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Sidoarjo Regency has a beach in the eastern region along 27 km which crosses several sub-districts such as Sedati, Buduran, Sidoarjo, Porong and Jabon. The Lapindo mud disaster that occurred in 2006 in Sidoarjo had a broad impact on people's daily lives. The Lapindo mud disaster was an event of hot mudflow and the emergence of gas onto the ground which claimed many lives and had a major direct impact on the community. The occurrence of the Lapindo mud disaster was initiated by oil drilling from PT. Lapindo Brantas Inc., which was later in the drilling process, experienced a failure resulting in an explosion from underground and then gushing out. Many were victims in the incident ranging from babies, children, adults to the elderly and many people, houses, villages, districts, schools and other buildings were drowned. In addition, many people have lost their jobs and their homes which makes them all feel stressed to the point of depression. Until now, the problems caused by the Lapindo mudflow disaster have not been resolved. This is because the responsibility for compensation that is given is not evenly distributed or does not even receive a penny. As a result, there are still frequent conflicts and prolonged demonstrations. Meanwhile, the victims of the Lapindo mudflow have used many strategies to survive and continue their lives so that they do not continue to mourn the sadness that exists.

The patients with chronic kidney failure, if they do not limit their intake of fluids, food and an appropriate daily diet, it will cause malnutrition and accumulation of fluid in parts of the body, including the face, hands and feet. Fluid buildup can also occur in the abdominal area or what is usually called ascites. Ascites is an important problem and often occurs in patients undergoing hemodialysis. Ascites will cause stomach enlargement and excess weight gain. The aim of this study was to determine the effect of patient diet compliance on the development of ascites in kidney failure patients in the hemodialysis unit at Tk Hospital. II dr. Soedjono Magelang. This type of research is descriptive analytic using a cross-sectional method. The sampling technique used the Purposive Sampling method with a sample size of 46 respondents. Statistical analysis uses the chi-square test. The results of this study showed p=0.002, which means there is an influence between diet compliance and the incidence of ascites in the Hospital Hemodialysis Unit. Kindergarten II dr. Soedjono Magelang. The more patient compliance with a nutritional diet will have a better impact on the development of ascites.

Temprina Media Grafika is a manufacturing company with printing and packaging services. The products are produced from PT. Temprina Media Grafika are packaging paper for various industrial products. However, the production of PT. Temprina Media Grafika still has a few problems that impact the product flaw. The purpose of this study is to identify the quality of Choco Wafer Roll packaging and offer improvements to improving the Choco Wafer Roll packaged products in PT. Temprina Media Grafika. The study was used are Statistical Quality Control (SQC) and Failure Mode and Effect Analysis (FMEA). Based on the results of research on Statistical Quality Control (SQC), the most dominant defects were color not appropriate (27,2%), after that shiny color not right (23,4%), uneven colors (21,9%), Spots appear on the pack (15,3%), and packaging design cut (12,3%). Based on the results of research on Failure Mode and Effect Analysis (FMEA), it is known that the problem causing disability with the highest RPN value of 168 is the machine factor with the cause of dirty UV polymer containers. Recommendations for improvements that can be made are Eliminating uv polymer containers after uv laminate processes.

This study aims to analyze the RCM (Reliability Centered Maintenance) and MVSM (Maintenance Value Stream Mapping) strategies implemented by PT. XYZ in machine maintenance at the Sabroe Line. RCM is used to reduce equipment failures and ensure that each physical item or system is functioning as intended. Meanwhile, MVSM is used to identify waste in maintenance activities and perform repair analysis. The research method used is qualitative research with a case study approach. Data was collected through observation, interviews and analysis of related documents. The results of the research show that PT. XYZ has implemented the RCM and MVSM strategies effectively in engine maintenance at the Sabroe Line. RCM implementation helps to reduce machine failure and increase machine reliability. Meanwhile, MVSM helps identify and overcome waste in maintenance activities. In conclusion, the RCM and MVSM strategies are effective approaches in engine maintenance at the Sabroe Line. This research provides a better understanding of the importance of a planned and structured maintenance strategy in improving engine performance. The recommendation for future research is to involve more departments and measure the impact of RCM and MVSM strategies on overall operational productivity and efficiency.

Introduction;  Nutritional status is the state of the human body as a result of food consumption and the use of nutrients.  Good human nutritional status is influenced by two main things, namely food consumption and the state of health of the body or infection.  Malnutrition can result in failure to grow and develop, decreased endurance, lead to loss of healthy life of toddlers, as well as more serious impacts are the onset of disability, high rates of pain and acceleration of death.  Purpose;  to find out the factors associated with the incidence of malnutrition in toddlers in Sidomulyo Village Pulobandring Subdistrict.  Methods;  This research uses methods that are analytical surveys with a cross sectional approach. Sampling technique using accidental sampling method, with the number of samples as many as 32 toddlers in Sidomulyo Village Pulobandring Subdistrict. The data was analyzed using Univariate and Bivariate using the chi square test.  Results;  Studies using the chisquare  test showed a relationship between knowledge variables and the incidence of undernutrition (p= 0.015 < 0.05 respondents to trimesters II and III), family income with the incidence of undernutrition (p = 0.010 <.05), and jobs with less nutritional events (p = 0.001 < 0.05).  Conclusions;  In this study, there is a relationship between knowledge, family income, and work and the incidence of malnutrition in Sidomulyo Village pulobandring district in 2021. It is expected that health workers further improve health promotion as their role to achieve a goal that is to improve the health of mothers and children.                                                          

Sebuah ketel uap  harus cukup  kuat  supaya  dapat  bekerja  dengan  aman pada tekanan tertentu, sehingga perlu dilengkapi pesawat-pesawat keamanan. Masinis di atas kapal mempunyai tuntutan agar secara rutin melakukan perawatan pada ketel uap bantu dengan berpegangan pada manual book yang sudah dibuat maker. Berdasarkan pengalaman saat berlayar di salah satu kapal ditemukan suatu kejadian bahwa auxiliary boiler beroperasi serta mengeluarkan uap bertekanan yang berguna untuk kecukupan kebutuhan uap di atas kapal. Bunyi pada alarm yang setelah diperiksa pada panel auxiliary boiler, ternyata alarm muncul pada flame failure dan lowest water level, sedangkan feed pump beroperasi normal serta masih dalam keadaan mengisi air ke dalam auxiliary boiler. Penelitian ini dilakukan untuk mengetahui faktor yang dapat mengakibatkan air masuk ke dalam furnace, mengetahui dampak yang dapat terjadi jika air  masuk ke dalam furnace serta mengetahui langkah yang dapat diambil untuk mengatasi masuknya air ke dalam Furnace. Metode penelitian ini menggunakan metode kualitatif. Sumber data diperoleh dari data primer maupun data sekunder. Teknik pengumpulan data yang  digunakan  adalah  wawancara,  observasi,  maupun  dokumentasi.  Teknik  analisis  data  yang digunakan adalah fishbone diagram dan USG. Hasil penelitian menunjukkan bahwa masuknya air ke dalam auxiliary boiler  disebabkan oleh retaknya dinding  furnace. Dampak  yang  ditimbulkan  yaitu terganggunya proses pembakaran di dalam furnace serta kerusakan pada komponen-komponen burner. Upaya yang dapat dilakukan adalah dengan mengelas bagian dinding furnace yang retak agar air tidak masuk ke dalam furnace.

PT. Kali Jaya Putra is a manufacturing company that focuses on the production of wood floors. One of the products produced is solid flooring. In a series of production processes, product defects are still found up to 7.5% of total production, defects that often occur such as cracks, pinholes, roughness, and also twists which certainly affect product quality. The research conducted aims to determine the percentage of defective products, the causes of defects and the resulting impacts or effects, and to provide recommendations for improvements to minimize the percentage of defects in solid flooring products at PT Kali Jaya Putra. The method used is Six Sigma and Failure Mode and Effect Analysis (FMEA). The results of this study are that the most dominating defects are crack (53.75%), followed by pinhole defects (36.77%), twist (8.62%), and roughness (0.85%). The causes of defects in products are caused by several factors such as humans, machines, methods, materials, and the environment. Based on FMEA, it is known that the cause of the defect with the highest RPN is 384, namely operator negligence in material sorting. As for recommendations for improvement that can be given, namely conducting training on the grading of raw materials in the hope of minimizing operator errors in sorting raw materials.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

This research is to find out how revenge is revealed in Mary Shelley’s Frankenstein, or The Modern Prometheus. This research is qualitative since the data are in the form of words rather than numbers. The data were collected in the novel Frankenstein, or The Modern Prometheus. An objective approach is used in analyzing the data. The result shows that the formula of a mystery shows that the problem always has a desirable and rational solution, but the mystery being or state is not resolved. The first formula; the problem always has a desirable and rational solution, is the Frankenstein solution to find eternal life, such as by doing further research, following the guidelines of a book by scientists, studying the branches of science related to research, identifying laboratory equipment, making the design and size of the body resemble the human body, and even collecting human bones that have been dead. The second formula, that the mystery of the imaginary being or state is not resolved, is Frankenstein’s failure to control the monster. As a creator, Frankenstein should be able to control his creation. But the reality is that he is not capable.    

Background:Breast Milk is a perfect nutrient intended for babies with complete ingredients for baby intake and has antibodies against disease prevention. Even though breastfeeding has many benefits, it turns out that the achievements of exclusive breastfeeding are still lacking. Failure to give exclusive breastfeeding is influenced by many factors, one of which is knowledge. The knowledge possessed by the mother will greatly influence the success and failure of exclusive breastfeeding. Many mothers do not know that one day the baby will experience a phase of accelerated growth from normal conditions which is called a growth spurt. At this time a mother will be worried and think that her breast milk is lacking, so she finally gives formula milk or early solids so that her baby is calm. Writing purpose:The effect of the level of knowledge of a mother who has a baby aged 6-11 months regarding growth spurt on the provision of early complementary food (MPASI) at the Warunggunung Health Center, Lebak Regency, is known in 2022. Research methods:Research method analytic observational case control design. The study sample consisted of 74 mothers with babies aged 6-11 months who were divided into a case group (mothers with babies who were given early solids) and a control group (mothers with babies who were not given early solids) with a ratio of 1:1. Sampling technique with purposive sampling. The instrument used is a questionnaire. Bivariate analysis via Chi-Square test. Research result:In the case group (babies who were given early solids) the majority or as many as 87.5% of mothers had a low level of knowledge, while in the control group (babies who were not given early solids) the majority or 78.6% of mothers had a good level of knowledge. Mothers with a good level of knowledge, only 21.4% of mothers gave Early Solids to their babies and 78.6% of mothers did not give Early Solids. Whereas in mothers with a low level of knowledge, as many as 87.5% gave Early Solids and only 12.5% ​​did not give Early Solids to their babies. There is an influence on the level of knowledge of mothers with babies aged 6-11 months about growth spurts on early complementary feeding (p value = 0.000).

Thematic learning in elementary schools has several special characteristics that distinguish it from other learning approaches. Children of school age / 6-12 years are called school age, because children have finished kindergarten as a real preparatory institution. It is called the ripe period for learning, because the child has tried to achieve something, but the activity of playing development is only aimed at getting pleasure when doing the activity itself. It is called a mature period for school, because children already want new abilities, which can be provided by schools (Nasution Noehi, 1993: 44). According to Banett, et al., the characteristics of elementary school age children are as follows. (1) They are naturally curious and interested in the world around them. (2) Enjoys playing and prefers to have fun. (3) Likes to organize himself to handle things, explore a situation and try new ventures. (4) usually thrilled and driven to excel because they do not like to experience dissatisfaction and reject failures. (5) Learn effectively when satisfied with the situation that occurs. (6) Learning by working, observing, taking initiative and teaching other children (Mulyani Sumantri & Nana Syaodih, 2000: 12).

One of the factors that will affect the company's survival is pricing. Price is a measure to be able to know how much the value of a good and service. The price also determines the success or failure of goods or services will be sold in the market, because the price is the value of an item expressed in units of money. In addition, the price is used as a benchmark or starting point for other pricing or price is a suggestion liaison between buyers and sellers. This means that prices are determined by demand and supply will be a product or service that has been customized.

Stunting is a condition of failure to thrive in children under five (babies under five years) resulting from chronic malnutrition so that children are too short for their age. Malnutrition occurs since the baby is in the womb and in the early days after the baby is born, however, stunting only appears after the baby is 2 years old. One of the causes of stunting is the lack of information about it. The purpose of this service is to create a learning atmosphere that is liked by children. The method used is counseling with snakes and ladders media. The result of this service is that elementary school students are happy when playing snakes and ladders games and become enthusiastic when studying

PT. XYZ, sebuah perusahaan manufaktur, memproduksi berbagai produk, termasuk Bok Travo. Perusahaan bertujuan untuk mengurangi limbah dalam proses produksinya untuk meningkatkan keuntungan dan tetap kompetitif di industri. Untuk mencapai hal tersebut, sebuah penelitian dilakukan untuk mengidentifikasi, mengurangi, dan mengusulkan perbaikan limbah dalam proses produksi Bok Travo. Studi ini menggunakan konsep lean manufacturing dengan menggunakan alat pemetaan aliran nilai dan metode Failure Mode and Effect Analysis (FMEA). Hasil pemetaan aliran nilai menunjukkan bahwa waktu produksi Bok Travo dapat dikurangi dari 2559 menjadi 2159 menit. Dengan menggunakan metode FMEA, akar penyebab pemborosan tertinggi diidentifikasi sebagai cacat seperti permukaan material yang tidak rata, kebocoran, kerataan, dan goresan pada produk. Rekomendasi perbaikan yang diusulkan antara lain penambahan waktu pengelasan dan pemberian support selama pengelasan, serta pengecekan silang dimensi sebelum proses perakitan.