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Latar belakang: Peningkatan usia harapan hidup pada lansia mengindikasikan terjadinya masalah berbagai kesehatan, diantaranya masalah biologis, psikologis dan sosial. Kondisi tersebut menyebabkan seorang lansia lebih rentan untuk mengalami berbagai masalah kesehatan termasuk gangguan tidur . Gangguan tidur yang paling sering ditemukan pada lansia adalah  insomnia. Salah satu tindakan komplementer yang dapat dilakukan perawat untuk menangani insomnia adalah dengan terapi musik gamelan. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh terapi musik gamelan terhadap derajat insomnia pada lansia. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 12 lansia yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=12) dan kontrol (n=12). Bentuk intervensi berupa pemberian terapi musik gamelan sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah KSPBJ-IRS (Kelompok Studi Psikiatri Biologi Jakarta-Insomnia Rating Scale). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan hasil pengukuran derajat insomnia pada kelompok intervensi memiliki mean pre test 20 (derajat ringan) dan post test 18 (tidak ada keluhan insomnia). Hasil analisis dengan uji independent t pada kelompok intervensi menunjukkan nilai p=0,002 yang artinya ada perbedaan signifikan antara pre dan post test (p<?, ?=0,05). Hasil yang berbeda diperoleh pada kelompok kontrol yaitu nilai mean pre test 22 (insomnia ringan) dan post test 22 (insomnia ringan,) nilai p=0,310 yang artinya tidak ada perbedaan signifikan antara derajat insomniai pre dan post test (p> ?, ?=0,05). Hasil penelitian membuktikan terapi musik gamelan berpengaruh terhadap penurunan derajat insomnia pada lansia. Saran : terapi musik gamelan digunakan sebagai intervensi keperawatan pada lansia yang mengalami insomnia.

Latar belakang: Berbagai pihak telah berupaya mempublikasikan bahaya rokok bagi kesehatan melalui berbagai media namun kebiasaan merokok masih sulit dihentikan. Perkembangan teknologi menjadikan media elektronik sebagai media yang mampu memberikan motivasi melalui media audio visual seperti video. Pendidikan kesehatan dengan media audio visual merupakan salah satu alternatif bagi penyuluh untuk memberikan informasi bahaya rokok melalui unsur suara dan gambar sehingga pesan yang ingin disampaikan lebih menarik, mudah dicerna, serta meningkatkan motivasi peserta.  Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh pendidikan kesehatan dengan media audio visual terhadap motivasi berhenti merokok pada mahasiswa. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 52 mahasiswa yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=26) dan kontrol (n=26). Bentuk intervensi berupa pemberian pendidikan kesehatan dengan media audio visual. Instrumen yang digunakan untuk mengukur tingkat motivasi berhenti merokok adalah Contemplation Ladder (CL). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan peningkatan motivasi berhenti merokok pada kelompok intervensi sebanyak 6 skala setelah perlakuan. Hasil uji Mann-Whitney menunjukkan perbedaan bermakna tingkat motivasi berhenti merokok antara kelompok intervensi dan kontrol dengan p=0,000. Hasil penelitian membuktikan pendidikan kesehatan dengan media audio visual berpengaruh terhadap motivasi berhenti merokok pada mahasiswa. Saran : Pendidikan kesehatan dengan media audio visual direkomendasikan sebagai intervensi keperawatan dalam program berhenti merokok.

Latar belakang: Lansia merupakan kelompok usia 60 tahun ke atas dimana telah mengalami penurunan kemampuan tubuh untuk beradaptasi dengan stress lingkungan. Peningkatan usia yang dialami lansia mengakibatkan penyakit degenerative seperti hipertensi. Penyakit tekanan darah tinggi ataupun hipertensi ini menyebabkan aliran darah tidak lancar, maka diperlukan suatu tindakan penanganan salah satunya adalah senam lansia. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh senam lansia terhadap derajat hipertensi pada lansia. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 12 lansia yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=12) dan kontrol (n=12). Bentuk intervensi berupa pemberian senam lansia sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah tensimeter/sphygmomanometer air raksa atau jarum Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan hasil pengukuran derajat hipertensi pada kelompok intervensi memiliki mean pre test 156/95 dan post test 148/93. Hasil analisis dengan uji independent t pada kelompok intervensi menunjukkan nilai p=0,000 yang artinya ada perbedaan signifikan antara pre dan post test (p<?, ?=0,05). Hasil yang berbeda diperoleh pada kelompok kontrol yaitu nilai mean pre test 152/95 dan post test 152/95, nilai p=0,420 yang artinya tidak ada perbedaan signifikan antara derajat hipertensi pre dan post test (p> ?, ?=0,05). Hasil penelitian membuktikan senam lansia berpengaruh terhadap penurunan tekanan darah pada lansia penderita hipertensi. Saran : senam lansia digunakan sebagai intervensi keperawatan pada lansia yang mengalami hipertensi.

Latar belakang: Bahaya merokok bagi kesehatan telah diteliti dan dibuktikan, namun kebiasaan merokok tetap sulit dihilangkan. Zat nikotin pada rokok mengakibatkan perokok mengalami ketergantungan karena munculnya gejala putus nikotin ketika berhenti merokok. Hipnoterapi merupakan salah satu metode untuk mengubah perilaku merokok dengan pemberian sugesti berhenti merokok melalui pikiran bawah sadar sehingga perokok memiliki kendali terhadap ketergantungannya pada rokok. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh terhadap tingkat ketergantungan rokok pada perokok aktif. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 40 mahasiswa yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=20) dan kontrol (n=20). Bentuk intervensi berupa pemberian hipnoterapi sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah Fagerstorm Test for Cigarette Dependence (FTCD). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan penurunan skor tingkat ketergantungan rokok pada kelompok intervensi sebanyak 1,25 setelah perlakuan dengan nilai mean pretest 1,45 (SD=1,132). Hasil uji Mann-Whitney menunjukkan perbedaan bermakna tingkat ketergantungan rokok antara kelompok intervensi dan kontrol dengan p=0,028. Hasil penelitian membuktikan hipnoterapi berpengaruh terhadap tingkat ketergantungan rokok pada perokok aktif. Saran : Hipnoterapi direkomendasikan sebagai intervensi keperawatan dalam program berhenti merokok

Berdasarkan Peraturan Bupati Situbondo Nomor 45 Tahun 2020 tentang Penerapan Disiplin dan Penegakan Hukum Protokol Kesehatan sebagai Upaya Pencegahan dan Pengendalian Corona Virus Disease 2019 di Kabupaten Situbondo yang dilatar belakangi oleh merebaknya pandemi Covid-19 yang menyebar luas ke penjuru daerah di dunia terutama di Kabupaten Situbondo. Untuk pengendalian percepatan penyebaran covid-19 Bupati Situbondo menerbitkan Peraturan Bupati Situbondo Nomor 45 Tahun 2020. Penelitian ini bertujuan untuk mengetahui Peraturan Bupati Situbondo Nomor 45 Tahun 2020 dapat menjatuhkan sanksi administratif berupa denda dan mengetahui Penegakan Hukum Peraturan Bupati Situbondo Nomor 45 Tahun 2020. Metode Penelitian pada penelitian ini ialah menggunakan metode penelitian hukum normatif yaitu menggunakan studi kasus normatif berupa produk hukum, misalnya mengkaji undang – undang, peraturan daerah serta rancangan undang-undang, dengan metode pendekatan diantaranya peraturan perundang-undangan (stute approach) dan pendekatan konseptual.   Berdasarkan hasil penelitian dapat disimpulkan dalam menangani Covid-19 berdasarkan UUD 1945 dimana pemerintah pusat maupun daerah harus berperan aktif didalamnya, khususnya di Kabupaten Situbondo telah mengeluarkan perbup yang mengatur masyarakatnya taat protokol kesehatan. Namun jika tidak ditaati aturan tersebut maka dapat dikenakan sanksi administratif berupa denda yang diatur dalam Pasal 7 Ayat (2).      

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age

Background: Hypertension has now become a global problem because its prevalence continues to increase along with lifestyle changes that include unhealthy habits. the aim is to find out a description of lifestyle in hypertensive patients in West Denpasar Health Center II. Method: The study design was descriptive with the Cross Sectional approach. The sample in this study were all hypertensive patients who were treated at the Denpasar Public Health Center II. The sampling technique is Acidental sampling with a sample of 46 respondents. The research instrument used was a questionnaire sheet. The results of data processing are presented in narrative form, frequency distribution tables are accompanied by interpretations. Results: Hypertension sufferers in West Denpasar Health Center II were 27 respondents (58.7%) who did not have the habit of consuming excess salt; 26 respondents (56.5%) who did not have coffee consumption habits; 34 respondents (73.9%) who did not have the habit of consuming liquor; 32 respondents (69.6) did not have smoking habits; 26 respondents (56.5%) respondents did not have enough hours of rest / sleep; respondents who do sufficient activities / sports; 46 respondents as many as 25 respondents (54.3%) obeyed taking drugs; 25 respondents (54.3%) did not routinely carry out tension control; 30 respondents (65.2%) faced maladaptive stressors. Conclusion: To reduce the incidence of hypertension in patients with hypertension, health promotion programs to the public regarding hypertension factors need to be optimized.Keywords: Hypertension; Lifestyle

Background: Hallucinations are one of the mental disorders in which the client experiences sensory changes in perception, feels a false sensation in one's senses which is not really there. The family is the closest person to the patient's family role that can be carried out by family to family members who experience hallucinations is to help clients know hallucinations and train clients to control their hallucinations. Objective: The purpose of this study was to describe the role of families in treating patients with sensory perception disorders: hallucinations. Results: The results of the study were obtained in fulfilling the patient's self-care who had a good role, namely 7 (21.9%) family members, patient health care as many as 7 (21.9%) family members, prevention of potential patient accidents as many as 8 (25 , 0%) family members and were prevented from withdrawing from the environment as many as 11 (34.4%) family members who received patients with hallucinations. Conclusions: conclusions were obtained as many as 6 (18.8%) family members who play a good role in caring for patients with hallucinations. 26 (81.3%) family members did not play a good role in caring for family members with hallucinations.Keywords: Role of family; hallucinations

The management of traditional markets has the potential to create and expand employment opportunities,specially  for workers who lack adequate skills and expertise to work in the formal sector due to their low level of  education,and as a place of business, small traders have many strategic values. both from an economic and socio-cultural perspective. The purpose of this study was to determine market management in Gowa Regency, especially the Sungguminasa people's market. The method used in this research is descriptive qualitative. The analysis in this study uses the theory proposed by Henry Fayol with the dimensions of planning,organizing,commanding,koordinating, controlling. The results showed that the lack of optimal supervision and firmness of the officers regarding the collection of market levies on kiosks and stalls, inadequate facilities and infrastructure, as well as the condition of the narrow market land resulted in street vendors not being accommodated. Lack of ineffective placement personnel became an inhibiting factor in socialization process to traders. The researcher's suggestion is that the Gowa Regency Industry and Trade Department should fix the market effectively and efficiently and increase market optimization, it is necessary to take steps to improve the quality and quantity of human resources and other supporting resources, so that traders are placed in appropriate places and it is hoped that the Gowa Regency Industry and Trade Department will pay more attention to the facilities provided. is around the market 

Electrical equipment plays an important role in everyday life, from households, schools, hotels, offices, to industrial environments. Because it really helps humans in making work easier. The need for automated tools to facilitate human activities, makes the need for smart chips or microcontrollers increasing. A new breakthrough in the world of microcontrollers with the application of Arduino.Especially at SMPN 10 Salatiga, there are fish ponds and garden lights, which you forget to feed or not, while the officers forget to turn off the lights, causing the fish to die and the lights stay on even though it is noon. This study tries to implement Fish Feed Control and  automatic garden lights on and off using Arduino and scheduling, this is so that the fish stay healthy   and the garden lights can turn on or off according to the schedule desired by management. The author designed a garden lamp and automatic fish feed based on a case study at the school. The tool is designed with three sources of tool control. The first manual is pressing the fish feed manual button, the light switch and the reset button. Both semi-automatic, as a fish feeder, light ON/OFF and reset remote control with the Android application. The third auto is scheduled feeds and lights. This tool is designed to manage fish feed and garden area lighting. This tool is practical to use, inexpensive, useful, flexible and easy to build. The classification of this tool is sufficient for the needs of the school garden. Among the advantages of this tool is that it can be controlled remotely effectively 25 m without a hitch using the android application. The author hopes, this tool provides benefits and solves problems in schools.

Background: Toilet training is an attempt to train children to be able to control bowel movements. In Indonesia, it was found that 16% of children aged 6 years were still unable to do toilet training independently. One of the important factors in the success of children in doing toilet training is the parenting style applied by parents in educating children at home. Objective: to find out the relationship between parenting style and toilet training ability in pre-school aged children in Kutuh Kelod Banjar Ubud. Method: This study used an observational analysis design with a cross sectional approach. The study population was pre-school age children in Banjar Kutuh Kelod Ubud with sampling techniques using purposive samling. The instrument of this study used the observation sheet toilet training ability and parenting questionnaire. Analysis of toilet training capabilities with parenting using the Spearmans Rho test. Results: The study showed that most of the parents' parenting styles were democratic as many as 24 people (40%). The results of the Spearmans Rho test were parenting and toilet training abilities with a value of p = 0,000. Conclusion: This study found that there was a significant relationship between parenting care and toilet training abilities of preschoolers.Keywords: Parenting; toilet training; pre-school children

Along with the development of technology, almost all activities that require knowledge of information systems, including health services. Health services to support the process of technological advancement, namely medical records. To support these technological advances, electronic medical records are needed. In the electronic medical record, a technique and method is needed to maintain the security of the system in the electronic medical record. This research was conducted by literature study method. Eleven articles were found that matched the inclusion and exclusion criteria. The selection was taken with the PICOS framework, then the articles were analyzed one by one. There are several techniques and methods that can protect the privacy system in electronic medical records, namely the mIBE, AES, DES, RC4, and RSA methods. As well as techniques such as Cryptography, Firewall, Cloud Computing, Client-Server, and Access Control. The results of the literature review show that the safest technique to use is the cryptographic technique, because the technique is standardized, can be used without limits and the cost is low. And the safest method used for electronic medical records is mIBE-AES because this technique has been proven safe and fast for storing medical record documents.

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

During this pandemic period, many companies have experienced a decline in performance in any aspect, but many companies are also able to maintain their performance even during the current pandemic from the many activities within the company that we do not know how to maintain their performance. The purpose of this study was to find out how to implement a management control system for company productivity and payroll during the pandemic. This study uses a descriptive qualitative method with the data used is primary data. Conclusion From the results and discussion above For the control system at the company CV. TRIO CIPTA has a control system with a new strategy that is more suitable to be applied during this pandemic so that the company that produces this RO machine can survive during this pandemic. Productivity at this company also experienced a very rapid increase.

This study aims to develop a fuel inventory control system so that it can facilitate monitoring the volume of fuel stock from each bunker ship and can be reported at any time, so that the leadership can estimate the addition of fuel orders to PT. Pertamina for each bunker ship that is adjusted to the incoming fuel request order. If there is a sudden fuel order by the customer, the company can still serve the customer well, so that the fuel stock can be controlled and can be monitored properly at any time. The research method used in the information system monitoring the pump fabrication process is Research and Development (R&D) in this study only until the 6th (sixth) stage and produces the final product in the form of a prototype, so it does not reach the product implementation stage. The six steps are Research and information collecting, Planning, Develop preliminary form of product, Preliminary field testing, Main product revision and Main field testing. This application is made using Macromedia Dream Weaver and MySQL database.

Security issues of a system are factors that need to be considered in the operation of information systems, which are intended to prevent threats to the system and detect and correct any damage to the system. Distributed Denial of Services (DDOS) is a form of attack carried out by someone, individuals or groups to damage data that can be attacked through a server or malware in the form of packages that damage the network system used. Security is a mandatory thing in a network to avoid damage to the data system or loss of data from bad people or heckers. Packages sent in the form of malware that attacks, causing bandwidth hit continuously. Network security is a factor that must be maintained and considered in an information system. Ddos forms are Ping of Death, flooding, Remote controled attack, UDP flood, and Smurf Attack. The goal is to use DDOS to protect or prevent system threats and improve damaged systems. Computer network security is very important in maintaining the security of data in the form of small data or large data used by the user.

This Research is generally aimed at designing a system that can solve problems at Hotel Oyo Jakarta Selatan. In addition to the use of bathroom tools, there is a need for a gas controller in the bathroom space, especially ammonia gas and other gas in the bathroom. The bathroom control system at Hotel Oyo Jakarta Selatan is currently ineffective, in the use of the bathroom tools to hotel guests and hotel staff. The reseach method used by researcher is The research step begins with research and information gathering, then planning and developing the initial form of the product or system, and field testing the feasibility of the system or product, if there is a revision, it can be developed further before conducting the main field test. . Based on the research results, monitoring ammonia gas in rooms based on a microcontroller can be a solution for the Oyo South Jakarta hotel in monitoring rooms, both from guests or hotel employees more effectively and efficiently , and to facilitate the management of existing bathroom rooms in the Hotel Oyo Jakarta Selatan

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

One of the pillars in the Sustainable Development Goals (SDGs) is the 16 pillars covering legal development and governance. Governance in government is one part of this goal, because there are still relatively many forms of fraud in government. The purpose of this study was to analyze the effect of compensation suitability, control system compliance and organizational commitment to fraud. This study took a sample of accounting officers and goods or asset managers throughout the OPD in the City of Salatiga. The analysis tool uses multiple linear regression analysis. This study showsthat the suitability of compensation and control system compliance has no effect on fraud, while organizational commitment has an influence on fraud.Keywords: suitability of compensation, control system compliance, organizational commitment and fraud

The purpose of this study was to test the effectiveness of the accounting information system at PT. SHIBA AZAKI. The problem in this study is whether this sales information system has an effect on controlling receivables at PT. SHIBA AZAKI. In this study the author uses quantitative research methods, while the type of associative research uses a questionnaire as an instrument used to obtain data. The population used in this study were all employees of PT. SHIBA AZAKI using 36 people as research samples. The result of this research is that there is a positive influence and significant of the sales accounting information system on the effectiveness of controlling accounts receivable at PT. SHIBA AZAKI