The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

Hypertension is an increses of blood pressure which  the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. SEFT therapy includes mind-body relaxation techniques that combine the body's energy system (energy medicine) and spiritual therapy with the tapping method at certain points on the body along the 12 energy pathways (energy meridians) of the body. The purpose of the case study was to describe the effect of SEFT therapy on the reduction of blood pressure in hypertension patients at Ungaran Regional General Hospital. The case study method used is a descriptive case study. The case study subjects were used as many as two people and had blood pressure above the normal limit. The data are obtained by observing and measured using a sphygmomanometer before and after therapy. The results of the case study show that the blood pressure of subject I decreases from 140/100 mmHg to 130/90 mmHg, while the blood pressure of subject II decreases from 150/110 mmHg to 140/100 mmHg. The conclusion of the case study is that the application of SEFT therapy is effective for reducing the blood pressure in patients with hypertension. For the development of nursing science and technology we suggest that to be able to apply SEFT therapy together with medical therapy in hospitals.

Hypertension is an increase in blood pressure above 140/90 mmHg. One of the causes of hypertension that is difficult to control is stress which can worsen the client's condition so that it is needed to handle through stress management. Zikir relaxation therapy is one of the relaxation therapies with an elemental approach to spirituality that is useful for reducing stress. The purpose of this case study is to illustrate the application of Zikir Relaxation Therapy to stress on clients with essential hypertension in the area assisted by the Rowosari Health Center Semarang. This type of research is descriptive using the case study approach method. The subjects used were two respondents with the criteria of clients with essential hypertension, level I-II hypertension, and moderate stress levels. The form of intervention is the application of Zikir relaxation therapy 4 times in 2 weeks (twice a week). The analysis is used to determine the stress level using the DSS (Distress Symptom Scale) measuring instrument. The results showed a decrease in stress levels before and after the administration of Zikir therapy from moderate stress to mild stress for subject I with a decrease of 36 scores and from moderate stress to normal for subject II with a decrease in 40 scores. The average reduction in stress levels of the two subjects after Zikir relaxation from an average score of 63 to 38. From the results of these studies, the provision of zikir therapy can be used as an intervention to reduce stress levels in clients with essential hypertension.

Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I  from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.

Elderly is an end stage in the span of human life. Age that is not young makes the elderly vulnerable to degenerative diseases such as insomnia. Insomnia is a condition where a person has difficulty sleeping, especially sleeping at night. Foot soak therapy is a therapy using warm water which aims to overcome insomnia. The purpose of this case study is to describe the application of foot bath therapy with warm water to insomnia in the elderly. This type of research belongs to descriptive using the case study approach method. The subjects used were two respondents with criteria for elderly who were over 60 years old and experienced mild, moderate and severe insomnia. The form of intervention was the application of foot soak therapy with warm water for 2 days. The measuring instrument used was an insomnia rating scale questionnaire. The results of the case study showed that there was a decrease in the score of insomnia after doing foot bath therapy with warm water, proven in subject I from a score of 28 (weight) to a score of 25 (mild) and in subject II from a score of 26 (mild) to a score of 24 (mild).

Latihan beban merupakan aktivitas latihan baik menggunakan beban dalam maupun beban dalam dengan membuat variasi gerakan berlatih yang memiliki tujuan dalam meningkatkan kebugaran jasamani sesorang. Kebugaran kondisi yang wajib dimiliki oleh setiap atlet untuk menunjang performa dalam mempertahankan kondisi tubuh, proses latihan dan meraih prestasi. Belum adanya pendampingan dan penerapan latihan beban dengan pendekatan sport science. Terjadinya fenomena ini sehingga tim pengabdian masyarakat dari prodi Ilmu Keolahrgaan akan memberikan pendampingan penerapan latihan beban dalam pemeliharaan kebugaran jasmani atlet.
 
 

Hand washing is carried out before and after carrying out nursing actions even though wearing gloves and other personal protective equipment. This action is to reduce the microorganisms on the hands so that the spread of infection can be reduced. when washing hands, is when hands are dirty, when arriving and before leaving the hospital, before and after performing the procedure, contact with patients, the patient's environment, before and after preparing food, and after going to the bathroom. Hand washing indicators are used and must be done to anticipate the transfer of germs through the hands. hand sanitizer that functions as an antiseptic, hand lotion, and under yellow plastic for contaminated or infected waste), dryers such as tissues, hand towels, gloves (gloves), liquid soap or liquid wastefel there are footwear from towel

<p class="BasicParagraph">Pembangunan gedung bertingkat yang tidak simetris atau tidak beraturan harus dirancang menahan beban lateral seperti beban angin dan gempa. Selain itu, bentuk bangunan yang tidak simetris mengakibatkan distribusi massa yang tidak seragam. Pengaruh penempatan dinding geser dan berapa efektif penggunaan dinding geser pada gedung bertingkat tidak beraturan tehadap gaya lateral gempa.</p><p class="BasicParagraph">Tujuan dari penelitian ini adalah untuk membandingkan simpangan horisontal yang terjadi akibat beban gempa pada gedung yang tidak beraturan dengan variasi letak dinding geser. Penelitian membandingkan tiga model struktur yang letak dinding gesernya berbeda. Model 1 adalah struktur yang didesain tanpa dinding geser, model 2 menggunakan dinding geser di tepi, model 3 Menggunakan dinding geser  di lift. Denah bangunan memiliki denah struktur yang tidak simetris. Hal tersebut menyebabkan simpangan horisontal yang terjadi memiliki nilai yang berbeda untuk setiap arah gempa yang terjadi, yaitu gempa arah X dan gempa arah Y.</p><p class="BasicParagraph">Berdasarkan hasil analisa pemodelan dengan variasi tata letak dinding geser atau shear wall, dapat ditarik kesimpulan bahwa dinding geser memberikan kontribusi besar terhadap struktur bangunan bertingkat dalam menahan gaya lateral seperti beban gempa dan letak dinding geser pada bangunan bertingkat berpengaruh dalam hal nilai simpangan horisontal.<strong></strong></p>

<p><em>Beton merupakan bagian konstruksi yang sangat penting, konstruksi yang mememiliki kekuatan maksimal dengan berat yang ringan perlu di kembangkan. Tujuan</em><em> dari kegiatan </em><em>penelitian </em><em>ini</em><em> untuk mengetahui </em><em>seberapa besar </em><em>pengaruh penambahan abu arang terhadap berat beton dan kuat tekan beton. </em><em>K</em><em>omposisi campuran semen yang akan digantikan dengan abu arang sebesar </em><em>nol</em><em>%, </em><em>lima </em><em>% dan </em><em>sepuluh</em><em>% dengan</em><em> </em><em>berat beton dan  kuat tekan beton yang diharapkan memiliki mutu fc=20Mpa. </em><em>M</em><em>etode penelitian </em><em>yang di</em><em>gunakan</em><em> yaitu</em><em> metode eksperimen untuk pengambilan sampel data. Terdapat masing – masing 30 (tigapuluh) benda uji di setiap persentase penambahan abu arang. Hasil </em><em>uji </em><em>kuat tekan beton dengan </em><em>rentang </em><em>usia beton 7 hari, 21 hari dan 28 hari dalam kondisi normal tanpa campuran sebesar  20 Mpa. Kuat tekan beton yang dicampur abu arang sebanyak 5 % sebesar 21 Mpa. Pada beton campuran abu arang 10% sebesar 17 Mpa.  Kesimpulan komposisi penambahan agregat abu arang 5% bisa mengurangi berat beton sebesar 3,6% dengan nilai kuat tekan yang memenuhi.</em></p>

<p>Dalam kegiatan pembangunan proyek Insfrastruktur Perdesaan terdapat dua kelompok besar resiko yaitu Resiko internal, dimana resiko ini ada pada Tim Pelaksana Kegiatan (TPK) / LPMD, Pendamping Lokal Desa dan Pendamping Desa. Dan yang kedua Resiko eksternal, yaitu ada pada kendali Kepala Desa dan Perangkat Desa dan Team dari Pemerintah Kabupaten yang tidak terlibat langsung dalam kegiatan pembangunan.</p><p>Penelitian ini diawali dengan pembagian kuisener pertama yaitu mencari nilai probabilitas faktor resiko yang terjadi, sedangkan identifikasi resiko di ambil dari kuisioner utama kemudian didapat besar risiko, kemudian tahap pengukuran risiko dipetakan dengan diagram <strong><em>treshold of risk levels </em></strong>untuk mengetahui posisi risiko yang terjadi dan sebagai dasar dalam penyusunan pengelolaan risiko. Dan didapat nilai risiko terbesar 25, terkecil 1 dan rata-rata 6 dan dari observasi, dari hasil wawancara lapangan didapat bahwa risiko belum dikolola secara maksimal oleh tim pelaksana kegiatan ataupun pemerintah desa/pengelola, sedangkan dari Pemkab manajemen risiko pengelolaannya masih terbatas pada penyerapan anggaran untuk mengurangi silpa, jadi secara khusus selain dari penyerapan anggaran ADD, DD dan DHB masih belum tampak pengelolaannya.</p><p>Model Manajemen Resiko pada penelitian ini diselesaikan dengan sistem dinamik menggunakan sofware Vensim didapat sistem pembangunan berkelanjutan sangat mempengaruhi hasil identifikasi resiko dengan semakin banyak faktor keberanjutan semakin menurun tingkat risiko dan perbaikan pada tingkat Manajemen, SDM, Material dan Peralatan, akan mempengaruhi tingkat Resiko, sebagaimana ditunjukkan dalam grafik sebelum berubahan skenario SFD dan setelah diadakan berubahan skenario SFD.</p>