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Preoperative anxiety in patients undergoing laparoscopic cholecystectomy is an important issue because it can affect the psychological and physiological condition, as well as the postoperative recovery process. This study aims to describe the level of anxiety in preoperative laparoscopic cholecystectomy patients at Sultan Agung Islamic Hospital (RSI) Semarang. This research used a quantitative descriptive design with a population of all preoperative laparoscopic cholecystectomy patients and a total sample of 91 respondents, selected using purposive sampling technique. Data collection was performed using a questionnaire, which was then analyzed univariately to obtain the frequency distribution of anxiety levels. The results showed that most respondents were in the elderly group (41.8%), male (79.1%), employed (75.8%), and had no medical history (72.5%). The majority of respondents experienced moderate anxiety (73.6%), followed by mild anxiety (23.1%) and severe anxiety (3.3%). These findings indicate that most patients experience moderate anxiety before the surgical procedure. These results can serve as a basis for healthcare providers to deliver psychological interventions to reduce preoperative anxiety, such as providing adequate information, emotional support, and relaxation techniques to improve patient comfort and readiness for the medical procedure.

UMKM Tahu XYZ, a small-scale tofu producer, is currently facing significant challenges in maintaining consistent product quality, primarily due to a high defect rate. Common issues identified include crumbled tofu shapes, overly soft textures, and inconsistent taste, which negatively impact customer satisfaction and business sustainability. This study aims to investigate the root causes of these quality issues and propose practical solutions using the Lean Six Sigma methodology. The research employs a descriptive quantitative approach through the DMAIC framework—Define, Measure, Analyze, Improve, and Control—to ensure systematic problem-solving. Data were collected over a six-month period through direct observation, structured interviews, and review of production records. The analysis identified four dominant types of waste within the production process: unnecessary transportation, product defects, excessive movement, and over-processing. The root causes of these inefficiencies are linked to poor handling of raw materials, variability in soybean quality, and an ineffective production layout that hampers workflow and consistency. To address these problems, the study proposes several targeted interventions, including the redesign of the production layout to optimize flow, the implementation of the 5S (Sort, Set in order, Shine, Standardize, Sustain) workplace organization method, the development of standardized operating procedures (SOPs), and the adoption of improved soybean boiling technology. The implementation of these improvements is projected to significantly reduce product defects, enhance process efficiency, and ultimately increase customer satisfaction. Furthermore, these actions are expected to improve the overall competitiveness of UMKM Tahu XYZ within the highly demanding food industry sector. This research provides actionable insights for other micro, small, and medium enterprises (MSMEs) seeking to apply structured quality control methods to strengthen operational performance and long-term business resilience.

The development of digital technology has had a significant impact on the health sector, including eye examination services. This study discusses the development and implementation of a Digital Optoscope-based Eye Diagnostic application designed using a web platform (HTML). This application provides two main features: visual acuity testing and astigmatism testing, which can be accessed independently by users through digital devices such as laptops, tablets, or mobile phones. Users only need to follow the visual instructions presented interactively on the screen, then perform the test according to the procedure. The testing method is carried out by displaying font size settings according to the Snellen chart standard and radial astigmatism patterns. The results of each test session are automatically recorded and can be saved for further analysis. In addition, users can perform repeated tests to improve the accuracy of self-diagnosis, and the system will provide lens type recommendations based on the measurement results obtained. The trial results show that this application is able to provide convenience, efficiency, and initial accuracy in the process of examining vision disorders. This is very useful, especially for people in remote areas or with limited access to professional eye health services. Thus, the Digital Optoscope-based Eye Diagnostic application has the potential to be an innovative solution for the early digital detection of vision disorders. This study recommends further development, particularly in clinical validation, testing on a wider sample size, and integration with electronic medical record systems to enhance its benefits in comprehensive public health services. Furthermore, collaboration with medical professionals is crucial to ensure diagnostic accuracy. With this approach, the app is expected to become a reliable tool for continuous eye health monitoring.

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy

This study explores the implementation of human resource development management as a strategic effort to enhance task performance in educational institutions. The research was conducted at MAN 2 Kediri City and MAU MBI Amanatul Ummah Pacet Mojokerto, where notable improvements in information and technology mastery were observed. These improvements stemmed from various capacity-building activities, including computer proficiency training, computer-based learning workshops, excellent service training, teacher participation in science olympiad competitions, and other quality enhancement programs. Employing a qualitative approach, data were collected through participant observation, in-depth interviews, and documentation. Data analysis was conducted using individual site analysis and cross-site comparison, while data validity was ensured through credibility, transferability, dependability, and confirmability criteria. The findings reveal that to strengthen competitive advantage in madrasahs, school leaders undertake comprehensive human resource management practices. These include needs analysis through vacant position mapping and recruitment planning, teaching hour allocation, job analysis, and structured recruitment processes involving written tests, microteaching, and interviews. Furthermore, human resource development is carried out through adherence to Standard Operating Procedures (SOP) and continuous professional training for educators. The study concludes that strategic human resource development contributes significantly to institutional competitiveness and educational quality. It recommends sustained investment in teacher capacity building and structured HR planning to support long-term performance improvement.

This study analyzes the impact of implementing Indonesia’s Law No. 27 of 2022 on Personal Data Protection (PDP Law) on cybersecurity in the e-business sector. Using a normative qualitative approach through literature analysis, this research examines the regulation’s implications for technical infrastructure, compliance procedures, and human resource capacity development within e-business operations. The findings indicate that although the PDP Law provides a comprehensive legal framework and human-centered principles for personal data protection, its implementation faces technical, operational, and economic challenges, particularly for micro, small, and medium enterprises (MSMEs). These challenges include limited security infrastructure, lack of technical expertise, and high investment costs. Nevertheless, adopting strategies such as multi-layer security architecture, zero-trust security model, privacy by design, and strengthening human resource capacity can enhance consumer trust, industry credibility, and the global competitiveness of Indonesia’s e-business sector. This study contributes to the literature by bridging the gap between personal data protection regulation and cybersecurity practices while offering strategic recommendations for both business actors and regulators.

The use of BRIMEN (BRI Document Management System) in digital document processing operations during internship activities at the Medan Regional Office of PT Bank Rakyat Indonesia (Persero) Tbk. is the main focus of this article. The objective of this study is to understand how the BRIMEN system contributes to the storage, retrieval, and classification of documents, particularly in relation to credit document management. This system was introduced to address common issues found in manual archiving, such as limited storage space, difficulties in document retrieval, and the risk of errors in preserving clients’ physical records. The research employed a descriptive qualitative approach through direct observation and active participation in daily workflows. The findings indicate that BRIMEN significantly improves operational efficiency by providing a more systematic and secure digitalization procedure for banking documents. The system not only reduces the risk of loss or damage to physical archives but also accelerates the process of data retrieval when required by work units. Through its classification and tracking features, BRIMEN ensures better consistency between digital data and physical documents, although several technical challenges remain, such as restricted access to storage rooms and difficulties in scanning older or non-standard documents. Overall, the results highlight the importance of implementing a well-structured digital document management system to support the smooth operation of modern banking institutions. BRIMEN represents a tangible step in BRI’s digital transformation, strengthening data security while simultaneously improving the quality of credit services delivered to customers. With continuous improvement, this system has the potential to serve as a model for digital document management that can be more widely adopted across Indonesia’s banking sector.

This research was conducted on fourth-grade students of SD Negeri 01 Dagen Karanganyar with the aim of identifying the improvement of critical thinking skills in IPAS learning by applying the Cooperative Learning Model of the Teams Games Tournament (TGT) type during the 2024/2025 academic year. The study involved 25 students, consisting of 16 male students and 9 female students. This research belongs to quantitative research with a One-Group Pre-Test Post-Test Design. The research procedure began with administering a tryout test to determine the number of valid items to be used. The validity test results showed that 20 items met the validity criteria during the tryout. Data analysis was conducted using the One-Sample Shapiro-Wilk test for normality and the Paired Sample T-Test for hypothesis testing. Based on the analysis, the results showed a significance value of < 0.000 with a significance probability of < 0.05. Therefore, the findings are consistent with the hypothesis, namely: “There is an effect of using the Teams Games Tournament (TGT) Learning Model in IPAS learning on the critical thinking skills of fourth-grade students at SD Negeri 01 Dagen Karanganyar in the 2024/2025 academic year.” This indicates that the TGT model can enhance students’ ability to think critically, helping them develop essential skills in problem-solving, analysis, and decision-making, which are crucial for their academic success and future learning processes.

The operational department at PT. Baruna Mitra Segara Lines Bandar Lampung plays a crucial role in ensuring the timely departure of ships. This study examines how the department monitors ship departures to ensure they occur on time and follow established procedures. The research uses a qualitative case study approach, collecting data through observation and documentation. The findings show that active involvement from the operational department helps reduce technical and administrative issues that may delay departures. Improving human resources and operational systems is essential to guarantee smooth operations. The operational department is responsible for coordinating between departments, checking ship readiness, and monitoring schedules. The department's effectiveness significantly reduces delays and enhances customer satisfaction. The study also highlights that the accuracy of operational work impacts the efficiency, safety, and reliability of the shipping process. Strengthening the monitoring system and improving human resource quality are critical to optimizing the department’s role. However, challenges such as limited resources and outdated information systems need to be addressed to improve performance. This research aims to provide insights for PT. Baruna Mitra Segara Lines management to enhance the operational process of ship departures.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

This study aims to examine the influence of Occupational Health and Safety (OHS), workload, and compensation on employee productivity at PT Cahaya Karya Bersama. The background of this research lies in the importance of human resource management in enhancing company performance amid intense business competition. Despite the company’s efforts in providing safety facilities and implementing OHS systems, issues still arise such as low employee awareness of safety procedures, unequal workload distribution, and dissatisfaction with compensation systems, particularly in relation to BPJS Health services. This study employs a quantitative approach by distributing questionnaires to 40 respondents via Google Form, with data analyzed using SPSS 25. The results indicate that partially, OHS, workload, and compensation variables have a significant effect on employee productivity. Furthermore, these three variables also jointly contribute significantly to productivity enhancement. Therefore, the company must further optimize OHS implementation, ensure workload alignment with employee capacity, and improve its compensation system to create a productive and sustainable work environment.

Corruption is an extraordinary crime that not only causes massive state financial losses but also impedes national development. Efforts to eradicate corruption are insufficient if limited to the imprisonment of perpetrators; they must be accompanied by state asset recovery. The prosecutor, as the dominus litis in the criminal justice sistem, plays a central role in the process of seizing assets derived from corruption. This research aims to analyze the authority of prosecutors to seize assets in corruption cases, identify the obstacles encountered, and formulate solutions to optimize the exercise of this authority. The research method employed is normative juridical, utilizing a statutory approach and a case approach. The findings indicate that prosecutors have a strong legal basis for asset seizure, as stipulated in the Criminal Procedure Code (KUHAP), the Anti-Corruption Law, and other relevant regulations. However, in practice, prosecutors face various obstacles, both juridical, such as legal loopholes in the evidentiary process, and non-juridical, such as the complex modus operandi of perpetrators in concealing assets, slow inter-agency coordination, and challenges in tracing assets located abroad. Therefore, it is imperative to strengthen the regulatory framework through the enactment of the Asset Forfeiture Bill, enhance the capacity and integrity of prosecutors, and bolster international cooperation to maximize the recovery of state losses.

Laboratory guidelines not only provide students with practical experience but also help them identify hazardous materials and maintain occupational safety in the laboratory. This study aims to determine the level of safety awareness in school laboratories among senior high school students. A survey questionnaire prepared using Google Forms was distributed to 35 twelfth-grade students who were considered to have prior experience in receiving laboratory safety materials. The results of this study indicate that most students have implemented laboratory safety procedures, particularly in the use of basic physical protection. However, the low level of students’ safety awareness in the laboratory is influenced by the limited role of teachers in consistently reminding students of laboratory safety procedures, as well as the lack of clear safety guidelines available in the laboratory. Therefore, it is necessary to strengthen teachers’ involvement and provide comprehensive laboratory safety guidelines so that students can better understand the importance of laboratory safety, especially in the event of accidents

This study explores how strategic leadership can drive institutional transformation toward excellence in Islamic higher education. A qualitative research approach with an ethnographic orientation was adopted, conducted at UIN Sulthan Thaha Saifuddin Jambi, Indonesia, for one year, specifically during the university's preparation for national accreditation. Data were collected through three primary methods: participant observation in leadership meetings and quality assurance activities, in-depth interviews with 14 key informants (including university leaders, lecturers, and accreditation staff), and document analysis of the institution's strategic plan and accreditation report. Data analysis employed an inductive thematic procedure, in which interview transcripts, field notes, and institutional documents were analyzed to identify emerging themes. The research findings revealed that strategic leadership is realized through three main pillars: clear visionary direction, participatory management, and the integration of Islamic humanistic values ​​into institutional governance. Despite facing challenges such as structural fragmentation, limited financial resources, and cultural resistance to change, the leadership successfully mobilized collective commitment and aligned organizational efforts with accreditation goals. As a result, the university achieved the highest national accreditation rating (A). This study contributes theoretically by contextualizing strategic leadership within faith-based educational settings in developing countries and highlighting the importance of moral authority, inclusive communication, and organizational synergy. Practically, these findings offer valuable insights for Islamic university leaders seeking to foster excellence under constraints.

Copyright protection is a crucial aspect in providing legal recognition and guarantees for intellectual property. However, understanding of copyright among educators and students remains limited, potentially leading to violations and a lack of appreciation for copyrighted works. This situation highlights the urgent need for comprehensive education in educational settings, particularly at MA Tijarotal Lantabur. This community service activity aims to improve teachers' and students' understanding of the concept of copyright, the benefits of registration, administrative procedures, and the legal protection provided by the state. Furthermore, this activity is expected to foster awareness of respect for intellectual property and encourage independent copyright registration initiatives. The methods used were interactive lectures, group discussions, and online copyright registration simulations through the Directorate General of Intellectual Property (DJKI) system. The material was delivered in simple and applicable language to ensure participants' understanding. Evaluation was conducted by comparing participants' understanding before and after the activity. The results of the activity showed a significant increase in participants' understanding of copyright concepts and procedures. Participants not only understood the benefits of legal protection for intellectual property but were also able to practice the registration steps independently. Furthermore, a collective awareness emerged to disseminate the acquired knowledge to colleagues and the school environment. Overall, this activity succeeded in increasing legal literacy regarding copyright among teachers and students, and is expected to be able to form a culture of respect for intellectual works while minimizing copyright violations in the educational environment.

Occupational Health and Safety (OHS) is a systematic effort aimed at protecting workers from the risks of accidents and work-related diseases. The implementation of OHS integrated with risk management helps identify, evaluate, and control potential hazards effectively in the workplace. This study was conducted at PT. Sarana Sampit Mentaya Utama, Balikpapan Branch, a company engaged in asphalt production. The main objectives of this research were to identify potential hazards, determine appropriate control measures, and evaluate the role of the Job Safety Analysis (JSA) method in supporting OHS. The research method used is JSA, which involves identifying each work step, determining the likelihood and severity of risks, and calculating the risk rating to assess the level of risk. The results showed that there are three potential hazards with a medium-risk category, namely in the activities of raw material mixing, quality control, and asphalt distribution. Additionally, three potential hazards with a low-risk category were found in the processes of raw material weighing, raw material transfer, and pump line valve opening. Recommended control measures to reduce risks include the use of appropriate personal protective equipment (PPE) for each task, improving work facilities and infrastructure, and implementing proper load lifting procedures. The application of JSA has proven effective in raising the company's awareness of potential risks in the workplace. This has led to the implementation of better preventive measures, ultimately contributing to the creation of a safer, healthier, and more productive work environment. Therefore, the integration of OHS with risk management at PT. Sarana Sampit Mentaya Utama plays a significant role in safeguarding the safety and well-being of workers.

This study aims to gain an in-depth understanding of the implementation of bread product quality control in the Pastry Section of Harris Hotel & Conventions Bundaran Satelit Surabaya, covering four main aspects: raw materials, production process, storage, and presentation. Furthermore, this study focuses on understanding the Standard Operating Procedures (SOPs) for bread production operations and the level of implementation of these SOPs in daily work practices. The research method used is descriptive qualitative, with data collection techniques through direct field observation, interviews with pastry section staff, and documentation related to bread production activities. The results show that bread product quality control is carried out comprehensively. In the initial stage, raw material selection is carried out strictly to ensure quality, freshness, and food safety. The production process is carried out according to standard procedures, paying attention to equipment cleanliness, processing techniques, and timeliness, resulting in products that are consistent in taste and texture. The storage stage is also carried out hygienically with a system for arranging ingredients and finished products that pay attention to temperature, humidity, and cleanliness of the storage room. In the final stage, bread is served with good aesthetic standards while maintaining food safety aspects, thus adding value to the hotel guest experience. The bread production operational SOP has been systematically developed and serves as an important reference for all pastry section employees in carrying out their daily tasks. Employee compliance with the SOP is high, although challenges remain, such as limited trainee skills and delays in raw material supplies from suppliers. These challenges can usually be overcome through direct supervision, internal training, and good communication with material suppliers. Overall, the implementation of quality control and bread production SOPs at Harris Hotel & Conventions Bundaran Satelit Surabaya has been running smoothly and consistently.

Background: Half of the 75 million children in Indonesia suffer from dental caries, and the number continues to rise each year. Caries is a disease that involves the enamel, dentin, and pulp of the tooth. If left untreated, it can reach the pulp and cause tooth necrosis. Pulpectomy is a dental procedure that involves removing the entire pulp tissue of deciduous teeth to access the infected root canal. This procedure is crucial to prevent the spread of infection. Post-pulpectomy restoration is essential to ensure the optimal function of the tooth and prevent further damage to the remaining tooth structure. The restoration must have adequate retention, minimal leakage, and not increase the risk of further damage to the remaining tooth structure. Methodology: This study is a qualitative research in the form of a literature review using secondary data collected in August 2024 from five main databases: PubMed, MDPI, ScienceDirect, Garuda (Garba Rujukan Digital), and Taylor & Francis. The collected data were then sorted to identify articles relevant to the research criteria. Results and Discussion: Based on the Prisma Diagram Flow, 343 articles were identified from the five databases, which were then filtered down to five articles that met the criteria to be the primary articles in this literature review. The results show that there are various types of post-pulpectomy restorations tailored to the diagnosis and clinical indications of the treated teeth. Conclusion: There are two commonly used types of post-pulpectomy restorations, namely restorations made of Glass Ionomer Cement (GIC) and Stainless Steel Crowns (SSC). Both of these restorations can be modified into space maintainers, which are essential in preserving space for the future growth of permanent teeth while improving the function of the treated tooth.

This study explores the metaphor of life in Colleen Hoover’s novel Reminders of Him, aiming to identify the types of linguistic metaphors and analyze the conceptual metaphors that underlie them. Based on Lakoff and Johnson’s conceptual metaphor theory, which classifies metaphors into structural, ontological, and orientational categories, this study highlights the role of metaphor as a cognitive tool, not merely a stylistic device. A qualitative method was employed, with data collected using AntConc software by focusing on parts of the novel containing the word “life.” The Metaphor Identification Procedure was applied to identify linguistic metaphors, which were then categorized based on the word class of the lexical units that were used metaphorically. The results of this study show four types of linguistic metaphors involving the noun “life”: nominal, verbal, adjectival, and prepositional. These forms portray life as a physical object, a process, a possessed attribute, or a container. These linguistic metaphors reflect eight conceptual metaphors, including five ontological metaphors (life is ownership, life is a container, life is an entity, life is air, life is a place) and three structural metaphors (life is a machine, life is a journey, life is a challenge). The diversity of these conceptual metaphors illustrates the rich representation of life in the novel.  

Quality healthcare services are a crucial factor in improving patient satisfaction and are an indicator of the success of healthcare facilities. Based on the results of the 2024 Semester I Public Satisfaction Survey (January–June), Melati Community Health Center (Puskesmas Melati) achieved a satisfaction score of 80.84%. This score indicates good service quality, but remains below the established Minimum Service Standards (SPM), which is more than 90%. This condition requires a comprehensive evaluation of the relationship between service quality and patient satisfaction levels. Therefore, this study was conducted to determine the extent to which healthcare service quality influences patient satisfaction at Melati Community Health Center, Kapuas Regency. The study used a quantitative approach with a cross-sectional design. The study population was all 985 patients who visited Melati Community Health Center, Kapuas Regency in January 2025. The study sample was determined at 285 respondents through random sampling techniques to obtain representative data. The research instrument was a structured questionnaire that assessed the dimensions of service quality and patient satisfaction levels. Data analysis was performed using the Spearman Rank test to determine the relationship between variables. The results of the study showed that the majority of patients rated the quality of health services as very good (26.6%). In addition, the majority of patients also expressed satisfaction with the health services provided (30.9%). Statistical tests proved a significant relationship between service quality and patient satisfaction levels (p = 0.000 < 0.05) with a correlation coefficient of 0.693. This means there is a strong and positive relationship, so that the better the service quality, the higher the patient satisfaction. The conclusion of this study emphasizes the importance of improving the quality of health services at the Melati Community Health Center. Aspects that need attention are improving physical appearance (tangibles), simplifying service procedures, and strengthening the competence and empathy of staff.