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Tujuan pengembangan ini adalah menghasilkan bahan ajar matematika dengan pendekatan PMRI (Pendidikan Matematika Realistik Indonesia) materi Sistem Persamaan Linier Dua Variabel untuk Siswa Kelas VIII. Pengembangan bahan ajar ini menggunakan model pengembangan Sadiman yang meliputi 7 tahap yaitu menganalisis kebutuhan siswa dan guru, merumuskan tujuan instruksional, merumuskan butir-butir materi, perumusan alat ukur keberhasilan, penulisan naskah, tes/uji coba dan mengadakan revisi. Produk yang dihasilkan berupa bahan ajar matematika yang telah di validasi. Validator ahli materi menyatakan cukup valid dengan presentase skor 72,71%, ahli desain menyatakan valid dengan presentase skor 82,49%, ahli praktisi menyatakan cukup valid dengan presentase 75%. Sedangkan hasil uji coba pengguna (user) menyatakan cukup valid dengan presentase skor 77,49%. Dengan demikina, dapat disimpulkan bahwa bahan ajar matematika yang dikembangakan sudah cukup valid untuk digunakan dalam pembalajaran.

The development of the economy in Indonesia in the field of trade and industry has given birth to many types of goods and services. Helped with the advancement of information technology and telecommunications in Indonesia, resulting in the vast area of ​​buying and selling transactions to foreign countries. As the largest Muslim population in the world, Indonesia has the potential to become the largest producer of halal food. Business actors not only pay attention to the composition of the medical course, but also need food that is consumed legally. Legal certification of food products as a form of consumer protection against the halal of a product, not only to protect consumers but also as a bulwark to eliminate abuse authorities that harm business actors are only in the interests of consumer protection. The above is the basis for the author to take the title: "LEGAL PROTECTION FOR CONSUMERS OF FOOD PRODUCTS THAT HAS NOT HALAL CERTIFIED". The problem in this study is how the form of legal protection for consumers of food products that have not been halal certified and the legal consequences for businesses for food products that have not been halal certified. This study uses a normative juridical approach. The research specifications used are analytical descriptive. The data of this research are secondary data obtained through literature study which are then analyzed using qualitative methods.  The research results obtained despite regulations made by the Government, in Act Number 8 on Consumer Protection in 1999 and Act Number 33 on Halal Product Guarantee in 2014, that the facts that occur there are still food products that have not been halal certified . Based on the results of the study, legal protection for consumers of food products that have not been halal certified is regulated in Article 45 of the Consumer Protection Act which regulates if consumers are harmed by products, consumers can file lawsuits with business actors as a form of legal protection against consumers. The obligation as a business actor to have a halal certificate is regulated in Article 4 of Law Number 33 of 2014 concerning Halal Assurance System, as a result of the law received by business actors for the circulation of food products that have not been halal certified, namely by providing administrative sanctions and criminal sanctions that are regulated in Article 62 of the Consumer Protection Act.   Keywords: Consumer Protection, Halal Certificate, Legal Effects

Freight of goods and passengers in Indonesia With the availability of goods and transportation needed by transportation, there are many entrepreneurs or transportation service companies in the three transportation routes. PT. Pandu Logistik is a company engaged in the transportation of goods which is a legal entity in the Commercial Postal Service as stipulated in article 18 paragraph (1) of Law Number 38 of 2009 concerning Postal. During the process of shipping goods sometimes it does not need to be done with problems, for example regarding expenditures, both originating from nature, human actions or from the nature of the goods themselves. In answering this law, the approach method is carried out using the sociological juridical method with descriptive analytical specifications and the analysis is done qualitatively. The results of this study indicate that the standard agreement in the transportation agreement determined by the carrier according to the position of the parties is not balanced and there is no freedom of transfer to determine the contents of the agreement. Factors that cause ownership change, damage or loss of goods in PT. Pandu Logistics is 2 factors, the first factor which is a factor of PT. Pandu Logistik itself and the second is external factors such as circumstances and accidents that cannot be done in the transportation of goods. The responsibility of PT. Pandu Logistics Semarang for lost or damaged goods that is by way of compensation of 10 times the shipping fee or a maximum of Rp. 1,000,000 (one million rupiah), except if PT. Pandu Logistik Semarang can prove right and wrong that PT. Pandu Logistik Semarang, apart from the negligence and mistakes of the sender of the goods or because there is something about the cargo that does not reach the recipient of the goods, this is what frees PT. Pandu Logistik from Semarang sent by the goods sender. This is in accordance with article 10 paragraph (2) letter i Government Regulation Number 15 Year 2013 concerning Regulation Number 38 Year 2009 concerning Postal   Keywords: Standard Agreement, Factors, Responsibility, Delivery of Goods

The occurrence of crime is caused by several factors, namely criminal biology, criminal psychology, and criminal sociology. Even though there are many factors related to an offender committing an act of sexual abuse based on that basis, I took a research entitled: "Criminological review of the causes of people committing an act of sexual immorality (Study of the Demak State Decision No.115.Pid.Sus / PN / Dmk August 10, 2016) ". Formulated as follows what factors cause people to commit criminal acts of sexual abuse? And what about the criminology review of the perpetrators of obscene criminal acts in the Demak District Court for the study of obscene decisions based on the decision of the Demak District Court No.115.Pid.Sus / 2016 / PN / Dmk 10 August 2016 ?. A type of sociological juridical study, the specifications of this study are analytical descriptive. Descriptive qualitative analysis data with the aim of describing the exact characteristics, state of symptoms of a particular individual or group can be concluded later stages. Based on the research results obtained: the conclusion of biological factors, psychological factors, sociocultural factors. Criminal psychology factors on the condition of the perpetrators can be seen from the way they do, sociocultural factors seen from the economic conditions, changes in the social status of rural communities to the city. Crimes related to criminal psychology, criminal biology, sociocultural: 46 year old convict R as a criminal biologist who committed crimes such as sexual abuse, convicted R male sex. Biologically criminal acts of sexual abuse committed by men rather than women, convict R has a normal mental state that psychologically has the ability to be responsible for the crimes committed.   Keywords: Criminology, Causes of Crimes, Crimes for obscenity.  

The application of sanctions for children is not the same as the application of sanctions for adults, criminal sanctions imposed on children are based on justice, truth, welfare, and the child's future, children have special characteristics and characteristics that require guidance in order to ensure their physical and mental growth as a whole. , harmonious and balanced because children are the most important pillar in determining the fate of the nation and state in the future. An addict or narcotic abuser from a legal perspective is also a criminal offender. In this study, the authors raised several problems, namely How to Implement Criminal Sanctions Against Children of Narcotics Abusers and How Judges Considerations in Deciding Narcotics Abusers in Decision No.18 / Pid.Sus-Anak / 2016 / PN Smg. The research method used in this research is in concreto. This writing aims to explain the Application of Criminal Sanctions Against Narcotics Abuse Children and Judge Considerations in Dropping Decisions Against Narcotics Abuse in Decision No.18 / Pid.Sus-Anak / 2016.PN Smg, the defendant is sentenced to sanctions for actions namely by medical rehabilitation and social rehabilitation . The sanctions obtained by narcotics criminal offenders in decision No.18 / Pid.Sus-Anak / 2016 / PN Smg are in accordance with existing regulations in Indonesia, apart from being accompanied by a person / guardian, the defendant is accompanied by a legal advisor, namely Rizka Abdurrahman SH, MH, during the examination process of the defendant did not receive discriminatory treatment / distinction, the judge in passing the verdict for the defendant has considered things that are burdensome and lighten and consider everything that is best for the child.   Keywords : Children, Narcotics, Abuse, Application of Criminal Sanctions

ABSTRACT An environmental permit is a permit given to any person or initiator who wishes to undertake a business and / or activity that is required to be UKL-UPL in the framework of environmental protection and management as a condition of obtaining a business and / or activity license. Violations committed by PT. Hadi Putra Makmur related to the issue of obligations and prohibitions, especially regarding licensing, efforts to manage and monitor the environment, hereby the supervision of DLH enforces by giving administrative sanctions. The above is the basis for the author to take the title "ADMINISTRATIVE LAW ENFORCEMENT ON IMPORTANT ACTIVITIES THAT DO NOT HAVE DOCUMENTS UKL-UPL (Study of PT. Hadi Putra Makmur Semarang City)." In this research, the authors raise the problems, namely: a. How is administrative law enforcement for activities that have no significant impact that do not yet have UKL-UPL documents? b. What are the obstacles that arise in the administration of administrative law for activities that do not have significant impacts that do not have UKL-UPL documents? c. What is the Role of Administrative Law in Enforcement of Environmental Law? The method used is to use the type of juridical normative research with descriptive analytical research specifications, secondary data sources with data collection methods through literature study and interviews, and the method of presentation and data analysis methods using descriptive analytical methods. The purpose of this study is to explain the application of administrative sanctions for activities that do not have significant impacts that do not have UKL-UPL documents. Barriers that arise in the enforcement of administrative sanctions for activities that do not have a significant impact that do not have UKL-UPL documents, and the role of administrative law in environmental law enforcement. The results showed that PT. Hadi Putra Makmur has violated licensing, environmental management and monitoring efforts, DLH Semarang city has imposed administrative sanctions in the form of government coercion in accordance with PP no. 37 of 2012 concerning environmental permits. Administrative sanctions are legal instruments used for the first time by DLH in enforcing cases conducted by PT. Hadi Putra Makmur.   Keywords: Administrative Enforcement, Environmental Permit, UKL-UPL

Vigilantism itself is an offense that still often occurs in the community around us. This violates the provisions of article 170 paragraph (1) and (2) of the Criminal Code, article 351 paragraph (2) and (3) of the Criminal Code, article 354 paragraph (1) and (2) of the Criminal Code. Violations of vigilantism are not justified because it is as if the community as the perpetrators of vigilantism ignores the legal process in force in Indonesia. Then there needs to be protection for the suspect or victim of vigilantism even though he is a criminal. It aims to achieve justice and legal processes in this country. The formulation of the problem of this research is What are the factors - factors that cause the occurrence of vigilante actions, How is law enforcement against perpetrators of vigilante acts (Study in the Legal Area of ​​the West Semarang District Police). The type of research used in this study is juridical normative. The research specifications are analytical descriptive. This study uses two sources of cracked data: primary data and secondary data. The method of presenting data in research is done in a descriptive way. The analysis used in writing this thesis is qualitative. The results showed that, the factors that caused the act of vigilantism were spontaneous arising from a group of people who came from social pressure factors, lack of public trust in law enforcement officials, lack of knowledge of people who conduct vigilante about the law and busy people capture the moment of vigilante with a cellphone rather than having to break up. Law enforcement against perpetrators of vigilante conduct (Studies in the Legal Area of ​​the West Semarang District Police) by conducting, overcoming, and minimizing the occurrence of vigilante acts both from the policy of penal policy (repressive) in accordance with article 27 paragraph (1) of the 1945 Constitution, article 170 paragraph (1) and (2) KUHP, article 351 paragraph (2) and (3) KUHP, article 338 KUHP article 354 paragraph (1) and (2) as well as non-penal (preventive) is done by conducting counseling to the community in the area - areas considered to be the scene of vigilantism and carrying out routine patrols.   Keywords: Factors, Enforcement, Self-Performing Judges.  

Penelitian ini bertujuan untuk meningkatkan Hasil Belajar Biologi Pada Siswa Kelas X IPA 6 SMA Negeri 1 Tawangsari Tahun Pelajaran 2017/2018.Teknik pengumpulan data dalam penelitian ini menggunakan observasi/ pengamatan, tes/ teknik penilaian, dan dokumentasi. Setelah diadakan tindakan kelas, pada siklus I hasil belajar kognitif sebesar 57%, aspek afektif sebesar 41% dan aspek psikomotorik 33%. Dari siklus I ketuntasan belajar dari aspek kognitif, aspek afektif dan aspek psikomotorik belum memenuhi kriteria tuntas, perlu dilanjutkan ke siklus II. Pada siklus II hasil belajar kognitif sebesar 71%, aspek afektif 46% dan aspek psikomotorik 51%. Pada siklus II telah mengalami peningkatan, tetapi hasil belajar kognitif dan aspek afektif belum mencapai ketuntasan, maka dilanjutkan pada siklus III. Pada siklus III mengalami peningkatan dengan hasil belajar kognitif sebesar 77%, aspek afektif 60% dan aspek psikomotorik 66%. Sehingga dapat disimpulkan bahwa dengan menggunakan model PBL disertai mind mapping dapat meningkatkan hasil belajar biologi.Kata Kunci: Hasil Belajar Biologi, Mind mapping, Problem Based learning (PBL).

Penelitian ini termasuk penelitian eksperimental yang dilakukan di SDN Kismantoro Miri Kabupaten Wonogiri. Subjek yang diteliti dalam penelitian ini adalah kelas tiga. Kelas tiga SDN Miri berjumlah 20 siswa sebagai kelas eksperimen dan 20 siswa sebagai kelas kontrol. Instrumen yang digunakan adalah tes dalam bentuk posttest yang disediakan dalam kelompok kontrol atau kelas eksperimen. Data diperoleh dari hasil belajar siswa nilai postes. Uji validitas suatu masalah dengan menggunakan tabel korelasi r, sedangkan uji reliabilitas menggunakan Spearman-Brown. Berdasarkan penelitian dilakukan perbedaan penelitian dalam hasil yang diperoleh, seperti yang ditunjukkan oleh perbedaan nilai rata-rata. Berdasarkan hasil uji-t dengan ? = 5% diperoleh Tobs = 1.68205> 5.990 dapat disimpulkan bahwa siswa yang diajar menggunakan pendekatan Appoarch Scientific untuk memperoleh hasil belajar sains lebih baik daripada siswa yang diajar dengan metode konvensional. Jadi penggunaan model ini efek singnifikan pada hasil belajar IPA siswa kelas tiga SDN Kismantoro Miri Kabupaten Wonogiri.Kata kunci: Pendekatan Pembelajaran ilmiah, Keterampilan Proses Sains.

Kualitas siswa dalam Program Pendidikan Biologi Universitas Veteran Bangun Nusantara tidak dalam kualitas tertinggi. Tetapi kompetensi kelulusan standar diperlukan di tingkat yang baik. Oleh karena itu, diperlukan peningkatan keterampilan dalam kegiatan belajar. Peningkatan aktivitas pembelajaran telah dilakukan melalui pendekatan saintifik berbasis lesson study pada mata kuliah sistematika tumbuhan tinggi melalui 4 siklus. Setiap siklus memiliki tahapan perencanaan-lihat-lihat. Data diperoleh dari deskripsi tahapan plan-do-see dan analisis dilakukan secara kualitatif. Hasil penelitian ini menunjukkan bahwa implementasi rencana itu layak dan teliti. Implementasi do bahwa perkuliahan dapat mengatur waktu dengan baik, memberikan motivasi dan ketepatan pada kesalahpahaman yang disampaikan oleh mahasiswa; selain itu, aktivitas belajar siswa dan kemandirian mereka selama kegiatan belajar semakin meningkat. Implementasi see dapat meningkatkan kolaborasi antar dosen dalam menyusun rencana selanjutnya. Studi ini menyimpulkan bahwa penerapan pendekatan ilmiah berdasarkan studi pelajaran dapat meningkatkan keterampilan dosen dalam melakukan kegiatan belajar siswa, meningkatkan kegiatan belajar siswa dan meningkatkan kemandirian siswa.Kata kunci: keterampilan belajar, lesson study, pendekatan saintifik

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.    

The WISN and ABK-Kes methods can be used to calculate the workload and staff requirements in the medical record unit. Medical record workers often catch several jobs without calculating the workload, so they feel a high workload. The purpose of this research is to analyze the need for medical personnel using the WISN and ABK-Kes methods. This study uses a type of qualitative research with a descriptive research design. The population in this study were all medical record officers. With eight medical record officers as samples. The results showed that based on calculations using the WISN and ABK-Kes methods, ten medical record officers were needed. So the proposed solution is to add expert medical record officers who are competent in their fields according to the calculation of the need for medical personnel according to the ABK-Kes method. This makes the medical record unit more reliable and ideal, because it is in accordance with PMK No. 33 of 2015 the addition of SDMK.    

Latar Belakang: Pemilihan kontrasepsi yang digunakan oleh wanita perlu mempertimbangkan pengaruh metode tersebut terhadap fungsi reproduksi sekaligus kesejahteraan umum. Alat kontrasepsi pil dan suntikan mempunyai permasalahan atau efek samping paling utama yaitu gangguan pola haid. Hasil studi pendahuluan pada akseptor KB pil dan suntik kombinasi didapatkan 2 dari 5 akseptor KB Pil Kombinasi mengalami siklus menstruasi yang tidak teratur. Sedangkan akseptor KB Injeksi Kombinasi 1 dari 5 orang mengalami siklus haid yang tidak teratur. Tujuan: Untuk mengetahui perbedaan siklus menstruasi akseptor KB pil dan injeksi kombinasi. Metode Penelitian: Metode penelitian yang digunakan Survey Analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di Wilayah Puskesmas Kerjo. Sampel yang diambil adalah akseptor KB pil dan injeksi kombinasi. Jumlah responden penelitian ini sebanyak 60, dengan teknik pengambilan sampel menggunakan teknik Quota Sampling. Instrumen penelitian menggunakan angket. Teknik analisa data pada analisis bivariat menggunakanT test. Hasil Penelitian: Hasil penelitian didapatkan siklus menstruasi akseptor KB pil kombinasi mayoritas normal (90%). Sedangkan siklus menstruasi pada akseptor KB injeksi kombinasi mayoritas juga normal (90%). Analisa bivariat padaperbedaan siklus menstruasi akseptor kb pil dan injeksi kombinasi menunjukkan nilait hitung lebih kecil dari t tabel (0,192 < 1,67065). Sehingga tidak ada perbedaan siklus menstruasi antara KB pil dan injeksi kombinasi. Kesimpulan: Tidak terdapat perbedaan siklus menstruasi akseptor KB pil dan injeksi kombinasi.

Perdarahan postpartum menjadi penyebab utama 40% kematian ibu di Indonesia terutama atonia uteri dan ruptur perineum. Tujuan studi kasus ini meresume asuhan kebidanan ibu bersalin primigravida dengan senam hamil terhadap pencegahan ruptur perineum dan mengidentifikasi efektivitas senam hamil terhadap ruptur perineum pada ibu bersalin primigravida. Metode penelitian studi kasus ini menggunakan metode observasional deskriptif  yang dilakukan di Puskesmas Kebakkramat I pada bulan Maret sampai April 2016 pada ibu bersalin primigravida dengan senam hamil melalui teknik pengumpulan  data primer dan sekunder dengan format asuhan kebidanan pada ibu bersalin dengan 7 langkah varney dan melaksanakan latihan senam hamil sesuai dengan SOP serta nama inisial dan surat persetujuan. Hasil penelitian didapatkan responden yang mengikuti senam hamil sejak usia kehamilan 28 minggu dengan frekuensi dan ketepatan pelaksanaan mampu mengurangi resiko terjadinya ruptur perineum sampai dengan derajat IV bersamaan dengan pelaksanaan persalinan yang aman dan nyaman. Kesimpulan senam hamil cukup efektif untuk mengurangi resiko terjadinya ruptur perineum pada ibu bersalin primigravida.

Schizophrenia is a disorder in a person with a state of being unable to think logically so that he cannot control his behavior and emotions. One of the positive symptoms of schizophrenia is hallucinations. Hallucinations occupied the highest number in 2018 as many as 5,339 people in RSJD Dr. Amino Gondhoutomo, Central Java Province. Hallucinations are the inability to distinguish between internal and external stimuli. One of the therapies for hallucinations is occupational therapy. Occupational therapy is an activity to correct abnormalities, maintain and improve the client's health status. The purpose of this case study is to describe the symptoms of hallucinations before and after being given occupational therapy for leisure activities. This type of research is descriptive with a case study approach. This study used 2 people with auditory hallucinations as subjects who were willing to be respondents. The results showed a decrease in the score of hallucinatory symptoms before and after being given occupational therapy for leisure activities to Mr. T from 13 to 4 and Br. R from 16 to 8. It can be concluded that the provision of occupational therapy for leisure activities has an effect on reducing hallucinatory symptoms experienced by schizophrenic patients with auditory hallucinations.

Depression Breast milk is the best food for babies, because it contains all the nutrients the ideal amount  and  composition  required  by  infants.  One  of  the  obstacles  in  the  early breastfeeding is the production of breast milk in small quantities on the first day after birth. Ways that can be done toincrease milk production is the oxytocin message. The purpose of case study to improve sepending colostrum at maternal post partum after doing oxytocin message. This type of research is descriptive using a case study approach. Subjects in this study were two patients maternal post partum. The result of the analysis to subject 1 spending colostrum time this is 5.00 hours with fast   categori, while to subject  2  spending  colostrum  time  this  is  06.20  hours  with  low  categori.  Can  be concluded there oxytocin message effect on the time spending colostrum.nurse have to apply message oxytocin to the mother post partum to give colostrum on her baby soon after birth.

Depression is one form of psychiatric disorders in nature of feeling (affective or disorder) is characterized by melancholy, lethargy, feeling of no use, and despair. A nursing action that needs to be administered to patients with depression disorder with the provision of music therapy. Music therapy is a therapy that can improve the effects of analgesics, comfort effects that can reduce depression. Musik used with dangdut music fast rhythm. The purpose of this case study illustrates the changes in depression levels before and after the dangdut music therapy performed rapidly in the space Gatot Kaca RSJD Dr. Amino Gondhohutomo. This type of research is descriptive by using case study approach method. Subyek in this case study were two patients with mild to moderate depression, 18 to 20 years og age, and like dangdut music. Analysis was done descriptively and measured using an HRS-D scale assessment. The result of analysis after the music therapy dangdut fast rhythm for 4 times on subjects I and subjects II, showed that the occurrence of decreased depression rate with subjects I score 13 (mild depression) to 6 (normal) and subjects II 16 (moderate depression) to 12 (mild depression). Recommendations for nurse may continue nursing actions to lower dep levels.

Hypertension is not infectious disease which occupy the third place in the region’s small-scale Clinics Rowosari Semarang. Less healthy lifestyles as well as stress lead to uncontrolled hypertension and cause various complicatio. Foot reflexiology message is one of complementary therapies with muscle compression techniques giving rise to a relaxing effect and the lower blood pressure. The purpose of this study  is illustrate the aplication of reflexiology message theraphy to lower blood preassurein hypertensive clients.The methods used in this research is a descriptive case study method with case study approach. The subject are 2 people with criteria of age 35-65 years old and suffering from hypertension grade I and II. Intervensions carried out in the form of foot reflexiology massage therapy 30-60  minutes for three days a row. The results of the case study shows that there is a decrease of blood preassure 160/90 mmHg  143/83 mmHg be on subject I and subject II 180/100 mmHg to 155/87 mmHg. Foot reflexiology message therapy is recomended as a nursing intervention in the client management of clients  with hypertension.

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.

E-commerce has been giving a lot of benefits to small andmedium enterprises (SMEs), but there are only a few SMEs whichhave adopted it. Therefore, it is necessary to find out what are thefactors that support SMEs to adopt E-commerce. So far, researcheson E-commerce have been done on foreign-large-scale businesses,while researches on SMEs especially about the adoption of E-commerce have been a few. That is why this research will discussthe adoption of E-commerce on Indonesian SMEs and will includethe factors that support E-commerce adoption. The problems in thisresearch are elaborated into research questions, i.e. do, topmanagement support, organizational readiness, external pressure,and perceived benefits have significant positive effect to E-commerce adoption? And does the adoption have significantpositive effect to company’s performance? The purpose of thisresearch is to analyze factors that support E-commerce adoption onIndonesian SMEs and to analyze whether the adoption improves theperformance of the SMEs. This technique is chosen because it is thesecond generation of multivariate analyzing technique that enablesresearchers to test the relation between complex variables to get anoverall view of the whole model. Besides, SEM can also test a seriesof a complicated relation simultaneously. The results of thisresearch explain that top management support, organizationalreadiness, external pressure, and perceived benefits haveSignificant positive effect to E-commerce adoption, and theadoption have significant positive effect to company’s performance.