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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.

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.

Chronic Kidney Diseases (CKD) is a disease condition where there is a decrease in kidney function, no longer able to carry out its function of filtering the blood, removing toxins and unable to remove waste products from the blood effectively, characterized by the presence of protein in the urine and a decrease in the glomerular filtration rate. Hemodialysis is a kidney replacement therapy method that is often used to manage CKD. The prevalence of CKD in Indonesia continues to increase every year with some patients undergoing hemodialysis. CKD patients undergoing HD are susceptible to anemia. Anemia in CKD patients can be caused by blood loss during dialysis procedures, and disturbances in iron metabolism. The aim of the study was to analyze changes in hemoglobin levels in CKD patients after undergoing hemodialysis. The research was carried out in a descriptive observational manner through an initial screening stage, an examination stage by measuring hemoglobin levels before and after the hemodialysis session and readings using a Mindray BC-5830. The examination results showed that the hemoglobin levels of CKD patients increased after undergoing HD. Hemoglobin levels in male CKD patients were higher than female patients both before and after undergoing HD. The conclusion of this study is that HD has an effect on increasing hemoglobin levels in CKD patients, both female and male patients.    

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

Rapid technological advances make print communication media begin to be shifted by information media that utilizes computer technology as a means of delivery. Technological developments change the teacher's task from being a teacher to a facilitator who provides convenience in learning. SD Negeri 004 Bangsal Aceh is one of the schools that still applies the mathematics learning process using textbooks so that students do not understand the lesson. Teachers are required to make changes in teaching patterns in the classroom, one of which is with animated videos. This study uses the Multimedia Development Life Cycle (MDLC) method covering concept, design, collecting material, assembly, testing and distribution. The final result of this research is an animated video of mathematics learning about the material of flat shapes. Animated videos are used as an interesting and effective means of information and learning media. Besides that, it can also improve students' understanding and skills in learning mathematics, especially the material of flat shapes

Pancasila is taken from the noble values that exist and are well-grown in the life of Indonesian society. It shows that the position of Pancasila itself is the source of all sources of law. This research aims to find out the effect of Pancasila values on the attitudes of the younger generations attitude in this era. Whether the changing period can cause the understanding of Pancasila values has changed during the current development, and it affecting the millennial lifestyle and attitude. This study uses a literature review method by collecting and analyzing articles related to the effect of understanding the values of Pancasila on the millennial generation. The article criteria that will be used are articles published in the year 2019-2021. Based on the article that has been collected, it is found that a person’s understanding of the values of Pancasila dramatically affects the way a person behaves. The more a person understands the values contained in Pancasila, the attitudes and lifestyle shown reflect the good Indonesian culture as taught by ancestors and religion. On the other hand, if the understanding is lacking, someone will tend to be more open to habits from foreign cultures that do not match our ancestors’ teachings.

Online shopping is the process of purchasing goods / services by consumers to realtime sellers, without services, and through the internet. The development of online business in Indonesia is now very rapid, one of them by shopping online. Online stores or we often call e-commerce is a form of change that is presented by the internet in terms of innovation in shopping by providing various facilities in the transaction process. The aim of the writer is to determine the best e-commerce, therefore the author uses the SAW (Simple Additive Weighting) method because the method is able to make a more precise assessment because it is based on the value of criteria and preference weights that have been determined, besides that the SAW method also can select the best alternative from a number of alternatives because there is a ranking process after determining the weights for each attribute.

This study used a classroom action research design which was carried out in three stages, namely the pre-cycle stage, cycle I, and cycle II with the research subjects being grade III students at SDN Kaliwungu 1. This study used two variables, namely intensive reading skills and intensive reading learning using the KWL strategy. . Pre-cycle data collection was done by using the test technique, while in the first cycle and the second cycle using the test and non-test technique. Non-test instruments in the form of observations, journals, interviews, and documentation. Data analysis includes quantitative and qualitative data. The results showed that after participating in intensive reading learning using the KWL strategy, the average value of intensive reading skills of third grade students at SDN Kaliwungu 1 increased. The average value of intensive reading using the KWL strategy achieved by students in the pre-cycle was 56 and in the first cycle it increased to 65 or 9% then in the second cycle it increased to 76 or 11%. Changes in attitudes and behavior of third grade students at SDN Kaliwungu 1 Kaliwungu District, Semarang Regency have increased towards a better direction, namely students are more active and enthusiastic in learning, because students are starting to enjoy and enjoy intensive reading learning using the KWL strategy.

This research was carried out by comparing the DS18B20 sensor and the MLX 90614 sensor to detect the accuracy of detecting human body temperature which is used to detect Covid 19 symptoms. In this experiment, 10 trials were carried out with different human segments detected using the sensor. In the experiment, it was found that the MLX90614 sensor is more suitable to be used for development with an IoT-based system because it does not need to come into contact with the skin of the human body. The MLX90614 sensor will detect the temperature and change it to one Celsius unit then send it to the firebase database which will then be picked up by the android application which is held by the security officer so that the temperature can be known remotely. When the temperature is more than 38.5 Celsius it will turn on the buzzer sound which can be heard from a distance which indicates the temperature is above 38.5 Celsius and on android will also display a danger sign

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

Background: Obesity is a pathological condition due to excessive fat accumulation than is needed for body function. Pregnant women with overweight and obesity are at high risk and have been shown to be associated with increased complications in pregnancy. Cesarean section is a surgery to deliver a fetus by opening the abdominal wall and uterine wall. Generally, in cesarean section, spinal anesthesia is performed. Objective: to determine the hemodynamic picture of obese caesarean section patients with spinal anesthesia. Method: The method used is observational analytic with a cross-sectional approach and consecutive sampling technique. Data analysis uses parametric statistics. The data in this study are the results of differences in obese and non-obese patients. Data collection techniques in this study include documentation and observation. Results: The pre-anesthesia results obtained an average systolic blood pressure = 138.31 ± 17.528, an average diastolic blood pressure = 82.54 ± 10.643 and an average pulse of 100.69 ± 15.315, while the results after 5 minutes obtained an average systolic blood pressure of 105.31 ± 12.572, an average diastolic blood pressure of 61.15 ± 11.753 and an average pulse of 99.54 ± 18.963. Conclusion: Changes in blood pressure and pulse before spinal anesthesia with after spinal anesthesia in obese patients undergoing cesarean section showed a decrease in blood pressure and pulse in the 5th minute after injection.

Runway or runway is an area used by aircraft to take off. The length of the runway depends on the size of the aircraft served. Runway has a pavement structure that can withstand the weight of an aircraft when it wants to fly. This study discusses the damage to the surface structure of the Threshold 07 and Threshold 25 runways at the Sultan Aji Muhammad Sulaiman (SAMS) runway in Sepinggan Balikpapan. Damage to the pavement surface often results from significant heat temperatures from the aircraft when taking off. Visual observations show that there are problems with the Threshold 07 and Threshold 25 pavement surfaces, the damage that occurs is the change in the surface shape of some segments, where the surface deformation eleves are up to 40 mm. Test results from Coredrill samples show that there are internal problems in the asphalt mixture, namely high asphalt content and low density value. By looking at the conditions above, there are problems caused by external and internal factors of the existing pavement, especially the surface conditions namely Threshold which is a location where the load is in MTOW conditions and the aircraft is moving slowly as well as high temperatures (environment and pavement)

This research was conducted to see whether there was an abnormal return before and after the Jakarta PSBB announcement. The sample was selected using a purposive sampling technique from 30 stocks that are members of the Jakarta Islamic Index (JII) in the 2020 period. The data in this study used secondary data, opening, and closing prices, and Composite Stock Price Index (IHSG). This research is an event study using an event study with an observation period of eight days, four days before the announcement and after the day after the announcement of the Jakarta PSBB. Hypothesis testing uses the Wilcoxon signed ranking test. Based on the research results, there was no change in abnormal return before and after the announcement of the Jakarta PSBB announcement

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

Inheritance by testament (ad testamento) is a deed that contains a person's statement about what he or she wants for wealth after he dies. The testament or will that is made must be in the form of a deed and notarial deed. This means that making a will requires the name of a public official to ratify the will. If it is not made before a notary, then the testator who wrote his own will can submit the will to the notary after it has been signed. As long as the testator has not died, the will can be changed or revoked by him. In contrast to an agreement that requires the agreement of the parties involved, a will is one-sided which means a statement of the will of the heir, or does not require the approval of the heirs. To protect the rights of the heirs, the heir cannot ignore the absolute rights of the heirs themselves when the inheritance is divided by a testament that exceeds the absolute rights of the heirs (in the event that there are legal heirs)

Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case study approach. Subjects in this study were appendicitis patients who would undergo surgery with sub-arachonoid block regional anesthesia, willing to be respondents aged 20-40 years, still cooperative, level of anxiety from mild 14 - 20 to moderate 21-27, like religious music, Muslim. Analysis of anxiety level was carried out descriptively and measured based on anxiety scale without rating scale for anxiety. The results of the analysis showed that there was a decrease in the level of anxiety after the intervention. In subject I moderate anxiety (score 25) became low anxiety (score 15) and low subject II anxiety (score 15) became no anxiety (score 9). In conclusion, this study recommends nurses can apply religious music therapy "Demi Masa" to reduce the patient's anxiety level preoperatively.

This study aims to explore the extent to which PP 71 of 2010 has been implemented in the accounting process at the BLUD of Tugurejo Hospital, Semarang. Associated with a change in the government accounting system from a cash basis to an accrual basis in accordance with PP 71 of 2010. The research method used is a qualitative descriptive method with the triagulai method using 2 triagulation techniques which combine data from various sources, techniques and time so that data is obtained in the form of interviews with the head of the accounting department and sub-section, as well as obtaining the financial report documents of the 2020 Tugurejo Hospital Semarang. The results of this study show that Tugurejo Semarang Hospital has implemented the Accrual Basis SAP well, which can be seen from the results of interviews such as implementation readiness, training and learning, facilities, staff understanding and education and internal control. It is hoped that even though the Accrual Base SAP has been running well, the management of the Tugurejo Semarang Hospital and the Srmarang City Government can immediately digitize applications that are still manual, especially in reporting fixed assets

The impact of Covid 19 occurs in all aspects of life, even 80% of the impact occurs in the non-health sector. Therefore, the management of Covid 19 needs to involve all elements of society, including the campus community. The campus community is expected to actively take social action and be at the forefront of carrying out social change, including responding to disasters. Higher education is responsible for teaching awareness of various social problems to its campus community. Efforts made by the campus in carrying out prevention started from policy development, development of supporting instruments for the Covid 19 alert campus, mobilizing Covid 19 volunteers to the formation of the Covid task force team.  

The Indonesian Ministry of Health has issued a Minister of Health Decree on Guidelines for the Prevention and Control of Covid-19 in Office and Industrial Workplaces in Support of Business Continuity in Pandemic Situations. The Minister of Manpower issues a Circular which states for companies that limit their business activities due to the policies of their respective local governments in preventing and overcoming COVID-19, causing some or all workers not to come to work, taking into account business continuity, changes in the amount and method of payment wages are made in accordance with the agreement between the employer and the worker. The purpose of this study was to analyze the effect of work-life balance on work engagement through job satisfaction as an intervening variable. Sampling in this study using the Slovin formula amounted to 100 respondents using simple random sampling technique. Data analysis using simple linear regression model, multiple and single test. The results of hypothesis testing work life balance statistically have a positive and significant effect on job satisfaction, job satisfaction is statistically positive and significant impact on work engagement, work life balance has an effect on work engagement through job satisfaction as an intervening variable.

This study aims to determine the effect of pentagon fraud on fraudulent financial reporting. Pentagon fraud is proxied by five variables, namely the pressure factor which is proxied by external pressure, the opportunity factor is proxied by the ineffective monitoring, the rationalization factor is proxied by the audit opinion, the competence factor is proxied by the change of directors and the arrogance factor is proxied by the dualism of positions which are hypothesized to affect the fraudulent financial reporting. Population in this study were property and real estate companies listed on the Indonesia Stock Exchange for the period 2016-2019. There are 36 company data with the number of observations for 4 years (2016-2019) as many as 144 research samples obtained by purposive sampling method. Methods of data analysis using the SPSS 26 program. Results of this study indicate that external pressures have a negative and significant effect on fraudulent financial reporting. Meanwhile, ineffective monitoring, audit opinion, change of directors and dualism of positions did not have a significant effect on fraudulent financial reporting.