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The high rate of occupational accidents globally and nationally demands the strengthening of Occupational Health and Safety (OHS) management systems, particularly in the high-risk industrial sectors. The study aims to analyze the implementation of safety induction at PT X and develop audiovisual educational media as a solution to improve occupational safety understanding. The research method employed is descriptive qualitative, with data collection techniques including field observations, in-depth interviews, and review of corporate documents, Problem prioritization was determined using the Urgency, Seriousness, and Growth (USG) method, while root cause analysis was conducted using a Fishbone diagram. Research findings indicate that the current oral delivery method for safety induction is ineffective, as evidenced by 13% of participants needing to retake the comprehension test. As an intervention, “POWER SAFE” video media was developed, which, based on the Methodology, Effectiveness, Efficiency, and Relevance (MEER) analysis, proved to have the highest effectiveness and relevance in delivering standardized safety information. The implications of study emphasize that the use of structured digital media is a strategic step to minimize gaps in understanding and strengthen the safety culture within high-risk work environments.

The high rate of occupational accidents globally and nationally demands the strengthening of Occupational Health and Safety (OHS) management systems, particularly in the high-risk industrial sectors. The study aims to analyze the implementation of safety induction at PT X and develop audiovisual educational media as a solution to improve occupational safety understanding. The research method employed is descriptive qualitative, with data collection techniques including field observations, in-depth interviews, and review of corporate documents, Problem prioritization was determined using the Urgency, Seriousness, and Growth (USG) method, while root cause analysis was conducted using a Fishbone diagram. Research findings indicate that the current oral delivery method for safety induction is ineffective, as evidenced by 13% of participants needing to retake the comprehension test. As an intervention, “POWER SAFE” video media was developed, which, based on the Methodology, Effectiveness, Efficiency, and Relevance (MEER) analysis, proved to have the highest effectiveness and relevance in delivering standardized safety information. The implications of study emphasize that the use of structured digital media is a strategic step to minimize gaps in understanding and strengthen the safety culture within high-risk work environments.

Health program planning is an essential process in improving public health status through a systematic and data-driven approach. This study aimed to analyze health program planning based on situational analysis and the problem solving cycle (PSC), as well as to identify the root causes of problems using the fishbone approach. The research employed a descriptive qualitative method supported by simple quantitative data. Data were collected through in-depth interviews, observations, and documentation involving purposively selected informants. The results of the situational analysis identified several major health problems, including stunting, low posyandu attendance, and limited maternal knowledge regarding nutrition. Priority setting using the USG method determined stunting as the main health issue. Furthermore, root cause analysis using a fishbone diagram revealed that stunting was influenced by various factors related to man, machine, method, material, environment, money, and management. The application of the problem solving cycle facilitated systematic intervention planning, including nutrition education, community empowerment, and child growth monitoring. Program implementation demonstrated improvements in maternal knowledge and posyandu attendance. In conclusion, health program planning based on situational analysis, fishbone analysis, and the problem solving cycle proved effective in producing targeted and sustainable interventions.

Health program planning is an essential process in improving public health status through a systematic and data-driven approach. This study aimed to analyze health program planning based on situational analysis and the problem solving cycle (PSC), as well as to identify the root causes of problems using the fishbone approach. The research employed a descriptive qualitative method supported by simple quantitative data. Data were collected through in-depth interviews, observations, and documentation involving purposively selected informants. The results of the situational analysis identified several major health problems, including stunting, low posyandu attendance, and limited maternal knowledge regarding nutrition. Priority setting using the USG method determined stunting as the main health issue. Furthermore, root cause analysis using a fishbone diagram revealed that stunting was influenced by various factors related to man, machine, method, material, environment, money, and management. The application of the problem solving cycle facilitated systematic intervention planning, including nutrition education, community empowerment, and child growth monitoring. Program implementation demonstrated improvements in maternal knowledge and posyandu attendance. In conclusion, health program planning based on situational analysis, fishbone analysis, and the problem solving cycle proved effective in producing targeted and sustainable interventions.

Background: Automatic segmentation of the thyroid gland in ultrasonography (USG) images using deep learning requires a user-friendly interface to support diagnostic and educational processes. Purpose: This study aims to develop and implement a Graphical User Interface (GUI) that integrates a deep learning U-Net model for interactive and efficient segmentation and visualization of thyroid USG images. Method: The development method employed the Rapid Application Development (RAD) approach using MATLAB programming language. The GUI is designed to load transverse and sagittal USG images, display automatic segmentation results, and calculate thyroid gland volume based on dimensions measured automatically from the segmentation output. Testing was conducted using USG image data from 15 volunteers, and GUI functionality was evaluated using black box testing. Result: The GUI successfully displayed USG images and segmentation results with a responsive 4-panel interface; zoom, pan, and image navigation features functioned well. Automatic segmentation occurred in real-time after image input, and volume measurement results appeared automatically. Black box testing evaluation showed all GUI features operated as expected. The average Dice Similarity Coefficient (DSC) of 0.91 indicates high performance of the U-Net model in thyroid segmentation, consistent with previous findings. Statistical testing confirmed no significant difference between volume measurements using the application and manual methods (p = 0.953). Conclusion: This GUI implementation facilitates users in performing deep learning-based segmentation and visualization of thyroid USG images, improving efficiency and accuracy in thyroid volume measurement. The GUI has potential applications in clinical practice and radiology education.

Appendicitis is one of the most common causes of acute abdominal pain in children and is considered a surgical emergency requiring immediate diagnosis and management to prevent serious complications. Diagnosing appendicitis in children is often challenging because the symptoms are non-specific, and the child's ability to articulate complaints is limited. This case report discusses a 6-year-and-9-month-old boy who presented with a chief complaint of lower right abdominal pain accompanied by nausea, vomiting, and fever. Based on the results of the anamnesis, physical examination, and supporting investigations in the form of laboratory tests and abdominal ultrasound (USG), a diagnosis of acute appendicitis was established. The patient then underwent an appendectomy with good recovery and no complications. This case emphasizes the importance of comprehensive clinical evaluation and the use of non-invasive supporting examinations such as ultrasound in establishing the diagnosis of appendicitis in children. It highlights the critical role of timely diagnosis and intervention, which can lead to favorable outcomes and prevent the risk of perforation or other serious complications. Early recognition and appropriate surgical decision-making are key to improving patient prognosis.

Pleural effusion is the accumulation of fluid in the pleural cavity, which is a common clinical condition requiring rapid and accurate diagnosis. Imaging modalities such as chest X-ray and ultrasound (USG) of the chest play a crucial role in identifying and evaluating this condition. Chest X-ray remains the most widely used initial screening tool due to its availability and ease of use. However, chest USG offers higher sensitivity, especially in detecting small effusions, assessing fluid characteristics, and guiding diagnostic and therapeutic procedures. Additionally, USG provides real-time imaging, enhancing the safety and effectiveness of interventions such as aspiration or drainage. Although both modalities are important, USG provides more detailed information, particularly in evaluating more complex pleural fluid conditions. This review discusses the latest evidence regarding the sensitivity, specificity, advantages, and limitations of both imaging techniques. Understanding the complementary roles of chest X-ray and USG is essential for optimizing diagnostic strategies, ultimately improving clinical outcomes and enabling more effective management of pleural effusion.

Drug stock-outs are an indicator of pharmaceutical management failure that directly affects patient safety and the quality of hospital services. Gatoel Hospital Mojokerto experienced an increase in the percentage of drug debt from 3.14% in January to 6.20% in July 2025, with 1,607 patients affected. This study aims to identify the factors causing drug stock-outs and formulate preventive strategies through the optimization of the Minimum-Maximum Stock Level (MMSL) system based on the Hospital Information System. A mixed-method approach was used, combining secondary data analysis (January–July 2025) and in-depth interviews. Fishbone analysis was applied to identify root causes, USG analysis to determine priorities, and SWOT analysis to formulate intervention strategies. Priority drug classification was carried out using the ABC-VEN method. The intervention involved implementing an MMSL pilot project for 150 drug items under Pareto category A. The analysis identified six dimensions of stock-out causes: man, materials, methods, machines, measurement, and environment. The highest priority issue was drug demand forecasting based on historical data (USG score: 125). SWOT analysis placed the organization in quadrant II, recommending a Weakness-Opportunities (WO) strategy. MMSL implementation was initiated through the development of SOPs and the entry of 150 priority drug items into the system. Drug stock-outs are caused by multifactorial issues that require systemic intervention. MMSL optimization has the potential to serve as a long-term solution, provided there is expanded coverage, strengthened human resource capacity, and comprehensive system integration.

Chronic kidney disease (CKD) is a progressive and irreversible decline in kidney function that, if left untreated, can lead to serious complications. Ultrasonography (USG) is a widely used imaging modality for detecting CKD, yet its interpretation remains highly dependent on the radiologist’s expertise. This study aims to develop a CKD detection system using a convolutional neural network (CNN) on kidney ultrasound images based on estimated glomerular filtration rate (eGFR), and to evaluate the system’s performance. This research employed a research and development (R&D) approach with an experimental design. The dataset consisted of kidney ultrasound images from CKD and non-CKD patients with corresponding eGFR values. The methodology included image preprocessing, CNN model training, and accuracy evaluation using classification metrics. The results demonstrated that the developed CNN model achieved a total accuracy of 97% on internal test data and 95.8% on external validation. The model’s sensitivity reached 100% for the normal category, 91.67% for CKD stage 4, and 90% for CKD stage 5. Specificity exceeded 96% across all categories, with high precision and F1-scores above 94% for all classes. This system has proven to be effective as a diagnostic support tool for automatically detecting CKD through kidney ultrasound imaging. Its advantages lie not only in accurately classifying CKD from USG images but also in correlating the classification results with patients' eGFR values. This provides more precise clinical information and supports appropriate CKD staging and management planning.

Pregnant women's lack of understanding of the importance of antenatal care (ANC) can negatively impact fetal development. The use of ultrasound technology during ANC examinations can provide a more accurate picture of fetal condition. Ultrasound can determine whether the fetus' size is within normal limits, the number of fetuses, the volume of amniotic fluid, the position of the placenta, and whether the fetus' weight is appropriate, larger, or smaller than the gestational age. Objective: To increase pregnant women's knowledge of the importance of ANC examinations and to evaluate fetal condition by providing free ultrasound services. Methods: To conduct outreach activities, including free ultrasound examinations. This activity involved 22 pregnant women from the community surrounding the service location. Results: After the implementation, participants' knowledge test scores increased. The outreach program ran smoothly and participants were very enthusiastic, as evidenced by the many questions asked. All participants participated in the free ultrasound examinations, which showed healthy and normal fetal condition. Conclusion: This outreach program was effective in increasing pregnant women's understanding of the importance of ANC examinations, while the free ultrasound examinations helped confirm fetal health. All participants participated enthusiastically in the activity, and the benefits were felt by all parties involved.. 

Turnover intention is the tendency or intention of individuals to leave the organization for various reasons, one of which is the desire to get a better job. This study aims to examine the effect of overtime working hours and leader member exchange on turnover intention of finishing department employees of PT Ungaran Sari Garments. The sample taken was 144 finishing department employees. The sampling technique used the slovin formula with data analysis techniques, namely multiple linear regression using the SPSS 25 program. The results obtained that overtime working hours have a positive and significant effect on turnover intention, while lmx has a negative and significant effect on turnover intention. overtime working hours and leader member exchange have a simultaneous or joint effect on the dependent variable, namely turnover intention of pt usg finishing department employees.

Informed consent is a crucial component of medical records that ensures the legality and ethical compliance of medical procedures conducted on patients. At RSUP Surakarta, the completeness of informed consent documentation in the surgical ward has consistently failed to meet the national minimum service standard of 100%, with observed monthly completion rates ranging from 86% to 98% throughout 2024. This study aims to analyze the factors contributing to the incomplete documentation of informed consent in the surgical ward. A qualitative descriptive approach was employed using data collection techniques such as direct observation, in-depth interviews, documentation review, and participatory methods including the USG (Urgency, Seriousness, Growth) prioritization technique and brainstorming. The study involved four key informants: a medical services director, a surgeon, a surgical nurse, and a medical records officer. Findings indicate that the main contributing factors are the absence of Standard Operating Procedures (SOP) for consent documentation, lack of training, insufficient internal and external motivation due to absence of rewards or enforcement measures, limited knowledge, and short tenure of some staff members. The USG analysis identified the absence of an SOP as the most critical issue. Consequently, the development and dissemination of an SOP, coupled with regular staff training, were recommended as corrective measures. This study underscores the importance of structural and motivational support in improving the completeness of informed consent documentation, which is vital for patient safety and institutional accountability.

Tuberculosis (TB) is one of the oldest infectious diseases that has existed throughout the history of human civilization and remains a major public health problem in the world today. Tuberculosis is caused by Mycobacterium Tuberculosis which can result in TB Pleuritis, which is inflammation of the pleura, both the parietal pleura and the visceral pleura, manifested by accumulation of fluid in the pleural cavity. A 20-year-old man came with complaints of coughing for the past 1 month, white phlegm, shortness of breath felt worse for the past 2 days, fever not too high for the past 1 week accompanied by cold sweats at night. The patient feels that it is difficult to gain weight and tends to lose weight this month. Chest X-ray show left massive pleural effusion. Acid fast baccili sputum was negative. USG Thorax show pleural fluids approximately 1600 cc.  Tuberculosis (TB) can cause TB pleutiritis with symptoms of shortness of breath and sometimes chest pain on the side of the pleural cavity where there is fluid.3 Treatment of TB Pleuritis is the same as the treatment of pulmonary TB in general with the 2RHZE/4RH combination. Optimal fluid evacuation is carried out according to the patient's condition.

This study aims to analyze the suboptimal performance of hydraulic pump system on hatch cover performance on MV. Emerald Indah using USG (Urgency, Seriousness, Growth) method and data collection techniques in the form of observation, documents, and interview. The purpose of this study is to determine the causes, effect and efforts in solving the problems discussed. The results of the study indicate that several factors cause the hydraulic pump system to not function optimally , including dirty filters, leak in the hydraulic pump and pipe, and operation that is not in accordance with procedures. The effect of the suboptimal hydraulic pressure which ultimately becomes the main problem that inhibits the hatch cover opening process. To overcome this problem, improvements are needed such as periodic filter cleaning, replacement of leaking components, and increasing crew understanding of operational procedures. This research is expected to provide insight for related parties in improving the performanceof the hydraulic pump system and the efficiency of the loading and unloading process on ships.

In health care, the interaction between nurses and patients is essential to build good relationships, increase trust, and meet patient needs and expectations. The success of nursing services depends on the ability of nurses to communicate effectively. One of the causes of unexpected events (KTD) is due to communication errors both verbally and in writing between multidisciplinary and between shifts. Bedside handover can reduce patient safety incidents caused by miscommunication and strengthen employment relations between nurses, thus creating a more collaborative work environment. The purpose of this community service activity in this study is to improve the interaction of nurses when handover to the management of patient-centered care. Data collection techniques are carried out using questionnaires, interviews and direct observations in the treatment room of Karunia Kasih Hospital. In analysing the problems of the data obtained in this study, researchers used Fishbone Analysis which outlined existing problems and analysed using the method of USG (urgency, seriousness, growth) to determine the priority of the problem. The implementation carried out was changing the traditional handover method to bedside handover with the SBAR technique, revising the SOP, conducting socialisation about bedside handover conducting supervision and auditing the implementation of bedside handover. From the data analysis on observations, it can be concluded that bedside handover is an effective strategy to improve interaction between nurses and patients. The results of the analysis of the observation data can conclude that bedside handover is an effective strategy to improve the interaction between nurses and patients in patient-centred care. 

Emergency situations can come from trauma or non-trauma. Fracture is a term for total or partial loss of continuity of bone, cartilage, usually caused by trauma. Fracture is a condition where there is an incontinuity in bone integrity. Thoracic trauma causes 20% of all deaths due to trauma. The radiological modalities that play the biggest role in emergency cases are plain photo/radiography, ultrasound (ultrasound), and computerized tomography (CT-Scan). Magnetic Resonance Imaging (MRI) or nuclear medicine can in many cases provide more accurate results. Some emergency thoracic fractures are costae, sternum and vertebrate fractures.

This study aims to analyze the effect of waiting time on patient satisfaction undergoing ultrasound examinations at Kertha Usada Buleleng General Hospital. A quantitative survey method was employed, involving 50 respondents. Data were collected using a questionnaire measuring waiting time and patient satisfaction levels. The results indicate that the average waiting time is 90 minutes, and there is a significant negative correlation between waiting time and patient satisfaction (r = -0.58, p < 0.05). Approximately 80% of patients reported being satisfied or sufficiently satisfied, while 20% expressed dissatisfaction. The study concludes that improved management of waiting times and enhanced service quality are essential for increasing patient satisfaction. Recommendations for the hospital include developing a more efficient waiting time management system and improving communication with patients.

This study uses the USG method (Urgency, Seriousness, and Growth). The sample or target is pregnant women in the third trimester with Mild Anemia, counseling was carried out at the Kuta Health Center, Kuta Village which was held on Sunday, November 2, 2024. So the author will relate the concept or theory to the case of Mrs. R starting from the assessment, data interpretation, potential diagnosis, problem anticipation, planning, implementation and evaluation. The author discusses the gaps and similarities between the theory and the existing case. Research results Based on midwifery care that has been carried out on pregnant women in Mrs. R GII PI AO with mild anemia in Ngolang Hamlet, Kuta Village using the 7 Varney steps, the results obtained that subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. So that an obstetric diagnosis was obtained in Mrs. R with mild anemia during pregnancy. Therefore, immediate action and collaboration are needed for Mrs. R with mild anemia in Dusun Ngolang, Kuta Village, with the result that in this case, no collaborative action was taken because there were no indications and data to support the action. The results of the actions that have been carried out on Mrs. R with mild anemia in Dusun Ngolang, Kuta Village, with the result that the care that has been given was successful, marked by changes in the mother's Hb levels from 9.2 g% to 10.8 g%.   Keywords: , , 

Mesin terdiri dari bagian-bagian logam (metal parts) yang bergerak seperti poros engkol, batang torak, dan bagian mekanisme katup. Untuk menghindari terjadinya kontak langsung maka perlu diberikan sistem pelumasan. Pelumasan pada mesin sangat penting, karena tanpa pelumasan komponen-komponen mesin akan mengalami gesekan secara langsung, sehingga menimbulkan panas dan mengakibatkan kerusakan berupa keausan yang akhirnya umur mesin dan komponen- komponennya tidak tahan lama. Tujuan yang ingin diperoleh penulis adalah untuk mengetahui fungsi minyak pelumas pada sistem pelumasan, komponen- komponen pada sistem pelumasan, cara kerja sistem pelumasan. Fungsi pelumasan sangat penting diatas kapal, maka tentunya system pelumasan harus mendapatkan perhatian khusus didalam melaksanakan perawatan atau pengujian lab secara rutin disamping permesinan yang lainnya. Sehingga sistem pelumasan ini dapat bekerja sesuai dengan fungsinya diatas kapal agar tidak mengganggu kelancaran pengoperasian kapal. Metode penelitian yang penulis gunakan dalam penyusunan proposal ini adalah metode penelitian penggabungan antara metode shel dan usg sebagai teknik analisa data untuk menganalisa masalah yang ada pada mesin diesel penggerak utama, yaitu faktor- faktor apakah yang menyebabkan turunnya tekanan minyak pelumas mesin induk, dampak dan upaya apa yang dilakukan untuk mengatasi faktor– faktor dari permasalahan tersebut dengan mengidentifikasi berbagai faktor-faktor secara sistematis terhadap software, hardware, environment, liveware untuk merumuskan strategi yang akan diambil. Berdasarkan hasil yang diperoleh dari penelitian turunnya tekanan minyak pelumas mesin induk adalah (1) kotornya filter atau saringan oli. (2) carter atau sumptank kekurangan minyak pelumas. (3) kurangnya skill atau kemampuan dari crew kapal, (4) tidak berjalannya standart operasional prosedure (SOP) Untuk mengatasi faktor-faktor tersebut dapat dilakukan dengan membersihkan atau mengganti komponen yang rusak dengan spare part yang baru, pengoperasian yang benar sesuai prosedur yang ada dan perawatan dan pengecekkan yang berkala terhadap sistim pelumasan.  

PG XYZ is a company part of agribusiness which operates in the sugar cane agroindustry in the Sidoarjo area. PT. PG XYZ is trying to minimize the stopping hours for each mill for six months. With the Urgency, Seriousness, Growth (USG) analysis method, the causes and effects can be identified and minimized so that the company gets maximum profits in an efficient time. The sugar cane milling activity is an important part of the company's production system and has risks that have a very large impact and often occur when milling machines stop working. This is due to factors that influence the milling machine. Based on the research results, it was found that PT. PG XYZ, the biggest thing that happened and had a lot of weight was the root causes that had an impact on the machine, namely the drive engine protection device didn't work, the limit switch didn't work, the backup device was damaged, the electric motor caught fire, the oil cylinder leaked, the gearbox shaft broke. Meanwhile, for the weighting of the solution. PT. PG XYZ doubles the driving machine as a double drive, upgrades the driving machine, buys a bigger chain, adds human resources, makes spare tools. With this weighting, it is hoped that we can control stopping hours based on problem data and the most effective solutions and industrial activities run well and produce the best quality.