Publication Search

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

TB meningitis is the most severe manifestation of tuberculosis infection and causes death and disability in 50% of sufferers. Tuberculosis primarily affects adults at their most productive ages. However, all age groups remain at risk. Tuberculous meningitis is a form of extra-pulmonary tuberculosis with neurological abnormalities that accounts for 70-80% of all neurological tuberculosis cases, 5.2% of all extrapulmonary tuberculosis and 0.7% of all tuberculosis cases. Tuberculous meningitis (TB) is preceded by prodromal symptoms such as headache, anorexia, nausea/vomiting, subfebrile fever, accompanied by behavioural changes, and decreased consciousness. The patient, a 42-year-old male Mr SM, presented with decreased consciousness, a history of seizures and was taking tuberculosis drugs. Meningeal stimulation was found to be rigid, laseque test and kernique test were positive. Motor system impression of lateralisation to the right. Laboratory examination showed leukocytes 13,500/uL, platelets 728,000/uL, sodium 123 mmol, Kgd 135, thoracic X-ray with the impression of pulmonary tuberculosis with pneumonia, cranial CT-scan obtained with the impression of appropriate Tb meningitis, Non Communicating hydrocephalus. Specific treatments given were IVFD NaCL 0.9 %  20 drops / m, Omeprazole vial 2x40 mg, paracetamol infusion 3x1000 mg, Ceftriaxone 1 gram Vial, dexamethason ampoule loading 2 ampoules then 3x5 mg, Phenytoin 3x100 mg, Levofloxacin 750 mg, rifampicin 1x450 mg, isoniazid 1x300 mg, pyrazinamide 1x1000 mg, ethambutol 1x1000 mg, mg, B6 and B12 2x1 tablets.

This study explores the implementation of national insight enhancement for students through the integration of Pancasila values into education. The focus is on fostering a profound understanding of the nation's identity and values among students. By incorporating Pancasila principles into the educational framework, this research aims to contribute to the development of well-rounded individuals who possess a strong sense of national consciousness. The study employs various educational strategies to engage students in critical thinking and reflection, fostering a holistic approach to citizenship. Through this initiative, it is anticipated that students will emerge as active participants in shaping the nation's future, grounded in the principles of Pancasila.

Loss of consciousness is a common problem in the health world. This situation dominates the Emergency Guard Unit in the hospital service. Unconsciousness is a mental and behavioral condition of decreased comprehension, coherence, and motivational capacity. As a result of the loss of consciousness in the patient that occurs, sometimes the family does not know when an unwanted situation occurs because of something that happens and resulting in that loss of awareness occurs. The aim of this study is to find out the impact of IGD nurses' health education on the decline in patient awareness on the knowledge of the patient's family at the IGD RSU Manado Medical Center. Research uses experimental research methods using one group research design pretest-posttest design. Sample of 15 respondents using purposive sampling. Data collection using questionnaires. Analysed with Mc Namer's statistical test.  Gender survey results most female respondents 8 (53.3%), age most 17-25 years and 26-35 years 6 respondents (40,0%), most college education 8 respondents (53,3%), most employment private employees 7 respondents (46.7%). The Mc Namer test results are given a p value of 0,000 where < α 0.05. The conclusion in this study is that there is an influence of health education nurses IGD on decreased awareness in patients to the knowledge of the family of patients at IGD RSU Manado Medical Center. The recommendation is that the hospital should pay attention to health education for families, especially in the IGD room.

The aim of this research is that the researcher wants to analyze more deeply the conscious and unconscious personality dynamics of the main character in the novel entitled "Cinta, Edelweiss and Aku" by Monica Anggen using qualitative descriptive research methods and a literary psychology approach. using Carl's theory of consciousness. Gustav Jung. The formulation of the research problem is, what is the personality structure of the main character Sasa in the novel "Cinta, Edelweiss and Aku" by Monica Anggen? This research shows that the conscious personality structure of the Sasa character is manifested through awareness of what is happening around him, while the unconscious personality structure of the Sasa character is represented through attitudes. , what are the character's personal characteristics and what prevents him from forgetting his ex-boyfriend.

The risk of falling is an incident reported by the sufferer or family who saw the incident, which resulted in a person suddenly falling down, sitting on the floor or a lower place with or without loss of consciousness or injury. Based on an initial survey at the Posyandu Lansia Akbar (Elderly Center) in the working area of ​​the Puskesmas Jembatan Kecil (Community Health Center), it was found that some health problems which are still often experienced by the elderly are degenerative diseases such as hypertension, diabetes mellitus, and perceptual and sensory disorders that leads in decreasing balance, muscle strength and flexibility. These problems put elderly at high risk of falls. To reduce the risk of falls in the elderly, it is necessary to provide preventive, curative and collaborative health services in the form of health education and assistance with balance exercises. So the Community Service Team provides health education on preventing the risk of falls in the elderly.

Enforcing the use of PPE serves as a preventive measure against workplace accidents, particularly within the Nii Tanasa Kendari PLTU vicinity. Adherence to PPE reflects a behavior influenced by consciousness and environmental elements. The aim of this study was to establish connections between knowledge, attitudes, actions, PPE availability, and familial backing concerning PPE compliance among Nii Tanasa Kendari PLTU workers in Konawe Regency, Southeast Sulawesi in 2023. Employing a quantitative approach, this research adopted a cross-sectional design and was executed at PLTU Nii Tanasa Kendari in Konawe Regency during November 2023. Sampling involved 149 individuals through proportional random sampling, followed by data analysis via the chi-square test. Findings revealed correlations between knowledge and PPE compliance (0.035 < 0.05), attitudes and PPE compliance (0.027 < 0.05), actions and PPE compliance (0.021 < 0.05), PPE availability and PPE compliance (0.035 < 0.05), as well as family support and PPE compliance (0.021 < 0.05).

Fainting or syncope is a condition where a person loses consciousness due to decreased blood flow to the brain. The occurrence of syncope in students at school can occur at any time. Therefore all students should be able to master first aid, at school Students must be able to pelrtollolngan pelrtama when syncope occurs quickly and quickly, even if the meldis assistance is only basic and belrbasis keldolktelran science known to many people.The purpose of this study was to determine the Effect of Health Education with Demonstration Methods on the Skills of PMR Students in First Aid Actions in Syncope at Man Model Manado. This research is a Pre-experiment design with One Group pretest-postest design. The sampling technique is total sampling with 30 respondents. Data collection uses an observation sheet. Analyzed with Mc Stastistic test. Nemar statistical test. From the Results: Mc.Nemar statistical test shows that there is a significant effect between health education with demonstration methods on the skills of PMR students in first aid actions in syncope at Man Model Manado. (p)= 0.000: α = 0.05. Conclusion: in this study there is an effect of Health Education with Demonstration Method on the Skills of PMR Students in First Aid Action on Syncope at Man Model Manado. This research is expected to be a reference for health and education installations in an effort to provide the influence of health education with demonstration methods on student skills in first aid actions in syncope.

The impact of drug use is extremely harmful in the long run. In this regard, this article aims to reflect more deeply on the real impacts of drug use in our society. Through a better understanding of this issue, it is hoped that a stronger collective consciousness can be formed to face this challenge in a more effective and holistic way. The method used in this research is qualitative. The result is that drug use is not only an individual problem, but also a complex social problem that requires a holistic approach from various parties, including the government, health institutions, education, and society as a whole. Prevention, education, and access to adequate rehabilitation and health care services are key to addressing the negative impacts of drug use.

Personality recognition is one of the important things for recognizing oneself and other people. This identification is made based on a person's personality traits, based on Kant's personality theory. There are very few teachers who do not understand their students' personalities. During the teaching and learning process, some teachers do not clearly understand students' personalities, so it will be difficult for teachers to deliver learning material that arouses students' interest and thus influences the process of imparting knowledge. Consciousness is inhibited. Therefore, the FuzzyTsukamoto method is used to identify student personalities. The aim of this research is to help teachers group and identify students' personalities so that they can easily determine the right treatment method to develop their talents and interests. The system's input is taken from personality traits relevant to the student. The knowledge base is taken from child clinical psychologists and is built on the principle (IF-THEN). The results of the fuzzy calculation are that the student has a personality that is optimistic, quick-tempered, melancholic, or boring. The results of this method test by carrying out systematic calculations and tests, obtain personality results that are in accordance with the student's personality characteristics. and works fine. Therefore, it may be advisable to help teachers determine how to treat students.

Background; Progressive Mobilization Level I can affect blood pressure and oxygen saturation in critically impaired patients with reduced consciousness. Progressive mobilization can affect oxygen saturation, this is because after being given level 1 progressive mobilization in the Head of Bed position, gravity will pull the diaphragm down resulting in better lung expansion (distributing oxygen in the lungs) so that the oxygen bound by hemoglobin increases. increase in oxygen saturation values. Objective; Knowing the results of applying level I progressive mobilization to blood pressure and oxygen saturation in patients with decreased consciousness. Method; The application was carried out using a case study descriptive method to 2 respondents in patients with decreased consciousness for 3 days with a frequency of 2 times a day for 15 minutes. Results; Based on the results of the application that has been carried out, there is a decrease in blood pressure and an increase in oxygen saturation before and after the application of level I progressive mobilization. Conclusion; Level I Progressive Mobilization can be used as a non-pharmacological technique or independent intervention in patients with decreased consciousness to reduce blood pressure and increase oxygen saturation.

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.  

This research aims to investigate ethical business practices in sustainable digital marketing among Micro, Small, and Medium Enterprises (MSMEs). The research model adopts a qualitative approach to delve into the intricacies of ethical decision-making processes within digital marketing strategies. Sampling techniques involve purposive sampling to select MSMEs known for their sustainable practices. Data analysis employs thematic analysis, allowing for the identification of patterns and themes related to ethical considerations in digital marketing. Preliminary findings indicate a growing consciousness among MSMEs towards adopting ethical principles in their digital marketing endeavors, contributing to the sustainability of their businesses while fostering consumer trust and loyalty. This study sheds light on the importance of ethical conduct in digital marketing for the long-term viability of MSMEs in the contemporary business landscape.

PHBS stands for Clean and Healthy Living Behavior, which is a set of behaviors that are practiced on the basis of awareness as an effort to keep oneself healthy and actively helping the health of the surrounding environment. This activity uses the PAR (Participatory Action Research) research method involving conducting research to define a problem or applying information into action as a solution to a problem that has been defined. In the study of participatory action research there are at least six types of approaches, namely formative, system improvement, problem solving, model analysis, participatory, and critical corporate self. -consciousness). The approach taken in this action study is problem solving and participatory, because they are considered the most relevant to community empowerment efforts. The results of this activity include; conducting PHBS education in households and in public places, conducting morning exercise activities with residents, establishing Integrated Service Posts (Posyandu), and conducting education on the Handwashing Movement and Distribution of Handwashing Tubs

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.

In this era of globalization, marketing is more of an information warfare between different parties with the aim of making sales. The marketing environment is rapidly changing, and with these changes, the need for information, latest products, shifts in buyer attitudes and behaviors towards decision-making and product acquisition, as well as the ability to identify opportunities in appropriate marketing, becomes essential. This paper is a literature review using a qualitative descriptive approach, aiming to describe product mix strategies. The methodology employed for data collection is documentation, along with various articles and books, followed by content analysis. The findings of this paper reveal that studying consumers can provide insights for the development of new products, product uniqueness, pricing, distribution channels, advertising messages, and other new marketing elements. A focal point for understanding behavior is the stimulus-response model. Buyer characteristics and decision-making processes lead to specific buyer decisions. The marketing task involves comprehending what occurs in the buyer’s consciousness from external stimuli to the emergence of the buyer's purchasing decision.

History of the Development of Philosophy We can conclude that Philosophy, as a scientific discipline that questions the nature of existence, knowledge, values, and reality, has gone through a long journey and is full of revolutionary thoughts throughout human history. The development of this philosophy not only reflects changes in human views of the world, but also emerges as a response to intellectual challenges, social changes, and scientific developments that have occurred from time to time. The earliest period in the history of the development of philosophy is the philosophy of ancient Greece. In ancient Greece, philosophers such as Thales, Socrates, Plato, and Aristotle introduced fundamental questions about the universe, ethics, politics, and knowledge. They try to understand the universe and human place in it through reason and reason. After the Greek classical period, philosophy underwent changes during the medieval period. During this time, Patristic and Scholastic philosophy became dominant. Patristic philosophy is closely related to early Christian thought and the influence of Church Fathers such as St. Augustine. At the same time, Scholastic philosophy, influenced by the work of Aristotle, attempted to integrate philosophy with Christian theology. The next period in the history of philosophy is the Age of Enlightenment, during which philosophy underwent major shifts. Philosophers such as Descartes, Kant, and Voltaire advocated ideas of rationality, freedom, and scientific progress. They challenge traditional dogma and authority and advance knowledge through rational thinking and the scientific method. The development of modern philosophy also includes schools such as German idealism led by figures such as Kant, Hegel, and Schopenhauer. They focus on thinking about consciousness, ideals, and oneness in search of an understanding of reality. In the 19th and early 20th centuries, important schools such as empiricism and utilitarianism emerged. Philosophers such as John Locke, David Hume, and Jeremy Bentham stressed the importance of experience and utility as the foundations of knowledge and ethics. Then, pragmatism and the analytic school, pioneered by figures such as William James, Bertrand Russell, and Ludwig Wittgenstein, put forward the practical use of knowledge and language in achieving a better understanding. Contemporary philosophy involves various schools of thought. Schools such as phenomenology (Husserl), existentialism (Sartre, Camus), hermeneutics (Gadamer, Ricoeur), and structure.      

This research investigates the interplay between job satisfaction, leadership, human capital, corporate governance, tax awareness, and firm performance. The study aims to understand the intricate relationships among these factors in organizational success. Employing a qualitative research design, this study utilizes purposive sampling to gather data from participants representing various organizational levels. Data analysis involves thematic analysis to uncover patterns, themes, and relationships within the data. Results reveal nuanced insights into the influence of leadership styles, employee satisfaction, governance structures, and tax consciousness on firm performance. The findings underscore the significance of effective leadership, robust human capital management, sound corporate governance practices, and tax awareness in enhancing organizational outcomes. This study contributes to a deeper understanding of the multifaceted dynamics shaping organizational success in contemporary business environments.

As stated by Adorno and Lyotard, postmodernism makes humans lose their cultural sides and even their humanity. This could be due to influences from the outside world that influence mindsets due to access to information, human dependence on tools or technology, and strengthening individual awareness. On the other hand, as argued by Adorno, the continued reach of advanced capitalism, making them a market, brings about the death of consciousness. Meanwhile, Lyotard refers to a phase of inhumanism in which humans will lose their humanity because of their dependence on techno-science, Sim (2003: 8).

This study was conducted to determine the factors that affect tax payer compliance in Semarang such as taxation awareness, taxpayer motivation, taxpayer's economic level and attitudes of tax payers on the implementation of sanctions and fines on UMKM in Semarang.The population in this study is Mandatory UMKM in South Semarang active as many as 74 UMKM consisting of 6 area data obtained from the Department of Cooperatives and UMKM in Semarang. The sampling method was conducted by census method, that is the amount of tax payer population of UMKM in South Semarang was all used as sample in this research. The results showed there was a significant and positive influence between the consciousness of taxpayers have a positive effect on taxpayer compliance. partially there is no significant and negative influence between tax payer motivation has a positive effect on tax payer compliance, partial there is a significant and negative influence between the tax payer's economic rate have a positive effect on tax payer compliance, partially there is no significant and negative influence between mandatory attitude the tax on fine sanction strengthens the influence of taxpayer's awareness of taxpayer compliance, partially there is no significant and positive influence between taxpayer's attitude on the implementation of fine sanction strengthens the influence of taxpayer motivation on taxpayer compliance, there is no significant and positive influence between attitude the taxpayer on the fine sanction strengthens the influence of the taxpayer's economic level on taxpayer compliance.