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The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.    

This study aims to identify the human rights (HR) violations experienced by Palestinian civilians in the context of international law and to evaluate the various conflict resolution efforts that have been undertaken. Based on an analysis of various forms of violations, such as killings, administrative detention without charges, movement restrictions, evictions, and disruptions to education and healthcare services, this research finds that HR violations against Palestinian civilians are widespread and systematic. The study also assesses the effectiveness of the resolution efforts made by the international community, such as the Oslo Accords and various UN resolutions. Although there have been some advancements, these efforts are often hindered by distrust, ongoing violence, and failures to address core issues. To achieve a fair and lasting resolution, this research recommends full respect for human rights, cessation of actions that violate international law, and a genuine commitment from all parties to meaningful negotiations. The type of research used is a library research method with descriptive analysis by collecting data, organizing or classifying it, compiling, and interpreting it. This method is used because it can clearly describe the object of the study.

The cooling system on the Jupiter MX 135 CC motorcycle functions to maintain a stable engine temperature to prevent overheating. There are two main types of cooling systems on motorcycles: Air Cooling System and Liquid Cooling System. In the Air Cooling System, the working principle involves heat generated by the motorcycle engine being dissipated through cooling fins located around the engine block. Air that flows through the fan or moves as the motorcycle runs will carry away the heat. Meanwhile, in the Liquid Cooling System, the working principle involves coolant (usually a mixture of water and antifreeze) flowing through channels inside the engine to absorb heat. The coolant is then carried to the radiator, where the heat is transferred to the air with the help of a fan. Common problems that occur in the cooling system of the Jupiter MX 135 CC motorcycle can interfere with engine performance and risk causing serious damage if not addressed promptly. Some of the common issues include, Low coolant level, Radiator damage, Water pump failure, Malfunctioning thermostat (thermostat stuck), Leaking or broken radiator hose, Radiator fan malfunction, Dirty or contaminated coolant, Ineffective fan (for air-cooled engines), Overheating due to excessive load. The objectives of this study are to understand how the cooling system on the Jupiter MX 135 CC motorcycle works, to identify damages occurring in the cooling system, and to solve the issue of water pump leakage in the cooling system. The methods used in this research include observation, literature study, interviews, and action methods. The results of problem identification in the cooling system of the Jupiter MX 135 CC motorcycle show, The water jacket gasket is corroded ,The bearing on the water pump is damaged, The water pump impeller is worn out, The radiator pump seal has hardened, causing a squeaking sound around the water pump, Solutions to the problems in the cooling system components include replacing the damaged and worn parts (head gasket, bearing, seal, and impeller) and refilling with new coolant.

Hypertension is a major cause of heart failure, stroke and kidney failure. Prevalence of hypertension in Indonesia in the urban and rural areas ranged between 17-21%. Smoking is one cause that can affect blood pressure. The aim of this research is to discover the relationship between the smoking activity and hypertension on men aged 45 year-old and older in Klinik Pratama Cinangsih Medika Cianjur. This research is a correlative descriptive. The approach used cross-sectional with total samples were 98 respondents. The sampling technique used was purposive sampling. The instrument used in this study was questionnaire. Data was obtained through questionnaires distribution and interviews, and blood pressure measurement. The data collected was processed by using Chi-square statistical test with degree of significance p value < 0.05. The result showed 74 people (75,5%) smoked and those who suffered hypertension were 75 people (76,5%). From bivariate test result showed there is relationship between number of cigarettes taken and hypertension (p = 0,005), there is relationship between way of smoking and hypertension (p = 0,008), there was no relationship between smoking duration and hypertension (p = 0,059), there is relationship between type of cigarette and hypertension (p = 0,027), and there is relationship between the activity of smoking and hypertension (p = 0,007). Suggestions the researcher can propose concerning this research are to reduce hypertension risk as the effect of smoking, cigarette consuming should be decreased gradually to stop smoking in advance, the result of this research can be served as reference in dealing with patients suffering for hypertension, especially, in Cianjur. Keywords: Smoking activity (number of cigarette, way of smoking, smoking duration, sort of cigarette), Hypertension.  

This essay was written to investigate why, in spite of the policies that the Nigerian government has put in place, poverty rates are still high. The main obstacle that every accountable and responsive government must overcome is Regardless matter whether the government is a military dictatorship or a democracy, it must improve and give greater meaning to the lives of its citizens if it is to remain relevant and legitimate in the eyes of the governed. Since independence, every succeeding administration has implemented some kind of plan to lessen the suffering of the populace and make them happy.Prior to and during the Structural Adjustment Program (SAP), it was noted that the majority of these programs were supply-driven, meaning they were unable to address the needs of the impoverished and, as a result, had little impact on reducing poverty. In order to reach the target poor, various programs that were introduced after SAP adopted a demand-driven strategy. The purpose of this study are (i) to critically analyze the several programs, reforms, and policies aimed at reducing poverty that have been implemented by Nigerian governments in succession, as well as the factors that contributed to their success or failure. (ii). expresses profoundly helpful measures that, if properly applied, would help the country escape its current poverty trap and put it on the correct path for sustainable economic development rather than just the steady economic progress it has seen over the years.

The 2011 Tohoku tsunami stands as one of the most catastrophic natural disasters in Japan’s history, resulting in massive loss of life, extensive property damage, and severe disruption to infrastructure along the northeastern coast. This study aims to examine the physical characteristics of the Tohoku tsunami and critically evaluate the factors that led to the failure of Japan’s disaster mitigation systems. Utilizing an essay-based synthesis approach, this analysis draws from a range of previous research findings and post-disaster assessments. The tsunami was caused by a 9.0 magnitude megathrust earthquake off the eastern coast of Honshu, generating wave heights that exceeded 10 meters in several locations. The tsunami’s immense energy produced destructive currents that penetrated deep inland, surpassing the protection capabilities of existing coastal defenses.The study identifies several contributing factors to the mitigation system’s shortcomings: the design limitations of seawalls, which were not built to withstand such extreme events; delays and limitations in the early warning system’s ability to reach all at-risk populations in time; and inadequate public preparedness, as the event exceeded historical precedents and training scenarios. These vulnerabilities highlight the need for integrated, adaptive disaster risk management strategies.Drawing lessons from Japan’s experience, this study proposes recommendations for improving tsunami mitigation efforts in Indonesia. Key suggestions include reinforcing and redesigning coastal defense structures, advancing early warning technologies such as seabed sensors and coastal radar systems, and enhancing disaster literacy through public education and scenario-based training. By adopting a science- and technology-driven approach, Indonesia can strengthen its resilience and reduce vulnerability among coastal populations facing future tsunami threats.

Penarukan Village, located in Tabanan Regency, is predominantly inhabited by communities engaged in freshwater fish farming, particularly Nile tilapia (Oreochromis niloticus). The high demand for Nile tilapia in Tabanan and surrounding areas poses a challenge for farmers to manage the growth and development of the fish to ensure optimal quality. During the cultivation process, various issues arise that require effective solutions to support the sustainability of this sector. One of the main problems faced by fish farmers is related to the quality of biofloc pond water, which is still monitored using conventional methods. Poor water quality that does not meet the optimal living standards for Nile tilapia can hinder growth, reduce fish health, and negatively impact production yield. Manual monitoring methods are also prone to inaccuracy and complicate the data analysis process needed for effective decision-making.To address this issue, a technology-based solution has been proposed in the form of a real-time monitoring system using the “SI-NILA” mobile application integrated with a microcontroller-based Internet of Things (IoT) system. This system allows for continuous monitoring of pond water quality and automated pH control to maintain suitable conditions for fish growth. This innovation is expected to improve efficiency and effectiveness in fish farming practices, minimize the risk of crop failure, and promote the digital transformation of aquaculture in Penarukan Village, contributing to the sustainable development of the freshwater aquaculture sector.

Kidney failure is one of the diseases that increases every year and becomes a major health problem in the world, the occurrence of failure is a risk of heart and blood vessel disease and increases morbidity and mortality. The purpose of this study was to determine the experience of dialysis patients' families in helping to prepare food at home. The research method used was a qualitative descriptive study. The location of this study was carried out in the Hemodialysis Room of the Imelda Buruh Indonesia General Hospital, Medan . The time of this study conducted in March to July 2024. The number of participants in this study was 6 participants . Research data were collected through in-depth interviews with participants and analyzed thematically. The results of the study consisted of 3 (three) themes, namely: (1) Eating habits , (2) obstacles or challenges in preparing food, (3) family support for patients. The conclusion of this study is that all participants expressed that the eating patterns of patients with hemodialysis therapy showed normal eating patterns, but when hemodialysis was carried out, patients felt weak and their appetite decreased, but all patients still ate 3 times a day in small portions . Overall, participants provided strong support for patients, both moral support, material in efforts to provide patient food needs, reminding patients to eat regularly according to doctor's recommendations, and faithfully accompanying them during hemodialysis. Although obstacles and challenges were found from both patients and families in overall food management, they could be overcome.

Slope failure can occur even though slope design and reinforcement have been carried out. However, before it completely collapses, there are often signs from the slope. These signs should be carefully observed through slope monitoring or surveillance activities to provide advance warnings regarding the development of slope instability, allowing mitigation measures to be implemented to reduce or avoid the impacts of instability, as well as to predict the timing of landslides using Inverse Velocity. This study was conducted at the PIT of PT Fajar Sakti Prima in East Kalimantan Province. Observations were carried out over 39 days to obtain deformation behavior, velocity values for mitigation actions, and inverse velocity values to predict the timing of landslides. In this observation, the deformation behavior values at PM 01, PM 02, and PM 03 were initially linear, then exhibited progressive behavior on November 7-8, 2024. The predicted landslide timing from this observation was November 20-21, 2024. Based on velocity values correlated with the TARP, critical categories were obtained at 7.40 - 9.86 cm/day and very critical at >26.17 cm/day

This research aims to analyze the impact of the merger between PT Indosat Tbk (ISAT) and PT Hutchison 3 Indonesia (H3I) on both companies. Through a merger analysis approach, we identify key factors that influence the success or failure of the integration between these two entities. The research method is literature review to search a financial information and annual reports. Qualitative and quantitative analyses are used to measure the impact of the merger on the financial, operational, and reputational performance of both companies. The research findings indicate that the merger between ISAT and H3I has a positive impact on operational efficiency and economies of scale. However, challenges related to technology integration, corporate culture, and human resource management are also identified as critical factors that need to be addressed. Furthermore, this research discusses the implications of the merger on the telecommunications market in Indonesia and its impact on industry competition. These findings provide valuable insights for business practitioners, regulators, and academics interested in the study of merger impacts in the telecommunications sector.

This study There is ineffective communication in Wonogiri Market which causes failure in negotiation. Ineffectiveness in negotiation also makes sellers and buyers not have a purchase agreement, sometimes there is a compulsion of sellers so that the goods they sell are immediately sold out so that many other traders compete to provide lower prices. This study aims to determine whether or not there is an influence of communication on the success of negotiations between sellers and buyers in Wonogiri Traditional Market. This study is a quantitative study with a simple linear regression analysis method. This research was conducted in Wonogiri traditional market, on sellers and buyers in March - May 2025. The population of this study was 110 sellers, while the sample used was 84 sellers. The data analysis technique used simple linear regression with the help of the SPSS 25 program. Based on the results of the study and data analysis, it shows that there is an influence of interpersonal communication on the success of negotiations in Wonogiri Traditional Market of 0.581.  

The authors of the article have chosen a company acting as an agent for a container shipping line because the company seeks to decrease its service failures and reduce the chaotic nature of its activities by systematizing them from a scientific point of view and refining its operations at the managerial level. Employees of the company are responsible for activities such as a search for customers, price offers, contacting clients, the conclusion of contracts, coordination of cargo transportation, document control, invoicing and payment control. Proper execution of these operations ensures the quality of services provided by the container line agent. The learning organization concept, situational management theory and total quality management theory are applicable to the management of the personnel activity process in the line. In terms of management functions, planning is more suitable for activities such as searching for customers, price offers, conclusion of contracts and invoicing; organizing is more required when searching for customers, contacting them and concluding contracts; leading is more suitable for activities such as contact with clients, conclusion of contracts and payment control; control is more required when contacting customers, coordinating cargo transportation, invoicing and controlling payment. A conceptual approach that theoretically reveals the principles and possibilities of the company’s activities in the container shipping line can serve as the basis for future empirical research to identify problems in its personnel activity management.

This study aims to analyze the effectiveness of the Liquefied Petroleum Gas (LPG) loading and unloading process at PT Pertamina Energy Tanjung Sekong Terminal, a key infrastructure in Indonesia's national energy distribution. The evaluation was based on technical and operational indicators, including the Berthing Occupancy Ratio (BOR), Length Over All (LOA), berthing time, cargo volume, and vessel visit frequency. The results show that BOR ranged between 55–65%, indicating efficient jetty utilization. The average vessel LOA was 120 meters, matching the jetty’s capacity. The average berthing time was recorded at 18 hours per visit, with unloading volumes between 2,500–3,000 metric tons and vessel frequency ranging from 8 to 10 visits per month. The main constraints affecting effectiveness included extreme weather, technical equipment failures, and limited supporting facilities. This study recommends improving equipment maintenance, strengthening operational coordination, and developing a risk management system to ensure smooth and sustainable LPG handling operations at the terminal.

According to the anthropometric standards for evaluating children's nutritional status, stunting is a growth failure condition based on the weight-for-age (W/A) or height-for-age (H/A) index, where the measurement results fall within the threshold (Z-Score) of -2 SD to -3 SD (short/stunted) and -3 SD (very short/severely stunted). In 2023, 27.3% of the toddlers in Penfui Timur Village were still stunted. The purpose of this study is to ascertain how stunting reduction policies are being implemented in Penfui Timur Village, Kupang Regency. This research used a qualitative descriptive method with data collection techniques of in-depth interviews, observation and documentation. The informants in this study is 8 informants, consisting of 2 main informants and 6 supporting informants. The main informants are the head of the Penfui Timur village and the nutrition staff of the Tarus Health Center. The supporting informants are 2 posyandu cadres, mothers of stunted toddlers, pregnant women, village residents, and teenage girls.The data analysis process in this research begins by collecting data from interviews and then reducing the resulting data. After that, the data is presented and concluded. The study's result showed that although the policy has been applied effectively, it still falls short of the implementation theory's requirements. The implementers' low educational and human resource levels, the ignorance of expectant mothers and parents of children with stunted growth, and the lack of facilities and infrastructure are the contributing reasons. Although the village government's communication component with other implementing parties has been functioning smoothly, communication with the leaders of the target community has not been at its best. The policy implementers are already familiar with the methods and duties associated with their respective areas of responsibility. The bureaucratic structure's policy implementers are already familiar with the technical facets of reducing stunting. Based on the results of the study, it is recommended to increasing the knowledge involved in  implementation policy for stunting reduction

This research aims to find out the factors that caused the bankruptcy of PT Sritex and to find out the impact caused by the closure of PT Sritex as of March 2025. The research method used in this research is the normative method with reference to Law Number 37 of 2004 concerning Bankruptcy and Suspension of Debt Payment Obligations. The results showed that there were several factors that caused the bankruptcy of PT Sritex, namely unmanageable debt, the failure of the peace agreement, and the covid-19 pandemic which caused losses to PT Sritex. After being declared bankrupt by the Semarang Commercial Court, the creditors' meeting in bankruptcy agreed that there was no going concern for PT Sri Rejeki Isman (Sritex), so that the next process continued to debt settlement. Therefore, the impact caused by the closure of PT Sritex, namely the impact on PT Sritex employees, the textile industry, and PT Sritex creditors.

Hypertension is a significant health issue as it serves as a major risk factor for various diseases, including heart disease, kidney failure, diabetes mellitus, and stroke. One pharmacological method that can help lower blood pressure is consuming boiled moringa leaf (Moringa oleifera) extract. This study aims to analyze the effects of consuming boiled moringa leaf extract on reducing blood pressure in individuals with hypertension in Sebauk Village, within the working area of Meskom Public Health Center, Bengkalis District. This study employed a case study method with a descriptive design. The research findings indicate that before consuming boiled moringa leaf extract, the systolic blood pressure of the respondents ranged from 145 mmHg to 165 mmHg, with an average of 152.81 mmHg. Meanwhile, the diastolic blood pressure ranged from 90 mmHg to 120 mmHg, with an average of 96.19 mmHg. After the administration of boiled moringa leaf extract, the systolic blood pressure of the respondents decreased, ranging from 130 mmHg to 160 mmHg, with an average of 138.44 mmHg. Additionally, the diastolic blood pressure dropped to a range of 80 mmHg to 100 mmHg, with an average of 85.31 mmHg. Based on these findings, it is recommended that Meskom Public Health Center educate the community about the risks of hypertension and its prevention and management, including consuming boiled moringa leaf extract as a natural alternative to help lower blood pressure.

The development of technology in each country affects its government sector, especially in the field of public services, one of which is e-government. E-government as a practice of social innovation in public administration, can be done easily but sometimes still experiences difficulties or even failures. Trying to help improve the efficiency and effectiveness of licensing services by operating the OSS, JELITA, SIMBG, and MPP systems. In addition, providing licensing services and public service malls and analyzing comprehensive investment data from each period with PMA and PMDN categories to identify growth trends, sectors that have experienced significant increases, and key driving factors such as government policies, economic conditions and investment attractiveness. The methods used in this service are system operation and analysis. This work experience practice provides valuable experience for practitioners in understanding the mechanisms of government administration, regional investment management, and business licensing procedures. In addition to gaining practical experience, this activity also improves analytical skills, communication, and professionalism in the world of work. This agency has the utilization of information systems that support the development of community activities Implementation of OSS, Jelita, SIMBG, services and MPP at DPMPTSP Jember which are useful for providing positive impacts and providing effectiveness in business licensing and community services with this success need to be maintained and through increasing digital literacy, system maintenance, data integration, and ongoing socialization.

The increasing reliance on information technology (IT) across various sectors has led to the growing importance of managing IT risks effectively. Information technology systems are prone to a variety of risks, including cybersecurity threats, system failures, and human errors. These risks can have severe consequences, such as financial loss, data breaches, and operational disruptions. To address these challenges, organizations must adopt comprehensive risk management strategies. This literature-based study explores various approaches and frameworks for managing IT risks, such as ISO 27001, NIST, and OCTAVE, by reviewing existing research and methodologies. The study aims to identify best practices, challenges, and trends in the field of IT risk management, offering insights into how organizations can improve their risk management strategies to enhance the resilience of their IT systems. Through this literature review, the paper highlights the importance of a systematic approach to IT risk management and provides recommendations for organizations seeking to mitigate risks and safeguard their technological.

Background: In Indonesia, coughs and colds increase from 10% to 35.5%. Due to this situation, many mothers are still not fully aware of the proper handling of coughs and colds, which is further exacerbated by the issue of syrup medications containing ethylene glycol that exceed the safe dosage limits, potentially leading to kidney failure in infants. There are two types of cold treatments: pharmacological with oral medications such as powders and syrups, and non-pharmacological with common cold massage. Research objective: This quantitative research determined the effect of educational videos on common cold massage for infants on mothers' cognition and motivation in performing self-massage at the Mranggen I Public Health Care with a pre-experimental method and a one-group pre-test-post-test design. The population in this study consisted of mothers with children aged 4–12 months at the Mranggen I Public Health Care taken with a simple random sampling technique, resulting in 54 mothers. The applied instruments in this research were the Common Cold Cognition questionnaire and maternal motivation. The researchers analyzed the data using univariate and bivariate analysis, employing the Wilcoxon test to identify the non-normally distributed effect of video education on knowledge, and the paired t-test to evaluate its normal distribution effect on motivation. Research Results: Video education has an influence on mothers' cognition and motivation to perform self-massage at Mranggen I Public Health Center, with a p-value of 0.000 < 0.05. Conclusions and suggestions: Respondents, mothers with children aged 4–12 months at the Mranggen I public health care, had excellent knowledge (46.3%) and strong motivation (46.3%). The researcher expects that mothers in the Mranggen I public health care area will seek more information about common cold massages.

This study examines the performance of a total of ten reinforced concrete T-beams, nine of which were made as hybrid beams by casting the web with LW concrete and the flange with HS concrete; the last beam was cast as a normal beam (entirely cast with HS concrete). All beams underwent testing under two-point loads following a 28-day period. The variables of the experimental program include the concrete grade within the web (46, 62, and 82 MPa) and stirrup distribution distances (100, 200, and 300 mm). The experimental program includes load-deflection curves and failure modes for hybrid and normal beams. The results showed that all the beams failed in shear-flexural mode. Also, increasing flange compressive strength increased shear. strength. Increasing stirrup distribution distance from 100 to 200 and 300 mm reduced the ultimate load capacity; specimens with stirrup spacing of 300 mm failed directly after yielding of steel due to crushing the concrete over the support and spalling concrete cover within the shear zone. The study also determined that reducing stirrup spacing to 100 mm did not alter the failure mode, as shear failure was dictated by the compressive strength of the lower layer of the hybrid beams (19 MPa compressive strength of LW concrete).