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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.

Reading and writing is the first commandment that was revealed by God to humans, It is an encouragement to mankind to read meaningful books and books of life about successful characters both in the Bible and who are currently the owners of Science (written on natural events) through reading here's gonna be know. Living in an oral culture from year to year, unable to manage a reading and writing culture. It should be realized that making a personal library at home. Has the house held many books of knowledge for children? Children who are students and students, because books are knowledge that must be added to in order to get clear water of knowledge. The tradition of reading which has now been widely practiced in the world of formal education should also be cultivated wherever and whenever. Make books a good friend, at church at school or wherever we are. every month the money is set aside to buy books to save for children, so that children do not bother when children study at school, smart children answer questions from teachers at school can excel through reading, reading and writing.

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.

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.

Along with the development of technology, almost all activities that require knowledge of information systems, including health services. Health services to support the process of technological advancement, namely medical records. To support these technological advances, electronic medical records are needed. In the electronic medical record, a technique and method is needed to maintain the security of the system in the electronic medical record. This research was conducted by literature study method. Eleven articles were found that matched the inclusion and exclusion criteria. The selection was taken with the PICOS framework, then the articles were analyzed one by one. There are several techniques and methods that can protect the privacy system in electronic medical records, namely the mIBE, AES, DES, RC4, and RSA methods. As well as techniques such as Cryptography, Firewall, Cloud Computing, Client-Server, and Access Control. The results of the literature review show that the safest technique to use is the cryptographic technique, because the technique is standardized, can be used without limits and the cost is low. And the safest method used for electronic medical records is mIBE-AES because this technique has been proven safe and fast for storing medical record documents.

At the Wanayasa I Health Center UPTD, it was found that the medical record folder was torn so that the identity of the patient's medical record number could not be read and the officers often turned the folder over to view the contents of the medical record. Another factor is the lack of knowledge of medical record officers because their educational background is not a medical record graduate and has never attended training related to medical record management. The purpose of the study was to describe the implementation of the medical record maintenance system at the Wanayasa I Public Health Center UPTD. The type of research used was a qualitative descriptive study with a cross sectional approach. The results of the research on physical document maintenance systems for space management, do not use air conditioning, storage, use 2 wooden document racks, but should be replaced with filing cabinets or roll o'packs. Preventive materials, by carrying out activities to put camphor. There is no specific prohibition regarding the medical record maintenance system. Extrinsic factors are not in accordance with the theory. The document maintenance system for preventing document damage includes mountainous air with a temperature range of 18°-23°C which is quite good for preventing document damage. For fumigation, archival restoration and microfilm are not currently carried out but preventive measures should be taken

The medical record file contains the value of confidentiality that must be maintained because the medical record contains the patient's medical history from the beginning to the end of the patient's treatment. Objecyive To maintain the security and confidentiality aspects of medical record documents in the hospital filing room. Methods Descriptive research with a qualitative research design, and using a literature study. Result this research Aspects of security and confidentiality of medical record documents in the hospital filing room are from the elements of Man, Money, Material, Machine, namely, the use of finger print in the filing room is still not optimal. Overview of the Security and Confidentiality of Medical Record Documents in the Hospital Filling Room is caused by the SOP for the lack of knowledge of the medical record officer, the storage room does not meet the standards, the DRM storage area does not use metal shelves.

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: 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.

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: 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.        

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.

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.

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.

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.

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.