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Mining operations rely heavily on the performance and reliability of heavy equipment used in the production process. One of the most important hauling units in open-pit mining is the dump truck, which functions to transport overburden and coal from the mining front to disposal areas. Due to high operational intensity, dump trucks require effective maintenance management to ensure equipment reliability and reduce unexpected downtime. However, maintenance activities are often carried out based only on routine service schedules without analytical planning based on historical data. This study aims to analyze the implementation of forecasting methods in maintenance management to improve the effectiveness of dump truck maintenance planning in mining operations. The research was conducted during field work practice at PT Putra Perkasa Abadi Jobsite BIB, Tanah Bumbu, South Kalimantan. The data used were historical maintenance records of dump truck units obtained from the maintenance department. The research method used a quantitative approach with time series forecasting analysis to identify maintenance patterns and estimate future maintenance needs. The results show that forecasting-based maintenance planning can help companies predict maintenance requirements more accurately and prepare maintenance resources more efficiently. Furthermore, the implementation of forecasting methods can reduce unexpected equipment failures and support operational efficiency in mining activities.

Community service activities in traditional fish ponds on Tibi Island, Tarakan, aim to increase the productivity of fish and shrimp farming using a simple yet effective approach. The methods applied include manual pond maintenance, such as spreading molasses solution (EM-4) to improve water quality, removing pests such as snails and oysters, and routine net maintenance and water drainage. Feed management is carried out every three days to maintain the nutritional balance of fish and shrimp. Although without the use of sophisticated technology, the success of cultivation depends heavily on the experience and thoroughness of the farmers in managing the pond environment. Overall, this activity demonstrates that a simple and structured approach can support sustainable cultivation, increase productivity, and strengthen collaboration between the implementation team and the pond owners. It is hoped that this method can serve as a useful example for other traditional fish farmers in increasing aquaculture yields and supporting more efficient and environmentally friendly farming practices.

In this case, it refers to the purpose of the content in this final assignment, namely by compiling a schedule for the Implementation of KM.Mutiara Ferindo 5 Ship Maintenance during the docking process at the PT.PAL Indonesia shipyard. Making a schedule includes what components are repaired while the ship is in the shipyard, making a schedule for managing ship maintenance that has been carried out at the shipyard. The data used in this thesis is data from PT.Antosim Lampung Pelayaran Surabaya and the researcher himself. The type of data used in this study is Primary data, in this Primary data the researcher will obtain data obtained directly from the statements of the workers who will be related to the problem being studied and the results of questionnaires distributed to several employees related to this study. In the implementation of repairs, there is a list of jobs that show how many work items must be done. So this list of jobs has been approved to be carried out in the ship repair process. The repair work of the KM. Mutiara Ferindo 5 ship which carries out planned repairs both at the shipyard and when the ship anchors at sea carries out technical and economical maintenance. Repair work on RO-RO vessels involves extensive maintenance, as determined by the ship's office and authorized crew members. The repair work on the KM Mutiara Ferindo 5 was well-planned, including safety equipment and components that play a crucial role in the smooth operation of the ship (maintenance of the entire engine room, deck, safety equipment, and maintenance of the ship's interior and exterior). An economic system was implemented to estimate the remaining funds after maintenance at the shipyard.

The problem with the coconut grater machine is that the machine has decreased performance after being used for several years, especially in the mechanical components (electric motor, V belt, Pulley, grater knife, hopper) and its electricity. The purpose of maintenance and repair planning is to obtain costs, maintenance and repair schedules for the period 2026, and the ratio of maintenance costs to profit. The maintenance and repair planning method includes collecting previous maintenance data, applying the inspection-replace-repair-overhaul (IRRO) method, evaluating component conditions, predicting component lifespan, predicting labor costs, predicting supporting equipment that will be used in maintenance, predicting the time to replace spare parts or reinstall repaired components, estimating maintenance and repair costs for the 2026 period, and calculating the maintenance cost to profit ratio. The results of maintenance and repair planning obtained maintenance costs for the 2026 period were IDR 957,000 with an estimated coconut grater machine rental rate of IDR 10,000/hour which has the potential to be rented for 900 hours/year, and the maintenance cost to profit ratio was 10.6% which implies that the coconut grater machine with a capacity of 15 kg/hour is still prospective and feasible to use for the next few years.

Frequent damage to the grinding disc components and the transmission system of the 15 kg/hour rice flour grinder is a problem faced. The purpose of scheduling component maintenance and repairs is to obtain predictions of maintenance and repair schedules and costs for the period 2026. The component maintenance and repair scheduling method includes examining previous period maintenance and repair data, applying the inspection-replace-repair-overhaul (IRRO) method, assessing component conditions, estimating component life, estimating technician costs, estimating supporting work equipment and supporting materials to be used in maintenance, estimating the time for replacing spare parts or reinstalling components after repair, estimating maintenance and repair costs in 2026, and calculating the maintenance cost to profit ratio. The results of component maintenance and repair scheduling show that the maintenance cost in 2026 is Rp 1,370,000,- with an estimated annual profit potential of Rp 21,600,000, and the maintenance cost to profit ratio is 6.3%, which implies that the 15 kg/hour rice flour grinder is still quite prospective and feasible to use for the next few years.

Self-care independence is an essential aspect that must be developed so that children can live more independently and achieve a better quality of life. This is based on the vital role of the family in facilitating growth, development, and the formation of independence, especially for children with special needs such as those with intellectual disabilities. Children with intellectual disabilities often experience limitations in adaptive and intellectual abilities, making family support a key factor that helps them learn to perform daily activities independently. This study aims to determine the relationship between family support and self-care independence among children with intellectual disabilities at SLB Bukesra Banda Aceh. The research used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The sample consisted of 40 children with intellectual disabilities selected through purposive sampling from a total of 69 registered students. The research instruments were family support and self-care independence questionnaires using the Guttman scale. The study was conducted from June 1 to June 7, 2025. The results showed that most children received good family support (82.5%) and demonstrated good self-care independence (60%). The bivariate analysis using the Chi-Square test indicated a significant relationship between family support and self-care independence (p-value = 0.001, p < 0.05). Based on these findings, it can be concluded that family support plays a crucial role in improving the self-care independence of children with intellectual disabilities. Therefore, parents are encouraged to provide consistent emotional, appreciation, instrumental, and informational support to help their children learn to care for themselves independently. Self-care independence is an essential aspect that must be developed so that children can live more independently and achieve a better quality of life. This is based on the vital role of the family in facilitating growth, development, and the formation of independence, especially for children with special needs such as those with intellectual disabilities. Children with intellectual disabilities often experience limitations in adaptive and intellectual abilities, making family support a key factor that helps them learn to perform daily activities independently. This study aims to determine the relationship between family support and self-care independence among children with intellectual disabilities at SLB Bukesra Banda Aceh. The research used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The sample consisted of 40 children with intellectual disabilities selected through purposive sampling from a total of 69 registered students. The research instruments were family support and self-care independence questionnaires using the Guttman scale. The study was conducted from June 1 to June 7, 2025. The results showed that most children received good family support (82.5%) and demonstrated good self-care independence (60%). The bivariate analysis using the Chi-Square test indicated a significant relationship between family support and self-care independence (p-value = 0.001, p < 0.05). Based on these findings, it can be concluded that family support plays a crucial role in improving the self-care independence of children with intellectual disabilities. Therefore, parents are encouraged to provide consistent emotional, appreciation, instrumental, and informational support to help their children learn to care for themselves independently.

The umbilical cord is the main entry point for systemic infection in newborns. Umbilical cord care aims to prevent infection and accelerate the breaking of the umbilical cord. Some postpartum mothers have insufficient knowledge about umbilical cord care so that education is needed. This study aims to determine the effect of education on newborn umbilical cord care on postpartum mothers' knowledge. This research method is a quantitative pre-experimental study using the One Group Pre Test-Post Test without control approach. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 101 patients per month and 47 samples were obtained. Sampling was done randomly. Analysis was carried out univariately in a frequency distribution table and bivariately using the Paired Sample T-Test because the data was normally distributed. The results of the study showed that before being given education (pretest) the majority of postpartum mothers had poor knowledge (53.2%) with an average value of 5.09 ± 1.501, after being given education (posttest), the majority of postpartum mothers had good knowledge (70.2%) with an average value of 8.19 ± 1.096. Providing education on newborn umbilical cord care had a significant effect on increasing the knowledge of postpartum mothers at RSIA Murni Teguh Rosiva Medan, obtained p-value = 0.000 <0.05. There was a difference in the knowledge of postpartum mothers before and after being given education on newborn umbilical cord care (pretest-posttest). The conclusion of the study was that mothers' knowledge of umbilical cord care increased after being given education. It is recommended for further researchers to conduct further research using other research variables such as attitudes, motivations, perceptions, and others, to complement the existing research results.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

This study analyzes failures in the bending machine at PT. XYZ and determines maintenance priorities to reduce downtime and improve production efficiency. The company often faces repeated breakdowns, especially in hydraulic and control components, which negatively impact productivity. To address these issues, the research applies Failure Mode and Effect Analysis (FMEA) and Fault Tree Analysis (FTA). The study employs a descriptive qualitative approach using downtime and repair data from September 2024 to February 2025. FMEA was conducted to identify failure modes, effects, and causes, and to calculate the Risk Priority Number (RPN) as a basis for prioritization. FTA was then applied to trace root causes by mapping logical relationships among contributing factors leading to the top event. Recommendations were formulated with the 5W+1H method to propose preventive maintenance actions. The results indicate that the hydraulic valve is the most critical component, with an RPN value of 504 due to oil contamination. The main causes include damaged filters, improper oil usage, and lack of a cooling system. The hydraulic cylinder seal and back gauge were also found to contribute significantly to machine failures. FTA analysis revealed root causes such as inadequate maintenance procedures, unsuitable materials, and insufficient inspections. The proposed improvements involve regular replacement of oil filters, structured lubrication schedules, installation of oil coolers, and technician training to strengthen compliance with standard procedures. Overall, the integration of FMEA and FTA provides a systematic approach to identify critical components and root causes, enabling PT. XYZ to implement preventive strategies that minimize failures, reduce downtime, and improve bending machine performance sustainably.

Hipodontia adalah kondisi medis yang dapat mempengaruhi gigi desidui dan/atau gigi permanen, dan sering kali menimbulkan berbagai tantangan yang memerlukan perencanaan multidisiplin. Kondisi ini dapat berdampak negatif pada aspek estetika, bicara, fungsi oklusal, serta kesejahteraan psikologis pasien. Salah satu bentuk perawatan yang umum diberikan untuk pasien dengan hipodontia adalah penggunaan gigi tiruan cekat (GTC). Tujuan laporan kasus ini adalah untuk mengetahui bagaimana perawatan gigi tiruan cekat dapat diterapkan pada pasien dengan hipodontia. Metode yang digunakan dalam laporan kasus ini adalah memberikan perawatan dengan GTC pada pasien hipodontia, kemudian dievaluasi hasilnya setelah diberikan perawatan. Dalam merawat hipodontia, penggunaan gigi tiruan cekat sangat bergantung pada sejumlah faktor, antara lain ukuran, bentuk, dan warna gigi yang hilang, lokasi hipodontia, serta profil wajah pasien. Selain itu, aspek estetika seperti garis senyum, perbedaan panjang lengkung gigi, ukuran gigi, ketebalan tulang rahang, dan ekspektasi estetika pasien juga turut mempengaruhi keputusan perawatan yang dilakukan. Dengan pendekatan yang tepat, perawatan hipodontia dapat memperbaiki fungsi oklusal dan estetika, memberikan hasil yang optimal untuk pasien.

The World Health Organization (WHO) reported in 2019 that 40 million people worldwide require palliative care, including those with cardiovascular disease (38%), cancer (34%), chronic lung disease (10.3%), AIDS (5.7%), and diabetes (4.6%). Palliative care aims to improve the quality of life of patients and families facing life-threatening illnesses by managing pain and physical, psychological, social, and spiritual problems. The main goal of this care is to reduce suffering and help patients cope with the limitations imposed by illness. The principles are to respect life, consider death a normal process, neither hasten nor delay death, and provide support until the end of life. This study aims to determine whether knowledge can influence the level of self-efficacy of nursing students at Awal Bros University. Using a correlational quantitative method, data were collected through the Palliative Care Quiz for Nursing and Self-efficacy Palliative Care Scale questionnaires. The results of the study show a significant relationship between knowledge and self-efficacy among students with p<0.005. These findings can be used as a basis for learning to improve the understanding of nursing students, especially in the context of palliative care, which is important for the quality of health services in the future.

Desa Karangrau di Kecamatan Banyumas memiliki lahan subur yang sebagian besar ditanami durian hasil persilangan lokal dan Musangking. Pertanian, terutama budidaya durian, menjadi mata pencaharian utama warga. Para petani tergabung dalam Gapoktan Sumber Makmur dan KWT Setia Tani yang berperan dalam pengelolaan hasil panen. Namun, terdapat beberapa kendala seperti keterbatasan pengetahuan teknik budidaya modern, perawatan tradisional tanpa dukungan teknologi, serta sistem irigasi yang belum optimal. KWT Setia Tani juga menghadapi tantangan dalam pengolahan produk turunan durian akibat minimnya pengetahuan diversifikasi. Padahal, durian berpotensi diolah menjadi roti, selai, tepung, hingga pemanfaatan limbah sebagai bahan bakar alternatif. Melalui peningkatan pengetahuan, teknologi, dan inovasi pengolahan, Desa Karangrau berpeluang menjadi sentra durian unggulan yang mampu meningkatkan nilai tambah dan kesejahteraan masyarakatnya.Desa Karangrau di Kecamatan Banyumas memiliki lahan subur yang sebagian besar ditanami durian hasil persilangan lokal dan Musangking. Pertanian, terutama budidaya durian, menjadi mata pencaharian utama warga. Para petani tergabung dalam Gapoktan Sumber Makmur dan KWT Setia Tani yang berperan dalam pengelolaan hasil panen. Namun, terdapat beberapa kendala seperti keterbatasan pengetahuan teknik budidaya modern, perawatan tradisional tanpa dukungan teknologi, serta sistem irigasi yang belum optimal. KWT Setia Tani juga menghadapi tantangan dalam pengolahan produk turunan durian akibat minimnya pengetahuan diversifikasi. Padahal, durian berpotensi diolah menjadi roti, selai, tepung, hingga pemanfaatan limbah sebagai bahan bakar alternatif. Melalui peningkatan pengetahuan, teknologi, dan inovasi pengolahan, Desa Karangrau berpeluang menjadi sentra durian unggulan yang mampu meningkatkan nilai tambah dan kesejahteraan masyarakatnya.

Hipertensi merupakan salah satu kondisi medis yang dapat menyebabkan berbagai komplikasi serius, seperti penyakit jantung koroner, stroke, dan gagal ginjal . Manajemen perawatan diri (self-care management) menjadi faktor penting dalam mengontrol tekanan darah pada penderita hipertensi . Self-care management mencakup regulasi diri, kepatuhan terhadap pengobatan, pemantauan tekanan darah, serta interaksi dengan tenaga medis . Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional dan metode cross-sectional . Sampel penelitian berjumlah 159 pasien hipertensi yang berobat di RS Islam Sultan Agung Semarang. Dari analisis univariat, mayoritas responden berada dalam rentang usia 45-59 tahun, berpendidikan terakhir SD, bekerja sebagai wiraswasta, serta memiliki tekanan darah tinggi selama rata-rata 3 tahun. Hasil analisis bivariat menunjukkan terdapat hubungan signifikan antara self-care management dan tekanan darah sistolik (p = 0,035) serta tekanan darah diastolik (p = 0,041) . Kesimpulannya terdapat hubungan antara self-care management dengan tekanan darah pada pasien hipertensi . Dengan meningkatkan self-care management, pasien dapat mengelola tekanan darah secara lebih efektif.

Prevelensi penderita DM sebanyak 10.3 juta jiwa dari 90% total tersebut merupakan diabates tipe 2. Kadar glukosa tidak terkendali memicu komplikasi makrovaskular dan mikrovaskular. Kunci keberhasilan pengendalian diabates melitus adalah self-management, agar mencapai perilaku self -management yang baik dukungan keluarga sangat berperan penting pada manajemen penatalaksanaan DM. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga dengan self-management pada Pasien Diabetes melitus Tipe 2 di RS PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah kuantitatif, dengan desain penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah 93 penderita DM tipe 2. Analisis data menggunakan uji statistik Kendal Tau. Hasil penelitian ini menunjukkan bahwa dukungan keluarga dengan kategori sedang yaitu 57 orang (61.3%). Self mnagement dengan  kategori sedang sebanyak 62 orang (66.7%). Ada hubungan antara dukungan keluarga dengan self-management p= 0,000 (nilai p<0,05). Simpulan dan Saran: Terdapat hubungan antara dukungan keluarga dengan self-management pada pasien diabetes melitus tipe 2 di RS PKU Muhammadiyah Yogyakarta. Hasil tersebut menunjukkan bahwa keterlibatan keluarga memiliki peran penting dalam mendukung pelaksanaan manajemen mandiri diabetes melitus. Oleh karena itu, melibatkan keluarga dalam setiap aspek penatalaksanaan dan perawatan diabetes melitus sangat penting untuk meningkatkan hasil pengobatan dan memastikan kepatuhan jangka panjang terhadap rencana terapi.

Pengabdian masyarakat Universitas Bojonegoro di Desa Mojoagung menunjukkan bahwa pendekatan pendidikan berbasis feminisme, diskusi interaktif, dan distribusi tablet penambah darah (TTD) yang didukung oleh penyuluhan pola makan sehat dapat membantu meningkatkan kesadaran akan gender dan gizi perempuan.kesehatan. Program ini mampu menurunkan prevalensi anemia hingga 30%, memberdayakan perempuan secara sosial, dan meningkatkan kesadaran akan hak-haknya. Selain itu, keberlanjutan dan pertumbuhan program bergantung pada kerja sama dengan fasilitas medis dan organisasi masyarakat non-pemerintah. Menurut hasil dari beberapa penelitian terkait, pemberdayaan perempuan melalui kesadaran gender yang lebih besar dan akses ke perawatan kesehatan inklusif dapat membantu meningkatkan kesehatan dan status gizi perempuan sekaligus mendorong perubahan sosial yang tahan lama. Strategi berbasis komunitas yang melibatkan keluarga dan komunitas sangat penting untuk mencapai tujuan ini, terutama dalam hal mencegah anemia, meningkatkan kesehatan anak-anak, dan memajukan hak-hak perempuan di masyarakat.

Kangaroo mother care is a treatment for low-birth-weight infants that involves direct skin-to-skin contact between the infant and the mother (skin-to-skin contact). This provides health and psychological benefits, particularly in providing warmth to the infant, enhancing maternal bonding, increasing maternal trust and satisfaction, and reducing stress. The difference in body temperature of low-birth-weight infants treated with kangaroo mother care for one hour and three hours. Research Method: The research design used was a quasi-experimental, pre-post test with control group design, which involves administering treatment or intervention to the experimental group and then measuring and analyzing the effects of the treatment. The sample size for this study was 30 people. Bivariate analysis was conducted using the independent t-test and paired t-test. The results showed that the infant's body temperature before the kangaroo mother care intervention was in the below-normal. The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05).

Latar belakang: Hemodialisa merupakan suatu teknologi canggih yang digunakan sebagai alternatif pengganti fungsi ginjal untuk menyaring produk-produk limbah metabolik atau racun tertentu dari darah, seperti air, natrium, kalium, hidrogen, urea, dan zat lainnya dengan memanfaatkan membran semipermeabel. Salah satu faktor yang mempengaruhi hemodialisa ialah akses vaskuler, akses vaskuler yang berfungsi dengan baik dapat digunakan untuk jangka Panjang yang adekuat dapat menghasilkan aliran darah yang lancar serta meminimalkan komplikasi. Tujuan: dilakukan penelitian ini ialah untuk mengetahui bagaimana gambaran pengetahuan dan perawatan akses vaskuler pada pasien hemodialisa. Metode: Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang (cross sectional). Sebanyak 90 pasien hemodialisa terlibat sebagai responden yang dipilih melalui teknik pengambilan sampel total. Data dikumpulkan dengan menggunakan kuesioner yang mengukur pengetahuan dan perawatan akses vaskuler. Dalam menganalisis data, digunakan uji distribusi frekuensi. Hasil: penelitian ini menjelaskan bahwasannya mayoritas responden mempunyai tingkat pengetahuan akses vaskuler kategori baik sebanyak 71 (78,9%), sedangkan sebagian besar memiliki Tingkat perawatan akses vaskuler kategori baik sebanyak 69 (76,7%). Adanya Gambaran pengetahuan dan perawatan akses vaskuler yang baik pada pasien hemodialisa sehingga, penelitian ini dapat digunakan perawat dalam intervensi keperawatan untuk lebih meningkatkan pengetahuan dan perawatan akses vaskuler pasien dalam hemodialisa.

Keluarga yang menunggu pasien di ruang ICU dapat mengalami kecemasan, hal ini disebabkan karena menunggu anggota keluarga yang sedang mengalami perawatan kritis merupakan salah satu faktor kecemasan keluarga pasien dirawat di ruang intensive. Kelcelmasan melrulpakan sulatul keladaan pikiran dimana selselorang melrasakan keltakultan yang telruls-melnelruls dan belrlelbihan selrta sullit dikelndalikan selhingga dapat belrdampak bulrulk dalam kehidupan sehari-hari. Tujuan penelitian ini adalah untuk Melngidelntifikasi Gambaran Kelcelmasan Kellularga Pasieln Di Rulang Intelnsivel Carel Ulnit (ICUl) Rulmah Sakit Santa Ellisabelth Meldan Tahuln 2024. Metode penelitian yang digunakan dalam penelitian ini deskritif menggunakan pendekatan desain studi cross sectional. Penelitian ini menggunakan tehnik purporsive sampling dengan kriteria inklusi, didapatkan jumlah sampel 96 responden di Ruang Intensive Care Unit (ICU) Rumah Sakit Santa Elisabeth Medan. Alat ukur yang digunakan dalam penelitian ini adalah kusioner ZSAS (Zulng Sellf-Rating Axielty Scalel). Hasil penelitian ini menunjukkan terdapat kecemasan berdasarkan kategori kecemasan paling tinggi adalah kecemasan sedang sebanyak 58 responden (60.4%), kecemasan berat sebanyak 22 responden (22.9%) dan kecemasan ringan sebanyak 16 responden (16.7%). Simpulan ini adalah peran keluarga terhadap pasien menjadi berkurang karena tidak banyak terlibat dalam perawatan pasif dan tidak dapat mendampingi pasien di ruang ICU setiap saat, sehingga keluarga akan mengalami kecemasan. Kecemasan ini disebabkan karena ketakutan keluarga yang dipengaruhi oleh terpisahnya secara fisik dengan anggota keluarga, takut akan kematian, biaya  perawatan, keadaan pasien makin memburuk/ngedrop, atau kecatatan tubuh yang disebabkan banyak terpasang alat.

Background: Half of the 75 million children in Indonesia suffer from dental caries, and the number continues to rise each year. Caries is a disease that involves the enamel, dentin, and pulp of the tooth. If left untreated, it can reach the pulp and cause tooth necrosis. Pulpectomy is a dental procedure that involves removing the entire pulp tissue of deciduous teeth to access the infected root canal. This procedure is crucial to prevent the spread of infection. Post-pulpectomy restoration is essential to ensure the optimal function of the tooth and prevent further damage to the remaining tooth structure. The restoration must have adequate retention, minimal leakage, and not increase the risk of further damage to the remaining tooth structure. Methodology: This study is a qualitative research in the form of a literature review using secondary data collected in August 2024 from five main databases: PubMed, MDPI, ScienceDirect, Garuda (Garba Rujukan Digital), and Taylor & Francis. The collected data were then sorted to identify articles relevant to the research criteria. Results and Discussion: Based on the Prisma Diagram Flow, 343 articles were identified from the five databases, which were then filtered down to five articles that met the criteria to be the primary articles in this literature review. The results show that there are various types of post-pulpectomy restorations tailored to the diagnosis and clinical indications of the treated teeth. Conclusion: There are two commonly used types of post-pulpectomy restorations, namely restorations made of Glass Ionomer Cement (GIC) and Stainless Steel Crowns (SSC). Both of these restorations can be modified into space maintainers, which are essential in preserving space for the future growth of permanent teeth while improving the function of the treated tooth.