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Tuberculosis is a chronic infectious disease induced by the bacterium Mycobacterium tuberculosis and can attack human organs, especially the lungs. The entry of this antigen causes the release of various pro-inflammatory cytokines which cause liver cells to synthesize acute phase proteins such as C-Reactive Protein (CRP). C-Reactive Protein is a type of alpha globulin protein that appears in the blood in response to inflammation in the body. The aim of this study was to determine the description of CRP in pulmonary tuberculosis patients at the Naibonat Community Health Center. The method used is descriptive with a cross sectional study design method. This research was carried out at the Naibonat Health Center Laboratory, Kupang Regency from February to April 2024. The examination method used was the qualitative latex agglutination method. The results of CRP examination on pulmonary TB patients from a total of 23 respondents obtained reactive results for 8 samples (35%) and non-reactive results for 15 samples (65%). Based on the results of reactive CRP, the highest number was found in males, 6 people (26%), while the highest number was found in the age range 12-25 years, 4 patients (Teenagers) (17%), with the highest length of treatment at 0 -2 months (intensive stage) as many as 6 patients (35%), with the highest patient status being new TB as many as 8 patients (35%), with the highest treatment status being non-resistant as many as 6 patients (26%).

Background: Spinal anesthesia is anesthesia performed on patients who are still conscious with the aim of eliminating the conductivity process at the sensory nerve endings or fibers in certain parts of the body. Research Objectives: This study aims to determine changes in blood pressure before induction of spinal anesthesia and after induction of spinalanesthesia.        Research Methodology: Thisresearchisa descriptive observational study with a quantitative research design that focuses on variable analysis, especially intra-anesthesia blood pressure after application of spinal anesthesia. This research uses an analytical design with a cross-sectional approach. Results: It is known that the systolic blood pressure 5 minutes after spinal anesthesia was found to be mean (114.89 mmHg), median (118 times/minute) and mode (132 times/minute), diastole 5 minutes after spinal anesthesia was obtained as mean (70.09 mmHg), Median (70 times/minute), and Mode (70 times/minute). It is known that systolic blood pressure 10 minutes after spinalanes the siaobtained Mean (102.96mmHg), Median (102 times/minute) and Mode (80 times/minute), Diastole 10 minutes after spinal anesthesia obtained Mean (67.32mmHg), Median (70 times/minute), and Mode (60 times/minute). It is known that systolic blood pressure 15 minutes after spinal anesthesia obtained Mean (119.47 mmHg), Median (118 times/minute) and     Mode (100 times/minute), Diastole 15 minutes after spinal anesthesia obtained mean (71.11 mmHg), Median (70 times/minute), and Mode (80 times/minute). Conclusion: This study can conclude that patients undergoing spinal anesthesia may experience a decline due to the effects of spinal anesthesia.

Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.

Children's emotional development during childhood is a very important basis in forming attitudes, values ​​and behavior in the future. Parenting styles play a very important role in the formation and emotional development of children. This research examines various types of parenting patterns applied by parents and their impact on children's psychological well-being. Based on literature analysis from ten journals, it was found that positive parenting styles, such as authoritative, can support the development of children's emotional regulation and self-confidence. On the other hand, authoritarian or permissive parenting can actually hinder a child's ability to express emotions in a healthy way. The results of this study show that early social experiences and a positive family environment greatly influence children's emotional development, which ultimately has an impact on their success in the future. This research highlights the importance of parental attention in implementing parenting patterns that support children's emotional

Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

Effective network management is the main need in the world of information technology, especially for companies engaged in network infrastructure. One of the devices that is often used to support network connectivity is MikroTik. This journal aims to design MikroTik configuration learning based on the OSI Layer Model at PT Proxi Jaringan Nusantara, focusing on setting MikroTik so that it can be connected to the internet. The learning method is designed using theoretical and simulation approaches, including the introduction of the OSI Layer Model as the basis of network communication and the technical steps of MikroTik configuration, such as IP Address settings, NAT (Network Address Translation), DHCP Server, and basic Firewall. The simulation results show that the configuration carried out in accordance with the OSI Layer Model can improve network stability and efficiency. This learning is designed to provide practical and in-depth solutions for authors in understanding MicroTik-based network management.

The Community Service Activity (PKM) by ITSKes Muhammadiyah Selong aims to improve the ability and readiness of TPS Supervisors in carrying out supervision and understanding the rights and obligations in supervising TPS in the 2024 Simultaneous Elections (Pilkada) in Montong Gading District, East Lombok Regency. The Capacity Building Activity in the Technical Supervision Work Meeting was carried out for 1 day with a pull day system. In the first session from morning to afternoon, the capacity and abilities of TPS Supervisors were strengthened regarding the tasks and strategies for supervision before voting at TPS. After that, in the afternoon session, a technical understanding was provided regarding the procedures for supervision at TPS during the voting process until the vote counting for the 2024 Simultaneous Election based on KPU Regulation Number 7 of 2024. The last session was a discussion about the material or things that might arise when carrying out supervision at TPS. Capacity building activities in the technical work meeting for Supervision for the 2024 simultaneous elections took place at Lesehan Kebon Dowe, Lendang Belo Village, Montong Gading District on Saturday, November 23, attended by 71 participants from TPS Supervisors throughout Montong Gading District. The agenda for the capacity building activities for TPS Supervisors took place smoothly and conducively and all participants were able to understand the material presented, starting from the regulations or technical instructions for voting and vote counting as well as the supervision patterns that must be carried out by TPS Supervisors based on the provisions of laws and regulations applicable to the 2024 Simultaneous Elections.

This activity aims to increase the capacity and competence of the Polling Station Supervisory Committee (PTPS) in Ranteangin District, North Kolaka Regency. PTPS plays an important role in ensuring the implementation of honest, fair, and transparent elections. However, limited understanding of election regulations and procedures is a challenge in carrying out supervisory duties. The method used in this program is debriefing, which includes providing structured material regarding election regulations, supervision techniques, handling violations, and reporting procedures. The debriefing was attended by 10 participants from all villages/sub-districts in Ranteangin District. The results of the evaluation showed a significant increase in the participants' understanding and skills related to their duties and responsibilities as PTPS. This program is expected to strengthen the role of PTPS in maintaining the integrity of the electoral process and supporting the realization of quality democracy at the local level

To improve public health, the problem of providing clean water must be a top priority. Since water is essential for all living things, water is also very important. It requires the availability of healthy water, which includes monitoring and regulating water quality to meet human needs and life. The goal is to ensure that everyone has access to healthy drinking and clean water. Target. The aim of this research is to find out whether there are coliforms and fecal coliforms in the drilled well located on Rt 28/Rw 007, Baguala District, Ambon City. Methodology. This research is classified as descriptive research. The 6 water samples used were taken at Rt 28/Rw 007 Baguala District, Ambon City. The total population in this research is six drilled wells. All drilled well water was taken at 1 Rt/Rw and used as the resulting sample. The research results showed that fecal coliform and coli bacteria were found in drilled well water at Rt 28/Rw 007 Waiheru Perumnas Village, Baguala District, Ambon City; three drilled well water was positive for coliform bacteria, and one drilled well water was negative. Five positive borehole water also had negative coliform bacteria. Decision: According to the Republic of Indonesia Minister of Health Regulation number 32 of 2017 concerning environmental health quality standards and water health requirements for sanitation hygiene purposes, swimming pools, aqua solutions and public baths, the number of coliform bacteria is 1 and the number of coliforms is 3.

This community service activity was carried out in March 2024 in the fostered area of Bone Village, Nekamese District, Kupang Regency, located at the Gereja GMIT Tritunggal Pasneno, Bone. The activity carried out in the form of C-Reactive Protein (CRP) examination. CRP examination is a general inflammatory marker examination, so it can be a presumptive examination of inflammation in the body both caused by infectious and non-communicable diseases. The results of the examination of 43 samples showed reactive CRP as many as 2 samples (4.7%).

Hypertension is the leading cause of premature death worldwide. To reduce the risk of hypertension, what needs to be done is hypertension treatment as an effort to control hypertension, one of which is non-pharmacological treatment, usually carried out by implementing the use of pandan wangi plants. Pandan wangi is a plant whose leaves are often used as a food additive. The purpose of implementing Community Service activities in Lorong Putri is to increase public awareness, especially the elderly, about Hypertension and the treatment of Hypertension with traditional medicine. Using the method of providing education and question and answer discussions related to dangerous conditions and efforts to prevent hypertension, participants in this activity were carried out on October 7, 2024 at Lorong Putri, Air Besar Health Center Work Area. totaling 20 people. During the Education Process, participants listened carefully and provided good feedback, in the form of benefits and how to consume boiled pandan leaf water, and whether it can be boiled together with drinking water at home, and all questions from participants can be answered well. With questions and answers from participants, participants can better understand hypertension and how to treat it with traditional medicine.

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.

Lower back pain is a complaint that often occurs in pregnant women in the second and third trimesters. Back pain occurs due to changes in pregnancy hormones which increase levels of the hormone relaxin, this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause discomfort. Based on a preliminary study at the Sumarorong Community Health Center, it was found that the number of pregnant women in the second trimester was 72 and 70 in the third trimester in the working area of ​​the Sumarorong Community Health Center, Mamasa Regency. From this data, there were 22 (30%) pregnant women in the second trimester who experienced back pain, and there were 35 (30%) pregnant women in the second trimester. 50%) third trimester pregnant women experience back pain. Researchers are interested in conducting research on the factors that cause lower back pain in pregnant women in the second and third trimesters in the work area of ​​the Sumarorong Community Health Center, Mamasa Regency in 2024. The research method used is a cross-sectional study. Conducted at the Sumarorong Community Health Center, Mamasa Regency in July – August 2024. The population in this study was all 138 pregnant women in the second and third trimesters at the Sumarorong Community Health Center with a total sample of 57 pregnant women. The results of the study showed that there was a significant relationship between age, education, occupation and gestational age with back pain with each p value = 0.000.

Cooperatives have a strategic role in supporting the local economy and improving community welfare. However, many cooperatives face challenges in managerial and leadership aspects that hinder their competitiveness. This article discusses the results of community service programs aimed at improving managerial capacity and leadership at the Prosperous Citizen Development Cooperative in Pamekasan. The approach used includes training, mentoring, and hands-on mentoring, with a focus on strengthening strategic planning, operational management, and innovative leadership skills. The target of the program is cooperative administrators and key members who have a strategic role in the organization. The results showed significant improvements in managerial skills, leadership mindsets, and member involvement in strategic decision-making. This program also has an impact on more professional cooperative management, increased competitiveness, and strengthening the cooperative's external network. However, the evaluation of the program identified several obstacles, such as participants' time constraints, low levels of digital literacy, and resistance to change. To overcome this obstacle, it is recommended that there be more focused continuous training, flexibility in implementation time, and collaboration with external parties such as the government and educational institutions. This article emphasizes the importance of strengthening the capacity of human resources to support the transformation of cooperatives into competitive economic entities. This approach not only provides internal benefits for cooperatives, but also contributes to the development of the local economy in a sustainable manner. Thus, this service model can be a reference for the development of cooperatives in other regions.

Training in introducing computer basics is one of the trainings that students can develop because the acquisition of excess competencies from this training is quite promising. If students, after becoming alumni, can develop these competencies, it will be very profitable. Partners in this PKM activity are students from MTs Pembangunan Nurul Islam, Sarimulya Setu, South Tangerang. The introductory training on the basics of computer hardware and software was carried out in stages: introduction, counseling and assistance in using it. Based on the results of observations and discussions with partners, there were several problems faced by the introductory training on computer basics, namely students' lack of operating computer technology perfectly, lack of Student motivation when studying computer technology. One of the causes is a lack of awareness of how important it is to study computer technology. The solutions proposed or offered in this PKM activity are as follows: 1. Facilitate and provide direction to MTs students at the school, it is hoped that they can understand the basics of computers more freely without fear. 2. Provide computer basics learning according to level. for junior high school level, they are given advanced material from what they learn formally in school informatics lessons. During training activities, students are encouraged to be able to understand the basics of computers with the aim of raising their self-confidence in learning. For this reason, the PKM team will help to solve problems in the management aspect using training methods

Micro, Small, and Medium Enterprises (MSMEs) play an important role in encouraging economic equity in Indonesia by encouraging economic growth, encouraging innovation and creativity, and reducing unemployment. Among the various MSME sectors, the culinary business stands out because it is very promising due to the universal food needs. One of the culinary businesses, Roti Bakar Bahagia, located in Medang Lestari, Tangerang Regency, shows significant growth potential but faces challenges in optimizing digital marketing and payment systems. To overcome these challenges, community service activities are carried out to increase the digital presence and digital payment infrastructure of the business. The assistance provided includes designing and making logos, designing and recreating menu lists, creating Google Maps lists, and integrating digital payment systems through QRIS. These efforts proved to be very beneficial, equipping Roti Bakar Bahagia to increase its competitiveness and sustain growth in the dynamic culinary market.

Cooperatives have a strategic role in supporting the local economy and improving community welfare. However, many cooperatives face challenges in managerial and leadership aspects that hinder their competitiveness. This article discusses the results of community service programs aimed at improving managerial capacity and leadership at the Prosperous Citizen Development Cooperative in Pamekasan. The approach used includes training, mentoring, and hands-on mentoring, with a focus on strengthening strategic planning, operational management, and innovative leadership skills. The target of the program is cooperative administrators and key members who have a strategic role in the organization. The results showed significant improvements in managerial skills, leadership mindsets, and member involvement in strategic decision-making. This program also has an impact on more professional cooperative management, increased competitiveness, and strengthening the cooperative's external network. However, the evaluation of the program identified several obstacles, such as participants' time constraints, low levels of digital literacy, and resistance to change. To overcome this obstacle, it is recommended that there be more focused continuous training, flexibility in implementation time, and collaboration with external parties such as the government and educational institutions. This article emphasizes the importance of strengthening the capacity of human resources to support the transformation of cooperatives into competitive economic entities. This approach not only provides internal benefits for cooperatives, but also contributes to the development of the local economy in a sustainable manner. Thus, this service model can be a reference for the development of cooperatives in other regions.

Training in introducing computer basics is one of the trainings that students can develop because the acquisition of excess competencies from this training is quite promising. If students, after becoming alumni, can develop these competencies, it will be very profitable. Partners in this PKM activity are students from MTs Pembangunan Nurul Islam, Sarimulya Setu, South Tangerang. The introductory training on the basics of computer hardware and software was carried out in stages: introduction, counseling and assistance in using it. Based on the results of observations and discussions with partners, there were several problems faced by the introductory training on computer basics, namely students' lack of operating computer technology perfectly, lack of Student motivation when studying computer technology. One of the causes is a lack of awareness of how important it is to study computer technology. The solutions proposed or offered in this PKM activity are as follows: 1. Facilitate and provide direction to MTs students at the school, it is hoped that they can understand the basics of computers more freely without fear. 2. Provide computer basics learning according to level. for junior high school level, they are given advanced material from what they learn formally in school informatics lessons. During training activities, students are encouraged to be able to understand the basics of computers with the aim of raising their self-confidence in learning. For this reason, the PKM team will help to solve problems in the management aspect using training methods

Drug abuse is a significant public health issue in Indonesia, especially in rural areas such as Mandangin Island Village, Sampang Regency. This study aims to evaluate the implementation of a legal education program as a preventive measure for drug abuse at MI Miftahul Ulum. The six-month program involved lectures, interactive discussions, and legal case simulations. The research methodology included data collection through questionnaires, interviews, and observations to assess improvements in students' knowledge and attitudes towards drugs. The results showed that there was a significant increase in students' knowledge regarding the legal aspects of drug abuse, with the average score increasing by 30% after attending the program. Participant responses showed high enthusiasm and a better understanding of the legal consequences. However, challenges such as limited time and resources need to be addressed to improve the effectiveness of the program. Recommendations for improvement include expanding time and resource allocation and integrating the program with other prevention efforts. The program is expected to serve as a model for the implementation of legal education in other educational settings to increase drug awareness and prevention more broadly.

The educational program “Strengthening Awareness of Rights and Obligations through an Educational Program at Class IIA Pamekasan Narcotics Prison” aims to improve the understanding of prisoners regarding their rights and obligations in the context of prison guidance. Implemented at Class IIA Pamekasan Narcotics Prison, the program integrates a participatory-based educational approach with materials covering basic rights, legal protection, and responsibilities as prisoners. Methods used include lectures, group discussions, and case simulations, with evaluation conducted through surveys and interviews. The results of the program showed a significant increase in prisoners' awareness of their rights and obligations, as well as positive changes in behavior and participation in prison activities. Challenges encountered include limited resources and initial resistance from some participants. However, the success of this program shows great potential for improving the quality of rehabilitation in prisons. Recommendations for similar programs include improved educational materials and adaptation for other prisons to expand the positive impact. This program makes an important contribution to the development of more effective and humane coaching practices in prison settings.