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This study aims to determine the improvement of short story writing skills through the use of blog media in class XI students of SMA Negeri 2 Lawe Bulan in the 2021/2022 academic year. The population in this study were all students of class XI and a sample of 36 people. The method used in this study is an experimental method with a one group pretest and posttest design with data analysis using the "t" test. From data processing, it was found that the average value of the initial test of short story writing skills by students was 52.10 and was included in the poor category, with a standard deviation of 6.09 and an increase in the final test score with an average value of 87.36 and included in the good category, with a standard deviation of 7.33. Based on the results of the students' initial and final test scores and if it is associated with the KKM value of Indonesian language subjects for high school, it is 70, the students' short story writing ability is included in the good category. From hypothesis testing, it is obtained that the value of t count = 24.19 and in consultation with the value of t_table at a significant level of 5% = 2,030, thus t_count > t_table or 24.19 > 2,030 then the hypothesis is accepted. So it can be concluded that there is an increase in the ability to write short stories through the use of blog media in class XI students of SMA Negeri 2 Lawe Month in the 2021/2022 Academic Year.

This study aims to determine the Improvement of Writing Skills..Biographical Texts..Through Idol Figures By Students..Class..X SMA Negeri 1 Lawe Month in the Academic Year 2021/2022. The population in this study were all students of class X SMA Negeri 1 Lawe Bulan in the 2021/2022 academic year, totaling 92 students, consisting of 4 classes. The sample in this study was 21 students, namely class X IPA 1 which was taken using a purposive sampling technique or determined sampling. Based on the results of the research and discussion that have been described in the previous chapter, it can be concluded that the Improvement of Biographical Text Writing Skills Through Idol Characters by Class X Students of SMA Negeri 1 Lawe Month in the 2021/2022 Academic Year. This is evident from the average value of the initial test of students' Biographical Text Writing Ability is 59.05 with a standard deviation of 8.41 and an increase in the final test result score with an average value of 80.24 with a standard deviation of 5.66. the student and if it is associated with the Indonesian KKM score for high school is 75, then the ability to write biographical texts for the final test of students is included in good ability. In addition, the observation value > ttable which is 9.35 > 2.08, thus from the results of testing the hypothesis above, it can be concluded that there is an increase in Biographical Text Writing Skills through Idol Figures by Class X Students of SMA Negeri 1 Lawe Month in the 2021/2022 Academic Year

Nirma Al Adawiyah, NIM. 17317001030. Improving Reviewer Understanding Using the Course Review Horay Learning Model for Class XI Students at SMA Negeri 1 Lawe Alas, Academic Year 2021/2022 This study aims to determine the improvement of reviewer understanding using the Course Review Horay learning model in class XI students of SMA Negeri 1 Lawe Alas in the 2021/2022 academic year. The number of samples in this study were 28 students, namely class XI IPS 1 . Based on the results of the research and discussion that have been described in the previous chapter, it can be concluded that the Improvement of Reviewer's Understanding Using the Course Review Horay Learning Model for Class XI Students of SMA Negeri 1 Lawe Alas in the 2021/2022 Academic Year. This is evident from the average value of the initial test of Improved Understanding of Student Reviewers is 58.21 with a standard deviation of 7.93 and an increase in the final test result score with an average value of 79.29 with a standard deviation of 5.93. and if it is associated with the Indonesian KKM score for senior high school of 75, the Improvement in Reviewer Understanding for the student's final test is included in good ability. In addition, the observation value > ttable which is 11.14 > 2.05, thus from the results of testing the hypothesis above, it can be concluded that there is an increase in reviewer understanding using the Course Review Horay Learning Model in Class XI students of SMA Negeri 1 Lawe Alas in the 2021/2022 academic year.

This study aims to determine the improvement of poetry reading skills through audio visual media. By Class X Students of SMA Negeri 1 Lawe Month of the 2021/2022 Academic Year. Based on the results of the research and discussion that have been described in the previous chapter, it can be concluded that there is an increase in reading skills of Ws.Rendra's poems from the sun by using Audio Visual Media by class X students of SMA Negeri 1 Lawe Bulan in the 2021/2022 academic year. It can be proven from the average score of the initial test of students' poetry reading skills is 70.91 with a standard deviation of 3.66 and an increase in the value of the final test results with an average value of 79.32 with a standard deviation of 5.33. Based on the data from the results of the students' initial and final tests and if it is associated with the Indonesian KKM score for SMA of 75, the students' ability to read the poem "Sajak Matahari" can be said to be good after audio-visual media in the form of youtube videos are performed. In addition, at a value of > 12.63 > 1.720, therefore from the results of testing the hypothesis above, it can be concluded that there is an increase in Poetry Reading Skills through Audio Visual Media. By Class X Students of SMA Negeri 1 Lawe Month of the 2021/2022 Academic Year.

Background: Febrile seizure associated with a fever of 38oC or higher that triggers by the extracranial process without manifestation of neurologic dysfunction. The majority of parents suffer from stress and anxiety of febrile seizure occurrences. Adequate knowledge of febrile seizure is significant to provide initial medical care required during febrile seizure occurrences. Hence, this study aimed to know the knowledge level of febrile seizure on preschooler among parent in Nuansa Udayana Siligita Early Childhood Education School, Nusa Dua Badung. Method:  A purposive sampling technique employed to select 123 study participants. Data collected by a questionnaire that distributed to the participant through the google-form platform. The analysis used is univariate. Results: Results revealed that the participant’s knowledge classified in the good, moderate, and low category with a total of 81 participants (79.0%), 22 participants (21.0%), and 0 participants (0.0 %), respectively.  Conclusion: The level of knowledge of febrile seizure on preschoolers among parent Nuansa Udayana Siligita Early Childhood Education School classified in the good category. We suggest the parent improve their knowledge of febrile seizure to deliver initial proper medical care during febrile seizure occurrences or recurrences in their home or school.  

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falling in the elderly and provide assistance in balance training as an effort to prevent the risk of falling in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using. Elderly gymnastics is a series of regular, directed, and planned movements carried out with the intention of improving the functional abilities of the body. Reporting from the Panti Rapih Hospital page, this activity is carried out regularly and with movements that are not too heavy.

Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

Background : The benefits of breast milk will increase if the baby is only given breast milk for the first six months of life. Purpose : This study aims to study the factors associated with breastfeeding along with supplementary feeding in infants 0-6 months in the Work Area of ??Manna City Health Center in South Bengkulu. This research approach uses descriptive with cross sectional design. Methods :The population in this study were all mothers who had infants aged> 6-12 months in the work area of ??Manna City Health Center as many as 112 people, obtained 50 samples using Accidental Sampling. The data used are primary virgin and secondary data. Data were analyzed using univariate and bivariate analysis with Chi-Square test (?2) and Contingency Coefficient Test (C). Results : The results of the study were obtained from 50 people, there were 33 people (66.0%) giving ASI together with additional meals, 22 people (44.0%) having secondary education, 22 people (44.0%) having less knowledge, 27 people (54.0 %) health workers support, Conclusion : there is a significant relationship between education and concurrent breastfeeding supplementary food in infants 0-6 months with a weak relationship category, there is a significant relationship between knowledge with concurrent breastfeeding supplementary food in infants 0-6 months with moderate relationship categories, there is a significant relationship between the support of health workers with breastfeeding together with additional food for infants 0-6 months with a weak relationship category. It is expected that health workers can increase counseling to increase the knowledge of pregnant and lactating mothers about the right time to provide additional food and the importance of conducting regular Classroom and Posyandu visits.

Background: The prevalence of anemia in adolescent girls in Indonesia according to WHO reaches 30%, and in the 2013 Riskesdas report recorded 18.4% of adolescents have anemia with the highest percentage in the female sex of 23.9%. Anemia in adolescents can cause delay in physical growth and behavior and emotional disorders. This study aims to determine the relationship between knowledge about anemia and nutritional status with the incidence of anemia in young women in Badung Regency. Method: This study uses analytic cross sectional design with a sample of 106 adolescent girls aged 15-18 years in high school, Badung Regency. Data collection was carried out directly on respondents in each school, for anemia data was collected by examining blood samples or hematology panels (hemograms) with an Hematology Autoanalyzer tool, data on knowledge of anemia was carried out by means of interviews using questionnaire guidelines, and nutritional status data was carried out by how to measure anthropometry (body weight and height) to get a IMT value. The analysis conducted is univariate analysis to determine the distribution and frequency of variables and bivariate analysis using the Kai-Kuadrat/Chi-Square test with the help of the SPSS program. Result: The prevalence of anemia in young women is 13.2%. Most had normal nutritional status of 77.4%, while others were categorized as abnormal / malnutrition (2.8% thin, 17.0% fat, 2.8% obese). For the level of knowledge obtained, the majority of 77.4% have a good level of knowledge in the category of anemia. Kai-Square / Chi-Square test results showed that, there was a significant relationship between knowledge about anemia and anemia in adolescent girls (95% CI: 1.93-20.77; p = 0.003). There was no significant relationship between nutritional status and anemia in adolescent girls (p = 0.301). Conclusion: Poor knowledge about anemia is associated with the incidence of anemia in young women, whereas nutritional status is not related to the incidence in young women. It is expected that related parties make a policy regarding anemia screening and education activities especially for young women. Keywords: Anemia; Knowledge; Nutritional status

Background: Dementia in the elderly is a chronic confucius condition and the loss of cognitive abilities globally and progressively is associated with physical problems. Family health tasks as a support system are very important for people with dementia in order to do their daily activities. Purpose: This research aims to find out the relationship between family health tasks and dementia rates in the elderly. Methods: This research used analytical research type with cross sectional approach. Sample as much as 40 dementia elderly with total sampling technik. The dependent variable in this study was the dementia level in the elderly, while the independent variable was the family health task. Results: Based on the results of research, it was found that most of them have less family health duties and almost half of them with the level of dementia was severe. The Spearman Rank test resulted obtained p = 0.000 (?= 0.05), there was relationship between family health duties and the level of dementia in the elderly. Conclusion: Efforts made need to provide comprehensive and effective counseling from all sectors to the community to provide correct information about the importance of family duties or family roles to family members who have health problems, so that the community can pay attention to and care for sick families.Keywords: Family health tasks; Dementia; Elderly

Background: The prevalence of isolated systolic hypertension (HST) is expected to occur approximately 25% in the age group of 60-90 years, and found as much as 59.1% in males and 61.9% in females. This research aims to determine the factors related to the incidence of hypertension in the elderly. Methods: This study uses a descriptive analytical design with the Cross Sectional approach. The research samples used are seniors aged ? 60 years and older with Consecutive Sampling technique in the working area of Puskesmas III North Denpasar. Data retrieval takes place from April to May 2012 by filling out questionnaires, measuring weight, height and blood pressure. The Data obtained is analyzed univariate and bivariate using Chi-Square test. Results: Based on the analysis gained that the factors associated with the occurrence of hypertension in the elderly are The age factor (OR: 10,833; 95% CI: 1,961-59,834), Gender factor (OR: 7,467; 95% CI: 1,400-39,837), Genetic factor (OR: 10,083; 95% CI: 1,658-61,330), Activity factors (OR: 0,095; 95% CI: 0,017-0,529), and the habit of drinking coffee (OR: 15,556; 95% CI: 2,586-93,571). Conclusion: Age, gender, genetic, activity and coffee habits are factors related to hypertension in the elderly. Expected parties are more promoting health programs in the elderly, especially on hypertensive diseasesKeywords: hypertension; elderly; activities; drinking coffee

Background: Obesity is a pathological condition due to excessive fat accumulation than is needed for body function. Pregnant women with overweight and obesity are at high risk and have been shown to be associated with increased complications in pregnancy. Cesarean section is a surgery to deliver a fetus by opening the abdominal wall and uterine wall. Generally, in cesarean section, spinal anesthesia is performed. Objective: to determine the hemodynamic picture of obese caesarean section patients with spinal anesthesia. Method: The method used is observational analytic with a cross-sectional approach and consecutive sampling technique. Data analysis uses parametric statistics. The data in this study are the results of differences in obese and non-obese patients. Data collection techniques in this study include documentation and observation. Results: The pre-anesthesia results obtained an average systolic blood pressure = 138.31 ± 17.528, an average diastolic blood pressure = 82.54 ± 10.643 and an average pulse of 100.69 ± 15.315, while the results after 5 minutes obtained an average systolic blood pressure of 105.31 ± 12.572, an average diastolic blood pressure of 61.15 ± 11.753 and an average pulse of 99.54 ± 18.963. Conclusion: Changes in blood pressure and pulse before spinal anesthesia with after spinal anesthesia in obese patients undergoing cesarean section showed a decrease in blood pressure and pulse in the 5th minute after injection.

This research explores the utilization of virtual reality (VR) in educational settings and examines current trends, future directions, benefits, and challenges associated with its implementation. The purpose of this library research is to provide an overview of the existing literature on VR and educational research, highlighting the potential of VR technology to enhance traditional teaching methods and improve student engagement, motivation, and learning outcomes. The method used for this research is a comprehensive review and analysis of relevant scholarly articles, books, and reports from academic databases and libraries. The results indicate that VR has been utilized in educational research to create immersive and interactive learning experiences, personalize instruction, bridge the gap between abstract concepts and concrete understanding, and foster critical thinking and problem-solving skills. VR also presents challenges such as cost, accessibility, curriculum integration, teacher training, technical limitations, health and safety concerns, privacy, and ethics. However, the research concludes that with careful planning, adequate resources, and proper support, VR has the potential to revolutionize education and prepare students for a technologically advanced future. Further research and innovation in areas such as immersion, AI integration, collaboration, assessment, accessibility, and ethics are recommended to fully leverage the benefits of VR in educational settings.

This study aims to explore the extent to which PP 71 of 2010 has been implemented in the accounting process at the BLUD of Tugurejo Hospital, Semarang. Associated with a change in the government accounting system from a cash basis to an accrual basis in accordance with PP 71 of 2010. The research method used is a qualitative descriptive method with the triagulai method using 2 triagulation techniques which combine data from various sources, techniques and time so that data is obtained in the form of interviews with the head of the accounting department and sub-section, as well as obtaining the financial report documents of the 2020 Tugurejo Hospital Semarang. The results of this study show that Tugurejo Semarang Hospital has implemented the Accrual Basis SAP well, which can be seen from the results of interviews such as implementation readiness, training and learning, facilities, staff understanding and education and internal control. It is hoped that even though the Accrual Base SAP has been running well, the management of the Tugurejo Semarang Hospital and the Srmarang City Government can immediately digitize applications that are still manual, especially in reporting fixed assets

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).     

Puerperal gymnastics is a series of body movements performed by maternal postpartum that aims to restore and maintain muscle strength associated with childbirth. Results of preliminary studies commencing on January to April 2016, there are six post-partum mothers experience postpartum hemorrhage. A puerperal gymnastics counseling to postpartum mothers has been done but not all postpartum mothers doing gymnastics parturition. This is due to postpartum mothers are not unaware that puerperal gymnastics will affect the muscles needs for oxygen, blood flow becomes smooth so it can help the process of health recovery after childbirth. The purpose of this study is to find the effect of puerperal gymnastics to involution of uterus to primipara maternal in Majalaya Hospital Bandung District in 2016. The type of research is a quasi-experimental design with posttest only non-equivalent control group method. Sampling technique in this study using purposive sampling with the number of sample in this study as many as 20 people. From the results, it is found that an average reduction of TFU intervention group is 6.3 cm while the control group is 9.6 cm. Statistical test results of T-Independent Samples Test are t count = 8.222, t table = 1.734 which means t count > t table and sig.t count ρ Value (0.000<0.05) and there are differences in the effect of puerperal gymnastics to the involution of uterus to the primipara maternal in Rose Room of Majalaya Hospital 2016, seen from the decline of TFU between the puerperal gymnastics intervention group and the control group that does not given puerperal gymnastics. Advice for the health workers in the Rose Room is to make SOP of puerperal gymnastics and implement puerperal gymnastics by implementing puerperal gymnastics programs of postpartum mothers which is beneficial to the healing process of self-postpartum.

Main Objective: This study explores the work vacancy advertising for graphic designers in some countries and appraises differences in economic, and educational infrastructure. Background problem: The designer's role is changing and building a more critical advancement to the organization. The job and expertise of a graphic designer as commonly associated with boundless visual results, equally designing for flyers and having knowledge of typography and visual content. Apart from that, graphic designers job and competent in equal employment, study, and technology. The expansive work and skill set of graphic designers mien a challenge for lecturers and professionals alike to carry abreast of the work of graphic designers. Novelty: For design professionals and lecturers, employment provides an intermediary for compassionate labor advertising which can format academic activities and self-improvement intentions. In design research, job Ads bring information about the competencies demanded by employers in the design professional field as well as about the organization's level of knowledge of the profession. Research Method: This study uses the doc analysis method in traditional and digital graphic design job advertisements to investigate the skills that organizations seek when recruiting graphic designers. Finding/Result: The job and skills of a graphic designer are more expansive than repeatedly characterized. Graphic designers primarily provide digital and print jobs. Graphic designers primarily provide digital and print jobs. To do this kind of job, a graphic designer must have not only visual design experiences but also experiences generally identical with other areas, equally “business”, “project management”, and “research”. Conclusion: The results of this study indicate that job advertisements reverse the former during interpretive job advancement for graphic designers in the future. As a suggestion for investigating future professional development, design researchers should make more careful use of the opportunity and scope contributed by job advertisements. Keywords: Job Advertisement, Graphic design, Graphic Designer

Stock investment is one of the most attractive forms of investment for investors. Investors can choose various sectors of companies listed on the Indonesia Stock Exchange (IDX) to place their funds in investing in shares. One of the sectors with high capitalization in recent years is the banking sector, where investors have been attracted to buying banking companies' shares. Even so, investors in investing in stocks must pay attention to the factors associated with the risk of investing in stocks, whether it is a total risk or a systematic risk that cannot be prevented by diversification. The purpose of this study is to empirically examine the effect of firm size, leverage, and profitability on stock risk. The sample used in this study is a banking company listed on the Indonesia Stock Exchange (BEI) and has stock beta data released by Pefindo during 2016-2019. Based on purposive sampling, 23 companies were selected so that the total sample is 92 observations. Hypothesis testing is performed using multiple linear regression analysis of panel data. The test results suggest that company size has a positive effect on systematic risk, but it negatively affects the total risk. Leverage is not associated with systematic risk and total risk.  Keywords: beta, leverage, banking industry, total risk, firm size

Difficulty swallowing is caused by impaired muscle coordination, muscular weakness of the tonus swallowing which is associated with impaired hemisphere function, nuclei of the brain nerve fibers that confer and muscles chew and swallow. The purpose of this case study is to describe the application of Shaker exercise and jelly in swallowing exercises in the stroke patients in the Hospital Sunan Kalijaga Demak. This method of research is descriptive using a case study approach. The subject in this study were two patients with stroke difficulty swallowing, patients in rehabilitation, not experiencing a loss of consciousness and a patient's vital signs of stable. Ingested ability is measured with The Royal Adelaide Prognostic Index For Dysphagic Stroke (RAPIDS). Results of the analysis showed that there was increased ability to swallow after intervention. In the subject I before the 81 scorecard intervention (low aspiration risk) experienced increased scorecard to 86 (low aspiration risk). Meanwhile, in the subject II before the intervention of Scorecard 82 (low aspiration risk) experienced a better namely 91 (low aspiration risk). This research recommends nurses can apply shaker exercise and jelly in swallowing exercises in stroke patients with difficulty swallowing

Hospitalization is a process that has planning or emergency reasons that require the child to stay in the hospital. Hospitalization at school-aged children is 6-12 years forcing children to part with their beloved environment such as family and group soisalnya causing anxiety. Anxiety is an emotional response to the assessment of something dangerous, associated with feelings of uncertainty, helplessness, fear of fear is not clear why. This case study illustrates the application of bibliotherapy to decrease the anxiety level of school-aged children during hospitalization. The case study design used is descriptive case study. The case study was conducted in RSUD Dr. Adhiyatma, MPH Semarang. result of case study got decrease of subject anxiety level I before application of bibliotherapy value of anxiety level 40 after application of bibliotherapy decrease to 34 and subject II anxiety level level before applying of bibliotherapy value of anxiety level 31 after application of bibliotherapy decrease to 26. subject of subject anxiety level decrease 6 value and subject II down 5 values.