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Nephrotic syndrome (NS) is a kidney disorder characterized by massive proteinuria, hypoalbuminemia, edema, and hypercholesterolemia, most commonly occurring in children. This disease can be caused by various conditions, such as minimal change disease, FSGS, or lupus nephritis. This case report discusses a 16-year-old boy who experienced nephrotic syndrome with symptoms of swelling throughout his body, accompanied by decreased appetite and a productive cough. The patient presented with complaints of swelling throughout his body that began 7 days after hospitalization and was accompanied by coughing and shortness of breath. A physical examination revealed massive edema, abdominal hypertympany, and shifting dullness. Laboratory tests revealed proteinuria, hypoalbuminemia, and decreased serum albumin. Other supporting tests confirmed nephrotic syndrome. The patient received medication therapy including diuretics, corticosteroids in the form of methylprednisolone, and albumin. Nephrotic syndrome in children can develop gradually and requires management that includes steroids, diuretics, and close monitoring of kidney function and electrolytes. Early detection and appropriate treatment can help improve the patient's prognosis.

This Community Service (PKM) activity aims to improve the quality of human resources (HR) among Posyantek administrators in North Serpong District through the management of Appropriate Technology (TTG). The challenge faced by partners is the limited understanding and skills of Posyantek administrators in managing and utilizing TTG optimally and sustainably. The implementation method included counseling, training, discussions, and hands-on practice related to Appropriate Technology management that aligns with the needs and potential of the local community. The results of the activity indicate an increase in the knowledge, skills, and professional attitudes of Posyantek administrators in TTG management. Furthermore, this activity also strengthened motivation and collaboration among Posyantek administrators in carrying out their role as technology facilitators at the sub-district level. This PKM activity was concluded to be effective in improving the quality of human resources among Posyantek administrators and is expected to have a long-term impact on Posyantek development and community empowerment based on Appropriate Technology in North Serpong District.

This study aims to examine the aligenment between class scheduling and the performance of the live daily prayers among student4s at UIN Walisongo Semarang. As an Islamic higher education institution, UIN Walisongo expected to integrate academic activities with the religious obligateions of its students. However, the intensity of class schedules and the dynamics of campus activities often have the potensial to conflict with prayer times, making it necessary to investigate the exten to which academic schedules are synchronized with the required times for prayer. This research focuses on three main aspects: (1) the compatibility of class schedules with the times of the five daily prayers, (2) the extent to which academic administrator consider prayer times when designing class scheduls, and (3) the forms of taysir or facilitative measures provided by the anniversity to support timely prayer performance. Using a qualitative field research method and a case study approach, data are collected through observations, interviews, and documentation related to class schedules and worship facilities within the campus environment. The findings of this study are expected to provide a comprehensive understanding of the relationship between academic scheduling systems and the practice of performing the five daily prayers among students. In addition, this research aims to generate recommendations based on Islamic jurisprudence and Islamic time management principles, which my serve as a foundation for developing academic policies that are more supportive of religious observance. Such policies would help ensure that academic activities and religious obligations can operate in harmony and mutually reinforce one another.

This study aims to determine the effect of service quality and promotion on members' saving decisions at BMT Fajar Bina Sejahtera Metro Branch. This research uses a quantitative approach with data collection through questionnaires given to 98 respondents, selected using purposive sampling technique. Data analysis was conducted using multiple linear regression with the help of SPSS software. The results show that both service quality and promotion have a positive and significant effect on saving decisions, both partially and simultaneously. However, service quality has a more dominant influence compared to promotion. The coefficient of determination (Adjusted R²) indicates that 32.4% of the variation in saving decisions can be explained by these two independent variables. Therefore, BMT Fajar Bina Sejahtera needs to continuously improve service quality and design more effective promotional strategies to attract and retain members to be more active in saving. This research provides important insights for BMT management in formulating more precise policies to enhance members' saving decisions.

Current human activities are the cause of the accumulation of waste. Waste generated from community activities can come from households, agriculture, offices, industry, and so on. Based on previous research, waste that is not properly handled will cause environmental damage, produce odors, and risk the spread of diseases that are agents or sources of infection that cause stunting in children. The purpose of this community service is to provide education on waste management to prevent cases of stunting in children. The methods used in the educational activities are lectures and question and answer sessions. Composting training is conducted using a practical method. Educational media used leaflets and composting practice materials using household waste leftovers from the community service targets. The target community service was 20 housewives in the Caturharjo area. The results obtained are that the education and practice were implemented well and smoothly. The community provided a positive response to the material provided in the form of questions and answers after the educational material. There was a change in composting skills among the community members. The conclusion of this community service activity was an increase in knowledge and skills in processing household waste into composter.

The digital era continues to evolve and bring innovation and change to various industries. Through digital transformation and strategies needed to overcome obstacles in the digital era, organizations can adapt and change. To achieve their goals, MSMEs must implement efficient marketing techniques in their operations. This community service method uses the PAR (Participatory Action Research) technique. This is in line with the conditions of the partner, Dwikora Village, which has human resources that are well known to both village officials and residents. The results found that due to a lack of understanding of digital marketing communication management procedures, they were unfamiliar with digital marketing techniques, different social media platforms, or how to measure their effectiveness. The Community Service Team conveyed their understanding of the importance of digital marketing communication in improving the knowledge and skills of residents as an effort to improve their marketing communication skills. This was because many residents, especially mothers, did not understand how to use digital marketing to promote their MSMEs. The team formed a content creation team or digital marketing communication managers, socialized the value of digital marketing communication to the sub-district residents in improving their knowledge and skills, and implemented a digital marketing communication message management strategy on Instagram. After these activities, partners can create interesting and relevant content that suits the interests of the target audience in Dwikora Village, namely its residents.

The development of the modern business world is marked by the increasing complexity of legal relationships between business actors, involving various entities with close economic and operational interconnections. This condition creates challenges in civil dispute resolution, especially when default occurs in multi-party business agreements. This study aims to analyze the application of the joint and several liability (tangung renteng) legal construction as a business dispute resolution mechanism in the Decision of the North Jakarta District Court Number 833/Pdt.G/2024/PN Jkt.Urr. This research uses normative legal research methods with statutory, conceptual, and case approaches. The legal materials used consist of primary legal materials in the form of legislation and court decisions, as well as secondary legal materials in the form of legal books and journals, which are analyzed descriptively-analytically. The results show that the panel of judges applied the joint and several liability construction not only based on formal contractual relationships, but also on the factual and economic interconnections between the parties, such as the receipt of benefits, operational integration, and the commingling of assets between the business entity and its management. The application of this construction proves effective in expanding the basis of liability and guaranteeing the recovery of creditor's rights. However, the decision also shows limitations in proving commercial immaterial losses, which are still bound by strict civil evidence standards. This study concludes that the joint and several liability construction can be an important instrument in resolving multi-party business disputes, but clearer jurisprudential guidelines are needed to ensure legal certainty and consistency of its application in the future.

Household waste management remains a major challenge in rural areas, including Sunggumanai Village, Pattallassang District, Gowa Regency. Low public awareness and the absence of a structured community-based waste management system have negatively affected environmental quality and public health. This community service activity aimed to enhance community knowledge, awareness, and participation through the socialization of community-based waste management toward a clean and healthy environment. The activity was conducted on September 27, 2025, involving 30 participants consisting of community representatives, housewives, youth, and community leaders. The methods applied included educational socialization, participatory discussions, and waste segregation simulations based on the 3R principles (Reduce, Reuse, Recycle). The results indicated an improvement in participants’ understanding of waste types, the environmental and health impacts of improper waste management, and the importance of collective waste management practices. Participants also demonstrated positive attitudes and readiness to implement household waste segregation, as well as emerging ideas for establishing community-based waste management initiatives. In conclusion, this activity proved to be an effective initial step in promoting behavioral change toward sustainable waste management and supporting the creation of a clean and healthy village environment.

This study aims to analyze the effectiveness of the internal control system in the Personnel Division of PT Sendang Derma Pesona in supporting effective, efficient, and well-governed human resource management. The background of this research is based on the importance of internal control systems in preventing administrative errors, reducing the risk of fraud, and ensuring compliance with labor regulations, particularly in personnel and payroll functions. This study employs a descriptive qualitative approach using an operational audit method. Data were collected through questionnaires, interviews, and document observation covering recruitment procedures, personnel data management, employee transfers, authorization processes, as well as payroll and bank reconciliation procedures. The results indicate that, in general, the internal control system in the Personnel Division has been implemented adequately, as reflected by complete personnel documentation and multi-level authorization in decision-making processes. However, several weaknesses were identified, including the lack of proper segregation of duties between payroll preparation and salary payment, the absence of regular bank reconciliation, and the continued use of manual personnel archive management. These weaknesses indicate that the internal control system still needs to be strengthened to minimize the risk of errors and improve the efficiency of personnel administration. The findings of this study are expected to provide practical implications for management in improving internal control policies and procedures to support better corporate governance and sustainable organizational performance.

This community service activity was carried out to enhance the managerial capacity and digital competence of Micro, Small, and Medium Enterprises (MSMEs) in Sunggu Manai Village, Patalassang District, Gowa Regency. In the digital economy era, MSME actors must adapt to technological changes and manage their businesses professionally to remain competitive. The activity employed a participatory and applicative approach involving training in business management, digital marketing, and application-based financial recording. The results showed a significant increase in participants’ knowledge and skills, particularly in business planning, financial management, and the use of social media and online marketplaces for product promotion. About 80% of participants successfully created digital business accounts and started marketing their products online. The program also fostered awareness of the importance of digital transformation and collaboration among MSME actors. Therefore, integrating managerial capacity building with business digitalization proved effective in enhancing the competitiveness and sustainability of MSMEs in rural areas.

Congenital Megacalyces is a rare anomaly of the renal pelvis-calyceal system characterized by non-obstructive calyx dilatation due to renal medulla hypoplasia. This condition is often misinterpreted as hydronephrosis, leading to unnecessary surgical interventions. Advances in genomic technology and precision imaging have opened up opportunities to understand the molecular basis and anatomical structure of this anomaly more deeply. A literature review was conducted through PubMed, ScienceDirect, and Google Scholar, covering publications that discuss the relationship between genomics, imaging, and clinical management of congenital kidney abnormalities. The integration of Next Generation Sequencing (NGS), 3D MRI reconstruction imaging, and AI-based radiomics analysis has proven to enhance diagnostic accuracy, differentiate between obstructive and non-obstructive abnormalities, and assist in determining appropriate conservative therapies. Case studies demonstrate the association between SETBP1 mutations and the development of bilateral megacalyces, as well as the effectiveness of long-term monitoring based on multimodal data. The integration of genetic, imaging, and clinical data is a strategic step toward precision medicine in the management of Congenital Megacalyces. This approach improves diagnostic accuracy, reduces unnecessary invasive interventions, and supports individualized therapy based on genetic and anatomical risk factors.

The maritime transport sector plays a vital role in international logistics, including the transport of special cargo such as live cattle, which requires specific administrative and operational handling. PT. Bahari Eka Nusantara Belawan Branch, as a ship agency company, is responsible for ensuring the smooth flow of ship services from arrival to departure at the Port of Belawan. This study aims to analyze the flow of agency management for special cattle cargo on the vessel MV Gloucester Express and to identify the coordination efforts carried out with relevant agencies to ensure service efficiency. The method used in this research is descriptive qualitative with data collected through field observations and literature studies. The results show that the agency flow involves three main stages: pre-arrival, arrival, and departure, with a focus on strict animal health documentation and coordination with the Quarantine Office. The study concludes that while the process generally runs well, administrative precision and real-time communication with the authorities are critical factors in preventing delays in unloading live cattle.

In this era of ongoing digitalization, the use of information technology in records management is becoming increasingly crucial to ensure work efficiency and effectiveness. This study aims to examine the implementation of a dynamic archive storage system in the General Ledger Accounting Division of PT KPN Plantation. Specifically, this study identifies the obstacles encountered and analyzes the efforts made to overcome these challenges. Using a qualitative approach, primary data was collected through observation, interviews, and documentation studies with informants from General Ledger Accounting employees. Data analysis was carried out through a series of processes, including data collection, data reduction, data presentation, and conclusion drawing. The results of the study show that although the stages of archive management have been carried out systematically through a combination of physical procedures and digitization using E-Archive, its implementation still faces significant obstacles. The problems identified include managerial aspects such as high transaction volumes that cause document backlogs and space limitations, technical aspects such as the instability of the E-Archive system, and limited human resources with expertise in archiving. Collectively, these obstacles reduce the effectiveness and efficiency of the system, requiring a comprehensive and integrated improvement strategy to achieve reliable and sustainable archive management

The Ciliwung River Basin is a strategic watershed with significant ecological, social, and economic functions, yet it is increasingly threatened by land use change, rapid urbanization, and water pollution, particularly in the Jakarta metropolitan area. This study aims to assess the water quality condition of the Ciliwung River based on real time monitoring data from the ONLIMO system and to examine spatial and temporal variations in water quality status along the middle and downstream segments. A descriptive quantitative approach was applied using secondary data obtained from three ONLIMO monitoring stations, namely Masjid Istiqlal, Pintu Air Manggarai, and Kelapa Dua Srengseng Sawah, during the period of 6–12 May 2025. The analyzed parameters included temperature, dissolved oxygen, Biochemical Oxygen Demand, nitrate, ammonia, and other relevant physicochemical indicators. The results indicate that the water quality of the Ciliwung River generally falls within lightly to moderately polluted categories, with higher pollution levels observed in the middle segment of the river. Critical parameters influencing pollution status include Biochemical Oxygen Demand, nitrate, ammonia, and consistently low dissolved oxygen levels. These findings demonstrate that pollution in the Ciliwung River is persistent and cumulative, highlighting the urgency of integrated watershed management, strengthening real time water quality monitoring, and enhancing cross sector collaboration to support effective pollution control and sustainable river restoration.

This study aims to analyze the differences in motorcycle traffic flow (Q) during the morning and afternoon peak hours as an indicator of roadway operational performance, referring to the Indonesian Road Capacity Guidelines (PKJI) 2014, with a case study on Mawar Street–Wijaya Kusuma Street, Jember Regency. The research data were obtained from 12 observation points through traffic surveys that recorded motorcycle traffic flow in vehicles per hour (veh/h). The analytical methods used include descriptive statistical analysis, normality testing, and paired sample t-test. The results show that the average motorcycle traffic flow during the morning peak hour is 115.58 veh/h with a standard deviation of 62.97, while during the afternoon peak hour it is 63.25 veh/h with a standard deviation of 28.57. The paired sample t-test yields a significance value of 0.015 (p < 0.05), indicating a statistically significant difference between morning and afternoon traffic flows. These findings suggest that the level of roadway capacity utilization is higher during the morning peak hour, which is closely associated with dominant routine travel activities such as commuting to work and school. The results of this study are expected to serve as a basis for evaluating roadway operational performance and to support traffic management and traffic engineering planning aimed at improving road network performance and reducing congestion.

Urinary tract infection (UTI) is a common bacterial infection that requires appropriate antibiotic management to prevent complications and antimicrobial resistance. Ceftriaxone and ciprofloxacin are commonly used antibiotics with different clinical indications in UTI treatment. This literature review aims to compare the role of ceftriaxone and ciprofloxacin in the management of urinary tract infections. A narrative literature review was conducted using articles published within the last ten years from PubMed, ScienceDirect, and Google Scholar databases. The review focuses on clinical effectiveness, resistance patterns, and therapeutic considerations. The findings indicate that ceftriaxone is primarily used in moderate to severe or complicated UTIs, particularly in hospitalized patients, whereas ciprofloxacin is more frequently used in uncomplicated UTIs in outpatient settings. However, increasing bacterial resistance and safety concerns limit the empirical use of ciprofloxacin. These findings emphasize the importance of rational antibiotic selection based on clinical conditions and local resistance patterns.  

This study examines the management of Kediri Nite Carnival (KNC), an annual event organized by the Kediri City government to commemorate the city's anniversary and showcase local arts, culture, and tourism potential. This research uses qualitative methodology and employs literature analysis, observation, and documentation as case study methods. The Miles and Huberman interactive model is used to analyze the data. The Kediri City Tourism Office has implemented each stage of event management according to Goldblatt's concept: research, design, preparation, coordination, and evaluation. The focus of the research was to determine the objectives and target audience; the design highlighted the local cultural theme “Exotic Flower in Paradise”; planning included budget planning, scheduling, and promotional strategies through social media and collaboration with local media; coordination was carried out through task distribution and cross-team communication; and evaluation assessed the success of the event based on community feedback and its effects on tourism and the local economy. The research results show that KNC plays an important role in improving the public's perception of Kediri City as a creative and cultured city. However, efforts to increase the number of tourist visits in the long term still need to be made. It is hoped that these findings will help the local government develop a sustainable tourism communication plan.

This study aims to analyze in-depth the process of handling special livestock cargo agency for cattle on the MV Gloucester Express ship, as well as to identify the efforts and coordination carried out with relevant agencies to ensure the efficiency and effectiveness of services while the ship is in the unloading port. The research method used is descriptive qualitative. Data was collected through field research with participatory observation techniques during the fieldwork period at PT. Bahari Eka Nusantara, supported by library research to strengthen the theoretical foundation regarding ship agency management and special cargo regulations. The research findings show that the process of handling special livestock cargo agency at PT. Bahari Eka Nusantara is well-structured, involving the preparation of detailed supporting documents, starting from the ship's arrival report to its departure. The efficiency of the service heavily relies on tight coordination with port authorities (KSOP and Animal Quarantine) and compliance with applicable technical policies. However, technical obstacles were found, such as the unpreparedness of cargo documents from the shipper and coordination issues during docking. Improvement efforts are being made through enhanced digital communication and accelerated document validation before the ship's arrival to minimize waiting time at the port.

Micro, Small, and Medium Enterprises (MSMEs) play a strategic role in driving economic growth and improving community welfare, particularly in rural areas. However, many rural MSME actors still face challenges in financial planning and management, including inaccurate calculation of capital and profit, unstructured business expenditure planning, and the absence of separation between personal and business finances. This community service program aimed to enhance the financial literacy and financial planning skills of MSME actors in Suka Sari Village, Kabawetan District, Kepahiang Regency. The program was implemented through several stages, including preliminary observation to identify key financial management issues, interactive counseling on basic business finance concepts, simulation of capital and profit calculations, and hands-on practice in simple financial record-keeping using an easily applicable format. The results of the program indicate a significant improvement in participants’ understanding of business capital and profit calculation, their ability to plan business expenditures more systematically, and increased awareness of the importance of separating personal and business finances. This study demonstrates that participatory and practice-based financial assistance is effective in fostering simple financial management habits, which can support the sustainability and long-term development of MSMEs in rural communities.

Administration is an activity that must be managed effectively to support public service quality, and one of the main keys to achieving a good administrative system is the utilization of information technology, which is currently developing rapidly. Administrative activities at the Wendewa Barat village hall are still carried out using conventional and ineffective methods, particularly in population data recording, which relies on manual bookkeeping. This approach is time-consuming, labor-intensive, prone to errors, and incurs higher operational costs. Therefore, an integrated system is needed to manage administrative activities more efficiently, accurately, and systematically. This research aims to develop a web-based population administration system to improve administrative performance at the Wendewa Barat village office. The system development employs the waterfall method, which consists of several stages, including requirements analysis, system design, implementation, system testing, and maintenance. The system is built using the PHP programming language with the CodeIgniter framework and utilizes a MySQL database for data management. Additionally, jQuery is applied in several system functions to enhance system interactivity, effectiveness, and user interface attractiveness.