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Congestive heart failure is a pathophysiological condition in which the heart as a pump is unable to meet the need for blood for tissue metabolism. It has been reported that a 56-year-old patient with complaints of shortness of breath is felt to be worse when sleeping in a supine position and improves when sitting in a sitting position. The complaint was accompanied by chest pain that radiated to the back and left arm and palpitations. Patients also complain of getting tired easily when doing activities even to walk to the bathroom. On physical examination, it was found that irregular S1-S2 was accompanied by a murmur. On the examination of ECG and Echocardiograph, it was found that the picture of AF and EF was 41%. In the thorax photo examination, cardiomegaly. The management of this patient is the administration of drugs that reduce shortness of breath and chest pain in patients.

Type 2 diabetes mellitus represents a persistent metabolic dysfunction marked by elevated blood glucose levels attributable to insulin resistance. Geriatrics pertains specifically to individuals aged 60 years and older. Managing diabetes mellitus necessitates intricate therapeutic interventions, often comprising single or combined pharmacological agents aimed at achieving euglycemia. The concurrent administration of multiple medications, termed polypharmacy, amplifies the likelihood of pharmacological interactions. This investigation endeavors to delineate potential drug interactions observed in geriatric inpatients afflicted with type 2 diabetes mellitus at Dr. Moewardi Regional General Hospital in Surakarta throughout the calendar year 2023. The study adopted a descriptive observational design employing a cross-sectional approach. Data collection was conducted retrospectively through purposive sampling based on the medical records of geriatric patients at Dr. Moewardi Regional General Hospital in Surakarta. Inclusion criteria encompassed patients aged 60 years and older diagnosed with type 2 diabetes mellitus who had been hospitalized. Exclusion criteria included incomplete or illegible medical records, patients diagnosed with anemia and hemoglobinopathies, and those who expired during treatment. The findings revealed that out of 100 patients, 96 experienced drug interactions. Most patients (47.00%) were aged between 66 and 74 years. Females constituted a larger proportion (51.00%) of the patient cohort. Among hospitalized patients, 83 (83.00%) were admitted for 2-6 days. A total of 70 patients (70.00%) were prescribed between 4 and 13 medications. The predominant severity level of drug interactions was moderate, comprising 1,017 cases (74.60%). Pharmacodynamic mechanisms accounted for most drug interactions observed, totaling 1,054 cases (77.30%).  

This study aims to determine the application of accounting information systems for cash receipt procedures and cash disbursement procedures by fulfilling the accountability of financial statement management (case study of the SMKS Delima Nusantara Foundation Medan).  This research uses a descriptive qualitative approach. The research subjects amounted to three people, including financial administration staff, treasury staff, and nursing principals. Data collection techniques in this study are interview techniques, observation and documentation. Based on the results of the study, it is found that the application of the accounting information system in the SMKS Delima Nusantara Foundation Medan, especially in the cash receipts and disbursements procedure, has been said to be effective and in accordance with the applicable accounting information system procedures. However, in terms of accountability of the financial statements of the SMKS Delima Nusantara Foundation Medan according to the principle of accountability is still less effective due to lack of awareness in preparing the accountability report every month.

Sweet tea drinks sold by street vendors are susceptible to contamination by bacteria. The presence of excess or pathogenic bacteria in sweet tea can cause health problems such as gastrointestinal infections, hence it is important to ensure sweet tea is free from bacterial contamination that is harmful to consumers' health. Penelitian ini bertujuan untuk mengetahui angka cemaran bakteri pada teh manis yang dijual oleh pedagang es teh manis di Kecamatan Plumbon Kabupaten Cirebon dan untuk mengetahui persentase teh manis yang tidak memenuhi syarat peraturan Badan POM RI No. 13 Tahun 2019 dalam parameter Angka Lempeng Total Bakteri dengan pemeriksaan pour plate (cawan tuang). This study used a survey research method. Sampling was done by total sampling. The samples of this study were 12 samples of sweet tea sold by sweet iced tea traders in Plumbon District, Cirebon Regency. Data analysis using percentages with simple calculations. Based on the results of the study, the highest bacterial contamination value was 16 × 105 colonies/mL and the lowest was 1.5 × 104 colonies/mL. Analysis of percentage data on 12 samples of sweet tea sold by sweet iced tea traders in Plumbon District, Cirebon Regency, 100% exceeded the threshold of the requirements of the Indonesian Food and Drug Administration Regulation No. 13 of 2019, making it unfit for consumption.

The goal of the current research is to ascertain whether Coenzyme Q10 can prevent or mitigate damage to the kidney tissues that are harmed when rabbits are given ivermectin. In this investigation, 48 healthy adult male albino rabbits, weighing between 1350 and 1800 grams, who were between 13 and 14 weeks of age, were used. Eight animals each were split up into six identical groups by the groups.Control group A. Groups B, C, and D of rabbits received 2 mg/kg of the drug every week. After stopping ivermectin for eight weeks,. B: Perform direct tissue slicing; C: Give Coenzym q 10 (10 mg/kg) once daily for 30 days; D: Use rabbits Give self-healing 30 days. F = just Coenzym q10 10mg/kg for 30 days; E = ivermectin 2 mg/kg every week For eight weeks and 10 mg/kg of Coenzyme Q10.. The outcomes revealed The renal polycysts, inflammatory cells infiltration and necrosis of the renal tubules' lining epithelial cells, and atrophy or vaculation of glomeruli were among the damage to the kidneys observed histopathologically in groups B and D. The current study recommends that while administering ivermectin, reasonable caution should be taken. Secondly Ivermectin toxicity-related kidney damage is ameliorated by Coenzyme Q10.

Background: Diaper rash cases in Indonesia have a relatively high prevalence in Central Java Province. Using disposable diapers on infants can have a negative impact on the skin, using them for too long can cause the skin to become damp so that the infants skin experiences irritation or rashes. Diaper rash is the most common skin problem caused by inflammation in areas covered by diapers such as genitals, buttocks, and inner groin. Objective: This study aims to determine the effect of administration of virgin coconut oil (VCO) on diaper rash in infants. Method: This research used pre-experimental techniques with a group pre-test and post-test design. The sample for this research was 20 participants. Data analysis used Wilcoxon signed rank test to test the effect of VCO on diaper rash. Results: VCO administration had an effect on reducing rash scores with a p-value of 0.000 < 0.05, so H0 was rejected and Ha was accepted. Summary: This study concludes that administration of VCO is very effective in the treatment of diaper rash in infants.

. Legal Protection for the Implementation of Execution of Dependent Rights in Conventional Banks, which includes Research Objectives. For legal protection of the mechanism for the execution of the right of dependency in the return of debtors to the convention bank. Analyze the settlement of cases against bad debtors' assets to traditional banks and the execution of dependant rights in the process of loan repayment. How far studies on dependent rights execution in traditional banks have gone in terms of legal protections. Procedures for Conducting Studies The studies utilized are of a legal normative type. The study's findings Law 49/Prp of 1960, pertaining to the State Receivables Affairs Committee (PUPN Law), protects the right of dependents to the return of debts owed by government commercial banks. It is the responsibility of the State Receivables Affairs Committee ("PUPN"), established by law, to oversee the administration of all State Receivables. The execution of dependent rights in the return of debtors' assets to traditional banks and the settlement of bad credit cases were both inefficient and unsuccessful because, in reality, they could not recover the debts owed by the debtors. In summary Compared to the value of new bad credit cases submitted by traditional banks, the realization of receipts from the process of executing the right of dependency every year is significantly lower. As a result, the State Receivables and Auction Service Office (henceforth KP2LN) takes over the handling of receivables from traditional banks.

This study explores the pharmaceutical supply chain management of the National Formulary at RSUP Dr. Sitanala in Tangerang City, aiming to identify obstacles to drug availability and formulate effective and efficient solutions. Acknowledging quality healthcare as a fundamental human right and a critical investment for a nation's future, this research emphasizes the importance of high-quality healthcare services. These services encompass not only treatment but also health promotion and disease prevention through the adoption of clean and healthy living habits. Drug availability is a major pillar in the provision of quality healthcare services. Effective and efficient management of the pharmaceutical supply chain, particularly regarding National Formulary drugs, is crucial in ensuring the availability of medications at healthcare facilities. This research employs a comprehensive analysis of the supply chain processes at RSUP Dr. Sitanala, examining stages such as drug selection, demand planning, procurement, receipt, storage, distribution, drug control, therapy monitoring, prescription preparation, drug dispensation, and medication administration. The study's methodology involves a case study approach, integrating theoretical management principles and interdisciplinary pharmacy management with compliance to regulations, as outlined in Permenkes No. 76 of 2016. Findings from RSUP Dr. Sitanala indicate that the hospital's pharmaceutical management practices align with contemporary health and pharmacy management theories, emphasizing structured systems, stringent verification, and effective interprofessional communication to ensure medication safety and efficacy. The study identifies challenges in information technology and interdisciplinary coordination as areas needing improvement. Nonetheless, a commitment to continuous improvement and adherence to regulatory standards reflects RSUP Dr. Sitanala's dedication to enhancing the quality of pharmaceutical management and healthcare services. The implications of this research extend beyond RSUP Dr. Sitanala, offering valuable recommendations for improving drug supply chain management in other healthcare institutions in Indonesia. By enhancing access to and the quality of healthcare services, this study contributes to the broader goal of achieving the highest possible level of health for individuals, reflecting the perspective of human rights and investment in the nation's future health.    

Government agencies are organizations chosen to carry out state functions. The most valuable possession of any organization is the human resources employed in its activities. Human resource management is thus needed in the control and rationalization of the administration of human resources in an organization. Emotional intelligence refers to the capability to identify and know one's own emotions and feelings. The work environment, too, might affect employees in the demonstration of OCB. OCB refers to employee behavior beyond their routine activities. It involves displaying personal interest in fellow employees, giving suggestions for the better performance of fellow employees, and respecting and committing to the company. This study, therefore, aims at ascertaining the extent to which Emotional Intelligence and Work Environment influence the organizational citizenship behavior of Disdukcapil employees. The research design employed in this research is quantitative, with primary data sources. The sample used in this research includes all staff members from the Disdukcapil in Surakarta City. Data obtained by the researcher were analyzed using SPSS version 27. The results of this study conclude that emotional intelligence has a significant effect on OCB, work environment has a significant effect on OCB, and emotional intelligence and work environment both have a significant influence on OCB.

Drug interaction is a change in the effect of a drug due to the presence of other drugs taken simultaneously, which will cause a decrease in the therapeutic effect of the drug and toxicity in the body can increase. Changes in drug effects due to drug interactions vary greatly between individuals because they are influenced by various factors such as dose, drug levels in the blood, route of drug administration, drug metabolism, duration of therapy and patient characteristics. The potential for drug interactions can occur, one of which is in patients who take a large number of drugs simultaneously or Polypharmacy. Therefore, this study is related to the problem of drug interactions that occur due to Polypharmacy Prescriptions from internal medicine specialists at One of the Pharmacies in Bandung City which really needs to be considered, especially by a pharmacist. The results can be concluded that there are 22 drug interactions originating from 69 prescriptions with details of 10 minor interactions, 11 moderate interactions, and 1 major interaction. This shows that of the 69 prescriptions that have been studied, only 31.88% have interactions with minor, moderate, and major categories.

This research was conducted to determine the influence of the population administration information system on work effectiveness. Apart from that, the general aim of this research is to determine the magnitude of the influence of the population administration information system on the work effectiveness of employees at the Wajo Regency Population and Civil Registration Service office. This type of research uses a census type with a total of 26 respondents and uses a quantitative descriptive study. The data collection techniques used are observation, questionnaires and documentation. The research population is operators using the Population Administration Information System (SIAK) of the Population and Civil Registration Service Office of Wajo Regency. This research uses correlation coefficient analysis techniques and simple linear regression tests. The results of this research show that the population administration information system is in the very good category, employee work effectiveness is in the very good category, the Population Administration Information System has a positive effect on the work effectiveness of employees at the Wajo Regency Population and Civil Registration Service office.

This research aims to discuss the effectiveness and efficiency of E-Tax Invoice in issuing invoices at PT Syma Berkah Indonesia. The core discussion discussed in this research is the level of effectiveness and efficiency of E-Tax Invoice in issuing invoices. This research was conducted at PT Syma Berkah Indonesia using descriptive qualitative methods and data collection techniques using interviews and observation. To find out the actual situation, interview administration and accounting managers and observe for 5 months. Based on the research results, it shows that the implementation of E-Tax Invoice in issuing invoices at PT Syma Berkah Indonesia has not reached the expected level of effectiveness and efficiency. The causal factors are limited human resources, busyness and access of the main director, lack of understanding and training of administrative managers and finances in using E-Tax Invoice.

This research aims to increase understanding of the influence of planing, implementation and administration on what has been realized by the APBDes, this research is included in the type of quantitative research. The population in this study includes all sub-districts in Nogosari sub-districts, Boyolali districts. The data analysis menthods used are validity tets, reliability test, normality test, multiple regression test, f tests, t test, coefficient of determination test. The reaults of this research show that planing influences APBDes management, implementation does not influences APBDes management, and administration influences APBDes management.

This study aims to analyze the impact of administering commercial probiotic bacteria on the wastewater from tofu industries on changes in Bio-logical Oxygen Demand (BOD) and Dissolved Oxygen (DO) levels. Tofu industry wastewater is known to have high BOD and low DO levels, which pose a potential environmental pollution risk. This study used a pure experimental method with variables including the ratio of tofu industry wastewater to commercial probiotics (1:1, 1:2, 1:3) with an incubation interval of 8 hours. The results showed that the administration of commercial probiotic bacteria significantly reduced BOD levels and increased DO levels in the wastewater. The 1:3 ratio of tofu industry wastewater to commercial probiotics showed the most optimal effect in increasing DO and decreasing BOD. An incubation time of 32 hours showed the most optimal effect in increasing DO and decreasing BOD. The 1:3 volume ratio between tofu wastewater and probiotics (25% tofu wastewater and 75% probiotics) proved to be the most effective, with the highest DO increase of 2.51 mg/L and the largest BOD decrease of 144.20 mg/L. In addition, incubation time also had a significant effect, the longer the incubation time, the more optimal the probiotic activity in reducing BOD levels and increasing DO levels. The conclusion of this study is that the administration of commercial probiotic bacteria at a 1:3 ratio and an incubation time of 32 hours is an effective way to improve the quality of tofu industry wastewater.

Partners in this program are bamboo craftsmen Jihan Craft, Somakaton Village, Somagede District, Banyumas Regency. The problems faced by partners are lack of equipment in running their business; very limited capabilities in business management consisting of production management, HR, marketing and finance; limited ability in bookkeeping and financial reporting; limited ability to carry out online marketing activities; do not form groups; do not understand group management; and do not have the skills to carry out group administration. To achieve the goals, activities are carried out in the form of counseling, practice and mentoring. The evaluation method is carried out by comparing the level of knowledge and abilities as well as the production and marketing performance of partners before and after the activity. The benefits of this service activity are that partners get additional mechanical production equipment so they can increase the quantity and quality of their products and can produce more efficiently, partners' business management abilities increase, they have the ability to do bookkeeping and financial reporting, they can carry out online marketing activities well, the formation of groups Jihan Craft business officially, understand and can practice group management well; and can carry out group administration activities well.

Faculty The Faculty of HOLS Hospitality School faces challenges in manual administration, such as accumulating registration data, difficulty in data retrieval, risk of data loss, administrative inaccuracies, and time-consuming registration and attendance processes, increasing the risk of administrative errors. To address these issues, researchers designed a web-based information system using the waterfall model and PHP programming language. This system allows students to mark attendance using a QR code within a 5-meter radius, mentors to reschedule classes quickly and easily, and administrators to control administrative data accurately and efficiently. The result of this research is an information system product that facilitates academic administration management at HOLS Hospitality School, supports e-learning facilities, and simplifies coordination between students, mentors, and administrators.

This research aims to determine the management of village funds in Pagar Puding Lamo Village, Tebo Regency from the perspective of sharia financial management. This research is a type of qualitative research using descriptive analysis. Descriptive analysis is data obtained and expressed in the form of words and images, so that it can be described to provide clarity. This research uses data collection methods by means of observation, interviews and documentation. The results of this research indicate that the management of village funds in Pagar Puding Lamo Village is in accordance with Permendagri No. 113 of 2014 starting from the planning, implementation, administration, reporting and accountability stages. In the review of sharia management regarding the management of village funds, it is clear that the management still does not implement the sharia system, the system used still tends to be conventional, but judging from the nature and values ​​of honesty, trust and fair sharia in its management, village officials have implemented it in managing village finances.

This study analyzes the Function of the Health Office in the implementation of health in Sikka Regency. The research method used is the Normative Judiciary method, using primary data and secondary data. Indonesia is one of the developing countries that has faced several fundamental strategic changes and challenges. The goal of the Indonesian nation is contained in the preamble to the 1945 Constitution which is held through national development, including health development. In supporting the implementation of health development, it requires support from a strong National Health System. Therefore,  the Regency/City Health Office as the executor of affairs and services in the health sector also has the function of conducting supervision in their respective areas.The formulation of the problem in this study is: (1) How is the Regulation of the Function of the Health Office in the implementation of the health system in Sikka Regency? (2) What are the inhibiting factors of the Health Office in handling the implementation of the health system in Sikka Regency? From the results of the research, the author concludes that  the function of the Health Office in the implementation of the health system in Sikka Regency is in accordance with the Regional Regulation of East Nusa Tenggara Province number 2 of 2018 concerning the implementation of Regional Health, Regional Regulation of Sikka Regency number 3 of 2021 concerning the Regional Health System, and Sikka Regent Regulation number 29 of 2016 concerning the position, organizational structure,  duties and functions as well as work procedures of the Health Office. The obstacles or obstacles of the Health Office in the implementation of the Health System in Sikka Regency are seen from several factors, namely: limited human resources, budget and funding, infrastructure and health facilities, accessibility and transportation, and lack of public awareness and participation.

This research aims to determine Human Resources (HR) Competency and the application of accountability to financial management of village funds seen from human resource competence and financial management stages starting from planning, implementation, administration, reporting and accountability. This research is descriptive qualitative in nature with the data collection technique in the research being triangulation with the data analysis method used in this research being the Miles and Huberman model. Based on the research results, it can be seen that: (1) Competency of Human Resources in financial management of village funds is not yet optimal and effective, this can be seen from the level of education of village officials which is still low so that understanding of financial management of village funds is not carried out effectively. (2) The implementation of accountability in the management of village funds in Kolilanang Village from the planning stage to the accountability stage is said to be not yet accountable, because at the implementation stage there is still excess budget remaining so that the assessment of government performance is not yet effective and optimal. For several other stages, they are accountable.

The study is entitled The Development of The Indonesian State Law and Its Implications in The Dimension of The Rule of Law. This research begins with the formulation of Article 1 paragraph (3) of UUD 1945 which states that “The State of Indonesia is a state of law”. Described as a rule of law, Indonesia is responsible for always following the law as a means of achieving its goals. The law of the State that regulates the administration, government and institutions of the state is regarded as the foremost guard in achieving the ideals of a country. In its history, the Indonesian Civil Code has passed through many dynamics of all time and has arrived at the present time to dedicate its functions. However, the unavoidable development of the world makes the law including the Law of the State must always adapt to various developments. However, in its implementation the law of the state has always faced with various implications. For that, this study was written with the primary purpose of finding out how the Law of State Order has implicated its development in the modern era in the dimension of the rule of law. In completing his research, this paper uses the method of research of the juridic study with the data collection system of the study of the library.