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Relapsing Pulmonary Tuberculosis is a patient with pulmonary TB who has received TB treatment and has been declared cured or finished treatment, then re-diagnosed as positive pulmonary TB through BTA examination or sputum culture by Mycobacterium tuberculosis. In high incidence settings, this figure is as high as 7850 cases/100000 person-years. A 66 year old patient came to the emergency room at Cut Meutia Hospital with complaints of coughing up blood which had been felt since 3 days SMRS, and worsened after 1 day SMRS, phlegm was fresh red, blood was mixed with phlegm when coughing. Previously the patient had been coughing up phlegm without blood since 2022 coughing felt to come and go. The patient also complained of chest pain on the right side, shortness of breath when doing activities, the patient also complained of night sweats that soaked clothes and bed, denied nausea, vomiting, defecation and urination. there were no complaints, the patient had a history of DM. On physical examination it was found that the patient's general condition appeared to be moderately ill, consciousness was compos smentis, blood pressure was 110/70 mmHg, pulse rate was 66x/minute, respiration was 22x/minute, with a body temperature of 36.7°C and SpO2 98% on room air. Auscultation revealed vesicular breathing sounds (+/+), rhonchi (-/-), wheezing (-/-). Blood laboratory examination: HB decreased (12.00), MCV decreased (76.78 fL), MCH decreased (23.2 pg), MCHC decreased (30.30 thousand/uL).

The purpose of writing this thesis is to find out about the Judge's considerations in issuing a Niet Ontvankelijk Verklaard (NO) verdict on domestic violence cases in military courts and to find out how the verdict should be issued on domestic violence cases in military courts. The type of research used is normative legal research because in this study the author focuses on the inconsistency between the expected conditions that have been regulated in the law and the reality that actually occurs, where this study uses a legislative approach, a case approach, and a conceptual approach. The conclusion of this study is that the Judge's consideration in issuing a Niet Ontvankelijk Verklaard (NO) verdict on domestic violence cases in military courts is because the victim has withdrawn her complaint before the main case examination, even though the withdrawal of the complaint violates Article 75 of the Criminal Code, the Judge still grants the request because the Judge uses the Supreme Court Decision Number 2238 K / Pid.Sus / 2013 dated March 5, 2014 and the Supreme Court Decision Number 1600-K / Pid / 2009 and the Judge prioritizes the value of justice in resolving the case and uses the principles of fast, simple, and low-cost justice. Because the Niet Ontvankelijk Verklaard (NO) verdict is not known in criminal cases, in the author's opinion, ideally the Judge should issue a suspended sentence because the type of suspended sentence is also a type of punishment and is not at all an acquittal or deletion, while the existence of a probationary period that has been determined by the Judge aims to educate the perpetrator to be more careful and able to improve themselves

Organophosphates are a group of compounds with toxic potential that inhibit cholinesterase, leading to the accumulation of acetylcholine at muscarinic, nicotinic receptors, and the central nervous system, which can result in death. Organophosphates are the most toxic insecticides compared to other types of pesticides and are often responsible for poisoning in humans. The symptoms of organophosphate poisoning vary widely. Each symptom depends largely on persistent acetylcholine stimulation or depression, followed by stimulation of the central and peripheral nervous systems. Early symptoms such as salivation, lacrimation, urination, and diarrhea (SLUD) occur in acute organophosphate poisoning due to stimulation of muscarinic receptors, leading to an increase in acetylcholine levels in the blood, eyes, and smooth muscles. Management of organophosphate poisoning involves stabilizing the patient, decontamination, and administering antidotes such as antimuscarinic agents, oximes, and anticonvulsants. Complications from organophosphate poisoning include respiratory failure, seizures, aspiration pneumonia, and even death. Postmortem examination of organophosphate poisoning may reveal cyanosis on the lips, fingertips, and nails, systemic or pulmonary congestion, dilation of the right heart, dark bluish-red livor mortis that forms more quickly, and a wider distribution of livor mortis due to high carbon dioxide levels.

School Health Business is one way to foster and develop healthy lifestyles in schools. This type of research is qualitative using observational. The research was conducted in March-April at SDN Inpres Liwutung 2, Pasan District. The research informants were school principals, school health business advisors (UKS), community health center officers. Data analysis used by means of in-depth interviews, was carried out inductively and continued continuously until completion, so that the data was complete. Analysis consists of three activity streams that occur simultaneously, namely: data reduction, data presentation and data drawing conclusions/verification. The results of this research show that UKS funding comes from BOS funds which are regulated for school activities and needs, one of which is for UKS, but these funds are not sufficient for UKS room needs. For training, Puskesmas officers have not yet facilitated training for UKS supervisors and UKS cadres, because the puskesmas has not received training and orders from the health service to carry out supervisor training. UKS and UKS Cadres. The school's UKS infrastructure is not yet good, the UKS is not spacious enough and there are limited beds, examination tables, folding stretchers, blankets, scales, student health records, thermometers and blood pressure meters.

When it comes to crime, evidence is an issue that plays an important role in the legal process. This evidence determines the fate of the accused. In the event that the results of the examination of evidence based on the evidence provided by law are not sufficient to prove the guilt of the accused, if the guilt of the accused can be proven based on evidence, the accused is acquitted. According to Article 184 of the Criminal Procedure Code, a defendant must be punished first before being sentenced. Expert testimony is valid evidence, and Visum et Repertum can also be used as evidence to replace a manuscript in the form of a letter because Visum et Repertum is one aspect of the role of experts and/or expert testimony, so the relationship between the two cannot be separated. This study aims to determine the role of forensic legal experts in proving the cause of death and the position of evidence to reveal the cause of death of the victim. The method used in this study is normative legal research, using a statute approach and a case approach. The results of this study indicate that the role of forensic legal experts and the regulation of criminal law based on the evidentiary power of the visum et repertum in proving the cause of the victim's death.

This study seeks to evaluate the impact of the guided inquiry learning paradigm on the academic performance of seventh-grade students in biology at SMP Negeri 6 Tondano. This research used a quasi-experimental approach utilising a non-equivalent control group design. The study sample comprised class VII A with 25 students and class VII B with 25 students. This study's variables include the independent variable (X), which consists of users of the guided inquiry learning model, and the dependent variable (Y), which pertains to the learning outcomes of seventh-grade students at SMP Negeri 6 Tondano. Data gathering methods encompass interviews, documentation such as activity reports and pertinent data, and written assessments, including multiple-choice examinations. The hypothesis test employed to assess the difference in student learning outcomes between the experimental and control groups utilises the t-test. The mean post-test learning results for Class VII B students (experimental group) utilising guided inquiry is 82.6. In contrast, the mean outcomes for Class VII A students (control group) employing direct instruction is 77. The hypothesis test findings indicate a t-test value of 2.826, which exceeds the t-table value of 2.010 at a significance level of 0.05. According to the criteria for hypothesis testing, H0 is rejected, and H1 is approved. Consequently, it can be inferred that the guided inquiry learning model positively impacts the learning results of Class VII students in biology at SMP Negeri 6 Tondano.

Technology has undoubtedly revolutionized the way we learn and acquire knowledge. In recent years, there has been a significant shift towards integrating technology into educational practices, with the aim of enhancing the learning experience for students. This transformation has sparked a debate among educators and researchers about the implications of this shift on the traditional methods of teaching and learning. Some argue that technology has the potential to democratize education and provide equal opportunities for all learners, while others express concerns about the impact of digital distractions and the loss of face-to-face interaction. Through the lens of post-positivism, criticality, and constructivism theory, this critical analysis aims to explore the complexities of the transformation of learning with technology. By examining the underlying assumptions and implications of integrating technology into education, we can gain a deeper understanding of how it may shape the future of learning. This analysis will delve into the various perspectives and theories surrounding the use of technology in education, considering both the benefits and drawbacks. Through a balanced examination of the evidence, we hope to uncover the key factors that will determine the success of technology in shaping the future of learning. Ultimately, the goal is to provide insights that will guide educators and policymakers in making informed decisions about integrating technology into educational practices.

Election or General Election is a facility of freedom or right owned by the people to elect members of the House of Representatives, DPRD, DPD, President and Vice President which is carried out directly, publicly, freely, secretly, honestly and fairly or commonly abbreviated as LUBER JURDIL based on Pancasila of the Constitution of the Republic of Indonesia in 1945. There are various ways to win the hearts of the public in the implementation of elections, including through democratic strategies such as using the vision, mission, program and work of the candidate pair to the community.  There are also other ways that are often done, even as if it is mandatory to be able to win elections, then for most voters it becomes a common and inevitable thing, namely money politics. The practice of using money in politics in Indonesia is not a new money. The reason is that from the reform period, the practice of money politics was rampant. Many candidate pairs use money as a way to bring victory in elections. This research is an empirical research supported by a qualitative descriptive approach that uses primary data and secondary data collected using interview and observation methods and data is processed using data examination methods (editing), data marking (coding), data validation, and data vertification and analyzed using judicial analysis techniques. The results of this study show that (1) The management of village funds by the Oelnaineno village government in meeting the community's needs for clean water has been carried out in accordance with procedures and gradually, this is marked by the creation of mini reservoirs and reservoirs in each hamlet. (2) Factors that affect the Oelnaineno village government in allocating village funds to fulfill the rights of the Oelnaineno village community to clean water, namely legal factors, law enforcement factors, facilities or facilities factors and community factors that are less active in taking part in helping the village government.

An examination of the variables affecting rice output and farmers' income levels serves as the driving force behind this study. One of the settlements where people live and work is this one. Using multiple linear regression methods and confirmatory factor analysis (CFA), the study aims to ascertain and assess the effects of fertilizer use, capital, productivity, land, distribution, price, demand, and consumption on farmers' income levels. One hundred farmers served as the sample size. Questionnaires were sent in order to gather data, and SPSS version 24.0 was used for data processing. According to the findings of experiments conducted using hypothesis testing, farmer income is significantly impacted by the factors of production, consumption, land, and prices. Next, the variables Farmer income is not significantly impacted by fertilizer use, demand, distribution, or capital. Four factors are suitable to influence income, according to the research's findings. The first component, productivity, has a value of 0.912; the second, consumption, has a value of 0.764; the third, land, has a value of 0.848; and the fourth, price, has a value of 0.864. The Rotated component matrix value indicates that there are eight factors. The government must work to inspire and excite the people to boost the wealth of farmers in Sei Rotan village, and it is hoped that farmers would keep increasing the productivity of their rice output.

This research aims to explore the education of worship and morals through the exemplary story of the Prophet Muhammad SAW: the perspective of the Koran and hadith. The research method used in this research is literature study review, which includes examination of theories, writings, works, and images as reference sources. Researchers make use of a variety of sources and collect data from reference articles, journals, textbooks, and literature reviews on Moral and Worship education. The collected data is then checked carefully and analyzed using the researcher's own words and interpretations. Findings The research results show that worship education in the story of the example of the Prophet Muhammad is not only prayer but also worship education regarding dhikr, zakat and fasting. Likewise with moral education, namely in the moral education that is in the story of the example of the Prophet Muhammad, it is not only about arrogant or haughty actions, but you are not allowed to say "Ah" to your parents, let alone shout at your parents, love your parents as they love us and you are not allowed to associate anything with each other. Allah because associating partners with Allah is a very big unjust act. Research implications this research provides significant benefits contribution to researchers and readers by improving it understanding of religious and moral education based on the exemplary story of the Prophet Muhammad SAW, practical insights What is the education of worship and moral education in the story of the Prophet Muhammad SAW. By exploring content of the Al-Qur'an and Hadith, this research offers educational guidance on correct worship and morals in accordance with the exemplary story of the Prophet Muhammad written in the Al-Quran.

ABSTRACT This article discusses curriculum innovation and literacy from the perspective of two Indonesian education ministers, Muhadjir Efendi and Nadiem Makarim, who brought significant changes to the Indonesian education system. Muhadjir Efendi introduced the full day school program and zoning policy, which sparked pros and cons among the community regarding its implementation. On the other hand, Nadiem Makarim introduced the concept of Merdeka Belajar which focuses on independent learning and developing student character through National Examination reform, Minimum Competency Assessment, simplification of RPP, and flexibility in admitting new students (PPDB). This article explores how the policies of the two ministers seek to improve the quality of education in Indonesia, although they still face challenges in implementation and acceptance by society. ABSTRAK Artikel ini membahas inovasi dan literasi kurikulum dalam perspektif dua menteri pendidikan Indonesia, Muhadjir Efendi dan Nadiem Makarim, yang membawa perubahan signifikan dalam sistem pendidikan Indonesia. Muhadjir Efendi memperkenalkan program full day school dan kebijakan zonasi, yang memicu pro dan kontra di kalangan masyarakat terkait penerapannya. Di sisi lain, Nadiem Makarim memperkenalkan konsep Merdeka Belajar yang berfokus pada pembelajaran mandiri dan pengembangan karakter siswa melalui reformasi Ujian Nasional, Asesmen Kompetensi Minimum, penyederhanaan RPP, dan fleksibilitas dalam penerimaan siswa baru (PPDB). Artikel ini mengeksplorasi bagaimana kebijakan kedua menteri tersebut berupaya untuk memperbaiki kualitas pendidikan di Indonesia, meskipun masih menghadapi tantangan dalam implementasi dan penerimaannya oleh masyarakat.

Sports injuries are all forms of abnormalities and damages that occur in the body, both in the structure and function of the body that cause pain, resulting from physical movement and sports activities. This activity aims to determine the risk of sports injuries in athletes of UKM Sports Universitas Muhammadiyah Sidoarjo (UKORDA) by using Functional Movement Screening (FMS). UKORDA athletes as participants performed seven movements from the FMS examination consisting of movements consisting of (1) Deep Squat, (2) Hurdle Step, (3) In-Line Lunge, (4) Shoulder Mobility, (5) Active Straight Leg Raise, (6) Truck Stability Push Up, (7) Rotary Stability.The FMS assessment is given based on the effectiveness of the movements carried out by the sample, where the subject will be given a score of "0" if the subject fails or has pain when performing the movement. Then the subject is given a value of "3" if the movement performed is perfect. The results of the examination showed that 6 members of UKORDA were identified as having a "very high" risk of injury based on the results of the Functional Movement Screening (FMS) test, 10 people were identified as having "moderate-high" injury potential, while 9 other people were in the "moderate-low" category.

Examination of serum urea and creatinine levels is an important indicator in assessing the physiological function of the kidneys. Consumption of durian, which is rich in potassium, may increase the risk of hyperkalemia, especially in patients with chronic kidney disorders. One of the popular durian species in Indonesia is Durio zibethinus, which is native to the forests of Sumatra, Malaysia and Kalimantan. Its complex nutritional content may affect kidney function if consumed in excess. This study aims to evaluate the effect of durian (Durio zibethinus) pulp administration on changes in kidney function, especially urea and creatinine levels, in male Wistar white rats (Rattus norvegicus L.). This study used a true experimental design with a posttest-only design with control group design. A total of 24 rats were divided into four groups: negative control, positive control, and two treatment groups with durian fruit pulp in graded doses for 28 days. Measurement of ureum and creatinine levels was performed, and data analysis used One-Way ANOVA test with Bonferroni and Kruskal-Wallis post hoc. Durian administration in graded doses in the treatment group showed a significant effect on increasing ureum and creatinine levels compared to the negative control group (p < 0.05). However, there were no significant differences between treatment groups (P1, P2, and P3) (p> 0.05). Administration of durian fruit pulp at graded doses has a significant effect on increasing ureum and creatinine levels, indicating changes in kidney function in Wistar rats. This finding underscores the importance of regulating durian consumption, especially for individuals at risk of renal impairment.

In the midst of the phenomenon of radicalism that threatens diversity and tolerance in Indonesia, Nurcholis Madjid's thoughts on religious moderation have become a concern again. Taking into account the history and development of Islamic thought in Indonesia, this article investigates the idea of religious moderation in Madjid. To determine whether Madjid's ideas are relevant to radicalism, a thorough examination of the theological, philosophical, and sociological foundations of his thinking will be carried out. This article will also look at how the idea of religious moderation can be applied to various aspects of life, as well as the challenges and opportunities faced in an effort to create a more moderate Indonesian society. Radicalism now threatens the life of the nation and state. In this case, the perspective of religious moderation Nurcholis Madjid offers a profitable option. In this article, the concept of religious moderation in Madjid will be discussed thoroughly, with a special emphasis on practical solutions.

This work explores the potential of PennyLane and variational quantum-classical algorithms (VQCA) to forecast lung cancer using a structured dataset. The VQCA model performs exceptionally well, with flawless training, validation, and test accuracies of 1.0, demonstrating its capacity to identify patterns in the dataset and provide reliable predictions successfully. Contrarily, the accuracy of the quantum neural network (QNN) and classical neural network (NN) models is lower, demonstrating the benefits of utilizing quantum computing methods for enhanced predictive modeling. We provide a complete examination of the data, stressing the better performance of the VQCA model and its promise in correctly predicting lung cancer. The results highlight the importance of quantum-classical algorithms and help us understand the benefits and drawbacks of various strategies for predicting lung cancer. The study highlights the potential applications of quantum computing techniques in advancing the field of healthcare analytics. It shows the capability of the VQCA model to predict lung cancer using a tabular dataset accurately. Further research in this area is needed to explore scalability and practical implementation aspects. In summary, this study showcases the potential of VQCA and PennyLane in predicting lung cancer and underscores the benefits of quantum computing techniques in healthcare analytics.

The purpose of the research is to find out Brand Experience in analyzing Consumer Satisfaction for the purchase of Virtual Items in the Mobile Legend game. The method in writing this article, literature review plays an important role in formulating research ideas, understanding previous findings related to the topic raised, and identifying gaps in existing knowledge. Systematic literature reviews (SLRs) were conducted in two well-known databases, Science Direct and Scopus. After applying the inclusion and exclusion criteria, 1,498 out of 2,038 articles were considered relevant. Afterwards, these papers were carefully examined to produce an in-depth analysis of the subject. In the end, 12 papers were selected for in-depth examination in this study. Based on data from SLR articles written between 2021 and 2024. The research methodology used in this paper includes descriptive analysis and bibliographic analysis. The results of the article are known that Brand experience plays a very important role in increasing consumer satisfaction in purchasing Mobile Legends virtual game items. By creating a positive and consistent experience, developers can build strong relationships with players and encourage them to become loyal customers.    

This research aims to analyze the role of legislation in addressing cases of unregistered marriages conducted by Civil Servants (PNS). Utilizing a normative legal research method with a statute approach, this study employs library research, expert opinions, and an examination of Government Regulation No. 10 of 1983 in conjunction with Government Regulation No. 45 of 1990 concerning Marriage and Divorce Licenses for Civil Servants. These regulations have a hierarchy that refers to Law No. 16 of 2019 concerning amendments to Law No. 1 of 1974 on marriage. The perspective of this research is to evaluate the extent to which government regulations can control the functions and positions of civil servants as state apparatus faced with freedom of perspective, both from administrative, legal norms, and religious values.

This study focuses on examining the comparison between the principles of general criminal law and military law applied in the justice system, through a comparative method with a normative juridical approach used as a comparative identification process of the two legal systems which includes the process of examination, trial, sentencing and consideration of legal principles. The difference in nature between general criminal law and military law is that general criminal law (Commune delicta) which anyone can carry out, is the opposite of Military Law as a special crime (Delicta proparia) which can only be carried out by certain people, in this case by a military man. Based on a literature study to see the principles of implementing the two laws, this study aims to show how the comparison of the two systems is applied, reviewing aspects of Human Rights, Justice and Legal Certainty in the legal justice system in Indonesia.

Acute respiratory infection, or ARI, is an acute inflammation that most often occurs in children. It is caused by infection with microorganisms, bacteria or viruses or without or accompanied by inflammation of the lung parenchyma (David, 2019). Data from the World Health Organization (WHO) in 2019 shows that lower respiratory tract infections reduce life expectancy by 2.09 years in sufferers (WHO, 2019). The group most at risk is toddlers. This research uses a case study approach. Participant 1 was a three-year-old child patient who underwent ARI, data collection using interviews, observation, and physical examination. The tools and instruments used in this research were eucalyptus aromatherapy (eucalyptus oil), warm water and a family nursing care assessment format. After the data was collected, data analysis was carried out using the nursing process. The intervention emphasized airway clearance, but it was not adequate, so Eucalyptus aromatherapy was given for three days. The final evaluation was reached on the 3rd day, and the problem was resolved. The evaluation results showed that giving Eucalyptus aromatherapy to a three-year-old child who had respiratory problems was very effective so that on the third day, the child no longer experienced shortness of breath, the secretions were no longer there, and breathing became more accessible. Conclusions and suggestions for research sites should be made on how to apply eucalyptus aromatherapy to ARI to help expel secretions and relieve breathing.

The role of work motivation as a mediator of the influence of work engagement on job satisfaction is important in the context of human resources. In today's globalization era, competition between companies is getting stronger, so that companies are asked to be able to get it and optimize these variables in arrange to make strides their execution and competitiveness. Hence, this inquire about points to analyze the relationship between work engagement, work motivation, and job satisfaction. This inquire about was conducted by the Shopper Agreeable of CU Sang Timur with a add up to test of 70 workers who were decided based on immersed inspecting. Information were collected through interviews that conveyed surveys to investigate subjects. Information were analyzed utilizing way examination strategies with SPSS. This inquire about points to analyze the mediating role of work motivation on the impact of work engagement on job satisfaction. The comes about of this think about demonstrate that work engagement and work inspiration altogether impact job satisfaction with a positive relationship course, work engagement essentially impacts work motivation with a positive relationship heading, and work motivation can be a arbiter of the impact of work engagement on job satisfaction in part. The suggestions of this investigate hypothetically back the discoveries of past investigate results. The practical implications of the Consumer Cooperative of CU Sang Timur are to maintain work satisfaction, work engagement, and work motivation owned by its employees.