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Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its significance, ensuring a more objective and systematic approach to patient recovery monitoring. This educational program involves a structured training session for healthcare workers, distribution of educational materials such as brochures and manuals, and evaluations both before and after the intervention to assess changes in knowledge and application. The results of the program indicate a significant increase in healthcare professionals’ understanding of how to apply the Bromage Score and improved quality in the monitoring of patient mobility after spinal anesthesia. The consistent and accurate implementation of the Bromage Score is crucial as it helps medical personnel determine an appropriate and safe time for patient mobilization, thus reducing the risk of complications such as falls, orthostatic hypotension, or delayed recovery. As a result, the program is recommended as a standard practice in healthcare settings to improve post-spinal anesthesia recovery outcomes and patient safety.

Background: The prevalence of isolated systolic hypertension (HST) is expected to occur approximately 25% in the age group of 60-90 years, and found as much as 59.1% in males and 61.9% in females. This research aims to determine the factors related to the incidence of hypertension in the elderly. Methods: This study uses a descriptive analytical design with the Cross Sectional approach. The research samples used are seniors aged ? 60 years and older with Consecutive Sampling technique in the working area of Puskesmas III North Denpasar. Data retrieval takes place from April to May 2012 by filling out questionnaires, measuring weight, height and blood pressure. The Data obtained is analyzed univariate and bivariate using Chi-Square test. Results: Based on the analysis gained that the factors associated with the occurrence of hypertension in the elderly are The age factor (OR: 10,833; 95% CI: 1,961-59,834), Gender factor (OR: 7,467; 95% CI: 1,400-39,837), Genetic factor (OR: 10,083; 95% CI: 1,658-61,330), Activity factors (OR: 0,095; 95% CI: 0,017-0,529), and the habit of drinking coffee (OR: 15,556; 95% CI: 2,586-93,571). Conclusion: Age, gender, genetic, activity and coffee habits are factors related to hypertension in the elderly. Expected parties are more promoting health programs in the elderly, especially on hypertensive diseasesKeywords: hypertension; elderly; activities; drinking coffee

Coronaviruses are  group of viruses that can cause disease in animals/humans. The COVID-19 outbreak is contagious and spreads rapidly can have impact on psychological stress and symptoms of mental illness. So far, the handling of mental health and psychosocial disorders has been more focused on the community than health workers. The lack of focus on the mental health of health workers has the potential to disrupt and even turn off health services and will affect the handling of the COVID-19 pandemic. This study aims to determine (1) Mental and Psychosocial Health of Patient Registration Officers at Regional General Hospitals (RSUD) in the 2020 COVID-19 Pandemic Era; (2) Identify the characteristics of respondents including gender, marital status, age, education; (3) Identifying mental and psychosocial health at the Patient Registration Officer at RSUD Malang City. This research uses a qualitative descriptive research type. The characteristics of the disease from the COVID-19 pandemic, increasing the atmosphere of general vigilance and uncertainty, who communicate directly with patients every day, due to various causes such as the rapid spread and transmission of COVID-19, the severity of symptoms it causes in given situation. segments, infected people, lack of knowledge about disease, and mortality among health workers.

Disasters are events either natural or non-natural that cannot be predicted in advance. The impact of natural disasters can be in the form of comprehensive environmental damage that can cause mass human deaths. Fires can occur anywhere and at any time, fire management needs to be understood so that when a fire occurs there are no casualties. Thus, preparedness is needed to face disasters. Indonesia is one of the disaster-prone countries. The age groups that are vulnerable to this problem are babies and toddlers. Disaster management specifically for this age group includes the Infant and Child Feeding (IYCF) program. The aim of this service is to meet the nutritional needs of the infant and toddler age group in the Maccini Sawah Community Health Center Working Area, so that it can prevent nutritional problems due to disasters and can handle nutritional problems. The method used in service activities is demonstrating IYCF to the community and also providing IYCF counseling at disaster sites. The results achieved were that IYCF education ran smoothly so that feeding services for the infant and toddler groups were carried out well in phase one of the emergency. IYCF is mandatory in disaster situations to prevent and treat acute nutritional problems during disasters

This study aims to examine the influence of service quality on the satisfaction of patients who visit RSU Palang Biru Kutoarjo. Data collection techniques in this research were obtained by means of observation, interviews, questionnaires, documentation and library studies. people. Data collection methods through observation, interviews, questionnaires, documentation and library studies. Data analysis techniques use , simple linear regression, t test and determination test research results. The simple linear regression line equation produces the equation Y= 29,271+0.601X1. The constant coefficient value results in 29,271. This means that if the value of the Health Services variable is 0 (zero), then the level or magnitude of the Patient Satisfaction variable is 29,271. The Health Services variable has a coefficient of 0.601. A value of 0.601 means that if the value of the Health Services variable increases by 1 unit and other variables are considered fixed or constant then the level of Patient Satisfaction is 0.601. Determination analysis produces an R Square of 0.326, this number is called the coefficient of determination value. The determination value is 0.326 or 32.6%. This figure means that 32.6% of patient satisfaction can be explained using the Health Service variable. Meanwhile, the remaining 67.4% (100%-32.6%) is likely influenced by other variables not studied such as comfort, facilities, etc. .Hypothesis testing (t test) shows that the Health Service variable (X1) has a positive and significant effect on Patient Satisfaction (Y). This means that the null hypothesis which states that there is no positive and significant influence between the Health Service variable on Patient Satisfaction is rejected and the working hypothesis (H1) which states that there is a positive and significant influence between Health Service and Patient Satisfaction is accepted. 

This study aims to determine the effect of the quality of subsidized urea fertilizer on consumer satisfaction of PT. Pupuk Sriwidjaja at UD. Main Kutoarjo. This study uses data collection techniques and surveys with questionnaires as well as literature study. The sample used with simple random sampling technique, amounting to 60 people. The related variable in this study is the quality of subsidized urea fertilizer on consumer satisfaction of PT. Pupuk Sriwidjaja Palembang at UD. Utama Kutoarjo with a simple correlation analysis method. The data analysis technique used in this study used a Likert scale to measure respondents' opinions and test instruments to test the instruments that were compiled. The test instruments used are validity test, reliability test, correlation coefficient, simple linear regression, coefficient of determination, and partial test (t test). Simple linear regression test results.Based on a simple linear regression test, it can be seen that the fertilizer quality variable increases by one unit, it will be followed by an increase in the farmer satisfaction variable, namely 0.226 which has a significant value in a positive direction, so it can be said that the direction of the influence of the X variable on Y is positive. The result of the coefficient of determination shows the R2 value of 0.124, which means that the contribution of the variable consumer satisfaction is 12.4% while the rest is influenced by other variables not examined, such as fertilizer allocation and prices. The results of the t-test obtained that the t-count value is greater than t-table (2.865 > 2.0017), then the null hypothesis which states that there is no positive and significant effect between fertilizer quality on farmer satisfaction is rejected and the working hypothesis (Ha) which states that there is a positive and significant influence between the quality of fertilizer on farmer satisfaction is accepted. 

Service quality is the main milestone in the company's running activities. In general, providing good and maximum service will encourage consumers to make purchasing decisions. This has a very good impact on the company's goal, namely to increase sales output. The aim of this research is to determine "The Influence of Service Quality on Purchasing Decisions at Flow Distro Prembun". Samples were taken using the Simple Random Sampling technique. The average number of Kios Insan Busana consumers per month can reach 400 people. As research subjects, 25% of all consumers at the Insan Busana Kiosk were taken, namely 100 consumers. From the t test, it can be concluded that the Service Quality variable has a positive and significant effect on the purchasing decision variable because it has a significance of 0.000 (P> 0.05) and the tcount > ttable (8,781 > 1.984). So hypothesis 0 which states that there is no positive and significant influence between service quality and purchasing decisions is rejected and the working hypothesis (Ha) which states that there is a positive and significant influence between service quality and purchasing decisions is accepted.  

The aim of this research is to analyze the influence of compensation and competency on teacher performance at SD Muhammadiyah Kutoarjo. The population of this research is Permanent Foundation Teachers (GTY) who work at SD Muhammadiyah Kutoarjo. The sample used with a saturated sampling technique was 26 people. This research uses data analysis methods, namely: Likert scale, validity test, reliability test, simple linear regression analysis, coefficient of determination, t test and f test. Based on the research carried out, the results of the regression equation Y = 2.612 + 0.599 (X1) + 0.486 (X2). This means that if the value of the compensation and competency variables in the research object is equal to zero, then the level or magnitude of the teacher performance variable is 2.612. The results of the analysis of the coefficient of determination explain that 63% of compensation and competency variables contribute to teacher performance. Meanwhile, the remaining 37% is influenced by other variables that were not researched, such as ability, motivation, leadership, organizational relationships, and so on. The results of the partial hypothesis test (t test) explain that the compensation variable has a positive and significant effect on teacher performance, while the competency variable does not have a positive and significant effect on teacher performance. The results of simultaneous hypothesis testing (f test) produce a positive and significant influence between compensation variables and competency variables on teacher performance. 

Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

The research objective was to find out what kind of system used in processing the existing finance on Rt.04 Rw. 13 Desa Waringin Jaya and the obstacles faced in implementing the application. In addition, the authors hope that readers can understand the use of an application, especially the financial administration system. The research method used by researchers is the Extreme Programming (XP) method, which is a method that includes several rules in practice, consisting of planning, design, implementation / coding and test. During the study the authors found that at Rt. 04 Rw. 13 Desa Waringin Jaya does not yet have an effective and efficient financial administration system. After conducting the research, the authors gave conclusions, especially Rt. 04 Rw. 13 Desa Waringin Jaya requires a computerized system that is effective and efficient so that it can help the treasurer work. The author makes a system, namely the Financial Administration Application Rt. 04 Rw. 13 Waringin Jaya Village based on Java SE.

Main Objective: This study checks the different intersections of film and Artificial Intelligence (AI), and trial and error is needed to re-check the state of “new media” (NM). This study’s purpose is to identify of subversion of the creator duty, the media and instrument of creative activities, and the aesthetics subsequent from the identity of the developing Artificial Intelligence film. Background problem: AI is composed to take the film industry by the cyclone, its application helps streamline production practices, and its increasing work in film scripting and visuals convolutes the notion and function of creations and the aesthetics of NM. Novelty: By analyzing how three films were co-written with Artificial Intelligence arranged with “Foucault's theory” of the duty of the creator or producer, and the aesthetics and state of current NM, this research establishes an identity for the cinema form of Artificial Intelligence films. Research Method: This study uses a qualitative exploratory methodology to combine various perspectives that are developing on new media streams where this research is crossing 2 major areas in Film & Media, and Artificial Intelligence & Machine Learning. Finding/Result: Patterns discovered as curated data sets reveal trends in cinematic narratives, opening the door for a more creative agency. Artificial Intelligence films transcend the boundaries of technological convergence, offering a more essential way to recognize the special behavior and opportunity of NM forms as self-reflective and demonstrating the versatility of film. Conclusion: This research makes Artificial Intelligence films an emerging media with a different tendency from the media and is directly related to its contribution. By involving the theorization of NM technology and its developmental tuff simultaneously, Artificial Intelligence films are presented as an inventive design of film in phrases of digital production, virtual placement, historical preoccupation, and producer duty.

Background: The main cause that resulted in the emergence of many victims due to the earthquake disaster was the lack of knowledge of community preparedness about disasters and the lack of community preparedness in anticipating the disaster. Purpose: This Community Service aims to increase knowledge about the preparedness of pregnant women in dealing with the earthquake and tsunami disaster in the work area of the Pasar Ikan Health Center in Bengkulu City. Methods: This activity was carried out by distributing leaflets, conducting counseling and evaluating activities, the implementation of this activity was carried out in the work area of the Bengkulu City Fish Market Health Center from November 25 to November 28, 2021 with a total of 24 pregnant women participating. Results: In the implementation of the activities that we carried out, there was an increase in the knowledge of pregnant women after the Preparedness education was carried out in the event of an earthquake and Tsunami. Where the average before the counseling was done was 45 percent, it increased to 80 percent after the counseling was done. In addition, pregnant women also seemed enthusiastic during the counseling session, this can be seen from the response of pregnant women in the question and answer session Conclusion: From the results of this service activity, there was an increase in knowledge of pregnant women about preparedness during disasters, especially earthquakes and tsunamis.    

Background: Health services have the main objective of improving health and preventing disease with the community as the main target. WHO (World Health Organization) encourages all countries to develop health insurance for all their population (Universal Health Coverage).Purpose: This Community Service aims to increase knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of ??clinic Armina Regency. . Methods: This activity was carried out by distributing leaflets, conducting counseling and evaluating activities, the implementation of this activity was carried out in the work area of ??the clinicRegency on September 23 to September 25 with a total of 40 patients.   Results: In the implementation of the activities that we carried out, there was an increase in patient knowledge after counseling about the dimensions of BPJS service quality with patient satisfaction in the clinic Armina Regency, where the average before counseling was 45 percent, increasing to 80 percent after counseling. In addition, the patient also seemed enthusiastic during the counseling session, this can be seen from the patient's response in the question and answer session Conclusion: From the results of this service activity, there was an increase in patient knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of  clinic Armina.

This research aims to build a career development center information system at the Ketapang State Polytechnic. The results of this research are then used as a scientific study in the field of design and development of information systems. In addition, this career development center information system can be implemented at the Ketapang State Polytechnic so that it can contribute to the accreditation process of institutions and study programs, as a forum for building alumni networks and the availability of an alumni database, as a collection of important input/information for the development and improvement of universities. higher education (administration, curriculum and study design). Career centers at universities function to bridge the information needs of the world of work required by universities and to answer the challenges of the world of work. This career development center information system is based on the needs of alumni, tracer studies for campus accreditation, knowing the educational outcomes produced by universities, knowing the contribution of universities to existing competencies in the world of work, for monitoring college graduates when entering the word

All companies that have a business must always have competition, therefore every company must hold training and development for new and old employees. Because to make a company superior, sophisticated technology will not be enough because it will be useless if the technology is sophisticated but users or employees are not competent enough to use the technology. But the current situation is very different, because the virus is rampant in the world, not only in Indonesia, 200 other countries are also infected with the virus, this will certainly greatly affect the work system, teaching system and other systems. Company training and development are disrupted and methods must change with the aim of adapting training and development in a pandemic situation like this. The method used in this study uses qualitative methods and uses a literature review approach. Meanwhile, the target audience is companies that have started using new methods in training and development. By holding research like this, it is hoped that it can become an example for other companies in changing their training methods and development during a pandemic like today

This research was made with the aim of developing the application of determining the recipient of Rastra (Rice Prosperous) aid in Tobu Village. South middle Timor district by applying the exponential comparison method. Variables or criteria used in this study are work, income, number of dependents, building area and housing conditions and detailed criteria on each variable. This research succeeded in developing an application ranking community beneficiaries of Rastra in Tobu village by using the exponential comparison method (MPE). In this application provides a graphical display feature, print reports that will be used to print and view the results of the ranking of people who are entitled to receive Sejahtera ria. 

One of the main factors in achieving effective and efficient performance isattention to human resources. Having reliable and truly appropriate human resourceswith needs is the hope of every manager. The company needs employees with the appropriate abilities with job roles. As for the position of PT. Bogowonto Primalaras still uses a work period limit where employees cannot fill vacant positions at any time, based on the criteria of tenure an employee fulfills the term of service that is in accordance with his expectations. where on assessment in absenteeism is carried out by collecting daily report data that makes HRD send one by one who has sent the daily report. Where is the report related to the productivity criteria of an employee who has reached the target or not.

Many companies require good employee performance in order to achieve company goals, business competition is a trigger for companies to improve the performance of their employees. The variables used to determine the effect of the company's employee performance are discipline, compensation, work environment and training. This research was conducted on employees of PT. XYZ involved 60 respondents. This study uses a saturated sampling technique and uses a Likert scale. The analysis used was multiple linear analysis, with the regression equation Y = 16.349 + 0.068X1 + 0.001X2 + 0.159X3 + 0.287X4. The conclusions of this study are, (1) employee performance is not significantly affected by discipline, (2) employee performance is not significantly affected by compensation, (3) employee performance is not significantly affected by the work environment, (4) employee performance is significantly influenced by training, (5) Employee performance is influenced simultaneously by discipline, compensation, work environment and training.

Puzzle game is a game that shifts numbers from a box consisting of nine boxes. Eight boxes must have values arranged in numerical order starting from numbers 1 to 8. Puzzle games can produce the correct sequence according to the initial state provided that they follow the rules established rules. Completion of this game using a heuristic method, using the Ascent hill Climbing algorithm. The working process of the Ascent hill Climbing method is a process of looking for several possible solutions in order to get the optimal value for solving the problem by arranging the values from the position of the smallest value to the position of the largest value. The problem that is often experienced in this case is a lack of user knowledge in the concept of puzzle game rules so that search results are difficult to find,with this method it can make it easier to solve puzzle game cases by following the game rules and done systematically so that Goals are quickly found. The Goal results obtained are in the form of steps in the process of finding a solution and calculating the time required in the search to find a solution.

Rice is the most important staple food for humans to have energy to carry out activities. The purpose of this study is to provide information to the public in the form of a reference for selecting rice based on consumer interest, so that it can be used as a decision making in buying rice. The Mamdani method is a method that is able to solve problems in the case of rice selection based on consumer references. The work process of the Sugeno method consists of four parts, namely fuzification, inference engine, implication function amplification and the last one is defuzzification. The final result, the Mamdani method has the characteristics of using the AND operator and using the min-max value. This research is in the form of a decision-making system in rice selection based on references from consumers by looking at four aspects of criteria such as price, quality, taste, and shape variables, these four aspects can be used as a reference in rice selection. Sugeno fuzzy logic to get the final value.The Mamdani method is a very effective method in selecting rice according to the needs and interests of consumers so that potential consumers can easily choose rice according to their interests and desired criteria.