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Showing 163 articles found for "Liver"

WHEN WEIGHT DETERMINES CHILDBIRTH CHOICES: A DESCRIPTIVE STUDY OF OBESE PREGNANT WOMEN AT REGIONAL HOSPITAL DR. H. ABDUL MOELOEK OF LAMPUNG

Juwita Desri Ayu, Sugiarto
Abstract: Obesity in mothers is a major worldwide health issue that significantly raises the need for obstetric procedures, especially cesarean sections. Numerous difficulties for both mothers and newborns have been linked to elevated… ated pre-pregnancy and gestational body mass indexes (BMI). The purpose of this study is to characterize the distribution of delivery methods among pregnant women who are obese at Dr. H. Abdul Moeloek Regional Hospital in Lampung Province, Indonesia. Total sampling was used to perform a quantitative, descriptive retrospective analysis. 58 pregnant women with a BMI of 30 kg/m² or above who gave birth between 2017 and 2023 were included. SPSS version 27.0 was utilized for data analysis. Findings out of the 58 instances that could be analyzed, 69.0% of obese pregnant women gave delivery via cesarean section, 27.6% gave birth spontaneous vaginally, and 3.4% had a vacuum induction. The majority (31.0%) were between the ages of 35 and 39, and 77.6% were multiparous. The type of delivery was found to be strongly influenced by maternal age, parity, and obesity. Being obese greatly raises the risk of having a cesarean section, especially for older and multiparous women. Reducing needless cesarean rates and improving mother and newborn outcomes may be possible with early treatments such as lifestyle modification education, prenatal counseling, and BMI-based risk assessment.  

WAITING TIME RELATED TO OUTPATIENT SATISFACTION AT GUNUNG MARIA HOSPITAL TOMOHON

Palendeng, Frankly Oktavian, Suparlan, Sri Rejeki Monica, Langingi, Ake Royke Calvin
Abstract: One measure of service success is patient satisfaction; in the world of health, patient satisfaction indicates that the services provided have been delivered properly by health workers. The purpose of this study was to analyze&#8230; nalyze the relationship between waiting time and outpatient satisfaction at Gunung Maria Tomohon Hospital. The method used in this research is quantitative research which is descriptive analytic using a cross-sectional study approach with a sample of 266 respondents (total sampling) with univariate and bivariate analysis. The results showed that based on the results of the chi-square test, a value of p = 0.001 (<α = 0.05) was obtained, indicating that there is a relationship between waiting time and outpatient satisfaction at Gunung Maria Tomohon Hospital. Based on the results of the analysis, it can be concluded that there is a relationship between waiting time and outpatient satisfaction at the Outpatient Polyclinic of Mount Maria Tomohon Hospital. As a suggestion for hospital leaders, especially for outpatient directors at Gunung Maria Tomohon Hospital, it is recommended to set health service standards, particularly for outpatients, to enhance their satisfaction.

DEFAULT IN THE SALE AND PURCHASE AGREEMENT OF A SHOPHOUSE IN NON-CASH AND ITS CONSEQUENCES ON HEIRS

Panji Maulana, Muhammad Insa Ansari, Teuku Saiful
Abstract: In binding the sale and purchase agreement between two parties must be carried out and obeyed in accordance with Article 1338 paragraph (1) of the Civil Code states that an agreement made legally will bind the parties as&#8230; binding as the law and become law for them. The agreed agreement will give birth to obligations that must be carried out by the parties, if not carried out, there will be default due to breach of the agreed agreement. As happened between Baniyamin as the buyer and the late Muhammad Husen as the seller in the binding of the shophouse sale and purchase agreement, there was a default due to the seller not delivering the object of sale and purchase, the buyer had fully paid the price of the shophouse but did not get his rights so that the buyer was disadvantaged in the sale and purchase agreement. The results showed that the buyer made several efforts to obtain his compensation rights for defaults made by the heirs starting from family settlements, giving warning letters twice but there was still no response, and filing a default lawsuit to the Court. The heirs' responsibility for the testator's debt initially planned to pay Rp. 50,000,000. This amount is insufficient from the total loss suffered by the buyer, so that at the time of mediation in the Court the buyer gave the option to the heirs to be able to make payments in stages with a minimum of paying half of the total loss suffered, but the heirs were not able to do so.  

DESCRIPTION OF POSTPARTUM EXERCISE FOR UTERINE INVOLUION IN Mrs. A WITH SPONTANEOUS POSTPARTUM IN SELAKAMBANG

Umu Nurul Azizah, Priyatin Sulistyowati, Wiwik Priyatin
Abstract: Background: Uterine involution is the process by which the uterus returns to its pre-pregnancy condition and weighs around 60 grams. This process begins immediately after the placenta is delivered due to contraction of the&#8230; he smooth muscles of the uterus, measurement of uterine involution and also by expulsion of the lochea. One way to treat uterine involution is through postpartum exercise to accelerate the decrease in the height of the uterine fundus. Objective: To determine the description of postpartum exercise on the speed of uterine involution in postpartum mothers. Method: This research is a type of qualitative research designed as a case study method. Results: After doing postpartum exercise for 7 days with a duration of 10- 15 minutes, the height of the uterine fundus can be reduced by 9 cm from 12 cm on the first day to 3 cm on the 7th day. Conclusion: postpartum exercise can influence the uterine involution process in postpartum mothers, and the speed of uterine involution in postpartum mothers who do exercise is fast

DEVELOPMENT MODEL DA’WAH OF MILLINEAL IN THE YUK NGAJI COMMUNITY

Abqorina, Abqorina, Faisal, Faisal
Abstract: The most non-formal education that has emerged in the midst of society is Islamic educational institutions in the form of Majlis Ta'lim. Majlis Ta'lim or religious community, one of which is the hijrah community, is called&#8230; ed the hijrah movement called YukNgaji. This hijrah movement is a hijrah community which focuses on a group of millinial children who want to change their lives by leaving the bad things that happen by becoming more obedient to Allah SWT. This research uses a qualitative method using a phenomenological approach by exploring the meaning in depth related to the educational curriculum model in the YukNgaji community in Bintaro. The development of millinneal da'wah in the Yuk Ngaji community by utilizing technology and information in delivering da'wah content in the form of da'wah of akidah, fiqh and morals.   Keywords: Non-formal education, Majlis Ta'lim, and YukNgaji Community.

IMPLEMENTASI SISTEM ANTRIAN DIGITAL DI KANTOR KECAMATAN WINONGAN KABUPATEN PASURUAN

Kurniawan, Satunggale, Rusmini, Rusmini, Rahman, Muhammad Afifi
Abstract: This research aims to uncover the problems of Integrated Services (PATENT) in the Winongan District Office, Pasuruan Regency with a MANUAL queuing system. From some information gathered from people queuing, services using&#8230; g a manual queuing system are less effective and efficient. So, to meet the needs of good community service, District Offices need to innovate a DIGITAL queuing system. Integrated Service (PATENT) problems at the Winongan District Office, Pasuruan Regency with a MANUAL queuing system. From some information gathered from people queuing, services using a manual queuing system are less effective and efficient. So, to meet the needs of good community service, District Office Agencies need to innovate a DIGITAL queuing system. Innovation is a shift from traditional management principles, processes and practices or a shift from old organizational forms to modern management. Government services to the community, known as public services, are a very strategic issue because of the interaction between the government and the community. This research uses a qualitative descriptive approach to determine public service innovation. The data used are primary data and secondary data. Data collection techniques were carried out using observation, interviews and documentation. The research results show that public service innovation with a digital queuing system is a conceptual innovation which gives rise to new paradigms, ideas, thinking and breakthroughs. Meanwhile, delivery innovation includes new ways or ways of solving problems, providing services or interacting with clients for the purpose of providing special services to customers.  

Pelatihan Pengenalan Dasar Public Speaking Bagi Siswa Siswi MAS Al Ma’shum Kisaran

Lubis, Iin Almeina, Parini, Parini, Nata, Andri, Siagian, Nurul Masytha
Abstract: Public speaking is the activity of speaking in front of an audience with the aim of delivering information, providing explanations, entertaining, or influencing the listeners. It also involves conveying messages verbally&#8230; in front of an audience, whether in the form of speeches, presentations, lectures, or discussions. Public speaking is a crucial skill in various aspects of life, ranging from education to the professional world. This ability not only helps in academic presentations but also impacts how a person communicates and influences others. At the high school level and equivalent, students begin preparing for the next stage in their education or entering the workforce. Many challenges arise for students when speaking in front of an audience in a formal setting and explaining their presentations. Students face difficulties due to a lack of self-confidence, nervousness, panic, and a lack of mastery over the material they will present. In addition to a lack of self-confidence, other challenges include limited vocabulary, low communication skills, fear of judgment from others, and insufficient preparation. Basic public speaking training at Al Ma'shum High School in Kisaran would be highly beneficial for students to boost their self-confidence, enhance their communication skills, sharpen their critical and logical thinking abilities, and equip them for entering the workforce. The basic public speaking training will involve methods such as self-introduction exercises, role-playing, speech structure practice, impromptu speaking, expression training, intonation and articulation exercises, as well as feedback and evaluation.

Penerapan RT/RW Net Berbasis Mikrotik dengan Memanfaatkan Kabel FO dan Router di Desa Aek Nagali

Ihsan, Mhd, Efendi, Bachtiar, Siddik, Mohd
Abstract: The advancement of information technology has influenced human perspectives and lifestyles, as well as organizational operations. RT/RW Net provides a cost-effective solution for delivering internet network services, especially&#8230; ecially in areas that are difficult to reach by conventional internet networks, such as Dusun VI Persaguan, Desa Aek Nagali. The development of RT/RW Net networks involves underlying factors and methods used for its implementation. This network development employs Mikrotik for network access and bandwidth management, requiring equipment such as FO cables for network transmission, routers as network transmitters, and towers as supports for devices capturing the central network. The stages of developing the RT/RW Net network in Dusun VI Persaguan, Desa Aek Nagali include: determining the network access area from the RT Net server location, identifying the necessary equipment, configuring Mikrotik, and testing the implemented network.

Efektivitas Pelayanan Penerbitan Surat Keterangan Tidak Mampu (SKTM) di Kelurahan Karang Indah Kabupaten Merauke

Reza Amer Dianti, Frederikus Antonius Mana
Abstract: This study aims to analyze the effectiveness of public service delivery in issuing Certificate of Indigency (SKTM) at Karang Indah Village Office, Merauke Regency. The background of this research is based on the increasing&#8230; ng number of SKTM applications each year, which has not been matched by optimal service quality improvements. This study employs a qualitative method with a descriptive approach. Data collection techniques include observation, interviews, and documentation involving 11 informants consisting of village officials and community members. The results show that, in general, the SKTM service at Karang Indah Village Office is relatively effective, particularly in terms of procedures and costs, which are simple, transparent, and free of charge. The service completion time is also relatively fast, often completed within one working day. However, several challenges still affect service effectiveness, such as inconsistencies in procedural implementation, limited facilities and infrastructure, manual administrative systems, and insufficient public awareness regarding the requirements for obtaining SKTM. Additionally, coordination between neighborhood units (RT) and the village office remains suboptimal, potentially causing service delays. This study concludes that the effectiveness of SKTM service delivery in Karang Indah Village needs improvement through digital service innovation, capacity building for administrative staff, and strengthening supervision and public outreach.

Presepsi Masyarakat terhadap Penerapan Prinsip Good Governance di Kampung Gurinda Jaya Kabupaten Merauke

Zahra Soraya, Godefridus Samderubun, Vincenso R Serano
Abstract: This research is motivated by the suboptimal implementation of good governance principles in public services at the village level, which influences public perceptions of the performance of government officials. The purpose&#8230; se of this study is to analyze public perceptions of the implementation of the principles of accountability, transparency, openness, and the rule of law in public services in Gurinda Jaya Village, Merauke Regency, and to identify supporting and inhibiting factors. This study used a qualitative approach with a descriptive approach through observation, in-depth interviews, and documentation of village officials and community service users. The results indicate that the implementation of good governance principles has not been optimal, characterized by discrepancies in service delivery times with established standards, limited public understanding of service information, inconsistent transparency practices, and an unfulfilled sense of justice and legal certainty in public services. The study's conclusion confirms that strengthening apparatus capacity, improving discipline and integrity, and strengthening village government commitment and community participation are important implications for realizing more effective and accountable village governance.