Publication Search

Congestive heart failure is a pathophysiological condition in which the heart as a pump is unable to meet the need for blood for tissue metabolism. It has been reported that a 56-year-old patient with complaints of shortness of breath is felt to be worse when sleeping in a supine position and improves when sitting in a sitting position. The complaint was accompanied by chest pain that radiated to the back and left arm and palpitations. Patients also complain of getting tired easily when doing activities even to walk to the bathroom. On physical examination, it was found that irregular S1-S2 was accompanied by a murmur. On the examination of ECG and Echocardiograph, it was found that the picture of AF and EF was 41%. In the thorax photo examination, cardiomegaly. The management of this patient is the administration of drugs that reduce shortness of breath and chest pain in patients.

The Domestic Component Level (TKDN) Program is one of Indonesia's strategies in advancing its domestic industry. This local product protection policy has been implemented by Indonesia since the beginning of independence and has continued to be refined during subsequent governments. Although the TKDN policy has not succeeded in making Indonesia an industrial country like Korea, Indonesia's TKDN practice has not caused market failure as happened in Brazil. Indonesia needs to complement the TKDN policy with other industrial strengthening programs, so that the domestic industry becomes stronger and becomes the main pillar of national economic growth.  

Big Data Analytics has gained significant popularity in recent years, with many companies integrating it into their information technology roadmaps to enhance business performance. However, surveys indicate that Big Data Analytics demands substantial resources, including technology, costs, and talent, which often leads to failures in the initial stages of implementation. This study proposes a VGG6 architecture approach, intended to provide a framework for the initial implementation of Big Data Analytics. The study's outcomes include the implementation of the VGG6 architecture for processing images of aromatic plants using Python. Furthermore, this approach enabled the development of a Minimum Viable Product (MVP) solution that adheres to general Big Data principles, such as the 3Vs (Volume, Velocity, and Variety), and encompasses key technological components: 1) Data Storage and Analysis, 2) Knowledge Discovery and Computational Complexity, 3) Scalability and Data Visualization, and 4) Information Security.

Credit risk is a risk that occurs due to the failure of customers or other parties to fulfill their obligations to the bank. Credit risk is the risk of possible losses as a result of non-repayment of credit provided by the bank to debtors (Natasia 2014). The higher the credit risk of a bank, the greater the number of problem loans. Credit risk can be measured by the Non Performing Financing (NPF) ratio. Nugraha 2018) Non Performing Financing or commonly abbreviated as NPF is the ratio between problematic financing and total financing disbursed by sharia banks. Nuha (2016) Non Performing Financing (NPF) is a comparison of problematic credit/financing with the total credit/financing provided. The higher the NPF ratio indicates a bank's inability to manage its problematic credit/financing, this will reduce the level of confidence of a bank in carrying out business activities. Problematic financing consists of substandard, doubtful and non-performing financing.

According to Law Number 37 of 2004 tates that bankruptcy is general confiscation of assets of bankrupt debtor. Those failure to pay debtors commonly beacause of a strain in company's financial condition. The purpose of imposition of bankruptcy is to protect both bankrupt debtor and creditors. In the development of bankruptcy in Indonesia, the regulation of Insolvency test in imposing companies bankruptcy, especially companies with legal status, has not been regulated in Law No. 37 of 2004. Insolvency is the failure to done a financial responsibility in the due date as is appropriate in a company, or the excess of liabilities over assets within certain time. If the debtor has been declared insolvent, the debtor is completely bankrupt and properties will soon be divided. There also has no provision stating that Insolvency Test is a condition for bankrupting a debto. Regulation absence regarding Insolvency Test certainly cause problems for companies that many Indonesia’s companies experience legal bankruptcy. Therefore, author feels it is necessary to do a research related to Insolvency Test which was once applicable in Indonesian Bankruptcy Law, but no longer used, even though the application of Insolvency Test is very helpful for the judge's view in deciding individual or legal entity in a state of bankruptcy in court, and further clarifies the objectivity in bankruptcy judgment.    

Growing demand for electricity savings has led to the development of an automatic LED emergency light system. It is based on providing light when the power is cut off. Once fully charged, the battery ceases charging, and in the event of a power failure, the LEDs are automatically powered by the battery. The project focuses on two primary functions: it automatically activates during power outages to give illumination, eliminating the need to search for the switch, and the battery rapidly begins recharging as the main power is restored. The emergency light is crucial due to the inconsistent voltage distribution and frequent power outages in operational regions of communities and diverse enterprises. The system includes a power supply that converts 230V AC to 12V DC, a relay that uses a control pulse to alternate between connecting the battery to the LEDs and isolating it, and a rechargeable Li-ion battery that supplies power to the LEDs during blackouts. The parallel-connected LEDs light up during a power outage in the circuits. The circuit architecture shown here serves to mitigate the entire discharge of the battery, hence enhancing the battery's longevity. Key components of the system include a step-down transformer, a bridge circuit to convert AC to DC, a Zener diode to maintain voltage stability, capacitors for energy storage, and various diodes to control current flow. The project highlights the advantages of LED emergency lights, such as efficiency, longevity, and minimal energy waste, though it acknowledges the higher initial cost and temperature sensitivity as disadvantages. The automatic LED emergency light is suitable for use in homes, offices, retail shops, and other commercial settings. The project demonstrates a cost-effective and compact solution that enhances daily life by providing reliable lighting during power failures.

Stunting is one of the challenges in human development in Indonesia, referring to the condition of failure in physical growth in children under five years old due to chronic malnutrition and repeated infections, particularly during the first 1,000 days of life, from conception until the child is 23 months old. The Pre-Marriage School (SPN) program by DP3AP2KB in collaboration with the Forum Generasi Berencana (GENRE) serves as an educational platform focused on preparing for marriage and life after marriage with proper planning. The goal of the pre-marriage school is to educate participants on the importance of stunting awareness. The SPN program is part of the efforts by DP3AP2KB to prevent stunting by providing education related to the condition. This research employed qualitative methods with a descriptive qualitative approach, using interviews and documentation for data collection. The study subjects were participants of the pre-marriage school who met the research criteria. Data were analyzed using the Milles & Huberman model, ensuring data validity through method triangulation. The study found that the causes of stunting in Depok City included inadequate nutrition, poor parenting practices, and urbanization. The implementation of the pre-marriage school program in Depok City was designed by the DPRD Commission V and the Mayor of Depok. The pre-marriage school is one of the government’s efforts to accelerate the reduction of stunting in Depok City. However, the limited time for implementation posed a challenge for the SPN program

Hypertension is a cardiovascular disease and chronic medical condition in which blood pressure increases with systolic 140 mmHg and diastolic 90 mmHg. The longer the patient suffers from hypertension, it will lead to complications such as heart failure, kidney failure, and stroke and also cause physical symptoms such as psychological problems, namely anxiety, which can affect a person's quality of life. The purpose of this study was to determine the relationship between anxiety levels and quality of life in hypertensive patients at Kalijati Subang Health Center. The research method used is quantitative. The sampling technique in this study used purposive sampling and obtained a total sample of 91 people. Data analysis in this study used bivariate analysis with the Spearman RankTest. The study's results obtained a p-value of 0.001 (<0.05), which can be interpreted as a relationship between anxiety and quality of life in hypertensive patients at Piskesmas Kalijati Subang. The conclusion that can be explained is that the level of anxiety is related to the quality of life in hypertensive patients at the Kalijati Subang Health Center. From this study, it is hoped that puskesmas can maintain in intervening with patients who experience anxiety so that the quality of life in hypertensive patients is getting better.    

This research was conducted because Sungai Pakning Village, Bengkalis Regency, was one of the areas that experienced land and forest fires that occurred in Riau Province in 2015. So far, peatland management has often failed, both by the government and companies. One of their failures is that they only focus on land restoration and ignore community empowerment. With the independent peat village program created by PT. Pertamina RU II Production, Sungai Pakning, Bengkalis Regency. Among the independent peat village programs, there is an environmental conservation program which has become the center of attention for environmental observers, namely the development of peat forests to manage pineapple products. This research aims to determine the capacity development of the Tunas Makmur Farmer group in managing pineapple products and to find out what are the supporting factors for capacity development in the Tunas Makmur Farmer group in Sungai Pakning, Bengkalis Regency. This research was conducted using a qualitative descriptive method. Data was obtained through interviews and field observations. The results of this research show that the capacity development measure according to Ilato has demonstrated good capacity in aspects of organizational structure, decision making processes, work procedures and mechanisms and inter-organizational relationships. Good capacity development is supported by 1) facilities and infrastructure, which are being developed continuously, 2) good cooperation between various parties or institutions involved in developing the capacity of the Tunas Makmur Farmers Group.

Stunting is a form of nutritional problem in the life cycle that is very important to be considered and addressed immediately, because stunting is a form of growth and development failure caused by chronic malnutrition and repeated infections that require immediate intervention or management. As an effort to accelerate the reduction of stunting in the UPTD Puskesmas Kilan work area, the Supplementary Feeding Program (PMT) was implemented. The purpose of this study was to determine the effectiveness of the stunting reduction acceleration program through the Supplementary Feeding Program (PMT) at UPTD Puskesmas Kilan, Batang Cenaku District, Indragiri Hulu Regency. The theory used in this research is Budiani's (2007) program effectiveness theory with 4 (four) indicators, namely the accuracy of the Program Targets, Program Socialization, Program Objectives, and Program Monitoring. The method used in this research is descriptive qualitative research method, with data collection techniques in the form of observation, interviews, and documentation. The results of this study indicate that the acceleration program to reduce stunting through Supplementary Feeding (PMT) at UPTD Puskesmas Kilan, Batang Cenaku District, Indragiri Hulu Regency has not been effective. There are several inhibiting factors faced, namely the lack of ability of the implementing officers in implementing the program, then the communication factor because the program conveyed to the community has not been able to increase public understanding of the program.

Increased economic growth in the city of Parepare with the presence of buildings around the estuary. In general, the composition of concrete making materials is taken from good materials. The problem encountered in the field is that the quality of concrete in construction decreases due to brackish water, causing structural elements in the construction to become porous. Meanwhile, preventive measures are rarely or never taken. As a result, the construction life is very short. Brackish water is one of the causes of structural failure. This is due to the content of sulfate and chloride ions in water containing salt/salts that react with chemical elements in reinforcing steel resulting in corrosion of the reinforcement. The purpose of the study was to analyse the compressive strength of concrete with a mixture of clean water against the percentage of brackish water with a maintenance age of 7, 14, 21, and 28 days. The results showed that brackish water had an impact on reducing the compressive strength of concrete due to the high chemical content in brackish water such as Sulfate (SO²¯) of 52.5 in brackish water in Kenjeran and 62.5 in brackish water in mangrove. Dissolved Solids (TDS) of 15188 mg/l in kenjeran brackish water and 3436 mg/l in mangrove brackish water. Organic Content (KMnO) of 8.05 mg/l in kenjeran brackish water and 6.69 mg/l in mangrove brackish water is too high, so the chemical content contained in brackish water can damage the compounds in the cement content and decrease the strength of the materials contained in the concrete. In this case it can result in concrete having a very low durability.

Quality risk management is one of the important things in quality control in a pharmaceutical industry. One of the risky activities in the pharmaceutical industry is in storage and distribution. Every activity carried out in the inventory warehouse can potentially cause risks that affect quality including the flow of the storage and distribution process of goods. Based on this, a study was conducted in the form of a risk assessment on the flow of the storage and distribution process of release goods in the inventory warehouse of a pharmaceutical industry in Bandung which aims to determine the level of risk that has the potential for failure. The FMEA (Failure Modes and Effects Analysis) method is a method that can be used to assess the risks that can occur in the flow of the storage and delivery process of goods in the warehouse. This risk assessment is carried out with the stages of risk identification, risk analysis, and risk evaluation using categorization based on the Risk Priority Number (RPN). In this study, 15 risks were obtained with details of 1 low category risk, 7 medium category risks, 6 high category risks, and 1 very high category risk. Therefore, the pharmaceutical industry can immediately determine mitigation steps and take control measures against risks in the high and very high categories to reduce the risk of failure with the hope that the quality, safety and efficacy of the product can be maintained properly

Cross-contamination occurs due to other previously produced products, other rooms or areas producing different products, and particles from machinery or equipment. Quality risk management can be a preventive measure in reducing the potential for cross-contamination that occurs in the pharmaceutical industry. One part of quality risk management is risk assessment. One of the most common and effective methods is the Failure Mode and Effect Analysis (FMEA) method. This risk assessment is carried out using the stages of risk identification, risk analysis, and risk evaluation using categorization based on the Risk Priority Number (RPN). Based on the risk assessment using the FMEA method regarding cross-contamination in the Packaging area in the "XYZ" pharmaceutical industry, it can be concluded that the results of observations and interviews with operators and Packaging Supervisors identified 19 risks which were categorized as low, medium, high, and very high. Based on the results of the risk assessment obtained, the risk of cross-contamination that needs to be controlled is those with an RPN value of 30 ≤ RPN ≤ 60 (medium); 75 ≤ RPN ≤ 100 (high); RPN ≥ 150 (very high). Therefore, the "XYZ" pharmaceutical industry needs to determine and implement risk control measures. By adequately controlling the potential risk of cross-contamination, it will ensure the safety and quality of the products produced.

Good discipline is a form of action to obey and do something in accordance with values ​​and rules that are believed to be a responsibility, not only companies/government agencies must show good work discipline. Civil servants and non-permanent employees in government agencies are management tools used to improve the quality of decision making and accountability in order to assess the success or failure of implementing activities in accordance with predetermined goals in order to realize the vision and mission of a government agency. In conducting research, the author used a comparative method (comparison). Meanwhile, this method is to help analyze data and facts obtained from respondents, using quantitative analysis methods with statistical formulas. The results of this research show that there is a significant comparison between the work discipline of civil servants and non-permanent employees with a score difference of 1.2. So it can be interpreted that civil servants have greater work discipline than non-permanent employees, even though the results of the questionnaire distribution are both very good.

Stunting is a condition of failure to grow in children under five whose height is much shorter than the height of children of their age due to malnutrition. Stunting prevention is one of the things that is focused on developing the health of children's growth at an early age is a very important thing to pay attention to. Therefore, one of the causes of stunting can arise from environmental factors as well as from the food consumed, both from the source of nutrition and vitamins. The success of the Stunting Prevention Program can be seen if the Effectiveness of the Program is Effective. Effectiveness is the goal that is to be achieved in the implementation of organizational activities. The word effective is a word adapted from the United Kingdom "effective". This word can be interpreted as something that has been done well and successfully. This study aims to determine the effectiveness of the implementation of the Stunting Prevention Program in Tellulimpoe Village, Majauleng District, Wajo Regency. This research was conducted using the Quantitative method. Data collection techniques are carried out through: observation, questionnaires/questionnaires, documentation. The results of the study show that the Effectiveness of the Implementation of the Stunting Prevention Program in Tellulimpoe Village is Very Good. This is supported by the results of the study which revealed that the Effectiveness of the Stunting Prevention Program is in the Very BaiK category.

Stunting problems often occur in children who lack essential nutrients, especially protein, iron and other nutrients needed for optimal growth. Stunting is not only a physical problem that can be seen from short height, but also has serious long-term impacts on children's development. Exclusive breast milk is a primary need for babies, so it will have an impact on the baby's growth and development if it is not provided adequately. Breast milk that is not given exclusively in the first 6 months of a baby's life will have an impact on the maturation process of the immune system, causing the baby to be susceptible to infections (Wasiah, 2019). Bekasi Regency is an industrial area with more than 3.5 million residents and 44.6% of them are women. A total of 523 461 of them are working women who are in the productive age range of 15-49 years. In this age range, many working women are mothers who have to leave their babies and be cared for by someone else and cannot provide exclusive breast milk. The failure to provide exclusive breastfeeding is the driving force behind many cases of stunting in Indonesia. This research is a quantitative analytical research with a cross sectional approach with the respondents being working mothers who have children under five. P value is 0.021 and OR 8,000, so there is a significant relationship between breastfeeding behavior and the incidence of stunting in the Kedungwaringin Community Health Center Working Area. Working mothers with non-exclusive breastfeeding behavior increase the risk of stunting by 8,000 times compared to mothers who breastfeed exclusively.

Mother's milk (ASI) is a source of food for babies which is useful for the growth and development of babies. Providing breast milk for 6 months to newborns is the gold standard for baby feeding recommended by WHO. Even though breastfeeding is very important for babies, mothers also often experience failure in providing exclusive breastfeeding. This research aims to describe the characteristics and knowledge of mothers regarding exclusive breastfeeding for babies aged 0-6 months at the Doro I Community Health Center. This research is a descriptive quantitative study, data collection uses Cluster Sampling where the sample is grouped based on region (Posyandu) or population location by 65 samples. This research instrument uses a Knowledge Questionnaire about Exclusive Breastfeeding adopted from (Septianingrum, 2018) consisting of 19 questions. For favorable questions the "correct" answer is given a score of 1 and "wrong" is given a score of 0, while for unfavorable questions the "correct" answer is given a score of 0 and "wrong" is given a score of 1. The instrument is valid with a correlation number (r-count) > 0.444 so it is said to be valid while the Cronbach's Alpha value and reliability are 0.984. The data analysis used was univariate in the form of a percentage frequency distribution. The results showed that all mothers of babies aged 0-6 months at the Doro I Community Health Center (Puskesmas) were all respondents (100%) aged 15-49 years, 23 respondents (35.4%) had a high school education, 58 respondents (89.2) did not work and 46 respondents (70.8%) had ever breastfed. Mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all 65 mothers (100%) of respondents have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months. The conclusion obtained is that mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all respondents, 65 mothers (100%) have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months.

A Disaster Recovery Plan (DRP) is a structured approach that describes how an organization can carry out its operations after an unplanned incident that can result in system failure. Creating strong system resilience requires an IT team with strong experience and understanding as well, and this is the background of this research. This research aims to provide practical guidance in implementing disaster recovery strategies with virtualization, especially the snapshot feature on VMware Workstation to test disaster scenarios and evaluate their recovery effectiveness.

This guidebook is designed to introduce the culinary delights of Pasar Lama Tangerang to young adults aged 17-25 who may have a limited appreciation for culinary heritage due to a lack of informative media about Pasar Lama Tangerang's cuisine. The author has crafted the guidebook to be unique and engaging, providing various types of information. Additionally, the book offers an interactive element for readers, who can participate in a contest scheduled at specific times by placing stickers in the book once they have tried 50 different foods listed. The research methodology employs a qualitative approach, aiming to describe and obtain detailed data from field results, yielding in-depth and contextual insights. This research utilizes data collection methods such as interviews, questionnaires, direct observations of the research site, and literature searches for relevant journals and articles. The design methodology adopts the design thinking approach to find solutions through creative thinking, with iterative processes to address failures and create innovative work. The visual concept of the guidebook features a simple yet modern and cool design, supported by semi-realistic illustrations to enhance its appeal. The guidebook is expected to effectively convey information and broaden readers' knowledge about the culinary offerings of Pasar Lama Tangerang.  

Dengue Hemorrhagic Fever (DHF) is a disease caused by infection with the dengue virus which is transmitted through the bite of the Aedes aegypti mosquito. The main clinical manifestations of this disease can be an increase in body temperature ≥ 38°C for 2 - 7 days, bleeding which is usually preceded by the appearance of red spots (petechiae), headache, joint pain accompanied by leukopenia, lymphadenopathy, thrombocytopenia and hemorrhagic diathesis. Liver dysfunction is one of the consequences of dengue infection that often occurs in patients. The liver is the target organ of the dengue virus which often appears in the form of hepatomegaly and a mild-moderate increase in aminotransferase enzyme levels although jaundice and acute liver failure are rare. Dengue patients have an increase in SGOT and SGPT levels. This study aims to determine whether there is a relationship between dengue IgG levels and SGOT and SGPT in Dengue Hemorrhagic Fever patients at RSU Sinar Kasih Purwokerto. The type of research used is an analytical study with a cross-sectional approach. Sampling was carried out using a consecutive sampling technique. Results were obtained from 100 samples with normal SGOT SGPT examination results, namely 10 patients and high results, namely 90 patients. The results of SGOT and SGPT examinations in dengue IgG positive patients increased >3 times which was included in category B and there was a significant relationship between SGOT and SGPT levels in Dengue IgG positive patients, with a p-value of 0.000, indicating a strong relationship between SGOT levels and SGPT with IgG examination results.