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A 63 year old male patient came to the emergency room with complaints of weakness since 5 days of SMRS. Complaints are accompanied by nausea, vomiting, pain throughout the stomach, and liquid bowel movements. The patient also complained of low back pain that spread to both legs and made it difficult to walk. The patient also feels that he is urinating a little and seems to be stuck. Two weeks ago the patient had a fever accompanied by a cough. On physical examination, BP 90/60 mmHg, HR 111 x/minute, RR 20 x/minute, BMI 20.3 kg/m2, suprapubic area tenderness, right CVA tapping pain. Investigations Hb 11.73 g/dl, urea: 73 mg/dl, creatinine: 3.45 mg/dl, tubex: negative, dengue Ig M: negative, dengue Ig G: positive. Abdominal ultrasound examination revealed multiple nephrolithiasis dextra. On chest X-ray examination, there was an increased bronchovascular pattern, an air bronchogram (+) with an impression of bronchitis. The finding of multiple nephrolithiasis dextra indicates that the patient's kidney failure is chronic in nature, however, DHF that is not treated properly causes worsening of kidney function, giving rise to the condition of ACKD.

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

Artikel bermaskud mengais hikmah pendidikan islam dalam luka di atas derita, studi kasus pria india ditolak calon mertua, dengan melihat kasus spesifik dan dicari solusinya. Penelitian termasuk jenis kualitatif dalam setting  library research dikupas content analysis. Kesimpulan: kasus pria asal India bernama Asib Ali Bhore melamar pujaan hatinya Syarifah Khaerunnisa, wanita asal Sulawesi Selatan yang kemudian lamarannya ditolak orang tua si wanita merupakan perihal menyakitkan bagi si pria melihat realitas ia merupakan anak tunggal yang menjadi tulang punggung keluarga dan telah mengahbiskan banyak biaya demi datang ke Indonesia. Dari kasus ini terdapat pendidikan Islam, bahwa lamaran ditolak merupakan kewajaran, dimana hal tersebut belum mengikat secara syariat. maka dari itu, diperlukan langkah bijak menyikapi kegagalan menikah dengan menguatkan pikiran dan tindakan positif supaya tidak terperangkap dalam kekecewaan, sebaliknya menatap masa depan dengan nyaman dan bahagia. Implikasi penelitian, lamaran bukanlah ikatan sakral, maka sikap kecewa perlu dijauhkan agar tidak jatuh pada sikap negatif berlebihan.

One of the goals of accounting education in Indonesia is to introducethe students to the ethics and values of accounting profession. This researchfocused on the effectiveness of acconting curiculum in developing studentsresponsibility towards the financial statement’s users. We find that differentethics influence to perception the financial statement.