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Cases of Chronic Kidney Failure (CRF) every year increase, CRF is a progressive kidney function disorder and requires treatment in the form of kidney transplantation, peritoneal dialysis, hemodialysis and outpatient for a long time. Patients undergoing hemodialysis experience various problems arising from malfunctioning of the kidneys, affective coping mechanisms are needed in undergoing the treatment process. Objective: Identify coping mechanisms for chronic renal failure patients in the hemodialysis unit of NTB Provincial Hospital. Research method: descriptive research using a cross sectional approach.  The sample in this study was 69 respondents, data collection method using Jalowiec Coping Scale questionnaire. Results: most respondents used maladaptive coping, which was 37 people (53.6%). Conclusion: still a large percentage of patients in the maladaptive category so that appropriate interventions are needed to improve the coping of individual CRF patients.

The instability of the economy and increasingly sharp competition in the industry requires a company to further enhance the efficiency of its operations. Treatment method that has been used is still corrective maintenance where engine maintenance activities undertaken to improve and enhance the condition of the engine so as to achieve the standards set at the level tersebut.Besarnya machine downtime which reaches up to 40% each month. Due to the growing number of downtime that occurs it will be increasingly detrimental to the productivity of a company. In this study used methods Realibility Centered Maintenance abbreviated to (RCM), which is to determine the optimal engine maintenance activities for the company. Reliability Centered Maintenance (RCM) is an approach that combines maintenance practices and strategies of preventive maintenance (PM) and corrective maintenance (cm) to maximize the life (life time) and the function of assets / systems / equipment at a minimal cost. Subjects studied machine is the machine Injection Molding, where the focus of engine components that will be examined as many as six parts: Barrel, Piston Injection, Toggle Clamping, Nozzle, Hydro Motor, Hopper. As for the category based on time (TD), the treatment provided in the form of component replacement schedule. Category finding damage (FF) recommended replacement components if the level of damage exceeds tolerable limits. Failure of components that include safety problem 13:33%, Outage System 80.00%, 6.67% Economic System. Of the total minimum downtime obtained Screw interval of 30 days, the crosshead link 11 days, Seal 13-day, 12-day screening. Downtime Screw impairment 37.21%, 41.15% crosshead link, Seal 24.56%, and 29.32% Screening

Body image disturbance is one of the problems that chronic kidney failure patients undergoing hemodialysis will experience due to changes in the function of the patient's body structure due to the effects of hemodialysis. Patients also feel embarrassed in front of their families and society due to the physical changes they experience. The quality of life of patients with chronic kidney failure is often disturbed. The aim of this research is the relationship between body image and motivation and the quality of life of chronic kidney failure patients undergoing hemodialysis therapy at the Esa Pemuda Clinic in 2023. The research method that will be used is an analytical research design with a correlational design. cross-sectional approach, a population of 94 respondents using proportional stratified random sampling technique and a sample size of 48 respondents. Using the non-parametric Rank Spearman Ro test. The results are 5. There is a relationship between body image and the quality of life of chronic kidney failure patients undergoing hemodialysis therapy at the Esa Pemuda Clinic, p-value 0.000 < 0.05 and there is a relationship between motivation and the quality of life of chronic kidney failure patients undergoing hemodialysis therapy at the Esa Pemuda Clinic 0.000 < 0.05. Conclusion: Body image and motivation can influence the quality of life of patients undergoing hemodialysis at the Esa Pemuda Clinic.    

The viral phenomenon of local genius YouTuber Pak Ndul from Bojonegoro is interesting to study, since this research has never been studied before. The article intends to examine Islamic education from the viral phenomenon of YouTuber Pak Ndul: local genius, expert and essentially the core of Bojonegoro, using a phenomenological method, a qualitative approach, and descriptive analysis. The research results concluded; that creativity in packaging language is very important in order to attract other people. This also applies in Islamic education, that the delivery of material must be packaged as attractively as possible in order to convey the learning objectives. A spirit of curiosity must be put forward in order to overcome failure, which gives birth to a spirit of always learning in order to improve one's abilities. A deep religious understanding implies that religion requires a child to be filial to his parents. Research implications: the importance of hard work based on religious values. The study challenges other researchers to research further with a specific and in-depth scope.

The purpose of writing this article is to determine the development of education quality in developing countries. This research uses a type of library research. Library research is research carried out by reviewing various journals and related reference books. The results of his research show that quality education is education that can produce students who have abilities, insight and skills in accordance with established standards, so that they have sufficient opportunities to be competent in any job market without ignoring the moral aspects of their lives. A developing country is a country with a low average income, relatively underdeveloped infrastructure, and a human development index that is poor compared to global norms. Educational policies in developing countries generally originate from the legacy of colonial educational policies. It is said this because developing countries when they first became independent had not yet developed their own educational policies based on the realistic needs of their people. The independence that has been achieved in the political field is not automatically followed by independence in other fields, especially in the field of education. The causes of the low quality of education in developing countries are, 1) lack of qualified teachers, 2) failure of schools to care for students, in fact elementary schools are less effective in supporting the development movement, if the impact is not proven within an appropriate period of time, 3) poor state of the curriculum. not appropriate. The basic problems of the curriculum at the pre-university level include the expansion of cultural adaptation, localization and vocationalization of the curriculum, 4) Inequality in rural and urban progress.

This study presents an advanced structural health monitoring (SHM) system for steel bridges based on wireless sensor networks (WSN) integrated with machine learning algorithms. The proposed system monitors and predicts structural integrity under various load conditions. The research focuses on developing a machine learning model capable of real-time anomaly detection, allowing for early warnings of potential failures. Experimental results from both simulation and field tests demonstrate the system’s effectiveness in prolonging bridge lifespan while reducing maintenance costs.

The rapid evolution of smart cities, driven by the integration of technologies such as the Internet of Things (IoT) and blockchain, has brought about significant advancements in urban infrastructure and services. However, these developments also introduce new cybersecurity challenges. Introduction: Smart cities are increasingly vulnerable to cyber threats due to the extensive use of interconnected devices and systems. A key security concern is the management of digital identities, which is essential for maintaining the integrity and reliability of city services. Literature Review: Traditional centralized identity management systems face significant security issues, including a single point of failure, data breaches, and limited user control over personal information. In contrast, decentralized solutions, particularly blockchain-based systems, offer enhanced security through their distributed nature, eliminating vulnerabilities associated with centralized models. Materials and Method: This research focuses on blockchain technology’s application in smart city identity management. A decentralized framework is proposed, leveraging cryptographic techniques, consensus mechanisms, and smart contracts to ensure data security, integrity, and privacy. Results and Discussion: The implementation of blockchain for identity management significantly improves attack tolerance, data integrity, and transparency. The decentralized approach mitigates the risks associated with central authorities, ensuring that user data remains secure and verifiable. However, scalability, interoperability, and regulatory compliance challenges remain. Blockchain solutions must be optimized for large-scale smart city applications and aligned with legal standards to achieve widespread adoption. Future research should focus on overcoming these challenges to create a more secure and resilient smart city infrastructure.

This study aims to determine the Vo2Max condition of Persebaya Putri football players at the 2021 Pertiwi Cup, which from the results of this analysis can be used as a reference for performance during the match. This is also based on the results of the 2021 Pertiwi Cup where Persebaya Putri failed and did not qualify in the grub phase, and in every match they always conceded in the second half and were able to play stably in the first 45 minutes. This study uses a quantitative descriptive method. To analyze the data using the Statistical Program for Social Science or called SPSS. It will be carried out by the Persebaya Putri team in 2022 at the Ngelom Sepanjang Sidoarjo Rusunawa Field, with a population of 29 players. With a sample of 20 athletes from the age range of 17 years and over. From the results of the analysis, as many as 8 players fall into the less category, 8 players fall into the medium category and 4 players fall into the good category. From this study, the average Vo2Max of Persebaya Putri players was 30 and there were 10 players who had Vo2Max below the team's average. This is a factor that hinders the players from continuing to play stablyx until the end of the match, so that it can trigger the failure of the Persebaya Putri team in the 2021 Pertiwi Cup.

This study aims to determine the Vo2Max condition of Persebaya Putri football players at the 2021 Pertiwi Cup, which from the results of this analysis can be used as a reference for performance during the match. This is also based on the results of the 2021 Pertiwi Cup where Persebaya Putri failed and did not qualify in the grub phase, and in every match they always conceded in the second half and were able to play stably in the first 45 minutes. This study uses a quantitative descriptive method. To analyze the data using the Statistical Program for Social Science or called SPSS. It will be carried out by the Persebaya Putri team in 2022 at the Ngelom Sepanjang Sidoarjo Rusunawa Field, with a population of 29 players. With a sample of 20 athletes from the age range of 17 years and over. From the results of the analysis, as many as 8 players fall into the less category, 8 players fall into the medium category and 4 players fall into the good category. From this study, the average Vo2Max of Persebaya Putri players was 30 and there were 10 players who had Vo2Max below the team's average. This is a factor that hinders the players from continuing to play stablyx until the end of the match, so that it can trigger the failure of the Persebaya Putri team in the 2021 Pertiwi Cup.

Leadership is the process of influencing other people, subordinates, or followers to achieve the organization's desired goals. In general, leadership can be divided into three leadership models practiced by managing companies. Each model has its own uniqueness; some are closely related to the nature or character of the person, and some even arise as a result of the learning process. Realizing the importance of the role of a leader in achieving the goals of an organization, it can be said that the success or failure experienced by most organizations is determined by the quality of leadership played by the leader of the organization. This training partner aims to increase the employees' understanding and abilities as leaders in the company's divisions. Through this training, it is hoped that employees will be able to increase work morale within themselves and their team members, become effective leaders, and create synergistic collaborations. Through training, it is hoped that one can maximize one’s leadership abilities to become a good leader, intelligent, critical, strategic, able to face challenges, and focus on goals.

Floods are disasters that often occur in Indonesia. Disasters caused by hydrometeorological factors always increase every year. Even though sometimes it doesn't cause many casualties, this disaster still damages infrastructure and significantly disrupts the economic stability of the community. The characteristics of floods are very diverse, floods can be caused by high rainfall without adequate soil absorption or can occur in the form of flash irrigation failures. South Kalimantan is a city known as the "City of a Thousand Rivers", which of course cannot be separated from flooding situations every rainy season. One of them is quite common in urban areas, especially the city of Banjarbaru. The dense population and the presence of rivers sometimes cause flooding, especially if the intensity of rainfall lasts long enough. Likewise, what often happens in the Kemuning Banjarbaru sub-district, floods that often come suddenly have become a normal activity for local residents. Without hesitation, there were even (9) RTs that were affected by the flash flood. Even though they are used to facing floods, especially when the rainy season arrives, residents are still advised to always be alert.

Chronic kidney disease is defined as kidney damage that lasts for a long time (chronic) and is characterized by a decrease in the ability of the kidneys to filter blood (Glomerular Filtration Rate/GFR). Patients with CKD often experience no symptoms or signs, until less than 15% of their kidney function remains. Since its early stages, CKD is closely related to the emergence of various complications, such as anemia, bone disease, etc. Hemodialysis is not a therapy to cure or restore kidney function, but it can prevent death more quickly in chronic kidney disease sufferers. The kidneys will still lose their ability for metabolic or endocrine activity so that patients with kidney failure must regularly undergo hemodialysis therapy obediently, which has an impact on the patient's quality of life. The aim is to implement nursing care for clients with chronic kidney failure on hemodialysis using diet education and exercise in the Tanjung Rejo Community Health Center UPT Work Area in 2023. This research uses a case study approach. Participant 2 was a kidney failure patient on hemodialysis at the Tanjung Rejo Community Health Center UPT. Data collection using interviews, observation and physical examination, documentation study and literature study. The instrument used in this research was a SGA form. After the data was collected, data analysis was carried out using the nursing process. The intervention provided diet education and diet training, then an evaluation was carried out. On the 3rd day after the evaluation the problem was resolved. The evaluation results show that nursing interventions providing diet education and diet training are very effective in maintaining the body condition of chronic kidney failure patients on hemodialysis. Conclusions and suggestions require efforts to involve the client's family to implement diet education with diet training so as not to worsen the disease they suffer from and can improve their quality of life.

This research investigates the implications of not reading out the legal consequences of a sale and purchase deed prepared by a Notary/PPAT in front of the concerned parties. It employs a descriptive approach, drawing from various literature sources such as books, research findings, journals, and articles. The study underscores the Notary/PPAT's responsibility to orally communicate the deed's content to the involved parties. Failure to do so diminishes the deed's authenticity. Although the deed remains legally valid regarding the transaction, its authenticity suffers, likening it to an underhand deed. Consequently, Notaries/PPATs who overlook this obligation may face sanctions as per the relevant ethical codes for their negligence.

LP is one of the pharmaceutical companies located in Serang, Banten. The production of the company is tablets, capsules, and syrup. Problems that occur at PT. LP is a product defect that occurs in capsule filling, especially in capsule A. The purpose of this study is to determine the defective products that occur in capsule A and to find out the proposed improvements that will be made to reduce product defects in capsule A. The research methods used are Statistical Process Control (SPC)  and Fuzzy Failure Mode and Effect Analysis (F-FMEA). The population and samples used were defective capsule A during the production process from March 2022 to May 2023, with sampling techniques through production data, observation and interviews. And the results of research using a check sheet show that the percentage of defects reaches 6%, based on the pareto chart, the priority of improvement that needs to be done is for the dominant type of defect, namely  the dented capsule reject reaches 90%, and on the control chart there are still control points that are outside the UCL and LCL. FMEA calculations, the RPN value of the capsule is dented on the head of the capsule or capsule body reaches 384, and the FRPN value is 6.76.    

Power systems are critical infrastructure that face significant challenges due to increasing demand and inherent complexity. Predicting failures in power systems is crucial for enhancing grid reliability, minimizing downtime, and optimizing maintenance processes. This study evaluates various deep learning models, specifically convolutional neural networks (CNN), recurrent neural networks (RNN), and transformer models, for predicting power system failures. By analyzing these models’ performance metrics on historical power grid data, the study provides insights into the strengths and weaknesses of each approach. The findings contribute to the development of more robust predictive models for power system reliability.

This study explores the integration of hybrid AI control models, combining reinforcement learning (RL) and robust adaptive control, to improve the adaptability, performance, and stability of autonomous manufacturing systems. Traditional control systems, while effective under stable conditions, often struggle to cope with disturbances and varying production demands. Hybrid AI models, which integrate classical control methods such as Proportional Integral Derivative (PID) with machine learning techniques like RL, deep Q-networks (DQN), and deep deterministic policy gradient (DDPG), enhance decision-making capabilities in dynamic production environments. The study develops a hybrid RL robust control framework and tests it in both simulation and real-world scenarios. Performance metrics, including production efficiency, system stability, and adaptability, are assessed under various disturbance conditions, such as machine failures and fluctuating demands. The hybrid model significantly outperforms traditional PID control in terms of efficiency and stability, demonstrating faster convergence and better adaptability in dynamic environments. Statistical analysis confirms the superiority of the hybrid system over standalone RL models and traditional PID control. This model’s scalability and adaptability make it a promising solution for Industry 4.0 applications, addressing key challenges in real-world manufacturing systems by ensuring computational efficiency and the ability to manage large-scale data. The findings contribute to the development of more robust and efficient control strategies for autonomous manufacturing systems in uncertain environments.

Analysis of the use of the Boruvka algorithm method in the context of electricity supply is an important topic in the development of electricity systems. In this study, we evaluate the effectiveness and application of the Boruvka algorithm in distribution optimization and power grid management. We study ways in which the Boruvka algorithm can be used to identify optimal electricity distribution paths, improve system efficiency, and minimize the potential for grid damage or failure. This research provides a deeper understanding of the potential and limitations of the Boruvka algorithm in the context of modern electricity infrastructure.

With an unhealthy lifestyle such as having a smoking habit, irregular and unhealthy eating patterns will have an impact on hypertension or high blood pressure, which later on from the bad habits above will have further impacts, namely complications of heart disease, heart failure, stroke. , and damage to the kidneys. Problems that can cause an increase in blood pressure can be controlled or prevented by using cucumber and young coconut water.To determine the effect of giving cucumber juice mixed with young coconut water on reducing blood pressure in hypertensive patients. This type of research is in the form of an experiment with a Pre Test and Post Test With Control Group Design research design. The sample in this study was 50 respondents who were divided into two groups, namely 25 samples of treatment group respondents who were given 200 grams of cucumber juice mixed with young coconut water and 25 samples of control group respondents who were not given treatment. The statistical test used to determine the effect uses the T-test. The results of this study indicate that there was an influence on blood pressure in the treatment group given cucumber juice mixed with young coconut water in hypertension sufferers, namely that the results of statistical tests obtained an average value of pre-systolic blood pressure of 161.12 mmHg and an average value of post-systolic blood pressure. systolic blood pressure was 128.48 mmHg and the average value of pre-diastolic blood pressure was 91.16 mmHg and the average value of post-diastolic blood pressure was 80.00 mmHg. A p-value of 0.000 (< 0.05) for systolic blood pressure obtained a p-value of 0.000 (< 0.05) and diastolic blood pressure obtained a p-value of 0.000 (< 0.05). Due to the benefits of cucumber and young coconut water which are beneficial for lowering blood pressure. There is an effect of giving cucumber juice mixed with young coconut water on changes in systolic and diastolic blood pressure in the treatment group and can reduce blood pressure in patients suffering from hypertension aged 40 - 70 years at Posbindu Srikandi RT.004/RW.07 Kel. Lenteng Agung.

Centa Brasindo Abadi (CBA) is a company operating in the agricultural sector. To maintain and increase productivity, maintenance of production machines is required. Preventive Maintenance (PM) is an approach used in maintaining equipment and machines to prevent unwanted damage or failure. A sachet filling machine is a machine for packaging products that will be distributed in sachet packaging according to the predetermined product weight. Preventive maintenance helps identify potential problems, saves on costly repairs, and keeps equipment in optimal operational condition. The aim of this research is to determine the implementation of preventive maintenance to maintain productivity in an effort to reduce downtime.

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.