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Aturan P2TL merupakan singkatan dari Peraturan Pencegahan Tabrakan di Laut, aturan yang memudahkan kapal-kapal berlayar dengan aman dan terhindar dari bahaya tubrukan antar 2 kapal atau lebih. Tujuan dari penelitian ini adalah menjelaskan penerapan aturan P2TL pada saat kapal sedang berlayar untuk mengurangi bahaya resiko tabrakan antar kapal dan terciptanya keselamatan dalam pelayaran di kapal MV. Meratus Palembang. Penelitian ini dilaksanakan menggunakan metode penelitian statistik deskriptif kuantitatif. Dengan teknik pengumpulan data berdasarkan hasil kuesioner, observasi, studi kepustakaan yang berkaitan dengan aturan P2TL saat dinas jaga laut. Kemudian data tersebut dianalisis menggunakan perhitungan SPSS dan di deskripsikan. Berdasarkan hasil penelitian disimpulkan penerapan aturan P2TL saat dinas jaga laut di MV. Meratus Palembang telah sesuai dengan prosedur yang telah ditetapkan. Hal ini untuk memastikan keselamatan di laut dengan mencegah kecelakaan yang dapat mengakibatkan kerugian jiwa, kerusakan pada kapal, dan potensi pencemaran lingkungan di laut.

This article discusses the development of an internal control system as an effort to overcome the risk of fraud in the company. Through in-depth analysis of existing policies, procedures and practices, this research identifies key elements that can strengthen organizational integrity. Using a case study approach, this article shows how implementing effective controls, employee training, and reporting mechanisms can increase transparency and accountability. The results of this research conclude that a comprehensive internal control system not only reduces the risk of corruption, but also encourages an ethical culture in the work environment, thereby supporting the company's sustainability and reputation.

Balai PIALAM, namely the Technical Implementation Unit (UPT) of the PUP-ESDM Office of the DIY Regional Government, is a centralized wastewater treatment plant. The problems that exist in Balai PIALAM are temporary storage of B3 waste does not meet the criteria, leaking storage, excessive capacity, methods that can be used to overcome B3 waste are using the HIRARC method, based on 9 activities of the B3 waste management process. Impact of hazard risk with research results Risk level: Medium 4 hazard effect 6.33%, High2 hazard effect 2.11%, extreme1 hazard effect 1.6%. The stages of making HIRARC are: decomposing the work into steps from the beginning to the end of the process, identifying the source of danger, determining the hazard posed by means of interviews, observations, observations, brainstorming, determining the impact on environmental workers, assessing the likelihood of occurrence is used to determine risk rating. Testing period January 2024, t BOD Input (min 99 mg/L,max 458 mg/L), Output (min 10 mg/L,max 59 mg/L), Average (input 206 mg/L, output 30 mg/L), testing period February 2024, testing t BOD Input (min 84 mg/L, max 288 mg/L), Output (min 12 mg/L, max 43 mg/L), Average (input 154 mg/L, output 24 mg/L). Use of APD such as laboratory coats, masks, special gloves, safety shoes, protective helmets and life vests, face shields. As well as implementing SOP. Control of hazards or risks both in laboratory and operational testing activities using APD: gloves, laboratory coats, safety shoes, protective glasses, masks, life vests, and special vests according to the work done and affirmation of SOP.

Canyoning adventure tourism is a form of nature tourism activity that provides extreme and challenging experiences for tourists. However, the high level of risk in this activity requires a comprehensive risk management approach to ensure the safety and comfort of participants. This study aims to analyze risk-based canyoning tourism management activities in the Canyoning & Caving area, Bogor, Indonesia. This study uses a qualitative method with data collection techniques in the form of in-depth interviews with tour managers, canyoning guides, and tourists who have participated in the activity. In addition, direct observations were made of field conditions and facilities provided. The results of the study indicate that the implementation of effective risk management is very important to minimize the potential for accidents and negative impacts on the environment. Some of the main risks identified include unpredictable weather conditions, terrain difficulty, and lack of participant experience. The risk mitigation strategies implemented include intensive training for guides, the use of international standard safety equipment, and the preparation of clear emergency procedures. This study is expected to be a reference for other canyoning tourism managers in developing safe and sustainable adventure tourism in Indonesia.

Diet is a description or daily eating habits that characterize a person and are important behaviors that can influence a person's nutrition. This is because the food and drinks consumed will affect a person's nutrition. Knowledge also provides understanding to families, especially in caring for family members with hypertension in terms of serving foods that are recommended, those that are avoided and those that are not recommended. As well as daily habits that can trigger increased blood pressure. Aim: To find out the picture of family knowledge about eating patterns, risk of hypertension in Dusun III, Tanjung Muda Village, Air Putih Subdistrict, Batubara Regency, Year. Research Method uses a quantitative design with approaches to empirical studies to collect, analyze and display data in numerical form (numbers), rather than narrative. The sample in the study was 66 families. The sampling technique uses purposive sampling, which is a sample determination technique by selecting samples from the population according to what the researcher desires. Instrument: The instrument used is a questionnaire. The results of the study found that the frequency distribution of family knowledge about the frequency of food for hypertension was that of the 66 respondents, the majority were in the good category, 58 respondents (87.9%) and the minority in the fair category, 8 respondents (12.1%), the distribution of the frequency of eating patterns in the disease. hypertension, that of the 66 respondents, the majority were in the poor category, 35 respondents (53.0%) and the minority in the sufficient category, 8 respondents (12%). Suggestions: The results of this research can be used as a basis for developing further research in expanding the assessments that have been carried out, especially regarding family knowledge about eating patterns.  

Diabetes mellitus is a chronic disease of insulin metabolism which is characterized by glucose levels exceeding normal values.  Diabetic ulcers are one of the causes of the risk of infection if not treated properly and correctly.  Factors that cause diabetic ulcers are poor blood circulation, age, gender, lack of physical activity, and an increase in diabetes mellitus. This application aims to determine the effect of foot exercises on the risk level of diabetic ulcers in people with diabetes mellitus. Descriptive by conducting an application to 2 respondents 3 times in 1 week with an interval of 2 days.  Respondents measured the highest systolic blood pressure between the right and left brachials and the right and left ankles which was then divided to obtain the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises. After implementing it 3 times, the result was that the ABI value for both respondents increased, namely by the difference between Mrs.  Sa 0.25 mmHg and Mrs.  Si 0.30 mmHg. It was found that there was an increase in the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises in both respondents.

Health is an optimal body condition in terms of physical, mental and well-being aspects of life, where individuals are able to live a productive life both individually, socially and economically (Oktavilantika et al., 2023). Mental health according to WHO does not only indicate the absence of mental disorders in the form of changes in thoughts, feelings and behavior that cause inability to carry out activities, but also the presence of positive character that shows the normality of a person's soul so that he is able to carry out his daily life productively. Schizophrenia itself is a serious mental disorder that causes decline or even inability to communicate, cognitive impairment, and difficulty in carrying out daily activities.  (Risal et al., 2022 & Afeanpah et al., 2022 ).

Personal Protective Equipment (PPE) is essential for worker safety, especially in oil palm harvesting activities. PT Langkat Nusantara Kepong faces major challenges related to work safety, with analysis showing that work accidents still occur frequently in the Padang Brahrang Plantation. This indicates the need for an in-depth evaluation of the use of Personal Protective Equipment (PPE) to reduce the risk of work accidents. By using the clustering method to group data based on the type of Personal Protective Equipment (PPE) used and aims to provide recommendations for optimizing the use of personal protective equipment based on risk management and reducing the incidence of work accidents. From testing the results of cluster 3, cluster 4 and cluster 5 it can be concluded that clustering with 5 clusters provides the most efficient and precise results, followed by 4 clusters, while 3 clusters provide greater variation within clusters, indicating that clustering with fewer clusters is less able to capture subtle differences in the data.

This study aims to determine the risks that must be considered by banks before providing credit in order to prevent default and to know the implementation of the 5C principles that are applied when granting credit in PT. BANK BPD BALI Cabang Utama Denpasar, Denpasar. The writing of this research uses the type of empirical research, the location where this research takes place is in PT. BANK BPD BALI Cabang Utama Denpasar, Denpasar. In this research, the law approach and the fact approach are used. The results of the study can be explained that there are two risks that must be considered before giving credit, namely the risk of the bank's reputation and the risk of bank losses, besides that there is also the risk of credit problems. And the implementation used by PT. Bank BPD BALI Cabang Utama Denpasar are interviews and verification as the initial foundation, and the implementation of credit principles using the credit principles of 5C, Character, Capacity, Capital, Collateral and Condition.

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

Bed rest is one of the factors that can cause skin integrity disorders. Bed rest for a long time can cause physiological changes in the patient's body system, one of which can cause the appearance of decubitus in the integument system. The treatment technique that can be given is by giving Effleurage Massage with Virgin Coconut Oil. To find out the results of the implementation of Effleurage Massage with Virgin Coconut Oil on the Risk of Decubitus in Bed Rest Patients in the Kartasura Health Center Working Area. This research used a descriptive design on 2 (two) male respondents aged 63 and 78 years which was conducted from 4 June - 6 June 2024 in Singopuran Village, Kartasura, Sukoharjo with each respondent being given massage intervention for 3 consecutive days. join in. The instrument used is the Braden Scale to measure the level of skin integrity score. There was an increase in the Braden scale score between before and after application to Mr. S and Mr. N. The application of Effleurage Massage with Virgin Coconut Oil is effective in increasing the skin integrity score in bed rest sufferers who are at risk of pressure ulcers in Singopuran Village, Kartasura, Sukoharjo.

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.

The port terminal serves as a place for berthing, storing goods, and loading and unloading, which has the potential to jeopardize work safety. The implementation of Occupational Health and Safety (OHS) protects workers from workplace hazards. However, the lack of awareness of workers at the port in wearing Personal Protective Equipment (PPE) while working in the port area is still a problem. This study aims to identify the risks, impacts and efforts to overcome work accidents in the ship berthing process at Tanjung Perak Port Surabaya. Given the importance of using PPE in doing work at the port, work safety is a crucial aspect that must be considered. Using the HAZOPS (Hazard and Operability Study) method, this study identifies potential hazards and provides mitigation actions needed to reduce the risk of accidents in the ship berthing process. This study used purposive sampling technique with a total of 40 officers in the patrol and enforcement section at the Tanjung Perak Surabaya Syahbandar and Main Port Authority (KSOP) Office. Data collection methods are direct observation, documentation, and questionnaires. The results showed that the main factors causing work accidents were equipment failure, human error, and the environment. The highest percentage of accidents is caused by equipment failure, with 63% at the extreme level and 20% at the high level. Therefore, it is necessary to carry out risk control or risk mitigation in the form of routine maintenance on work tools at the port.

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Female Genital Mutilation and Injury (FGM) or female circumcision is an old practice that is still widely practiced in various parts of the world, including Indonesia. Female circumcision is a process of removing or cutting half or all of the clitoris (clitoridectomy), removing the clitoris and half or all of the labia minora (excision), or cutting some or all of the extero-genital (outer genitals) by sewing or narrowing the vaginal area (infibulation). Female circumcision currently has no medical indication and has not been proven to have health benefits. Female circumcision is still widely practiced for various reasons, both cultural traditions and religious recommendations. The purpose of this study was to determine the risk factors for female circumcision. Research methods: This type of research uses a scooping review to identify literature in depth and comprehensively obtained from various sources with various research methods and interest in the research topic. Results: The results of this study state that female circumcision has several risk factors including bleeding, bacterial infection, can cause trauma and shock and reduce sexual sensitivity and libido. Female circumcision is just a tradition or culture in society where the act has no benefits and health basis. It is expected that monitoring of female circumcision or the practice of circumcision and seeking the latest information on circumcision in girls will be carried out in order to maintain the health of the community.

The natural disaster is one of the phenomena that can occur at any time, anywhere and anytime. The most common disasters are floods, landslides, tornadoes and earthquakes, which can cause damage, loss of life and even loss of life. The conditions of Tabaroge Village and its surroundings are prone to flooding geographically, geologically, hydrologically and demographically. The condition of the East Luwu Regency area is at the confluence of several earth tectonic plates. Therefore, most of the potential disaster threats are in the Tabaroge Village area and its surroundings. Based on the occurrence of natural disasters in East Luwu Regency in recent years, which occurred in several villages. Judging from the characteristics of the Tabaroge Village area, Efforts to Reduce Disaster Risk in Rural Areas by Utilising Remote Sensing Imagery aims to provide information on locations that have disaster risk. This research uses the analysis methods of Standardised Precipitation Index (SPI), Normalised Difference Vegetation Index (NDVI), Normalised Difference Water Index (NDWI), Soil Adjusted Vegetation Index (SAVI) and Inverse Distance Weighted (IDW) for data exploration using Arcmap (GIS). In future development, it is expected to be able to implement disaster risk reduction by utilising remote sensing imagery in Tabaroge Village, East Luwu Regency.

Based on data obtained from the Pangkah Health Center, Tegal Regency in 2022, the number of maternal mortality rates (MMR) was 2 cases caused by amniotic fluid bleeding and embolism, whereas in 2023 it was zero or non-existent (Recap of PWS KIA data from Pangkah Community Health Center 2023). The aim of this study was to examine obstetric cases with high risk aged >35 years and mild anemia. This research uses a case study approach. The research subject was pregnant mother Mrs. A is 36 years old with high risk, aged >35 years and mild anemia. Data was taken from October to November 2023. Data was taken using interviews, observation and documentation, the results during pregnancy, the subjects accepted to have their Hb checked because at visit 2 the Hb was low and the results were the same as at visit 3-4 the Hb was high and normal. Pregnant women aged >35 years are still often found or are more at risk because the mother's health has declined, as a result pregnant women at that age have a high probability of preeclampsia, bleeding, preterm labor and others. Suggestion: if a similar case is found, collaboration with a doctor is necessary. during pregnancy until postpartum, apart from that it is necessary to involve the family, especially the child during pregnancy and after the baby is born.  

The Marine Department is a Diploma IV study program - Land Aspect Marine Defense Management. This Study Program has the mission of providing education for Marine Corps cadets to become Marine Corps Officers who are able to carry out their duties as Marine Infantry Platoon Commanders who are professional, have a fighting spirit, are disciplined, proud, work hard and work smart and have high physical fitness. In the Marine Department Study Program, basic subjects are taught and trained. In an operation, moving and sending combat troops and equipment to a target area is something that is absolutely necessary. One way to move troops and equipment is by parachuting them in by airplane (static parachuting). The implementation of this static plunge contains quite high risks and dangers. So it is necessary to carry out basic training to prepare Marine soldiers to be ready to face all fields of assignment. The implementation of this static plunge contains quite high risks and dangers. So it is necessary to carry out basic training to prepare Marine soldiers to be ready to face all fields of assignment. Para Basic is a training that must be followed and mastered by Marine Corps AAL level III cadets. Para Basic training material includes Para Basic theory, Ground Training, day and night diving practice and armed diving.

Diabetes mellitus is a degenerative disease characterized by high blood sugar levels caused by impaired insulin secretion in the body. The main chronic complications in diabetes mellitus sufferers are macrovascular, microvascular and neuropathy. One of the consequences of peripheral neuropathy is ulcers. To prevent trauma to the feet or ulcers, you can provide foot care. This research aims to develop the application of foot care that contains the risk of ulcers in diabetes mellitus sufferers in Sukarami Village. This research uses qualitative research with a case study approach. There were 3 respondents who suffered from diabetes mellitus with inclusion and exclusion criteria. This research was carried out by providing foot care interventions carried out for 4 consecutive days in diabetes mellitus sufferers. The results of implementing EBP showed that there was an improvement in the condition of the respondents' feet. It is hoped that the results of this research will increase independent foot care behavior to prevent the risk of ulcers.

Dalam era globalisasi dan integrasi ekonomi, banyak entitas melakukan ekspansi dan membangun jaringan bisnis dengan menjalin kerja sama, sehingga tercipta hubungan induk-anak antar perusahaan. Meskipun memiliki manajemen yang berbeda, hubungan ini kompleks dan menantang dalam penyusunan laporan keuangan serta perhitungan akuntansi. Penelitian kualitatif deskriptif ini menemukan bahwa menghadapi tantangan tersebut dapat diatasi dengan proses konsolidasi entitas berstruktur keuangan kompleks, panduan internal yang jelas, penerapan teknologi dan sistem informasi canggih, serta investasi dalam pengembangan kompetensi manajerial. Dengan strategi ini, perusahaan dapat mengoptimalkan konsolidasi entitas, meningkatkan akurasi laporan keuangan, dan mengurangi risiko terkait kompleksitas struktur keuangan. Implementasi langkah-langkah ini diharapkan menciptakan landasan kuat bagi praktisi akuntansi dan manajemen keuangan dalam menghadapi tantangan konsolidasi, meningkatkan kualitas dan keandalan pelaporan keuangan, serta mendukung keputusan strategis yang lebih baik dalam bisnis global yang dinamis dan kompleks.