checking the informed consent (consent sheet), checking the surgical site marking, allergy history and supporting examination documents. Every health worker will take action on pre-operative patients in the application of health workers still do not properly identify patients during routine medical / nursing actions, patient identity is mentioned by health workers, health workers do not immediately record and report the results of sign in. This study aims to determine the relationship between sign-in compliance with the accuracy of pre-operative patient identification at Primaya Betang Pambelum Hospital, Method: This type of research is correlational using Cross sectional. The technique of determining respondents using purposive sampling using the Chi Square statistical test. The sample is patients who will undergo surgery at Primaya Betang Pambelum Hospital totaling 109 respondents. Results: The results of the Chi Square statistical test that obtained p value = 0.000 or the level of significance p < 0.05 so that there is a relationship between sign-in compliance with the accuracy of pre-operative patient identification, Conclusion: There is a relationship between sign-in compliance with the accuracy of pre-operaif patient identification as evidenced by the results of p < α with a significant level of 0.05 indicating a significant and meaningful relationship between sign-in compliance with the accuracy of patient identification at Primaya Betang Pambelum Hospital.

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.

Background: Regional anesthesia is a major factor in safety patients during labor by Sectio Caesaria (SC). The rise of spinal anesthesia as a popular technique in use made possible by the development of a small needle with a tip pencil and has become the anesthetic method of choice for elective surgery and for multiple emergency cesarean deliveries if an epidural catheter not there yet. Research method: This research is an experimental analytic observational study with a cross sectional study approach. Result: Known Asymp value. Sig. (2-tailed) of 0.734 because the value of asymp. Sig (2-tailed) > 0.05 or 0.0734 > 0.05, it can be concluded that H0 is accepted, Ha is rejected, so no. Comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia. Conclusion: There is no comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia.

Entering elementary school age is a very important time for the continuity of a child's development. Children have many activities that are often directly related to a dirty environment that causes children to be susceptible to disease. Parental support in terms that are very important for children's independence, especially in personal hygiene. The purpose of this study was to find out if there is a relationship between parental parenting and personal hygiene independence in elementary school children in Madrasah Ibtidaiyah Negeri 2 Manado. The design of this study uses a cross sectional approach. . This type of research is observational. The sample in this study was 50 respondents. Respondents with the measuring tool used in this study is questionnaires and then data collected and processed using the SPSS computer program,, to be analyzed using the Chi-square test. The results of the study using the Chi-square test found that the value of p value was less than a significant value (0.01<0.05) the results of this study showed that Ha was accepted and H0 was rejected. The conclusion that can be taken is the parenting of parents have a relationship to personal hygiene independence in elementary school children. The results of this study can be a means of education for parents in improving the independence of children's personal hygiene.

Sub Arachnoid Block (SAB) regional anesthesia produces a sympathetic block of muscle relaxation, and a sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. A factor that can cause a decrease in core temperature and disruption of the information pathways coming from the first receptor is a sympathetic blockage that causes peripheral vasodilation. This research is a non-experimental quantitative research with correlational analytical research methods and cross sectional research design. The study sample amounted to 72 respondents of spinal anesthesia patients. Sampling with consequential sampling techniques, the statistical test used is distribution frekuency. Of the 16 people who experienced high blocks, (75%) experienced shivering and (25%) did not experience shivering. Of the 36 respondents who experienced moderate blocking, (58.3%) experienced shivering and (41.7%) did not shivering. Of the 20 respondents who experienced low spinal block, (70%) did not experience shivering and (30%) experienced shivering.. In conclusion, there is the height of the anesthetic spinal block and the incidence of intraoperative shivering at the Central Surgical Installation of RSUD Jombang.

Breast cancer is a malignant tumor of the breast, lump or single mass often present in the upper outer quadrant region, this lump is hard and irregularly shaped and can be moved. Breast cancer as the most common type of cancer in women. In every year more than 250,000 new cases of breast cancer. The incidence of breast cancer in Putri Hijau Hospital Medan 2014-2022 was 43 cases. The purpose of this study was to determine the relationship between age and parity with breast cancer Kebonjati Bandung Hopital. This research was an Analytical Survey with Cross Sectional approach that is a research where the measurement of free variable and dependent variable is done in the same time. This study used the Total Population method to take a sample where the entire population amounted 43 cases of breast cancer. Techniques of data collection were secondary data that was taken from medical record of Kebonjati Hospital Bandung. Breast cancer stands out at the age of 40-50 years as many as 18 people (41. 9%) and in multiparous parity as many as 21 people (48. 8%). The results showed that the variable age ρ = 0. 036 and parity ρ = 0. 023 < 0. 05, it eans there is a significant relationship between age and parity with breast cancer. Conclusions in this study were respondents who are at high risk of developing breast cancer occurs at the age of 40-50 years and multiparity parity. For health workers are expected to provide health promotion and provide proper and prompt health services in breast cancer disease so that it can reduce mortality.