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Circumcision is one of the teachings of Prophet Ibrahim AS which is an obligation for men. Literally, circumcision is the act of cutting or removing part or all of the foreskin of the penis. Circumcision is very beneficial for health, namely reducing the risk of urinary tract infections, overcoming phimosis, paraphimosis, balaniditis and can reduce the risk of malignancy of the penis and the spread of sexually transmitted diseases. Seeing the urgency of circumcision, during a pandemic, as well as the conditions in the midst of a coronavirus pandemic, many people were afraid to carry out circumcision and receive treatment. Therefore, a mass circumcision was carried out with the application of health protocols, which was carried out by the STIUDA Bangkalan Community Service Team. This program partners to provide free mass circumcision assistance for children in community service social service events in Kajan village during a pandemic with health protocols. The purpose of this mass circumcision social service activity is to mass circumcise Muslim children who are about to reach puberty in Kajan village, especially children who are economically disadvantaged. The method used in this activity is to disseminate information on community service activities through direct visits to foundations, social media. In other words, holding a promotion of community service activities for the Kajan village, then those who are interested register to the committee. The committee will conduct a screening for mass circumcision participants according to indications. The result of this community service activity was that mass circumcision was carried out on Sunday, March 22, 2020. It started at 08.00 - finished in the al-Mukhlishin Kajjan area. The STIUDA service team works closely with the Health Office and the surrounding community. There were 4 medical personnel involved and 2 medical assistant assistants. There were 23 participants in the mass circumcision from various hamlets in Kajan village. The conclusion of this community service has been circumcision and mass treatment of economically disadvantaged patients

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.

Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it causes high rates of hospitalization and mortality. The clinical manifestations of ACS are that the patient feels pain and discomfort that is not specific in the chest and legs radiating to the neck, left shoulder and arms and back then accompanied by cold sweat, nausea, vomiting, weakness and dizziness and can faint which occurs suddenly with high intensity.  Objective: To find out the results of applying Thermotherapy therapy to relieve chest pain in patients with Acute Coronary Syndrome. Moewardi Surakarta. Method: This type of research is a descriptive case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. Thermotherapy is carried out for 10-20 minutes 1x/day for 3 days. The research instrument used SOP foot massage, hemodynamic status observation sheets, and informed consent. Results: After being given the application to both respondents for 1 time a day for 3 consecutive days, a decrease in the level of the chest pain scale was found in the patient Mr. S with a pain scale level before being carried out by Thermotherapy therapy, severe pain and after being carried out by Thermotherapy therapy for 1 time in 3 consecutive days to mild pain. Meanwhile, in the patient Mr. A with the level of pain scale before the Thermotherapy therapy is severe pain and after the Thermotherapy therapy is done for 1 time in 3 consecutive days it becomes mild pain. Conclusion: there is a reduction in the chest pain scale in patients with Acute Coronary Syndrome at RSUD Dr. Moewardi Surakarta after being given thermotherapy.

Digital transformation is a challenge for the business world today to transform into a digital company that utilizes information technology to optimize company business processes, for efficiency and effectiveness in company performance with improved operational acceleration to achieve company goals. Education is a massive industry in carrying out technological innovation and improving teaching methods, but it is still separated only by one process in education. The aim of this research is to select, examine and combine the development of collaborative technological innovation with the development of learning models carried out previously, then adapting them into an Enterprise Architect smart course design. The research method used is literature study and observation at educational institutions, especially the skills course industry, so that a comprehensive smart course design can be created, adopting proven learning methods, teaching techniques and technological innovation into a rich diagram model. can be understood by all levels of stakeholders in the company. The result of this research is an Enterprise architecture smart course blueprint with ArchiMate modeling, using a business model canvas (BMC) to describe the business architecture and the TOGAF ADM framework which represents the entire Enterprise design and information technology components to support each process in the business design

Indonesia has entered the era of the fourth industrial revolution. This happens with technology as a basis for human life. Everything has become limitless and limitless due to the development of digital technology. Indonesia needs several regulatory and authority improvements to be able to face the world market. The aim of this research is to find out what Indonesian industry can do to face the world market, the impact that the presence of the industrial revolution 4.0 has, and the strategies that Indonesia can prepare and carry out in facing the World Market revolution. The object of this research is industry in Indonesia to face the world market. The method used for this research is a qualitative descriptive method, data is obtained from facts about the research subject by trying to reveal it thoroughly according to the context. The results of this research are (1) Creating jobs to increase people's income, increasing people's economic programs, increasing Turnover and Digitalization of People's Markets, building/revitalizing people's markets, establishing relationships between digital markets abroad (2) The most visible impact is in terms of available work (3) Make improvements to the flow of materials and goods, improve the quality of human resources, use digital technology, harmonize rules and policies.     Bukit, M. (2014). Strategi dan inovasi pendidikan kejuruan darikompetensi ke kompetisi. Bandung: Alfabeta. Cognizant. Informed Manufacturing:     The      Next Industrial Revolution. http://www.cognizant.com/ InsightsWhitepapers/Informed-Manufacturing-TheNext-IndustrialRevolution.pdf.  Davis, N. 5 ways of understanding the Fourth Industrial Revolution. November 16, 2015. http://www.weforum.org/ agenda/2015/11/5-ways-of-understanding-thefourth-industrialrevolution. Economist          Intelligence      Unit.    From    transplants       to implants.      December        11,       2015. http://www.eiuperspectives.economist.com/healthcare/transplants-implants.   Edmon, A., & Oluiyi, A. (2014). Re-engineering technical vocationaeducation and training toward safety practice skill needs ofsawmill workers against workplace hazards in Nigeria [Versielektronik]. Journal of Education and Practice, 5 (7), 150-157.  Era Revolusi Industri 4.0: Perlu Persiapkan Literasi Data, Teknologi dan Sumber Daya Manusia. (2018). Diambil 29 Desember 2023 dari http://belmawa.ristekdikti. go.id/2018/01/17/ era-revolusiindustri-4-0-perlu-persiapkan-literasi-data-teknologi-dan-sumber-daya-manusia/ Fakta     ketergantungan            pada    teknologi         (2014). Diambil 29 Desember 2023 dari  http://www.beritasatu.com/gaya-hidup/232713-8-fakta-ketergantungan-pada-teknologi.html Hermann, M., Pentek, T., & Otto, B. (2016). Design Principles forIndustrie 4.0 Scenarios. Presented at the 49th HawaiianInternational Conference on Systems Science.  Irianto, D. (2017). Industry 4.0; The Challenges of Tomorrow.Disampaikan pada Seminar Nasional Teknik Industri, Batu-Malang.  Kagermann, H., Wahlster, W., & Helbig, J.(2013). Recommendations forImplementing the Strategic Initiative Industrie 4.0. Industrie 4.0Working Group, Germany.  Hitt, Mihael.A , Ireland, R. Duane, Robert E, Hoskinsson. 2001. Strategic Management Competitiveness and Globalization Concepts Thomson learning Asia, Singapore. Hamel Gary, Prahalad C.K. Competing For The Future. 1994. Harvard Business School Press Boston, Massachusetts. "Making Indonesia 4.0, Fokus 5 Industri Apa Saja.", https://economy.okezone.com/   read/2018/04/04/320/1881885/ making-indonesia-4-0-fokuspengembangan-5-industri-apasaja, diakses 29 Desember 2023.  "Making Indonesia 4.0: Strategi RI Masuki Revolusi Industri K-4.", http://www.kemenperin. go.id/artikel/18967/  MakingIndonesia-4.0:-Strategi-RIMasuki-Revolusi-Industri-Ke-4, diakses 3 Mei 2018.  “Menuju Revolusi Industri 4.0 Jokowi Diminta Bentuk Badan Riset Nasional”, Kompas, 29             April 2018, hal 3.  "Pemerintah Luncurkan Making 3932.", https://ekon.go.id/ 23 Hak cipta dilindungi oleh undang-undang. Dilarang mengutip atau memperbanyak sebagian atau seluruh isi tulisan ini tanpa izin penerbit. Info Singkat © 2009, Pusat Penelitian Badan Keahlian DPR RI http://puslit.dpr.go.id  ISSN 2088-2351 berita/view/pemerintahluncurkan-making.3932.html, diakses 29 Desember 2023. “Pemerintah RI dan Ceko sepakat tingkatkan Investasi Industri Dua Kali Lipat”, Tribun Bisnis,          29 Desember 2023 hal 8.  "Revolusi Industri 4.0", http://id.beritasatu.com/home/ revolusi-industri-40/145390, diakses        29 Desember 2023.  "Revolusi 4.0, Catatan Dari ISSA ICT 2018", http://id.beritasatu.com/  home/revolusi-40-         catatan-dariissa-ict-2018/174772, diakses 8 Mei 2018. "Strategi Hadapi Dampak Industri 4.0", http://id.beritasatu.com/  home/strategi-hadapi-         dampakrevolusi-industri-40/174260, diakses 2 Mei 2018.

In the midst of this developing society, people in Indonesia still use traditional health services, especially baby massage and birth attendants. Massaging babies from traditional healers has been a tradition passed down from generation to generation. This study aims to determine the relationship between attitudes and maternal behavior in carrying out baby massage independently at PMB Lismayani Lubis District. Simalungun. This type of research is an analytical survey. Then analyze the dynamics of correlation between phenomena or between risk factors and consequence factors, which are phenomena that cause consequences (influence). There is a relationship between attitude and mother's behavior in carrying out baby massage independently at PMB Lismayani Lubis Kab. Simalungun with a p value of 0.021.

Indonesia is one of the countries that has a fairly high level of natural disaster vulnerability. Mount Sinabung is a strato-type volcano. Administratively, Mount Sinabung is in the Karo Regency, North Sumatra. The eruption of Mount Sinabung has had a very significant physical, psychological and social impact on society. In facing a disaster, survivors need to survive and continue living. The ability to adapt to conditions after experiencing a traumatic event is called resilience. People who lost their homes due to the eruption of Mount Sinabung must be willing to be relocated to new, safer places such as permanent Shelter. Researchers want to see how disaster survivors in the Siosar Permanent Residence respond to being able to recover or recover from their previous situation. The method used in this research is descriptive qualitative with a case study approach. Data collection techniques were carried out using interviews/FGD, observation and documentation studies. The research results show that there are still teenagers who are not yet fully resilient. Researchers found teenagers who have not been able to recover from the problems they faced after the eruption of Mount Sinabung. Therefore, support from various parties or the pentahelix (government, academics, business world, society and mass media) is needed to build sustainable resilience in Siosar Permanent Shelter.  

YouTube, which is a means of mass communication, now has an impact on student self-development. YouTube "One Percent" is a show that contains content about self-development. Students with all the problems of self-development that are not taught at school begin to improve their habits, lifestyle, finance, socializing through the educational show "One Percent".  The purpose of this study is how the form of utilization of Youtube "One Percent" as a means of self-development and to find out how the impact of the audience of the YouTube channel "One Percent" as a means of communication in developing themselves. The research approach used is a qualitative approach. The nature of exploratory qualitative research with research methods using in-depth interviews. The results in this study are the utilization of YouTube One Percent as a means of mass communication for self-development is considered effective in student self-development, and has a positive impact on students.  

This study examines the implementation of the marketing strategy for Sharia KPR Bank Muamalat Stabat Branch and the challenges it faces. In this study, primary and secondary data from interviews, observations, and documentation were used in descriptive analysis techniques. The results of the study show that Bank Muamalat disseminates information through various mass media, both print (daily newspapers and magazines) and electronic (radio and television). Billboards, a type of outdoor advertising used by Bank Muamalat, are seen as a good tool to promote outreach.

Background: Urinary tract stones are the growth of hard, stone-like masses in the human urinary tract. The prevalence of urinary tract stones (BSK) in Indonesia is still not known for certain, but estimates suggest that there are around 170,000 cases of BSK every year. CT Scan is a radiological examination modality for diagnosing urinary tract stones with a sensitivity level of around 95%-100% and a specificity level of around 96%-98% for detecting urinary tract stones, so CT Scan is considered the gold standard in diagnosing this condition. Research Objectives: This study aims to determine the management of CT Scan Urography in clinical urinary tract stones in the Radiology Installation of Bhayangkara Hospital, Makassar. Method: This research used descriptive qualitative research with a case study approach, the research subjects consisted of 3 radiographers, 1 radiologist, and 1 sending doctor. Data collection was carried out through several stages, namely observation, interviews and documentation. Results: The results of research at the Radiology Installation of Bhayangkara Hospital, Makassar. The procedure for CT Scan Urography examinations in clinical urinary tract stones is that the patient drinks 750 ml of fresh tea until he feels like he wants to urinate, then the examination is carried out. The role and effect of giving plain tea can increase HU (Hounsfield Unit) density and also speed up diuresis, thereby helping to shorten examination time. The excess caffeine content of plain tea can speed up the process of increasing urine volume, thereby shortening the examination time..

Soft Tissue Neck MRI Examination Technique With Liposarcoma Clinical At The Mayapada Hospital Installation, South Jakarta. MRI examination techniques have a very important role in the medical field because of their ability to produce visual images of the body's soft tissue and metabolic processes. Liposarcoma is a malignancy of mature fat cells in the connective tissue space1. Liposarcoma is the most common type of soft tissue sarcoma, appearing slowly, enlarging, painless, non-ulcerated submucosal mass in middle-aged people, some lesions grow rapidly and become ulcerated early, Liposarcoma is a rare malignant tumor. The purpose of this examination is to find out whether the image results produced using the sequence at Mayapada Hospital can produce a firm image in confirming the diagnosis of liposarcoma. This research is a qualitative study with a case study method using 3 patients who underwent an MRI examination of neck soft tissue with clinical liposarcoma. Data was collected using observation, documentation and interviews with radiographers and radiologists. The results of the data that have been collected can be concluded that the results of the soft tissue MRI examination of the neck with clinical liposarcoma carried out at Mayapada Hospital, South Jakarta are good in confirming the diagnosis and the results of a more detailed anatomical picture.

Procedure For Magnetic Resonance Spectroscopy Examination Technique In Brain Tumor Cases At The Radiology Installation Of Pertamina Central Hospital Jakarta. MR spectroscopy is one way of describing metabolites in tumor tissue without being invasive. Single spectroscopic approach, which is used in Magnetic Resonance Spectroscopy and is the most common spectral collection method in MRI modalities. MRi is the establishment of a medical diagnosis based on the principle of magnetic resonance. MRI aircraft produce images in various pieces namely coronal, sagittal, and transverse by not at all using x-rays that produce radiation and also using radioactive substances. Brain tumors are abnormally growing brain tissue cells originating from the brain or meningens, which are benign or malignant tumors that make massive pressure. MRS is a unique non-invasive sequence that helps in the identification of lesion molecules and the difference between malignant and benign lesions. In MRI examination of the brain with tumor cases there are several sequences used, namely Se / Fse Pd / T2, Se / Fse / incoherent spoiled, (DWI) diffusion weighted imaging (1) According to Elmaoglu (2), imaging techniques that can be used for MRI brain tumor cases include axial T1 spin echo, T2 fast recovery fast spin echo, T2 FLAIR, coronal T1 and T1 Axial post contrast injection,  T1 coronal, and T1 sagittal, diffusion weighted imaging (DWI), magnetic resonance angiography, and magnetic resonance spectroscopy. In taking SVS LESION localizer must be precise on tumor tissue not taking part that is not part of the tumor, analyze tumor area and take SVS NORMAL localizer on other healthy tissue.

Hemorrhoids are swellings of tissue containing veins located in the walls of the rectum and anus. Mass or bulge in the anal area accompanied by anal bleeding is the main symptom. Proper diagnosis and management of hemorrhoids is very important to reduce morbidity and improve the patient's quality of life. This case report was obtained from primary data through history taking, physical examination and supporting examination. The patient complains of a lump in the anus accompanied by bloody stools since 5 years. Initially the lump came out if the patient strained and could still go in on its own if the patient was not straining anymore. But since 1 year, the lump can't go in on its own, but must be helped to push it with a finger. Heavy bleeding from the anus since 2 months ago. On physical examination the rectal toucher found: good anal sphincter tone, palpable mass with a flat surface, solid, chewy consistency, reddish color, firm boundaries, tenderness (+), lumps can be inserted with fingers, blood on gloves (-), mucus (-), feces (-). Colonoscopy examination revealed grade III internal hemorrhoids. The treatment is hemorrhoidectomy.

Background: Kidney stones (nephrolithiasis) are solid masses formed from urine precipitated crystals. The formation of stones is caused by increased calcium, oxalate and uric acid content in the body, scans to view kidney stones (nephrolithiasis) can be performed with or without contrast. Non-contrast CT urography is the imaging modality of choice for the initial evaluation of patients with suspected urolithiasis, as it has a sensitivity of up to 98% and specificity of 96-98%. Components that affect image quality in CT scans are spatial resolution, contrast resolution, and noise. One of the important parameters in image quality is the selection of slice thickness. Spatial resolution is the ability to show objects or organs with a high level of contrast. Noise is the standard deviation percentage of the sum of pixel values obtained from the waterbath image. Methods; This type of research is quantitative research with an experimental approach to analyze the effect of slice thickness variations on image quality using variations of 2 mm, 3 mm, 4 mm, 5 mm, and 6 m. The data were collected in August 2023 with 10 samples. Data were collected in August 2023 with 10 samples. Researchers took urographic CT scan examination data with a diagnosis of nephrolithiasis. Results and Conclusion: With the results of the research conducted, it can be concluded that in the overall Friedman test results there is an effect of using slice thickness variations on image quality in urographic CT Scan examinations with nephrolithiasis diagnoses. using slice thickness variations. Based on the results of this study, the researcher can recommend on CT Scan urography with nephrolithiasis diagnosis using 4 mm slice thickness to get good and optimal image quality results.

Film is an influential visual mass communication medium and has various roles. Films usually contain values that have meaning or messages for the audience. Some signs appear in mass communication as messages that have meaning. These signs can be analyzed using sign science or semiotics. This research focuses on Roland Barthes' semiotics, which analyzes the meaning of signs using denotative, connotative, and meta-language or mythical meaning systems. The type of research used is descriptive qualitative. The data sources presented in this research were obtained directly from the research object, namely the film Dunia Without Suara, and other sources such as books and articles related to the focus of this research. The data collection technique in this research is a documentation study of the film Dunia Without Suara. Based on the analysis that has been carried out using Roland Barthes' semiotic theory, several scenes have meaning from circumstances, events, and shortcomings within a person.

Hidup berdampingan berlandaskan Hukum Larvul Ngavbal dan falsafah Ain Ni Ain merupakan ciri khas masyarakat adat di Kepulauan Kei di Kabupaten Maluku Tenggara. Perkembangan teknologi, merubah pola pikir dan tingkah laku sehingga membuat manusia berbuat diluar adat istiadat. Kabupaten Maluku Tenggara ada pertikaian antara Desa Letvuan Kecamatan Hoat Sorbay dan Desa Debut di Kecamatan Manyeuw. Kehadiran Satuan Brigade Mobil (Brimob) dibutuhkan untuk menangani konflik yang sedang terjadi. Rumusan masalah mengenai bagaimana kriteria konflik yang mewajibkan Brimob untuk mengambil tindakan? Apa tindakan Brimob dalam mengatasi konflik antara Desa Letvuan dan Desa Debut?. Penelitian kualitatif dengan pendekatan partisipasi aktif, wawanara dan observasi. Hasilnya, Satuan Brimob adalah satuan khusus yang bertugas untuk menangani konflik antara Desa Letvuan dan Desa Debut. Penanganan yang dilakukan yaitu melerai massa yang bertikai dan penjagaan secara intensif. Upaya penanganan pasca konflik, anggota satuan Brimob berkoordinasi dengan pimpinan desa dan pemangku adat untuk dapat memberikan arahan bagi masyarakat agar menghindari konflik.

This research aims to find out how the implementation of parking retribution in Bajawa City and the supporting and inhibiting factors of parking retribution implementation. This research uses a descriptive qualitative approach with empirical legal research type. The data collection techniques in this research are observation, interview, and document study. The data analysis techniques used in this research are data reduction, data presentation, and conclusion drawing. The results showed that the implementation of parking levies in bajawa city is not good enough seen from the results of research on parking lots, parking rates, the work of parking attendants, and community responses regarding parking where the four aspects have not been implemented properly where parking lots are still narrow, parking attendant services have received a lot of criticism from the community Parking rates set by the Ngada Regency Government are correct but the results of the levy itself are still very dependent on whether or not visitors are busy. The work of the parking attendants is not optimal because the parking attendants on duty have never received special training, so the work of the parking attendants has received a lot of criticism from the community. Parking attendant services to parking service users are said to be ineffective and need to be improved. Supporting factors in the implementation of parking levy collection are joint operations and the role of mass media as a source of information for the community. The inhibiting factors in the implementation of parking levy collection are the emergence of illegal parking, lack of awareness of parking attendants and the public in traffic and inadequate parking facilities.

Catechist participation in lay apostolate in St. Yakobus Mayor Kalibago Barat, such as the areas of life testimony, social participation, contribution of energy, thoughts, are experiencing setbacks caused by a lack of awareness of being involved in the parish, a lack of sense of responsibility, a lack of sensitivity and concern for one another. The purpose of this study is to reveal and describe the concept catechist participation in the lay apostolate. In this study using a type of descriptive qualitative method, regarding catechist participation in lay apostolate. The data obtained in the study were collected through interviews and observation. The data collection system uses in-depth interviews with a number of informants involved in the Catechist participation process, and searches for documents related to participation in online mass media. The results of the study concluded that catechists are inseparable from the lack of awareness of involvement in the parish. Therefore, this research is conducted to make catechists aware of their role in carrying out their duties and responsibilities properly and correctly

Radio is still one of the mass communication media that still exists in society today. Even though many other media have emerged that provide broadcasts other than audio, radio is still in demand by many fans. This research focuses on the Production Process of the Get In The Moz Program on 90.8 FM OZ Radio Jakarta. The aim of this research is to determine the production process of the Get In The Moz broadcast program on 90.8 FM OZ Radio Jakarta starting from pre-production, production, post-production, supporting factors and inhibiting factors in the production process of the Get In The Moz broadcast program on 90.8 FM OZ Radio Jakarta. The research method used is descriptive qualitative with data collection techniques, namely observation, interviews and documentation. The informants in this research were two people plus documents issued by OZ Radio Jakarta and observations in the field. From the results of this research, it is concluded that the Production Process for the Get In The Moz Broadcast Program on 90.8 FM OZ Radio Jakarta has gone through several processes so that it can be heard by the entire audience in accordance with the SOP (Standard Operational Procedure). So as to produce a high-quality Get In The Moz program even though it still faces a number of obstacles or inhibiting factors in the production process.

Television is a mass media that is inseparable in human life. Television shows other people's lives and gives ideas about carrying out activities. TVRI Sport Pagi is a program that broadcasts information about the world of sports both domestically and internationally. The problem in the research is how the production process for the TVRI Sport Pagi news program is carried out. This research aims to determine the flow of the TVRI Sport Pagi news program production process from pre-production, production, post-production as well as to find out the inhibiting and supporting factors in the TVRI Sport Pagi news program process. The research method used is descriptive qualitative with documentation and interview data collection techniques. From the research that has been carried out, it can be concluded that the production process for the TVRI Sport Pagi news program goes through several processes so that it can be watched by the audience in accordance with Standard Operational Procedures. So that it can produce a quality TVRI Sport Pagi news program even though it has a number of obstacles or supporting and inhibiting factors in the production process.