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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.

This research aims to analyze the understanding of the community of Hedam Village, Heram Sub-district, Jayapura City, regarding awareness of environmental care. Using qualitative as well as quantitative methods, the research explored data on community attitudes, knowledge, and actions in protecting the environment. The results showed that there is varying awareness among the community, as well as factors that influence environmental awareness. This research is expected to provide recommendations to increase environmental awareness in the community.

Preparedness is the key to safety. This shows that there is a need for an earthquake and tsunami disaster preparedness plan so that losses can be minimized. Earthquake and Tsunami Disaster Preparedness education was provided on November 18 2021 at Bawakaraeng High School. The aim of this service is to provide education on earthquake and tsunami disaster preparedness provided by Lecturers and Students of the D3 Nursing Study Program, Makassar College of Health Sciences, which can provide benefits and refresh the knowledge of Bawakaraeng High School children in dealing with earthquake and tsunami disasters. The method used was lecture and question and answer with 50 participants (i) level II (Class XI). The results of the activity showed that there was an increase in knowledge after the education was carried out, namely 96%, so it is hoped that when an emergency disaster occurs students will be ready and understand the things that must be done.

Background: Diabetes Mellitus is a disease with high levels of glucose (simple sugar) in the high blood because the body can not release or use insulin adequately. One complication that is feared by people with Diabetes is Diabetic Foot or Diabetic Gangrene. This research aims to determine the behavior of patients with diabetes mellitus in the prevention of diabetic foot in room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital. Methods: Types of research used in this research is descriptive survey approach. Sample of the study are 40 patients with diabetes mellitus hospitalized in the room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital using consecutive sampling technique. Data is collected in the period March to May 2012 by filling out a questionnaire about behavioral prevention of diabetic foot. Results: The results of data analysis showed that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot based on education level, age, gender and occupation. From the 40 respondents there were: 55% of the level of knowledge good, 80% good attitude, 70% good actions and 67,5% good actions in the category of good behavior. Conclusion: It can be concluded that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot is in a good category with the factors assessed including knowledge, attitudes, and actions.Keywords : Diabetes mellitus; diabetic foot; behavioral

Background: Smoking is a habit is detrimental to health. Cigarettes are known to contain many poisons ad harmful chemicals that can cause various diseases such as heart disease, stroke and cancer. At present Indonesia is still the third country with the most active smokers in the world. This atudy aims to determine smoking behavior in adolescent in Ketintang Village, Surabaya City. Method: This type of research is quantitative, with a cross sectional approach. The total population is 206 respondents. The sample was taken by accidental sampling. This instrument uses a questionnaire. The Data was analysed by using chi square statistical test with significance level ? ? 0.05. Results: The results showed predisposed factors knowledge (? = 0,019),  behavior (? = 0,000), and perception (? = 0.000). Conclusion: The implication of this study is that the society and parents are expected to guide and pay more attention to adolescent relationships. provide information about the dangers of smoking for himself and those around him.  

Acute Respiratory Infection (ARI) is a very serious health problem in Indonesia. According to the Basic Health Research (RISKESDAS) the highest ARI diseases were in the provinces of East Nusa Tenggara (41.7%), Papua (31.1%), Aceh (30.0%), West Nusa Tenggara (28.3%), and East Java (28.3%). In Riskesdas 2007, East Nusa Tenggara is also the province with the highest ARI. The time period for the spread of ARI in Indonesia according to Riskesdas in 2013 was 25.0%, not much different from that in 2007 which was 25.5%. People are sometimes reluctant to go to the doctor and tend to ignore this disease. For solutions to these problems, we need a system that can help the community in diagnosing respiratory disorders so that later the community can more easily consult to anticipate a worse impact. One system that can be used to assist diagnosis is an expert system. This system is not to replace the position of an expert, but to promote the knowledge and experience of an expert.

Background: Adequate level knowledge is necessary in providing proper first aid on chronic disease emergency. This community service aimed to improve the level of knowledge on chronic disease emergency management in Tibubeneng Village, North Kuta, Badung-Bali. Method: An-online-ninety-minutes-health education session was delivered to 22 participants using a PowerPoint and video media. Wilcoxon statistical analysis applied to know the mean difference of the knowledge level before and after the health education session. Result: Finding indicated no significant effect of health education of knowledge level improvement on chronic disease emergency management (p=0.78). Recommendation: We suggest conducting routine health education and interactive sessions such as simulation to enhance the knowledge on chronic emergency disease management.        

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.

Parenting socialization activities regarding the importance of intellectual and character education in dealing with the times are to introduce and socialize true parenting education for the community. Thus, socialization participants are expected to be able to practice the material socialized to their children in everyday life, so that a generation with intellectual and character is produced. The socialization was carried out using direct observation, interviews, and socialization methods, by means of: lectures/providing information and training. As a result of these activities, participants gain knowledge related to parenting; and commit to practice it with their own children.

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.

Organizational management applies the right strategy to be able to remain competitive with other competing organizations. The implementation of the strategy is not only about the benefits but also the performance of the organization. Organizational performance is one of the successes in market business competition. Company management implements strategies that can develop organizational performance by developing supporting aspects such as TQM and knowledge management. This research was conducted to determine the formation of organizational performance from TQM and knowledge management. This research was conducted at a company in Sidoarjo which is engaged in the manufacture of animal feed. The respondents obtained were employees from different divisions who were randomly selected except for the security and cleanliness division. In this study used a sample of 120 respondents. The data used will be analyzed using multiple linear regression. After processing the data, the results showed that there was a significant influence given by TQM on organizational performance. Data processing also proves that organizational performance is formed because of the significant influence given by knowledge management. Research also proves that TQM and knowledge management have an effect on the ups and downs of organizational performance together.

Diabetes Mellitus (DM) is a chronic disorder of the body's metabolism due to the hormone insulin in the body which cannot be used effectively in regulating blood sugar balance thereby increasing the concentration of sugar levels in the blood (hyperglycemia). The purpose of this study is to be able to understand diabetes mellitus and practice diabetic foot exercises in order to minimize tissue damage. Health education about diabetes mellitus and diabetic foot exercises can increase the knowledge of Karangjongkeng villagers to try their best to prevent more severe diabetes mellitus, namely tissue damage. Health education to residents can increase the knowledge and skills of diabetic foot exercises in preventing diabetes mellitus.

This article discusses social media content design training organized by the Aisyiyah Regional Leadership (PDA) Lamongan, in collaboration with the Ahmad Dahlan Lamongan Institute of Technology and Business. The main focus of the training is Instagram feed management and effective use of color. The majority of participants are women with an age range of 30-45 years. The training material includes digital marketing and the use of the Canva application. The results of this training show an increase in participants' understanding of the use of Instagram as a digital marketing tool. The high enthusiasm of the participants reflects the success of the digital marketing training organized by PDA Lamongan. By applying the knowledge gained, opportunities to hold similar activities in the future are wide open.

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.

Around 40% there are still children of pre-school age who have not been able to do their developmental tasks according to their age. In addition, in the kindergarten, finger painting activities have never been done on the soft motor development of pre-school children in Tunas Kelapa Kindergarten Group B Tinigi Village, Galang District. This type of quantitative research with a one group pretest posttest approach, a population of 32 people and a sample of 15 people with purposive sampling technique. Data analysis used the Wilcoxon test, with finger painting as an independent variable and fine motor dependent. The results of the pretest study were 8 respondents (53.3%) suspect and the posttest was 13 respondents (86.7%) normal. The results of bivariate analysis obtained p value 0.014 <0.05, there is an effect of finger painting activities on the soft motor development of pre-school children in Tunas Kelapa Kindergarten Group B Tinigi Village, Galang District. It is hoped that this research can be additional knowledge for parents so they can optimize the development of their children.

This research elucidates the impact of globalization on the content and subjects of the Madrasah Ibtidaiyah curriculum, focusing on the challenges and opportunities it presents. The study utilizes a combination of literature review and thematic analysis to explore the influence of globalization on the curriculum and the strategies employed by Madrasah Ibtidaiyah to strike a balance between traditional Islamic teachings and global knowledge and skills. The findings reveal that globalization has influenced the content and subjects taught in the Madrasah Ibtidaiyah curriculum by necessitating the incorporation of global perspectives, emphasizing universal values, and contextualizing global knowledge within an Islamic framework. However, Madrasah Ibtidaiyah faces challenges in adapting its curriculum, including the need to ensure the preservation of Islamic teachings, address cultural sensitivities, and navigate societal expectations. Despite challenges, globalization offers opportunities for Madrasah Ibtidaiyah to enhance its curriculum and prepare students for a globalized world. This includes fostering intercultural communication, promoting global citizenship, encouraging critical thinking, nurturing tolerance and inclusion, and developing cultural sensitivity. The incorporation of global perspectives significantly impacts students' understanding of diversity and multiculturalism by exposing them to different cultures, challenging stereotypes, promoting intercultural communication, and fostering a sense of global citizenship.

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "S" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "S" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients. The care that mothers receive for family planning counseling is to inform the mother about normal vital signs and her current condition, provide health education about family planning effectiveness, side effects, and how to use it and explain to the mother how to space her pregnancies or to space her pregnancies. After midwifery care was provided to Mrs. S, the results of the evaluation showed that the mother was healthier and able to carry out daily activities. Based on the results of the questionnaire from assessing maternal knowledge about childbirth, it was found to be ADEQUATE with 70% results from 20 questions.  

One of the problems faced by mosque youth is organizational and management problems. This is due to their low knowledge or understanding of organization and management. As a result, mosque youth cannot play an active role in participating in the prosperity of the mosque, namely by holding positive activities. This counseling was carried out to provide basic knowledge about organization and management to mosque youth, especially regarding formal organizational structures. This community service is carried out by extension methods, which are accompanied by discussion or question and answer. The counseling was carried out to the teenagers of the Darul Muttaqin Bedog mosque, Donotirto, Kretek, Bantul, Yogyakarta Special Region.

Maos Lor Village, is one of the villages that has considerable agricultural potential and is one of the centers for banana production. However, the added value of banana cultivation in the village is not yet optimal. The selling price of bananas given is still quite low so that it has an impact on the level of economic development of the community which is still low when compared to the potential of the area owned. The objectives of this community service are to: 1) Increase knowledge in processing bananas into banana Dodol through training for community groups in the Maos Lor Village environment and 2) Improve community skills in increasing the added value of the Banana Dodol processed business. The activity was carried out in March-July (4 months) with several activities including socialization, training on making Calcium Dodol and post-production assistance. The results of this activity include the formation of a small business group of Banana Dodol "BAJA MAOS) which so far has been able to produce as much as 52 kg