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CV Dafista Mulia is a drinking water producer company located in Lamongan Regency. The problem that is often faced by companies is the amount of waste that occurs in the process of producing bottled drinking water. The most critical percentage of waste in the bottled water production process (AMDK) is waste overproduction with a weighting percentage of 25.4%; waste defet with a weighting percentage of 16.2%; waste inventory with a weighting percentage of 14.9%; waste unnecessary motion with a weighting percentage of 14.1%; waste transportation with a weighting percentage of 11.7%; waste waiting with a weighting percentage of 9%; and waste excess processing with a weighting percentage of 8.7%. The initial activity time before the repair was 466 minutes (7 Hours 46 Minutes) and after the repair was reduced to 416 minutes (6 Hours 51 Minutes). Based on the Failure Mode and Effect Analysis (FMEA), it is known that the root cause of the problem with the highest waste is Overproduction, namely production planning that is not quite right with a Risk Priority Number (RPN) score of 396. Recommendations for improvements that can be proposed are to carry out production planning using data - historical data that exists and is adjusted to balance the purchasing of raw materials with orders from consumers so that the results of the Overproduction can become a safety stock so that the Overproduction can function in the next consumer order.

The lack of enthusiasm of students at SMK Theresiana in PAK learning is caused by several factors, namely the religious diversity of students but they still have a sense of tolerance and consider religious learning as historical learning & adding insight, besides the use of textual lecture and discussion methods In order to ensure that students remain passive during the learning process. To overcome these problems, research was conducted using the Think-Talk-Write learning model. In this research endeavor, the primary objective revolves around assessing the efficacy of the Think-Talk-Write instructional approach, with students' critical reasoning skills on students' learning achievement. In this study using quantitative experimental methods with a pre-experimental approach was undertaken, employing a one-group pretest-posttest design.. In this research, a sole experimental cohort comprising 32 students was utilized, namely class XI TF 3. Data processing uses regression tests and N-Gain tests At a significance threshold of 5%, the outcome holds weight. Upon examination, it became evident that the implementation of the Think-Talk-Write educational approach resulted in a substantial 75% impact on the enhancement of critical thinking abilities, and the effectiveness level of 68% was still included in the moderately effective category. And the average value of learning achievement is 84 which exceeds the expected achievement value of 75. Conclusion: Introducing the transformative impact of the Think-Talk-Write educational approach, which significantly enhances one's critical thinking abilities. and learning achievement as evidenced by exceeding the KKM score. Suggestion: the Think-Talk-Write learning model can be developed again with various learning media assistance so that it can be more effective for learning.

Hypertension is  a health problem that is commonly found in the elderly. The number of people with  hypertension  continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension. Hypertension can occur due to various factors,  namely: unhealthy diet / diet, smoking lifestyle and alcohol consumption, obesity or excessive weight, lack of  exercise / physical activity, excessive salt intake, consumption of saturated fat, use of estrogen, lack of fruit and vegetable intake. Efforts to overcome hypertension can be done with pharmacological  and non-pharmacological therapies  .  Non-pharmacological therapies  can be done by modifying lifestyle, complementary therapies  such as; hydrotherapy (foot bath) and physical exercise. In the Nursing Interventions Classification (NIC) warm water foot soak is one of the interventions of nursing diagnosis, namely peripheral tissue perfusion disorders. Descriptive research using case study design. There was a decrease in  blood pressure in  hypertensive elderly after  hydrotherapy soaked feet warm water. There are differences in  the development of lowering blood  pressure in  hypertensive elderly before and after  hydrotherapy soak feet warm water.    

ARI is an acute respiratory infection that affects one or more parts of the respiratory system. The high prevalence and risk factors in the prescription of ARI patients need to be considered in the completeness of the prescription and the provision of appropriate drugs to increase the effectiveness of treatment therapy. The purpose of this study was to determine the suitability of prescribing ARI patients aged 0-12 years administratively, pharmaceutically, and clinically based on PMK No. 72 of 2016. This type of research is descriptive observational and retrospective data collection. The sample used was the prescription of ARI patients at Bendan Hospital who met the inclusion criteria for the period April-May 2023, totaling 25 prescription sheets. The sampling technique used total sampling technique. The results showed that in administrative aspects including patient name, gender, age, address, doctor's name, SIP, telephone number, doctor's address, doctor's signature, prescription date was fulfilled 100% and body weight was fulfilled 92%. The pharmaceutical aspects include the name of the drug, dosage form, dosage strength, drug dosage, amount of drug, rules of use and how to use are fulfilled 100%. Clinical aspects include 100% indication accuracy, 100% dose accuracy and 52% drug interactions. It can be concluded that the suitability of prescribing ARI patients for children aged 0-12 years is administratively 100%, pharmaceutically 92%, and clinically 48%.                                       

This study aims to determine the effect of liquid organic fertilizer and solid organic fertilizer on the growth and production of eggplant (Solanum melongena L). This study used a Factorial Randomized Group Design (RAK). The first factor is liquid organic fertilizer (POC) consisting of 4 treatment levels, namely: A0 = 0 ml/l (control), A1 = 2.5 ml/l, A2 = 5 ml/l and A3 = 7.5 ml/l. The second factor is solid organic fertilizer (POP) consisting of 3 treatment levels, namely: P1 = 600 g/plot (3 tons/ha), P2 = 1000 g/plot (5 tons/ha) and P3 = 1400 g/plot (7 tons/ha). The results showed that liquid organic fertilizer had a significant effect on plant height, number of leaves, number of fruits per plant, production weight per plant and production weight per plot but had no significant effect on the number of flowers, fruit length and weight per fruit. Solid organic fertilizer had a significant effect on plant height, number of leaves, number of fruits per plant, production weight per plant and production weight per plot but had no significant effect on the number of flowers, fruit length and weight per fruit. The interaction of liquid and solid organic fertilizers had no significant effect on plant height, number of leaves, number of flowers, number of fruits per plant, production weight per plant, production weight per plot, fruit length and weight per fruit.

Introduction: Nutritional status is a balance between a worker's nutrient intake and better endurance. Nutritional status is one aspect of occupational health that has an important role in terms of work productivity. The nutritional intake of workers will be directly proportional to the nutritional status of the worker which can be translated through a normal Body Mass Index (BMI) in the range of 18.5 to 25. Work productivity is the ability of a person or group of people to produce goods or services. Increasing work productivity is required so that the employees can have more efficient, effective, and productive performance. Objective: The purpose of this study was to describe nutritional status in workers at the PT. Bina Sukses Lestari. Methods: This study uses observational (non experimental) method with semi quantitative approach. Data  is  obtained  directly  and  virtually  through  interview  methods  and  anthropometry  measurements  so that the types of data used are primary and secondary data. The instruments used are microtoise, weight scales. Result: The sample count consisted of 16 hotel employees with different positions and levels of physical activity. Based on the results of the calculation shows there are 5 people (31.25%) who have a skinny BMI and 11 people (68.75%) have a normal BMI. Conclusion: the BMI avarage of  workers in normal status, with an avarage working time in 8 hours/day.

Prescription review is an assessment of prescription writing by pharmacy staff involve administrative aspect, pharmaceutical aspect and clinical aspect. Prescription review is fundamental aspect to avoids medication errors. This study aims to determine the suitability of prescriptions for children's cough medicine at one of the pharmacies in Batam period January-December 2022 with Minister of Health Regulation No. 73 of 2016. Category of research is non-experimental research with descriptive which data collection using simple random sampling technique. The results of the study showed that completeness of administrative aspect on prescriptions were patient's name 100%, age 100%, gender 0%, weight 0%, doctor's name 100%, Practice Lisences Number 51%. Completeness of pharmaceutical aspect involve dosage strength 1%, route of administration 100%, compatibility 100%. And the clinical suitability of drug interactions is 94%, drug dosage is 88%, no adverse drug reaction (ADR) and allergies are 100%, contraindications are 100%.

The rapid development of the internet greatly affects business changes. Many business activities have changed with the availability of the internet today. One of the significant changes in business activity is marketing or marketing. Marketing is a social and managerial process by which individuals and groups obtain what they want and need through creating and exchanging products and value with others. Marketing is also the process of designing and executing the conception, pricing, promotion and distribution of ideas, goods and services to create exchanges that satisfy individual and organizational goals. E-marketing describes company efforts to inform, communicate, promote and market products and services via the internet. Electronic marketing utilizes network technology to coordinate market share research, assist product development, develop strategies and tactics to attract customers, provide online distribution. This web-based marketing system with SMS Gateway facilities can assist companies in capturing new customers and providing optimal service to existing customers. This web-based marketing system with SMS Gateway facilities will later be integrated with a database that will store the required data. Packaging is an important marketing tool, not only as a wrapper but also as a differentiator between the company's products and similar products from competitors. Packaging (packaging) is a process related to the design and manufacture of a container (container) or wrapper (wrapper) for a product. Each product should have an attractive packaging design, containing information on the product name, company name, net weight, expiration date, composition, nutritional content, Indonesian National Standard or SNI, Hazard Analytical Critical Control Point (HACCP) and halal marking. 2. In making the packaging design there are aesthetic and identity factors, there should be the words and the Bananation logo, and use a combination of several colors, and add various images to make the packaging more colorful and catchy so that it is easier for everyone to remember. Security and distribution factors must also be a concern of the company without compromising aesthetic value by using corrugated paper type cardboard on the outside and food grade plastic material on the inside so that it is guaranteed durability in shipping and is also environmentally friendly

The Borepile Foundation and the Implementation Method for the Madrasah Aliyah Madrasatul Qur’an Tebuireng Jombang Building Project, is one of the deep foundation. The use of borepile foundation is an alternative to minipile foundation. Calculation of building weight using the SAP2000 program. The points reviewed are points S-1 and points S-2. Pile bearing capacity analysis using the Mayerhoff method. By using sondir soil evidence (CPT). The construction of the Madrasah Aliyah Madrasatul Qur’an Tebuireng uses a diameter of 80 cm for borepiles with a depth of 11 m and has 23 D22 reinforcement. There are 4 types of pile caps in the borepile. The dimensions of each pile cap, namely PC-1, PC-2, and PC-4, are 150 cm x 150 cm, while PC-3 is 150 cm x 100 cm. For reinforcement in the x-axis direction of 22 D22 – 150 mm, reinforcement in the y-axis direction of 24 D22 – 160 mm. In the implementation method using a mini borepile because it considers aspect of heavy equipment mobilization. Some of the work in progress includes measuring, making reinforcement, drilling, installing reinforcement, casting, and making pile caps.

Instant red dragon fruit puree rice is a processed product of seasoned rice added with red dragon fruit puree and then dried. This study aims to determine 1) the effect of adding red dragon fruit puree 2) the interaction effect of the two on organoleptic properties including color, shape, aroma, level of preference for raw instant rice red dragon fruit puree, as well as color, shape, aroma, taste, texture, and preference level of cooked instant rice seasoned with red dragon fruit puree 3) the best product red dragon fruit puree instant rice 4) the chemical content of the best product includes protein, fat, carbohydrates, water and beta-carotene 5) the selling price of the best red dragon fruit puree instant rice. This type of research is an experiment. The independent variable was the addition of red dragon fruit puree (40g, 50g and 60g). Data collection used the observation method through organoleptic tests obtained from 10 trained panelists with instruments in the form of observation sheets in the form of a check list. Data analysis used single analysis of variance (anava) and Duncan's further test with SPSS 17.0. The best product based on organoleptic tests in chemical tests and selling prices using conventional methods. The results showed 1) the addition of red dragon fruit puree had a significant effect on color and the level of preference with (sig: 0.000) instant rice puree raw red dragon fruit and instant rice puree red dragon fruit cooked. 2) Instant red dragon fruit puree rice has no effect on shape, aroma and cooked red dragon fruit puree instant rice has no effect on shape, aroma, taste and texture. 3) the best product is the addition of 50% red dragon fruit puree 4) the content of raw instant rice is higher than the content of cooked instant rice, namely the protein content of raw instant rice is 9.52% and cooked instant rice is 6.90%, the fat content of rice raw instant 4.51% cooked instant rice 3.68%, carbohydrate content of raw instant rice 71.90% and cooked instant rice 52.50%, water content of raw instant rice 12.50% and cooked instant rice 33.10%, and the beta-carotene content of raw instant rice is 56.55%/mg and cooked instant rice is 41.80%/mg. 5) the selling price of instant yellow rice is Rp. 3.726  weight 100 g.

Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"

The work of farmers is prone to the risk of health problems such as pain in the joints and fatigue. The research problem is that farmers complain of rapid fatigue, so the purpose of the study is to determine the physiological workload on rice farmers when planting rice and determine the best time for farmers. Methods used are Cardiovascular Load (%CVL) and Energy Consumption to determine the weight of the workload of farmers, and rest time to determine the length of rest. Results and discussion, %CVL is 7 people with action no fatigue and 46 people with action needed improvement. Energy consumption is the smallest percentage of 4.14 kcal / minute with a mild classification and the largest percentage of 6.14 kcal / minute with a moderate classification. In the second measurement, the smallest percentage was 4.49 kcal/min with a mild classification, and the largest percentage was 6.90 kcal/min with a moderate classification. In the third measurement, the smallest percentage was 3.96 kcal/min with a mild classification, and the largest percentage was 6.39 kcal/min with a moderate classification. The smallest rest time was 12.65 minutes and the largest rest time was 120.39 minutes. In conclusion, the mean %CVL was 13.21% with no fatigue, 86.79% with improvement needed. Average energy consumption with mild classification with a percentage of 4.21% and moderate classification with a percentage of 6.26%. The smallest rest time is 12.65 minutes while the largest is 120.39 minutes

Internet Service Provider (ISP) is a company that provides internet services. The ISP network is a national and international scale network so that customers can be connected globally. There are many factors that must be considered in selecting an ISP, making choosing an ISP a difficult task. Factors that influence ISP selection include cost, bandwidth, coverage area and type of connection. ISP providers offer a variety of advantages that make it difficult for customers to choose the right provider. The method applied in determining ISP providers is the AHP method used for weighting criteria while the WASPAS method is used for evaluating ISP providers with the criteria of cost, bandwidth, coverage area and type of connection. The rating process using the WASPAS method uses four assessment criteria, namely cost with a weight of 0.54, bandwidth with a weight of 0.38, coverage area with a weight of 0.05 and type of connection with a weight of 0.03. The final results of the ranking show that ISPs with low cost, large bandwidth and wide coverage areas will make these ISPs the best choice, this is because the criteria for cost, bandwidth and coverage area have high weight. Conversely, ISPs with high costs and small coverage areas will be the worst choices in the ranking list.

Digital marketing is an important part of promoting a business owned by an individual or an organization. Marketing is essential for startups to stay competitive and sustain their products on the market. For people who are computer novices, this is a challenge. One of them is the proprietor of Keripik Orang Kekinian, a chips company in Bekasi, Indonesia, which has limited sales capabilities for its product. Researchers help firms choose the best social media channels for promoting their products in order to overcome these difficulties. The methods involved are Simple Additive Weighting (SAW) and Analytical Hierarchy Processing (AHP). The results show that Instagram is the best social media platform for advertising products. The result obtained are expected to help business owners increase sales.

Employees are Human Resources who are very important to achieve the company's vision and mission. Employees have a significant impact on the company's growth and ability to compete in the market. One way to create quality human resources, we need a system to determine exemplary employees. One way to determine employees by using a decision support system. Decision support systems are made to determine exemplary employees in a company based on predetermined weights. The method used in this system is Simple Additive Weighting because it has the advantage of being able to determine the weight value of each attribute. The results obtained from calculations using this system are the names of exemplary employees who have been sorted according to their ranking from the top to the bottom and this system can be used by companies to make it easier to give rewards or appreciation in determining exemplary employees.

Stunting is a condition of growth failure in infants that occurs during a critical period of the process of growth and development in the womb and during the initial period after the baby is born. It is not only affected the physical growth of the baby but also the brain. The purpose of this research was to determine the factors associated with the stunting prevalence among the children under five years old of age in Jetis 1 Primary Health Care Center, Bantul. The research method is quantitative, case control research design with retrospective approach. The data analysis methods were chi-square and logistic regression. The results of this research were some factors could be associated with stunting prevalence. The factors were the history of exclusive breastfeeding (p: 0.037 or: 0.253) and the nutritional status of the mother during pregnancy (p: 0.001 or: 5.634). Meanwhile, gender (p: 0.153), history of birth weight (p: 0.677) and mother's education (p: 0.127) were found to have no relationship with stunting prevalence. It is expected that the mothers of children under five years old can prepare for pregnancy in the future by calculating nutritional intake before and during pregnancy and provide exclusive breastfeeding for 6 months.

Selection of the best employees is a semi-structured matter that can be scheduled every month or year. It is not uncommon for companies to determine the best employees not in accordance with the company's assessment. Kean shops still use the manual method and often do not meet the criteria set by the company. By making the best employee decision support system in a grocery store using the simple additive weighting method. assist managers in making the best employee decisions and admins in editing, deleting and adding values in each of the existing criteria and directly connected to the system database. This system was developed using the Visual Studio Code website, PHP, CSS, XAMPP V3.3.0 and MySQL. The method used in this decision support system is simple additive weighting (SAW). With this website, decision making is more structured and value data for each employee can be stored in a database. The results of this decision support system will simplify the process of determining the best employees and this system does not need to use manual calculations and is far more efficient.

Background: Preclampsia is a one of complication in pregnancy characterised by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and proteinuria (≥300mg/24hours in urine; protein/creatinine ≥0.3; dipstick protein +1; and/or with additional symptoms. Eclampsia is a severe form of preeclampsia where the mother experiences seizures and/or coma.  There are various risk factors for preeclampsia and eclampsia, one of which is the mother's body mass index (BMI). Excessive maternal weight before pregnancy, as well as excessive weight gain during pregnancy are at risk for preeclampsia. Methods: This study used medical records from the Ciawi General Hospital in 2020, and cross-sectional observational study was carried out. Pregnant women with eclampsia and preeclampsia were the study's population. This study used total sampling as its sampling method, and body mass index measurements were made using information from medical records. The Kruskall Wallis alternative test was utilized in place of the One Way Anova as the hypothesis test in this investigation. In this investigation, a 5% level of significance is expected. Results: This study involved 190 respondents who met the inclusion criteria. The statistical test results showed no significant difference in mean body mass index between the eclampsia, severe preeclampsia, and mild preeclampsia groups (P-value: 0.688). This difference is expected due to the small number of samples and/or the high variability of the samples. Conclusion: Based on the results of the study, there was no significant association between body mass index and mild, severe, and eclampsia. Further research should be conducted and developed for prevention and lifestyle intervention in preeclampsia.    

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.