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Rheumatoid arthritis is an autoimmune disease that occurs when the body's immune system mistakenly attacks healthy joints. The disease can start at any age, but the likelihood of onset is highest in older adults. In Rheumatoid Arthritis the tissue lining the joints becomes thickened resulting in swelling and pain. Elderly is an age that has a greater possibility of having an autoimmune this is based on the statement that the older you are, the greater the chance of having an autoimmune. Early diagnosis and treatment isthe key to successful treatment of Rheumatoid Arthritis because joint damage cannot be restored once it occurs. Rhematoid Factor examination is largely used to help diagnose rheumatoid arthritis. Community service activities aim to determine the description of RF levels in the elderly with supply disorders, descriptive research type with a cross sectional approach. The sampling technique used purposive sampling as many as 62 elderly people in the Social Service of NTT Province. The results of RF examination in all elderly samples 6.45% have positive results and 93.55% negative results.

 Purslane plant is an herbal plant that is used as a medicine for skin infections. The author is interested in using the purslane plant as a peel-off mask to relieve acne nodules. The aim is to find out how to manufacture, sensory test results, public test results, and determine the effect of the purslane peel-off mask. This research was conducted with the methods of observation, experimentation, documentation, interviews, questionnaires, literature. The analysis used is descriptive qualitative analysis. The manufacture of purslane powder starts from the preparation of tools, materials, cleaning, drying, and refining. The manufacture of peel-off masks begins with the preparation of tools, materials, weighing, mixing, heating, and packaging. The feasibility of the product is tested based on color, aroma, texture, adhesion, product appearance. Product improvement is the addition of essence to the peel-off mask. In conclusion, according to the validator, the purslane plant powder is suitable for use in making peel-off masks and the results of the purslane peel-off mask facial treatment can relieve acne nodules. Suggestions for further researchers to change purslane plant powder into oil extract to maintain its content, BPOM test, and laboratory tests.

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.

The PDAM service tariff covers the cost of water treatment, infrastructure management, and services to customers. In PDAM Magelang City, there are several public service tariffs, namely the service of drinking water needs to customers, new connection services, payment of drinking water accounts, water quality inspection services, and water tank services. In this case the author will discuss the public service tariff in the new connection service of PDAM Magelang City.For the research method in this case, the author analyzes the data from the research conducted using descriptive analysis method in which data from interviews and document studies are processed and analyzed to provide an overview of the factors that determine the new connection service tariff at PDAM Magelang City.The new connection service tariff of each PDAM is different, the PDAM Magelang City tariff is based on the customer class which has IV customer groups with different tariffs. The tariff for class I is lower and the tariff will be higher for each class II and so on. Classes are adjusted to the type of house, land area, building area, type of building, type of floor, and type of roof used. The factors for determining the tariff for new connection services at PDAM Magelang City are seen in terms of financial and non-financial factors. In terms of financial factors, it consists of registration fees, drawing planning fees, connection permit fees, transportation costs and construction costs of service and persil pipes. While in terms of non-financial factors in the form of inclusion of new prospective customers on the criteria of the group that has been determined.

This type of research is experimental research with a Quasy Experiment approach. The purpose of this study was to analyze the effect of the Make A Match learning model on student learning outcomes in science learning about plant parts and their functions for class IV MI Al-Abrar Makassar City. The total population in this study was 60 students. The sample used in this study was total sampling, namely 34 students in class IV A and 26 students in class IV B. The research design used is the Nonequivalent Control Group, which divides the class into two groups, namely the experimental class and the control class. The research procedure includes pretest, treatment, and posttest. The research instruments were observation sheets and learning achievement tests. Data collection techniques from this study were observation, tests (pretest-posttest) and documentation. The data analysis technique used is descriptive statistics and inferential statistics. The results showed that the hypothesis test using the t-test. The results of the study obtained tcount = 11.854, ttable = 2.918, so tcount>ttable or 11.854 > 2.918 and the sig (2-tailed) value was obtained 0.00, so 0.00 <0.05 was obtained. So it can be concluded that H0 is rejected, H1 is accepted. Based on the results of the research above, it can be concluded that there is an influence of the Make A Match learning model on student learning outcomes in science learning about plant parts and their functions for class IV MI Al-Abrar Makassar City.

This research aims to examine the legal protection provided by law to a child who becomes a worker in protecting and maintaining the legal rights and growth and development rights of a child. As well as providing knowledge for a child who will become a worker and for a business owner in employing a child into the workforce so that both parties understand their respective rights and obligations. This research was conducted in order to contribute to the legal protection of a child so that the growth and development of children can be guaranteed and protected properly and is intended to be useful for readers and add insight that is so important in applying special treatment for a child who becomes a worker.

Background: Most respiratory disorders are caused by problems or diseases of the respiratory system, including the lungs. Inability of the lungs to expand (elasticity), as well as structural (anatomical) and functional airway obstructions that prevent the creation of breathable airflow, are signs of impaired lung function. Restriction and blockage are two types of lung function problems.Purpose: To analyze the application of the tripod position and pursed lip breathing technique to the increase in oxygen saturation in congested patients in the emergency room at PROF Hospital. Dr. SABOE TONGUE.Methods: Case report, which is a narrative report. The case study in this paper examines the use of a tripod position and pursed lip breathing technique to increase oxygen saturation in shortness of breath patients. Patients with asthma, lung cancer, TB, and COPD constitute the study population. Four patients with asthma, lung cancer, tuberculosis, and COPD were sampled for the study.Results: After the nurse's intervention was carried out, which was related to airway management in the fourth patient, the overall evaluation results were obtained, then the intervention was continued in the patient's treatment room.Conclusion: Based on the description above, people with respiratory problems often experience decreased functional daily activities, decreased concentration, and mood swings. As a result, if the condition of shortness of breath is allowed to continue unnoticed it will reduce oxygen saturation which in turn can cause cyanosis in patients who experience recurrent infections.  

Urinary tract infection (UTI) in women occurs when bacteria or other microorganisms infect parts of the urinary tract, such as the urethra, bladder, ureters, or kidneys. UTIs are more common in women due to the shorter anatomy of the female urethra and closer to the anal area, which allows bacteria to enter the urinary tract more easily. Community education and detection of urinary tract infections in female workers are important activities to increase awareness, prevention and early detection of this condition. Extension activities provide appropriate knowledge about the causes, symptoms, and steps to prevent UTIs. In addition, early detection through urine examination helps in finding UTI cases early and taking appropriate treatment measures. This activity brings long-term benefits, such as reducing work absenteeism and increasing productivity. By raising awareness and providing good understanding, women workers can take effective prevention measures. Community education and detection of UTIs in female workers is important for improving their health and quality of life, as well as reducing the burden that UTIs place on individuals and society as a whole.

Meningkatnya aktivitas kapal di Pelabuhan Surabaya akan mengakibatkan tingginya risiko pencemaran terhadap lingkungan. Pencemaran dapat terjadi pada lingkungan laut, darat, dan udara. Tujuan utama penelitian ini adalah untuk menganalisis dampak dari pencemaran yang diakibatkan oleh operasional kapal di Pelabuhan Surabaya dan strategi penanganannya sesuai dengan peraturan pemerintah, International Maritime Organization dan Marine Pollution. Metode yang digunakan dalam penelitian ini adalah studi literatur dan jenis penelitian ini adalah deskripsi kuantitatif. Jenis Penelitian ini adalah kuantitatif dengan menggunakan rancangan penelitian deskriptif observasional. Dampak yang terjadi di lingkungan laut akibat kegiatan operasional pelabuhan disebabkan oleh air balas dan emisi NOx. Aktivitas kapal yang tinggi akan meningkatkan pembuangan air balas di laut. Total hasil pembuangan emisi NOx yang diperoleh dalam penelitian ini selama 3 hari adalah 1026,25 Kg, 429,34 Kg, dan 452,22 Kg. Emisi gas buang yang dikeluarkan rata- rata berada di atas ambang batas. Batas kualitas udara yang tergolong untuk dikatakan berpotensi pencemaran adalah 12,51. Strategi yang dapat dilakukan dalam menangani permasalahan – permasalahan tersebut adalah dengan menerapkan BWMTS ( Ballast Water Management Treatment System ) dan filter mekanis untuk menangani air balas. Dalam menangani NOx dapat menerapkan metode EGR, SCR, dan Water Injection and Emulsion.  

This study aims to find out how the teacher's attitude is in dealing with students with special needs in class 2 at SDN Jelegong 01 Rancaekek. This research was conducted at SDN Jelegong 01 Rancaekek. The method used in this research is descriptive qualitative research. For data collection techniques in this study using classroom observations, interviews with grade 2 teachers, reviewing from literature studies by searching from book, articles, journals, theses, etc. related to the research being conducted. Based on the results of this study it can be concluded that in dealing with grade 2 students with special needs at SDN Jelegong 01 Rancaekek the teacher's attitude is painstaking in providing special treatment according to what the student needs but the teacher also tries so that these students and their families do not feel discriminated against and do not make Other students feel that there is something special in the class.

Writing skills are a skill on which the text is carried on. Writing also has the advantage of being an indirect means of communication but only one - way communication between the writer and his reader. The flap book's lift leads to a teaching based on the creation of interactive illustrated books, and it has pictures and texts in it by means of a paper technique that can close or can be referred to by a windowless book. The purpose of this study is to know the increasing skill of writing the story from the flap book of the class iii students in the teachers' swing. The approach used in this study is a quantitative approach using a type of experimental design quasi with a non-invasive control group design. The design has two randomly selected groups, each given the same treatment in pretests, treatment and posttests. The study subject is a class iii student of 52 children with details of 26 children as an experiment group and 26 children as a control group. The validity of the instrument using brivate Pearson. The data collection technique used is the tests and observations used to measure the students' storywriting skills. The normality and homogenity tests Shared colmogorov snov and the levene test for equality. Hypothetical testing USES the independent formula of t-test samples with help SPSS 15 for Windows with value value < 0.05. Hypothetical testing identified the value of sig. (2-tailed) by 0.004 < 0.05, the basis for decision-making in the independent test of t-tests can be concluded that there is a significant and correct difference between the experimental group and the control group. Experimental groups get a much higher value increase compared with the control group. The experimental group with a 10/15 27 pretest while its posttest scores rose to 14.08. The control group pretest scores 10.12 while its posttest scores are 12.23. This proves that the flap book's elevator teaching materials can provide an increased listening skill for class iii students. With the use of the flap book's lift, students are able to re-foster students' attention, interest, and creativity in learning, sharpening and getting used to storywriting skills.

Apart from being a teacher, the teacher also plays an important role as a motivator (motivator or generates motivation for students). In almost every school we will encounter cases of children who are unable to achieve achievements. The achievements referred to in this case do not always have to be in terms of being class champions, but can be defined in other words, children are able to follow the lessons given by the teacher during the learning process. Children with special needs or what we often know as ABK are children who really need help in the form of special treatment from educators who have more experience and understanding of children with special needs.ABK is also the same as other normal humans who need proper educational services. Where through these educational services it is hoped that those with special needs have an environment to be able to establish interactions with other friends, besides that they are also expected to be able to develop the abilities and potential that exist within them. As for the types of children with special needs, they include: 1) cleft (speech impaired) 2) blind (blind) 3) hearing (deaf) 4) paralyzed (damaged) 5) emotional disorders (handicapped) 6) down syndrome 7) Children with Learning Difficulties.

The public's reaction to the rousing welcome from the former convict of sexual crimes against children with the initials SJ got a lot of attention. Sexual crimes against children which are special crimes have special treatment, both as victims and perpetrators. Because of its specificity, there is a separate treatment starting from the investigation, trial, sanctions, sentencing, also post-trial.After sentencing, the perpetrators are not automatically able to move freely in public, so that when a former convict appears in public, there is a reaction from the public. Normically or socially there is a restriction for former convicts of sexual crimes. This is related to the ethics that apply in society where sexual crime is an immoral act against children that should be protected by all parties, be it society, institutions or the government. Because it is related to the morals of the immoral act, the burden borne by the victim psychologically will affect the future of the child, so that the perpetrator of the crime cannot be accepted immediately to appear in public, thus causing sanctions after completion of sentencing

Hospitalization is a process that requires children to undergo treatment and therapy at the hospital until they return home. The impact of hospitalization that is most often experienced by children is anxiety. Anxiety experienced by children during hospitalization can be overcome by playing therapy. The purpose of this study was to determine the effect of giving playing ball therapy to hospitalized children with anxiety before examining vital signs. This research method is a descriptive study, with a sample of 2 people in the Hospital of Temanggung Regency. The instrument used to measure anxiety levels is the Spence Children's Anxiety Scale (SCAS). Respondents were given play therapy 3 times in 3 days. The results of this study indicate that the anxiety level of hospitalized children decreased from an average score of 36, namely the moderate anxiety category, to an average score of 20, mild anxiety category.    

The income earned by companies in the field of outsourcing comes from all forms of work contracts and also management fees, which means that it comes from all kinds of service revenue in the field of outsourcing as income obtained directly from all areas of sales activity in the service sector. Outsourcing in the field of companies comes from the existence of work agreements, as a form of income accounting treatment at the Ions Solusi Objective company. The main part in managing the company is in the field of recognition, presentation and measurement. The methods used in this study were interviews and documentation as the main part of the data analysis as the main part of the qualitative descriptive. The results of the study are that there is an accounting treatment that originates from outsourcing service revenue from PT. Ion Solution Objective seen from the recognition, presentation, and measurement. Revenue from outsourcing services is in accordance with the rules that apply in SAK ETAP  

Arrangements for Complaints on the Stabilization Budget are regulated in Elucidation of the Principles of Monetary Bookkeeping (ACCOUNTING NORM) Number six five. Apart from the accounting norms number six five, there are two other accounting norms which also direct several views related to the Fiscal Consolidation plan, in particular, accounting norms number fifteen concerning representing interests in related organizations and accounting norms number two two concerning representing a mixture of businesses. ACCOUNTING NORM No. six five characterize the steps of the trade union and define the solidification methodology. Meanwhile, NORM ACCOUNTING No. One Five manages ventures that are properly represented using value techniques, which are closely related to United Reports. Then again, ACCOUNTING Rule No. dua dua regulates the accounting treatment for the business mix to take over in the form of bid procurement as well as net resources. This article examines the use of the three ACCOUNTING NORMs in preparing Solidified Fiscal complaints. The discussion began with a Business Blend Representation (ACCOUNTING NORM Number two two), followed by Speculation Bookkeeping with a Value Strategy (ACCOUNTING NORM Number One Five), finally discussing the United Report (ACCOUNTING NORM Number Six Five).

Law Number 35 of 2009 concerning Narcotics has regulated the opportunities for medical rehabilitation and social rehabilitation for addicts and victims of narcotics abuse, as described in Article 54, Article 55, Article 103 and Article 127 Paragraphs (1), (2) and (3). In addition, it is also regulated in Articles 13-14 of Government Regulation Number 25 of 2011 concerning the Implementation of Compulsory Reporting of Narcotics Addicts and also the Circular Letter of the Supreme Court (SEMA) Number 4 of 2010 concerning Placement of Abuse, Victims of Abuse and Narcotics Addicts into Medical Rehabilitation and Rehabilitation Institutions. Social. The problems studied in this paper are how to regulate the implementation of rehabilitation for narcotics addicts based on the judge's decision and how the role of the competent agency in the implementation of rehabilitation for narcotics addicts is based on the judge's decision. Provisions for rehabilitation for narcotics abusers are regulated in Law No. 35 of 2009, it is stated in Article 54 that Narcotics Addicts and Narcotics Victims are required to undergo medical and social rehabilitation. This is clarified in Article 3 paragraph (1) of the Regulation of the Head of the National Narcotics Agency Number 11 of 2014 concerning Procedures for Handling Narcotics Addicts and/or Defendants of Narcotics Addicts and Victims of Narcotics Abusers in Rehabilitation Institutions (BNN Regulation 11/2014) which stipulates that Narcotics Addicts and Victims of narcotics abusers who are without rights and against the law as suspects and/or defendants in narcotics abuse who are undergoing the process of investigation, prosecution, and trial in court are given treatment, care and recovery in rehabilitation institutions. At the time the judge decides on rehabilitation, the judge will determine whether the person concerned (in this case the Narcotics Addict) undergoes rehabilitation or not based on whether or not the crime committed is proven. This is regulated as in Article 103 of Law no. 35 of 2009 concerning Narcotics. The Role of Agencies in the Rehabilitation of Narcotics Addicts in the Law of the Republic of Indonesia Number 35 of 2009 concerning Narcotics as a non-penal effort of the National Narcotics Agency is the implementation of mandatory reporting of Narcotics addicts, Recipient institutions must report (IPWL) Narcotics addicts, Medical rehabilitation, Social rehabilitation  

Leprosy infectious disease can cause peripheral nerve disorders and skin disorders. The problem in question is not only from a medical point of view but extends to the social, namely leprosy sufferers can be ostracized or shunned by society. So important is the role of the family in providing support for leprosy sufferers to achieve recovery through adherence to taking medication. The purpose of writing this literature review is to determine the relationship between family support and medication adherence in leprosy patients. The research design used a literature review conducted on a data base including Google Schoolar, PubMed, and Spinger. Article analysis found 16,776 but only 10 articles that met the inclusion criteria. The results of journal analysis showed that for each of the 10 articles, it was found that in 7 articles there was a relationship between family support and adherence to taking medication in leprosy patients. In addition, the other 4 articles said that the family plays an important role in providing support, encouragement, and motivation for family members who have leprosy to adhere to treatment. One of the factors that can increase treatment adherence in patients with chronic diseases is good family support.

Sexual violence in campus settings has become an increasingly concerning issue in Indonesia. From the perspective of Pancasila as an ethical system, sexual violence is an action that contradicts the noble values of the Indonesian nation. Campuses should be a safe and comfortable environment for everyone, especially students, but the reality is that there are still many cases of sexual violence occurring within them. The purpose of this article is to discuss sexual violence in campus settings from the perspective of Pancasila as an ethical system. The method used is a qualitative approach by conducting a literature review related to sexual violence in campus settings and the values of Pancasila. The results show that sexual violence is an action that contradicts the values of Pancasila, such as social justice, fair and humane treatment, and mutual cooperation. Therefore, efforts to prevent and address sexual violence in campus settings must prioritize these Pancasila values. Some efforts that can be taken include raising awareness among students and campus staff about sexual violence, promoting a culture that values diversity and strengthens solidarity between students and campus staff, and improving the effectiveness of legal action against perpetrators of sexual violence. Thus, it is hoped that a safe, comfortable, and human rights-respecting campus environment can be created.

In the elderly there is a deterioration of cells due to the aging process which can result in organ weakness, physical deterioration, the onset of various diseases such as increased uric acid levels. Another treatment that can be used to overcome increased uric acid levels is with herbal remedies, one of which uses bay leaves, but there are still many elderly who have not used bay leaf decoction to lower uric acid. The purpose of this study was to identify the effect of bay leaf decoction on reducing uric acid in the elderly in the Griya Lansia Janati area, Gorontalo Province. Pre-experimental research method with one group pre post test design, samples of 5 people who meet the sample criteria, the instrument used is easy touch GCU to measure uric acid levels and the data analysis used is univariate analysis by describing differences in uric acid levels for three days. The research findings obtained before being given bay leaf decoction in the results of uric acid in the five clients were, in client 1 uric acid 7.3 mg / dl, in client 2 uric acid 7.1 mg / dl and client 3 uric acid 7.4 mg / dl, client 4 uric acid 8 mg / dl, client 5 uric acid 7.9 mg / dl. The average patient has gout. After the intervention of giving bay leaf water decoction for 4 consecutive days, the results were obtained in client 1 there was a decrease with uric acid 5.3 mg / dl, in client 2 there was a decrease with uric acid mg / dl, client 3 also had a decrease in uric acid 5.2 mg / dl, client 4 decreased uric acid 6 mg / dl, and client 5 decreased uric acid to 5.8 mg / dl. The implication of this research is that the institution can facilitate the use of bay leaf herbal medicine in the elderly in lowering uric acid levels so that this therapy can be continued.