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The current business era is experiencing massive changes due to the uncertainty of industry fluctuations and tight competition, making businesses enter the VUCA era. This makes business activists required to adapt to circumstances that are prone to change (Volatility), the uncertainty of circumstances (Uncertainty), circumstances full of complexity (Complexity), and floating circumstances (Ambiguity). Therefore, innovation is needed so that business actors remain active in facing the challenges of the VUCA era. Digital transformation brings many changes in the industrial world. Financial Technology has the potential to play a role in increasing financial inclusion and Business Sustainability. This study aims to systematically highlight the business model of financial technology from the relevant literature. The methodology used in this research is the study of literature. The results showed that the existence of Financial Technology has a positive impact on efforts to increase financial inclusion and Business Sustainability in the VUCA Era, which can be seen from the projected growth of Financial Technology, which has increased significantly. This research is expected to provide a view of the business world in observing the adoption of Financial Technology.

CTS is one of the diseases that occurs in many workers so it is often referred to as work-related Carpal Tunnel Syndrome. The high number of informal workers allows for high accidents in the workplace. The purpose of this study is to discuss the risk factors for the incidence of CTS in informal sector workers. This research is a descriptive research with the literature review method. The literature search strategy uses a prism flow chart, and inclusion and exclusion criteria. The databases used include: PubMed, Taylor and francis, and Google Scholar. From the 20 articles, 19 of them used the cross-sectional type of research, and 1 article used the case-control type of research. The types of informal work obtained from the 20 articles are: motorcycle taxi drivers, farmers, batik and bead craftsmen, blacksmiths, stone breakers, meatball sellers, coconut peelers, woodcarvers, tailors, angkot drivers, small-scale convection, hairstylists, and butchers. Overall, the journal articles obtained discuss related to the risk factors for the incidence of CTS in informal sector workers. Repetitive movements, length of service, length of work, hand posture (awkward), age, gender, and body mass index were found to influence the incidence of CTS in informal sector workers. Meanwhile, grasping work and a history of diabetes mellitus were not found to be related to the incidence of CTS in informal sector workers.

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p  

Children are at risk of experiencing anxiety due to the Covid 19 pandemic. Children's anxiety due to the Covid-19 pandemic because there is a lot of unclear information circulating, feeling that this pandemic is not over so they can't go out, bored at home, lack of time to socialize and play with friends friends, and the stress of online learning. Giving play therapy is one of the nursing interventions that can reduce anxiety in children. This study uses quantitative research methods with a quasi-experimental research design with a pre-test and post-test design approach. The inclusion criteria set were children aged 8-11 years, experiencing mild-moderate anxiety, in good health. The intervention was carried out 4 times using the covid 19 educational game media. Observation of anxiety was carried out twice, namely before the intervention and after the intervention. The number of samples is 24 school children. The questionnaire used to measure the level of anxiety of preschool-aged children with the Spence Children's Anxiety Scale (SCAS). Analysis of the data in this study used a statistical test with a significance level of 0.05 using the sample paired T-test. The results of the statistical test show that there is a significant effect between the implementation of the covid 19 educational game and the anxiety of school-age children in the era of the covid 19 pandemic. The implementation of the covid 19 educational game is recommended in handling children's anxiety by involving the family.  

The combination of low-dose intrathecal morphine with spinal anesthesia provides an effective and safe postoperative analgesia effect and may enhance the analgesia effect of bupivacaine. At Vita Insani Hospital, almost all patients who will undergo S.C surgery are generally carried out with spinal anesthesia by an anesthesiologist with habitual drug use and the dose used is bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg. Seeing the phenomenon of this case, the researcher wanted to see how the description of the effect of giving bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg which is commonly used in spinal anesthesia on the duration of analgesia and pain response time that will be felt by patients after sectio caesarea surgery at RS Vita Insani. The research design used is a quantitative descriptive method with a cross sectional approach, with the method used in this research is a prospective descriptive conducted in the post-surgical treatment room (recovery room) Central Surgical Installation (IBS) Vita Insani Hospital from May 2021 to July 2021. This study only uses one group because it only describes the results of a condition. The number of samples as many as 63 samples with purposive sampling technique in accordance with the inclusion and exclusion criteria that have been determined The respondents felt the most pain starting at 3 hours of postoperative assessment with respondents who felt mild pain as many as 31 cases (49.2%) and at least respondents who felt severe pain as many as 5 cases (7.9% ). and pain increased at 4 hours postoperative assessment, namely moderate pain. However, it can also be seen at 0 to 2 hours of postoperative pain assessment that more respondents still do not feel pain. That the duration of analgesia began to decrease in the first hour and then the most significant postoperative pain was felt at 3 hours postoperatively. So that other pain management is needed to reduce the pain experienced by patients such as relaxation techniques, distraction and collaboration of pharmacological therapy in dealing with postoperative pain.

Background: Post spinal anesthesia complications, one of which is urinary retention, it is an inabity of the bladder to partially of completely empty urine during urination. In performing injections on the subarachnoid can be done on the patient in a sitting position on the surgery table or in a tilted/lateral decubitus position. Objective: To analyze the corellation between spinal position an the occurrence of post-anesthesia urinary retention, with the inclusion criteria of patients undergoing spinal block anesthesia in sitting position. Research Methods: The design of this research is analytical observation with a cross sectional approach, sampling using pusposive sampling technique. The number of samples as many as 42 people, the sample was taken in the Central Surgical Installation Room of RSUD dr. H. Jusuf SK. Collecting data using observation sheets that have been prepared and given instructions on how to fill them, regarding the patient’s sitting position in spinal surgery, that is the sitting position with both legs straight or sitting sitting position with both knees flexed, as well as the patient’s ability to urinate after spinal surgery, which is less than 8 hours or more than 8 hours after spinal surgery. From the study, the were 16 respondents who experienced post-spinal urinary retention, 13 respondents who received a spinal sitting position with both legs straight and 3 respondents who received a spinal sitting position with both knees flexed. Result: Statistical test using chi square, obtained P value = 0.715, thus P value > alpha (0.05), so Ho is accepted, it means that it can be concluded that there is no correllation between spinal anesthesia block position and the ccurance of post-anesthesia urinary retention.

Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable