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Micro, Small and Medium Enterprises (MSMEs) have a vital contribution to Indonesian economy. It is characterized by a large number which can accommodate a large number of workers. However, many MSMEs face many internal and external challenges in improvising their business. The purpose of this study is identifying challenges faced by MSMEs in terms of external aspects which include technological turbulence and market turbulence as well as internal aspects which include fear of failure, anxiety, disappointment, distress, and tension; and Qualitative methods with interview techniques are used to explore information from the experience of SMEs as resource persons who have been selected with certain criteria. The research’s findings show that the external barriers arise from limited knowledge and resources while the internal barriers of entrepreneurs arise from the personal lives and demands of business consumers. The research’s contribution is to provide facts for MSMEs to be used as a basis for evaluating business performance so that they can prepare corrective steps in improvising. In addition, the measuring instrument used as an interview protocol can be used as a reference for further study in similar topics.

. Implementation of adjustments in the payment system from postpaid to prepaid for PT. PLN ULP Rantepao with the objective of reducing bad debts, but the accounts receivable report demonstrates an increase in bad debts over the last 3 years. The goal of this research is to examine the internal control system for bad debts in accordance with COSO. The descriptive qualitative method was used in this research. Using a random sampling technique, interviews, documentation, and observation were conducted. The sample used in this research is saturated. The significance of this research stems from the fact that bad debts have a significant impact on the company's financial health performance. (1) Changes to the prepayment system have no effect on the reduction in bad debts, according to the research results. (2) The internal control system at PT. PLN ULP Rantepao has not been properly implemented in terms of the 5 COSO components. Instances in which the risk assessment, control environment, and monitoring activities have been implemented, but only a few of each COSO component's items have been implemented. In the meantime, neither control activities nor information and communication have been properly implemented. (3) Control activity is relatively more influential in fostering the emergence of bad debts due to the low paying power and awareness of customers in meeting their obligations. This research will be more interesting if it is continued by investigating the failure factors of changing the prepaid payment system in an effort to reduce bad debts using a variety of research methods.

PT. AIC uses a manual system in engine maintenance management. This makes it difficult to access in measuring the rate of damage, for acceleration information in maintenance management. This problem requires an identification to provide an effective machine maintenance management information system. The MTBF value will be able to detect machine damage, especially the piccanol gamma loom machine. The MTBF value can see the damage to the machine by looking at the condition of the machine, the data history of machine damage, the number of machine failures that occurred in a certain period. The MTBF value of the machine can control the reliability and know the life of the machine. Action maintenance can be done before the machine is damaged. After calculating the MTBF value of the piccanol gamma loom machine, it is still relatively small so the machine is still often damaged.

In order to address a number of issues, this study attempts to determine the most effective marketing techniques for Lazisnu items, particularly when it comes to social media marketing. Field observation techniques and a qualitative approach with a scientific foundation were used in this study to interpret the occurrences that were observed. The study's findings indicate that the internal and external variables of the research object have an impact on marketing strategy efforts. The existence of Lazisnu, the degree of rivalry among rivals, people's enthusiasm in starting their own businesses, and people's limited saving capacity are examples of external variables. Internal issue factors, on the other hand, prevent marketing strategies from being successful. These include subpar human resource quality, less creative promotional efforts, a lack of infrastructure and funding, and a failure to keep up with digitalization trends in the marketing industry.

Professional crime can occur in the health sector, including among veterinarians. This professional crime is in the form of malpractice. Malpractice is the failure to use skills and knowledge that are common or fulfill the rules in their actions as a medical profession according to standards in the same environment. If it's true that a veterinarian has committed malpractice, can he be penalized? With the normative juridical method, it is answered that veterinarians who commit malpractice can be subject to legal sanctions in accordance with the Civil Code. There are elements that must be met to determine that an event is malpractice.

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falling in the elderly and provide assistance in balance training as an effort to prevent the risk of falling in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using. Elderly gymnastics is a series of regular, directed, and planned movements carried out with the intention of improving the functional abilities of the body. Reporting from the Panti Rapih Hospital page, this activity is carried out regularly and with movements that are not too heavy.

Pulmonary tuberculosis is an infectious infectious disease caused by bacteria, which can attack the respiratory system, namely the lungs. This disease annually contributes to the highest mortality in the world, including one of developing countries. To achieve successful treatment, patients must patiently take TB drugs thoroughly. There are several factors that influence the failure of treatment, namely from the patient himself, education, knowledge, and other social support.  The purpose of this study was to determine the relationship of knowledge and motivation to adherence to taking medication for pulmonary tuberculosis patients in hospitals. H.Adam Malik in 2020.This type of research is descriptive correlation with cross sectional research design. The number of samples was 31 from April to June 2020. The research was conducted at RSUP. H. Adam Malik  at TB Polyclinic. Bivariate analysis using the chi-square test to determine the relationship of Knowledge and Motivation to medication adherence in pulmonary TB patients.  Based on a hypothesis test using chi-square with a confidence level of 95%, there was no significant relationship between knowledge and medication adherence (p = 0.473). There was a significant relationship between motivation and medication adherence (p = 0.001). The conclusion of this study is that there is no relationship of knowledge with adherence to taking medication and there is a relationship of motivation with adherence to taking medication in TB patients.

A common disease experienced by the elderly is hypertension. Cases of hypertension in Demak are quite high, one of them is in Mranggen village. This reality proves that many people still ignore hypertension. Because there are sufferers who feel no symptoms and there are symptoms such as headaches, weakness, fatigue, shortness of breath and blurred vision. If not treated immediately it will cause complications such as kidney failure, stroke, coronary heart disease and retinopathy. It is of course important to make efforts to control blood pressure. A combination of non-pharmacological management of deep breathing exercise and religious music is one of the efforts that can be made. The purpose of this study was to describe the administration of a combination of deep breathing exercise and religious music therapy to the blood pressure of elderly hypertensive patients. This research uses descriptive case study research with a nursing care process approach.The number of samples is 2 respondents, with the criteria of elderly clients who have hypertension, clients who do not take medication during hypertension in order to determine the effectiveness of the action, clients who can communicate well, and clients who are willing to be respondents. Deep breathing exercises and religious music are carried out once a day for 3 days in 1 week with a duration of 15 minutes. Blood pressure measurement using a sphygmomanometer and stethoscope. Blood pressure measurements were taken before and after the procedure. The results showed that the blood pressure of respondent 1 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes, the blood pressure on the first day before receiving therapy was 160/70 mmHg and after being given therapy for 3 days on the last day the blood pressure became 150/60 mm Hg. In respondent 2 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes the blood pressure on the first day before receiving therapy was 179/80 mmHg and after being given therapy for 3 days on the last day the blood pressure was 156/70 mmHg .

Lactation management is needed to support the successful management of breastfeeding. Failure of the breastfeeding process is often caused by some mothers who do not understand the correct way to breastfeed. Based on UNICEF data, only 30% of post partum primiparous mothers provide exclusive breast milk, this shows that babies in Indonesia still receive non-exclusive breast milk. The aim of this service is to increase knowledge about lactation management which consists of how to breastfeed, the benefits of breastfeeding, the correct breastfeeding position. The activity was carried out at the Bara Baraya Community Health Center, Makassar City on December 9 2022. The method used in this service was lecture and question and answer which began with a pre-test then providing information and then a post-test with a total of 7 participants. The results of the activity showed that those who had good knowledge before the counseling were carried out were 3 people (42.85%) and after the counseling it increased to 7 people (100%), this shows that the counseling was effective in lactation management for Primiparous Postpartum Mothers..

This study aims to determine the meaning of failure from a book entitled "Read this book when you fail: pretending to be successful is tiring" by K.L Rahayu. This book explains how to take failure and turn it into success. This book also provides knowledge of who we are, and various ways to know ourselves to achieve true success. This study uses a qualitative method, namely by deciding conclusions by outputting data and also focusing more on the morals and messages of this book. The results presented in this study, if you feel a failure, then immediately collect your spirit and throw away negative thoughts to quickly return to repairing things that have fallen apart. Failure should be considered a friend, so it will change bad things for the better and more colorful. A person's success is the product of a failure, therefore failure should never be considered the end of everything, instead, it becomes a big opportunity in the next step.

Pulmonary TB is an airborne infectious disease that mostly attacks the lungs. Knowledge is information that is captured by the five human senses, then developed through language and ways of thinking. Noncompliance and lack of understanding of the community in the use of drugs is one of the causes of therapy failure. Providing knowledge and understanding of patients in the use of drugs will have an impact on medication adherence and success in using drugs for therapy. The purpose of this study was to determine the relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City. This study uses an analytical descriptive research design with a cross-sectional approach. The sampling technique in this study used a sampling technique using total sampling with a total of 42 respondents. The data collection technique was carried out using a questionnaire and using the Chi-Square test with a significance level of a = 0.05. The results of the study respondents had a low level of knowledge on medication adherence with a p value = 0.00, and had a low attitude towards medication adherence with a p value = 0.032. The conclusion of this study is that there is a relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City.

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).     

In 2018, Basic Health Research (Riskesdas) data showed that the prevalence of wasting in children under five in Indonesia was 10.2%, while in the age group under two years (baduta) it was higher, namely 11.7%. Nutrition Status Monitoring Data for 2017 also shows that the prevalence of wasting in under-fives is higher, which is 12.8% when compared to the toddler group, which is 9.5% (Ministry of Health RI, 2018). Based on the WHO classification, wasting in the underdog group in Indonesia is categorized as a serious public health problem, with a prevalence in the range of 10-14%. Malnutrition that occurs in 1,000 HPK, besides being at risk of inhibiting physical growth (failure to thrive) and being susceptible to disease (metabolic disorders: DM. Hypertension, obesity), also inhibits cognitive development (motor cognitive impairment) which will affect the level of intelligence and productivity of children in the future.    

Stress is a large imbalance between physical or psychological demands and the ability to respond when there is a failure to meet the demands faced. One method that can be used to reduce stress is hypnotherapy. This study aims to determine the effect of hypnotherapy on the reduction of stress levels in undergraduate students of nursing. The research design used a quasy experiment with two groups pre and post test using a purposive sampling approach which was carried out on the final year students of undergraduate nursing. This research instrument using perceived stress scale. Data analysis using Paired T test. The results of the study on 32 respondents using the Independent T test on the average stress after (posttest) in the Intervention with Control group obtained P value = 0.000 <? (0.05) there is a difference in the average stress after (posttest) in the Intervention group with the group control. Based on this research, hypnotherapy is effective in reducing stress levels and is expected to provide input to other educational and research institutions so that it can overcome stress on students with hypnotherapy.

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

This extension activity was conducted for Karang Taruna Desa Papahan, Kec. Tasikmadu, Kab. Karanganyar. The outcomes of this activity are: cheap participants' knowledge of the concept of entrepreneurship so that they have the right knowledge; benefit participants' insights on how to start a business and choose the right type of business; benefit participants' insights about possible business failures and ways to enter and resolve business failures.This activity is carried out with the following stages: Selection of participants to the community service, namely the board and members of Karang Taruna; Submission of lecture materials, with a view to fostering an entrepreneurial spirit; Implementation of evaluation Evaluation is done by: before counseling conducted a question-answer to know each participant's initial knowledge about entrepreneurship special techniques or how to start a business. After the counseling finished the question and answer again about the same material. By comparing the results of answers that have been done, it will be known whether there is an increase in knowledge about the entrepreneurship and scope.Keywords: Counseling, entrepreneurship, management

Asphyxia is the failure to initiate and continue breathing spontaneously and regularly when the baby is born or some time after birth. The aim of the research is to determine the description of midwives' knowledge of the meaning of asphyxia, etiology and treatment of asphyxia at the Special Regional Hospital for Women and Children in Pertiwi Makassar. The research was carried out at the Special Regional Hospital for Women and Children in Pertiwi Makassar. The method in this research uses descriptive analytics by taking a sample of 45 midwives with a total sampling technique, namely all midwives who work at the Pertiwi Makassar Regional Special Hospital for Women and Children in 2016. The data used in this research is primary data with the variable studied being knowledge midwives about the meaning of asphyxia, the etiology of asphyxia and the treatment of asphyxia. The results of the research from 45 midwives who were willing to be respondents found 42 respondents (93.33%) who had good knowledge about the meaning of asphyxia, 42 respondents (93.33%) who had good knowledge about the etiology of asphyxia and 40 respondents (88.89%) who had good knowledge about the etiology of asphyxia. good about treating asphyxia. In conclusion, most of the midwives' knowledge is good about the meaning of asphyxia, the etiology of asphyxia and the treatment of asphyxia. It is hoped that midwives will further increase their knowledge, especially in handling asphyxia in newborns to reduce the neonatal mortality rate.    

This extension activity was conducted for Karang Taruna Kadipiro Village, Banjarsari Sub-District, Surakarta City. The outcomes of this activity are: cheap participants' knowledge of the concept of entrepreneurship so that they have the right knowledge; benefit participants' insights on how to start a business and choose the right type of business; benefit participants' insights about possible business failures and ways to enter and resolve business failures. This activity is carried out with the following stages: Selection of participants to the community service, namely the board and members of Karang Taruna; Submission of lecture materials, with a view to fostering an entrepreneurial spirit; Implementation of evaluation Evaluation is done by: before counseling conducted a question-answer to know each participant's initial knowledge about entrepreneurship special techniques or how to start a business. After the counseling finished the question and answer again about the same material. By comparing the results of answers that have been done, it will be known whether there is an increase in knowledge about the entrepreneurship and scope. Keywords: Counseling, entrepreneurship, management

This article examines various models of credit risk assessment. The study results show that the models can be classified based on the approach adopted, namely the traditional and the structural. In its development, the structural approach by Merton model is dominating, although at the end it reaps many critics when the LTCM crisis happened in America, in the late 1998. Those critics lead to the assumptions used, which considers only the endogenous factor without having to analyze the exogenous factor. The failure of the Merton model has its own attention from the experts so that many of them are trying to polish them. Nevertheless, the results showed that each model has its own advantages and disadvantages that need a comprehensive understanding and analysis of the managers when they want to adopt one of them.Keywords: Credit risk, Merton model, firm-specific risk, and market risk.

Bank Indonesia, together with the financial accounting standards boardissued financial standards governing the allowance for credit losses dueto the enactment of the international financial standards IFRS.Provision for credit losses is very important for banks to be able to copewith the risk of losses incurred due to the failure of the bank disbursedloan repayments. Banking indirectly still have a dilemma with theapplication of IAS 50 on financial instruments presentation of IAS 55and IAS 60 regarding measurement of the disclosure. These applicationshave benefits in addition to the problems in the implementation.