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Background: Pre-operation is the initial stage to prepare the patient as much as possible, more than two-thirds of patients waiting for surgery experience anxiety because it is their first time undergoing spinal anesthesia surgery. As a result of the patient's intense preoperative anxiety, there is a possibility that the operation cannot be carried out. The way to overcome anxiety is through deep breathing relaxation techniques. Objective: To determine the effect of deep breathing relaxation on anxiety in preoperative patients. Research methods: This research uses quantitative research design using Quasy Experiment, namely an experimental design carried out without randomization. This research was conducted at PKU Muhammadiyah Gombong Hospital in the operating room in February 2024. This population consisted of 42 patients in one month with a research sample of 30 respondents. This research instrument uses the APAIS questionnaire. This research technique uses purposive sampling. Results: The data that can be generated when using the deep breathing relaxation technique is 30 respondents using the pre test-post test technique. During the pre-test, those experiencing moderate anxiety amounted to 40.0%, severe anxiety amounted to 40.0%, the most severe anxiety/panic amounted to 20.0%. At the time of the post test, those experiencing mild anxiety were 66.7%, and those experiencing moderate anxiety were 33.3%. Conclusion: When the observation was carried out, there was a decrease in the level of anxiety, so that the respondent's anxiety had reduced.

Security issues of a system are factors that need to be considered in the operation of information systems, which are intended to prevent threats to the system and detect and correct any damage to the system. Distributed Denial of Services (DDOS) is a form of attack carried out by someone, individuals or groups to damage data that can be attacked through a server or malware in the form of packages that damage the network system used. Security is a mandatory thing in a network to avoid damage to the data system or loss of data from bad people or heckers. Packages sent in the form of malware that attacks, causing bandwidth hit continuously. Network security is a factor that must be maintained and considered in an information system. Ddos forms are Ping of Death, flooding, Remote controled attack, UDP flood, and Smurf Attack. The goal is to use DDOS to protect or prevent system threats and improve damaged systems. Computer network security is very important in maintaining the security of data in the form of small data or large data used by the user.

This community service aims to develop human resources to improve employee performance at PT Insan Ki Angka. This activity was carried out in November 2021, using training and development methods which included workshops, skills training and mentoring programs. This method is applied on an ongoing basis to ensure effective transfer of knowledge and skills to employees. The results of the activities show that human resource development through comprehensive and ongoing training can significantly improve employee performance, operational efficiency and job satisfaction. While there are challenges such as limited training time and variations in technology skills, the benefits are far greater. Therefore, it is recommended that companies continue to implement structured HR development programs and provide ongoing support for employees, as well as ensure that adequate facilities and resources are available to support the implementation of new knowledge. These steps will help the company achieve its vision and mission and strengthen its competitiveness in the market.

This community service aims to improve understanding and financial management skills among the managers of the Baitul Qurro Islamic Boarding School, South Tangerang. This socialization activity was carried out during October 2021. The objects of this activity were Islamic boarding school managers, including the Islamic boarding school head, treasurer and administrative staff. The activity methods used include training, workshops and focus group discussions. The training includes material on financial planning, budget management, bookkeeping and financial reporting. Interactive workshops provide opportunities for participants to apply the theory they have learned through case studies and practical simulations. Focus group discussions are used to identify specific problems faced in financial management in Islamic boarding schools and find joint solutions. The results of this activity showed a significant increase in financial management understanding and skills among participants. They are able to make better financial plans, manage budgets more efficiently, and carry out more transparent and accurate bookkeeping and financial reporting. The implication of this activity is the creation of a better financial management system at the Baitul Qurro Islamic Boarding School, which in turn will support operational sustainability and development of the Islamic boarding school. Apart from that, improving financial management skills is also expected to increase stakeholder accountability and trust in the management of Islamic boarding school funds.

Post-spinal anesthesia nausea and vomiting (PSANV) are common side effects that can affect patient comfort and recovery after surgery. This condition often disrupts the recovery process and may extend the post-operative care period. One non-pharmacological method that can help reduce nausea and vomiting is deep breathing techniques. This study aims to evaluate the effectiveness of deep breathing techniques in reducing the incidence of nausea and vomiting after spinal anesthesia. The method used in this study is a pre-test and post-test design, with an intervention consisting of deep breathing exercises for patients undergoing surgery with spinal anesthesia. A pre-test was conducted before the intervention to assess the incidence of nausea and vomiting in patients. After patients practiced deep breathing exercises for a certain period, a post-test was performed to evaluate changes in the frequency of nausea and vomiting post-operation. The results showed a significant reduction in the frequency of nausea and vomiting after patients practiced deep breathing techniques. This technique has proven to be a simple, safe, and effective method to enhance post-operative comfort. Therefore, the implementation of deep breathing techniques can be recommended as part of post-spinal anesthesia management in healthcare facilities to improve patient recovery quality.

Cadres are voluntary workers recruited from, by and for the community who are tasked with assisting the smooth running of health services. The performance of Posyadu cadres experienced a decline in the early 2000s as a result of a prolonged multi-dimensional crisis, this is known because there were reports of malnutrition from various parts of the country. The decline was felt following the lack of cadre skills, no Posyandu operational support, inadequate facilities and infrastructure and weak coaching. The purpose of this study was to describe the performance of posyandu cadres with the satisfaction of mothers of children under five at the Posyandu, Wakasihu Village, Central Maluku Regency. The type of research used is descriptive research. The population in this study were all mothers under five who visited the posyandu as many as 30 toddlers. The sampling technique in this study is total sampling, which means that all populations are sampled. So that the sample found in this study amounted to 30 people or respondents. The results showed that the mothers under five studied who said that the performance of cadres was good amounted to 13 people (56.7%), and the performance of cadres was not good amounted to 17 people (43.3%). Furthermore, from the 30 respondents who were examined, it can be seen that the number of respondents who said they were satisfied with the performance of the cadres were 18 people (60.0%), and respondents who said they were not satisfied were 12 people (40.0%). It was concluded statistically and illustrated that the performance of cadres still had opinions from mothers of children under five that they were not good at providing services at the posyandu. It was also concluded that statistically some respondents or mothers of toddlers still said that they were satisfied with the performance of cadres.

Social media is a new phenomenon that has changed the way the business environment operates. Through social media, businesses gain access to resources that are otherwise unavailable to the business owner. This research is a causality research, which aims to analyze the causal relationship and influence of two or more phenomena, through hypothesis testing. The population and sample in this study are SMEs who open e-commerce businesses on social media. The number of samples used in this study amounted to 154 respondents. Based on the analysis and discussion, it is concluded that the Marketing operation advantages variable has no significant effect on Marketing Performance, the Cost-effectiveness variable has a significant effect on Marketing Performance, the Customer Communication Channel variable has a significant effect on Cost-effectiveness, the Customer Communication Channel variable has a significant effect on Increased customer satisfaction, Customer The Communication Channel has a significant effect on Marketing operation advantages, the Customer relationship performance variable has a significant effect on Marketing Performance, the Increased customer satisfaction variable has a significant effect on Marketing Performance and the Social media marketing implementation capabilities variable has a significant effect on Customer relationship performance.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. One intervention to relieve postoperative pain is Self healing. The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Cempaka Room Ungaran Regional Hospital after self-healing intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of mild to moderate pain. Analysis of pain measurements using the Numerical Scalel Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 3 (mild pain) became the pain scale 1 (mild pain) and subject 2 the pain scale 4 (moderate pain) became the pain scale 1 (mild pain). Effective self healing therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

This study discusses the effect of risk and capital on profitability of banks issued on the Indonesia Stock Exchange in the period of 2013-2017. The data used is panel data, which is a combination of time series data and cross section data. The method of taking data uses purposive sampling. Technical analysis was performed using multiple regression analysis. The results of the study show that credit risk (NPL) and operational risk (BOPO) have a negative and significant effect on profitability (ROA). While liquidity risk (LDR), market risk (NIM), and capital (CAR) do not affect on profitability (ROA). Furthermore credit risk (NPL), operational risk (BOPO) and capital (CAR) have a negative and significant effect on profitability (ROE), while liquidity risk (LDR) and market risk (NIM) do not affect on profitability (ROE). Keywords: profitability, liquidity risk, credit risk, market risk, operational risk and capital.

PT Sintas Kurama Perdana is the first formic acid producer in Southeast Asia. Inventory of finished goods is an important component in supporting the company's operational activities through sales activities. This research method uses qualitative methods by gathering various information and data needed to complete the inventory recording report. The procurement records inventory and invoices still using manual, which makes the process of releasing finished goods less effective. In this case so that the process of releasing goods can be done easily and quickly to avoid mistakes that occur in the process of recording and inputting, finished goods inventory using a web-based application.

Transportation includes several things in relation to moving from one place to another such as road infrastructure, modes of transportation, to the management of its management. The existence of the terminal cannot be separated from the transportation component, especially the public transportation system. The existence of terminals is often accused of being the cause of congestion, this is due to incomplete planning for land use patterns, road network patterns, population distribution patterns, movement needs, operational systems and service levels that lead to a low level of terminal effectiveness.This study aims to determine the effect of the role of the department of transportation, infrastructure, and employee performance on the effectiveness of the Magersari type C terminal in Magelang City. Data was collected using a research instrument in the form of a questionnaire. The sample in this study were 75 respondents, namely public transport drivers at the Magersari type C terminal. The method of analysis used multiple linear regression analysis. The regression formulation in this study is as follows:Y = 2,048 + 0,314X1 + 0,198X2 + 0,258X3 + µ. The results of multiple linear regression showed that there was a partial positive effect on the role of the transportation agency on the effectiveness of the terminal (tcount 3.195 > ttable 1.99346), infrastructure to the effectiveness of the terminal (tcount 2.598 > ttable 1.99346) and employee performance on the effectiveness of the terminal (tcount 2.882 > ttable 1.99346). The influence of the three research variables is very strong with the correlation coefficient of determination (Adjusted R2) = 0.538 which means that the variables of the role of the transportation service (X1), infrastructure (X2), and employee performance (X3) have an effect of 53.8% on the effectiveness of the terminal (Y ) and 46.2% (100% - 53.8%) influenced by variables outside this study.

In order to achieve targets, companies need healthy funds to improve their performance. Companies can find out the availability of funds through the company's cash flow reports. This study aims to analyze PT KAI's cash flow ratio during 2014-2019. The research is descriptive quantitative by calculating the cash flow ratios. The cash flow ratio used is the cash liquidity ratio, which includes the operational cash flow ratio (AKO), the cash to interest coverage ratio (CKP), the capital expenditure ratio (PM) and the total debt ratio (TH). After calculating the ratio, do a growth ratio analysis during 2014-2019. The data used is PT KAI's audited financial statements for the 2014-2019 period. The results of the study show that PT KAI's cash flow ratio as a whole is still in a bad condition. The four ratios of operating cash flows used in this study, there are three ratios have a value of less than 1, namely the ratio of cash sweeps to current debt (AKO), the ratio of capital expenditure (PM) and the ratio amount of debt (TH). Meanwhile, one other ratio, namely the cash to interest coverage ratio (CKB), is worth more than 1.

Community service entitled Training on Making Miniature Fishing Boats Made of Fiber-Reinforced Plastic (FRP) for Students of SMKN 1 Tambakboyo, Tuban City With the background of the existence of Tuban City as one of the coastal areas which is still trying to develop its community resources in the marine sector. Several vocational schools in Tuban have opened shipping and shipping engineering majors. Generally, these SMK students are taught how to operate supporting equipment for repair or management of ship transportation according to industrial needs. The purpose of this community service is to provide skills to students, especially at SMKN 1 Tambakboyo Tuban on how to make miniature fishing boats made of Fiber-Reinforced Plastic (FRP). Through shipbuilding skills that are more efficient in operation, it is hoped that the next generation of fishermen will have economic competitiveness because they are able to produce and use ships as efficient fishing facilities. The training was conducted online on Sunday 27 September 2020. The number of training participants was 53 participants from several schools in Tuban.

Patients who are going for sectio caesarea, face uncomfortable feelings including anxiety, this is related to concerns about the threat to their lives, therefore, family support is very important to reduce anxiety, because it can increase the spirit of life and reduce patient anxiety and strengthen commitment to undergoing treatment. The purpose of the study was to understand the relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu. This study uses a quantitative research design with non-experimental methods and a descriptive approach. The population in this study were all patients who underwent sectio caesarea surgery as many as 42 patients and the sample used a total sampling technique, where the entire population was taken as a sample. The results of the study: 59.5% of families supported preoperative sectio caesarea patients, 31% of preoperative sectio caesarea patients experienced mild anxiety and 23.8% experienced severe anxiety, based on the chi square statistical test obtained p value 0.000 < (0.05) . Conclusion: there is a relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu Regency. Suggestion: for nurses, considering that there is a relationship between family support and the patient's level of anxiety, they should provide nursing interventions, especially for preoperative sectio caesarea patients, involving the family, so that the impact of the patient is calm in facing the sectio caesarea operation.