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Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results:  The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

Neck pain is a medical symptom or condition that is generally caused by pressure on the soft tissues, bones, or joints of the cervical spine and or other adjacent structures. In some cases, neck pain may also be caused by diseases of the neck or other underlying parts of the body. Risk factors for neck pain include poor posture, accidents, injuries and degenerative diseases may be the cause of neck pain in a person. Other causes such as infections in the lining (membranes) of the brain (meningitis), osteoarthritis, and fibromyalgia can be considered. Neck pain caused by muscle tension usually goes away on its own within a few days and only requires conservative treatment in the form of exercise, stretching, physical therapy, massage. Some forms of neck pain require professional medical care, including prescribing medications, physical therapy and other treatments. In severe cases, surgery may be necessary to manage neck pain. On May 19, 2022, we carried out Independent Community Service in Krobyongan Village, Gawanan, Colomadu District, Karanganyar Regency, Central Java (Sanggar Prima) with the theme of simple ways to overcome neck stiffness while working. Starting the counseling activity with neck pain material, how to overcome neck stiffness while working and exemplifying the movements, a question and answer session and ending by distributing snacks and questionnaires. The purpose of this activity is to increase knowledge on how to prevent neck pain and how to overcome neck stiffness while working at the prima colomadu studio. The method of implementing community service by: lectures, discussions, and providing simple tips and exercises.

Workshop PT. XYZ is a part of a company that carries out activities in the field of maintenance and repair, especially hydraulic, pneumatic and lubrication equipment. These workshop activities include welding activities, operating machine tools and other mechanical work. This study aims to determine the value of the potential risk of occupational hazards and the level of risk of potential occupational hazards at PT. XYZ in the workshop area. This study uses an approach with the HIRA (Hazard Identification and Risk Assessment) method to determine the value of the risk of occupational hazards and the level of risk of potential occupational hazards. The results obtained by using HIRA (hazard identification and risk assessment) were obtained as many as 29 risks which were classified based on potential hazards, namely 28% extreme risk, 41% high risk, moderate risk of 31% and there is no low risk. Improvement recommendations are made based on the level of extreme risk (extreme risk) and high risk (high risk) to prevent and reduce the level of risk of work accidents in the workshop area, while for the moderate risk level, the mitigation recommendation is to supervise the work and make an SWI (simplified working instruction) to make it easier for workers to understand safe and correct work procedures.

This research aims to determine the influence of price, product quality and service variables on purchasing decisions at Kaki Empat Petshop Kediri.  This type of research is quantitative research which is used to test the relationship of a variable to other variables which emphasizes the analysis on numbers processed using statistical methods. This research data was obtained through questionnaires, interviews and literature studies. The population in this study were all consumers at Kaki Empat Petshop Kediri. The sample in this study was 244 respondents. The sampling technique uses accidental sampling. The analysis techniques used are Validity Test, Reliability Test, Classical Assumption Test, Multiple Linear Regression Analysis, T Test, F Test and Coefficient of Determination Test. From the results of the research, it shows that the work experience variable (X1 The t test results of the price variable (X1) have a partially significant effect on purchasing decisions. Product quality (X2) has a partially significant effect on purchasing decisions. Service (X3) has a partially significant effect on purchasing decisions. The results of the F test can be concluded that price, product quality and service have a simultaneous and significant effect on purchasing decisions for Kaki Empat Petshop Kediri. Suggestions for Kaki Empat Petshop Kediri are to maintain things that can improve purchasing decisions.    

Work fatigue is a condition caused by physical and mental activities that exceed capacity. According to National Safety Council data, > 60% of work accidents are caused by fatigue. In Indonesia, the agriculture, fisheries, plantation, and forestry sectors occupy the second position in the cause of work accidents. Work fatigue can be caused by both internal and external factors. Fatigue caused by external factors causes changes in the body's biochemical processes so that lactic acid builds up in the muscles. Initial survey on PT. X is located in Kampar Regency, information was obtained that there were cases of work accidents in harvesters which were mostly caused by work fatigue. Objective To determine the relationship between lactic acid levels and work fatigue in palm oil workers in PT. X Kampar Regency Methods This study was conducted using observational analytical methods, cross sectional research design. The sampling technique uses total sampling, as many as 114 samples have met the inclusion criteria. Bivariate analysis uses the Spearman test. Result p-value = 0.000; r = 0.607 with strong correlation strength and positive direction Conclusion There is a relationship between lactic acid levels and physical fatigue in harvesters

This research aims to: 1) Know the level of cooperation character of basketball athletes in the Special Region of Yogyakarta; 2) Identify the achievement of cooperation character measurement items that are not optimal.  This type of research is descriptive quantitative. The subjects in this study were basketball athletes in the Special Region of Yogyakarta obtained by Convenience Sampling or Accidental Sampling method totaling 80 people. Data collection uses a cooperation character scale with 69 valid items and has an Alpha Cronbach reliability index of 0.95. The data collection technique uses a Likert scale based on aspects: (1) Working together, (2) Conveying positive expectations, (3) Appreciating input, (4) Providing encouragement, (5) Building group spirit.The results showed that most basketball athletes had a very high cooperation character (63%) and high (30%) which indicated they were able to work together. The results of the analysis on the achievement of item scores show that as many as 47 (68%) items of cooperation character in the very high category, 19 (28%) items of cooperation character in the high category and 3 (4%) items in the medium category.

This research aims to analyze the risk of work accidents at PT Sermani Steel Corporation using the Failure Mode Effect Analysis (FMEA) method. This method is applied to identify potential hazards in the production process of zinc coated steel, such as hollow, C channel, and battens. Data were collected through questionnaires, observations, and interviews, then processed to calculate the Risk Priority Number (RPN). The results showed that the highest risk was found in zinc machine production activities, with an RPN value of 321.6, mainly related to the risk of being cut by products or product debris. Based on Pareto and Fishbone Diagram analysis, the main causes of accidents are human, machine, method, and environmental factors. The conclusions emphasize the importance of OHS training, installation of signs and indicator lights on machines, and close supervision to minimize the risk of accidents. The recommendations provided are expected to reduce work accidents by 38% of the total accidents that occur in the production area.

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

The background of this research focuses on the importance of OHS in the manufacture field, especially considering the high number of work accidents reported by BPJS Ketenagakerjaan. This research aims to identify and assess the risk of hazards at PT Bumi Sarana Beton using Hazard Identification Risk Assessment Determining Control (HIRADC) and provide solutions to reduce work accidents. The HIRADC method is used to identify hazards, assess risks, and determine appropriate controls in accordance with the AS/NZS 4360: 2004 standard. The results showed that the production work area has several high risks such as pinching, respiratory distress, and slipping. Effective risk control implementation is expected to improve work safety and productivity. These findings have important implications for the management of PT Bumi Sarana Beton to improve OHS policies and provide adequate training and protective equipment for workers. In addition, this research is also expected to be a reference for other industries in implementing OHS optimally to reduce the risk of work accidents and improve workers' welfare

Innovation communication is a way of conveying the discovery of new ideas to society so that social change occurs. A new innovation that is a solution to Jasa Raharja services which is caused by the high number of accidents in Pekanbaru City. In-person support services take a lot of time and take a long time, online updates make it easier for users of these support services. This research aims to analyze the communication innovation of raharja services in implementing online compensation services for accident victims in Pekanbaru city. This research uses qualitative research methods, with data collection techniques using interviews and analyzing the media used in the innovation diffusion process. As for determining research subjects, a purposive technique was used with five informants, then the data analysis technique used Miles and Huberman data analysis techniques which included data collection, data reduction, data presentation and conclusion drawing. This research uses Rogers and Shoemaker's theory of diffusion of innovation. This theory examines messages in the form of new ideas or thoughts, which cause social change.From the research results, this innovation communication has 4 stages, namely. In this research it can be concluded based on the results of the analysis using Roger's theory which has 4 points, This innovation distribution explains that the involvement of communicators provides information in the form of socialization in the form of a content that states information about how to claim or submit compensation from Jasa Raharja. A communicator does not only work alone, this communicator is the Head of Public Relations, Jasa Raharja, who works together with the compensation service staff to collaborate with the community to make it easier and more affordable. With new innovations, since 2009, compensation services for accident victims have gone from conventional forms to online services. This communication channel uses social media, namely in the form of Instagram and Tik Tok, then uses print media, television media and radio media. By implementing the Innovation Division, it has made progress, but of course there are still new innovations, of course this is influenced by factors that hinder the establishment of this innovation, one of which is awareness. The awareness of users or local people who use vehicles in traffic, whether land, sea or air, of course they do not have awareness.

Engineering units are complex activities with diverse jobs such as maintanace, machine operation and machine supervision. These jobs have a high risk of occupational accidents, so they must comply with Occupational Health and Safety (OHS) to reduce the risk of accidents and improve worker welfare. Occupational Health and Safety (OHS) Compliance can be influenced by internal factors and external factors. The purpose of this study was to identify and analyze the factors that cause Occupational Safety and Health (OHS) compliance. This research method uses quantitative research with a cross sectional research design with logistic regression analysis. Based on the output of statistical tests, the significance results of internal factors of age 0.015 <0.05, tenure 0.009 <0.05, knowledge 0.006 <0.05, attitude 0.016 <0.05, motivation 0.028 <0.05, ability 0.003 <0.05 and the significance results of external factors of work environment 0.12 <0.05. Internal factors (age, tenure, knowledge, attitude, motivation, ability) and external factors (work environment) influence and have a positive relationship with Occupational Health and Safety (OHS) compliance.

This research aims to find out, analyze and prove that employee work loyalty among Gojek drivers is partially influenced by flexible working hours and compensation. The research design uses quantitative research with a survey approach, the research population is 164 Gojek Drivers in the community in Bintara, West Bekasi. The sample measurement technique uses the formula Hair et al. (1998). With the accidental sampling method. The data collection technique used was a questionnaire. Data collection was carried out using a questionnaire distributed directly to 110 Gojek drivers in West Bekasi. The data was analyzed using SEM based on Partial Least Square with the help of Smart PLS Software.4. The analytical method used is outer model test, inner model test, hypothesis test. The research results show that (a) flexible working hours have a positive effect on work loyalty, (b) work rewards have a positive effect on work loyalty, (c) flexible work hours have an effect on compensation, (d) flexible work hours have an effect on work loyalty through the mediation of compensation.

Traffic accident law enforcement is a crucial element in efforts to improve justice and road safety in Indonesia. In the jurisdiction of the Tanjung Pinang Police, the problem of traffic accidents is a serious concern considering the high number of accidents that occur every year. This study aims to identify obstacles that hinder the optimization of traffic accident law enforcement and formulate effective solutions to overcome these obstacles. The research method used is a qualitative method with a case study approach. Data was collected through in-depth interviews with law enforcement officials, document analysis, and direct observation on the ground. Data analysis was carried out descriptively to understand the dynamics of traffic accident law enforcement in this region. The results of the study show that there are four main obstacles in traffic accident law enforcement at the Tanjung Pinang Police: limited human resources and equipment, lack of socialization and education about traffic safety, legal culture that has not been well formed in the community, and coordination between law enforcement agencies that is not optimal. Limited resources cause case handling to be less efficient, while the lack of socialization and education results in low public awareness of the importance of obeying traffic rules. In addition, the weak legal culture makes people reluctant to report accidents or provide information as witnesses. Poor coordination between the police, prosecutor's office, and the courts slows down the case resolution process. To overcome these obstacles, this study suggests increasing the allocation of resources and ongoing training for law enforcement officials, intensifying education and socialization programs on traffic safety to the public, applying a restorative justice approach to build public trust in the law, as well as the formation of joint working teams and the use of integrated information systems to improve coordination between institutions. With these steps, it is hoped that traffic accident law enforcement can run more effectively and efficiently, so that justice and road safety in Tanjung Pinang can be achieved.  

Work accidents are one of the problems that often occur in companies/agencies where accidents happen to employees/workers and cause serious physical injuries. BPJS Employment is an insurance program that is trusted by agencies/companies by claiming Work Accident Insurance (JKK) which can help in easing the financial burden on families as well as initial efforts to handle cases of work accidents that occur. The main aim of this research is to assist companies in handling work accident cases that occur. The data used in this research includes work accident reports collected from the Bpjs Ketenagakerjaan Stabat office. The method used is the clustering method with the K-means algorithm, which was chosen because of its ability to group fairly large amounts of data with fast and efficient computing time. By using the clustering method that has been used to process work accident case data at Bpjs Ketenagakerjaan in Stabat, we can produce new information from the 672 data that have been tested. From 672 work accident case data at Bpjs Employment in Stabat, 3 clusters were obtained with the results of Cluster 1 having 2 work accident case data, Cluster 2 having 9 work accident case data and Cluster 3 having 9 work accident case data.

Nurses are professional health workers who, in carrying out their duties and responsibilities, are required to be able to fulfill their spiritual needs while working. This is because health services are a basic human need that is provided through health services not only in the form of physical aspects , but also psychological aspects. High spirituality will have an impact on intrapersonal, interpersonal and transpersonal relationships in overcoming various life problems. This research aims to determine the relationship between nurse workload and attitudes towards fulfilling spiritual needs in hospital inpatient rooms. Bhakti Husada Cikarang. The research design used cross sectional . The population is inpatient nurses who work in health services, namely at the Bhakti Husada Cikarang Hospital. The total population in this study was 84 nurses . The sampling technique used was accidental sampling , totaling 47 respondents. The statistical test used is the Chi Square test. The research results showed that the majority of respondents had a moderate workload, 27 people (57.4%) and 33 people (70.2%) had their spiritual needs met. The statistical test results obtained a p value of 0.89, meaning there is no relationship between nurses' workload and the fulfillment of spiritual needs. It is hoped that nurses will always improve their professionalism in carrying out nursing care.

This study aims to find the highest value of criteria, sub-criteria and alternatives in prioritizing K3 strategies at PLN NP UP Muara Tawar to ensure and protect the workforce. Using the 5M approach (Money, Man, Machine, Methods and Milieu), 21 sub-criteria and 5 alternatives in order to prevent, overcome and minimize the occurrence of work accidents and their impacts by identifying, analyzing and controlling appropriately to improve K3 in the workplace. The Simple Additive Weighting (SAW) mixed method is used to calculate criteria and sub-criteria and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) calculates alternatives. The results of the analysis show that the highest criterion is man (M) with a score of 0.2113 and the highest sub-criteria are K3 Infrastructure Investment (MO1) and Fire Protection System Infrastructure Investment (MO2) with a score of 0.29577. The highest alternative is with a score of 0.7900 on maintenance of equipment and facilities (A2).    

BPJS Employment cooperates with many employer companies and Work Accident Service Centers in managing Work Accident Insurance. In its management, of course, the company must have an effective and efficient governance system. The research entitled "Governance System for Payment Bills for Work Accident Guarantee Claims at Bpjs Ketenagakerjaan Surabaya Karimunjawa Branch" has the aim of conducting an ongoing analysis of the governance of bills for payment of work accident guarantee claims. The results obtained in this study are that researchers know the benefits of Work Accident Insurance and the procedures and Management System for JKK Payment Bills which are carried out very well by the BPJS Employment Surabaya Karimunjawa.

Physiological processes such as pregnancy, labor and birth can be difficult and can occur at any time, and can have serious impacts on the mother and fetus. So the SC ERACS method of delivery is an option. ERACS is a SC delivery technique that is becoming increasingly popular in society, especially among pregnant women because it can shorten recovery time after surgery and reduce post-operative pain. This study aims to describe the level of pain in patients post caesarean section using the ERACS method. This research is a quantitative descriptive study, data collection using accidental sampling techniques, namely all SC ERACS patients at H.A Zaky Djunaid Hospital for 1 month, namely 52 respondents. This research instrument uses NRS. The data analysis used is univariate in the form of a frequency distribution. The results showed that the characteristics of the respondents were mostly in the early adulthood category, namely aged 26-35 years, 27 respondents (51.9%), 34 respondents (65.4%) respondents who did not work, 24 respondents (46.2) who indicated a history of SC, and 41 respondents (78.8%) were multiparous. The pain level of post-SC patients using the ERACS method, the majority of mothers experienced mild pain on a scale of 1-3, 47 respondents (90.4%). The conclusion that can be drawn is that the pain level of post-SC patients using the ERACS method is that most mothers experience mild pain.

The high competition in the property industry requires companies to maintain high occupational safety and health (K3) standards. Data from the engineering division of PT Gaia Care International shows that in the period January-November 2023 there were 11 work accidents, with the majority being minor accidents and one fatal case. This study aims to identify potential risk hazards, analyze risk levels, and determine appropriate risk control measures.  The HIRARC method is used in three stages: Hazard Identification, Risk Assessment, and Risk Control. The results showed that there were various potential hazards such as electrocution, falling from stairs, and exposure to chemicals. The risk assessment classified 5 work activities as low risk, 43 as medium risk, and 2 as high risk and no extreme risk was found. Risk control efforts are carried out using fishbone diagrams and 5W+1H techniques to reduce or eliminate existing risks.  This research is expected to provide benefits for companies in reducing the number of work accidents and become a reference in implementing better OHS policies, as well as providing additional insight for readers regarding the importance of risk analysis in creating a safe and healthy work environment.    

Communication is the main medium for conveying information or a message. Communication does not work well when an individual experiences communication disorders, for example, language disorders. Language disorders are disorders or damage that attack the brain in the Broca and Wernicke areas so that the language acquisition process is not optimal. One of these language disorders is called aphasia. This research aims to find out how people with aphasia communicate, especially when they have difficulty pronouncing certain words or letters. This research uses descriptive qualitative methods using interviews and observations as research instruments. The individual who was resource person in this research was a woman who was diagnosed with aphasia as a result of an accident so she had to experience difficulties in communicating.