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The patient safety system is a top priority that must be implemented by the hospital, this is very closely related to both the image of the hospital and patient safety. The current Covid-19 pandemic situation requires serious attention from the health service, in order to avoid transmission of respiratory diseases and other nosocomial infections, so that patient safety is a priority. The aim of this research is to determine the implementation of patient safety management carried out at Adventist Hospital. This study used a quantitative descriptive design, using a survey questionnaire from the Hospital Survey on the Hospital Survey of Patient Safety Culture (HSOPSC) from Healthcare Research and Quality (AHRQ). Which was carried out from November to December 2021, using the Cluster Random Sampling technique. This study gave positive results on aspects of the dimensions of hospital management support for patient safety in patient safety culture question items such as Hospital management actions showing that patient safety is a top priority, with a percentage of 81.7%, the lowest positive aspect is the patient safety aspect. dimensions of training and organizational learning on the question item: in contact with our colleagues, we improve our safety practices, with 0.8 % of respondents. Patient safety is currently an aspect that is of concern to almost every service provider, especially hospitals, with more and more hospital management conducting patient safety measurement processes using the HSOPSC survey, the patient safety aspect will increase.

This study examines the literature to prove the relevance of the Competence of state apparatus to the effectiveness of government financial reporting accounting activities in the regions. Many findings have been reported on the importance of local regulatory Competence in government financial projects. However, only some have examined the relevance of apparatus competence to local government financial reporting activities. Carefully studied under a phenomenological approach involving data coding, ordering evaluation, data interpretation, and conclusion, the point of which is to answer the problem validly and reliably in the effectiveness of accounting activities in local government financial reporting. In other words, when state officials have high Competence, it will be easier to report regional government finances. This friend will provide a new vehicle and enlightenment to support similar studies in an academic context and industrial practice.

The increasing digitalization of educational systems has raised significant concerns about the security, privacy, and integrity of student data. Traditional centralized data management systems are vulnerable to cyberattacks, data manipulation, and breaches, which necessitate more secure and privacypreserving solutions. This study aims to explore the integration of blockchain and federated learning as a combined approach to secure educational data management. A systematic literature review methodology was employed to examine relevant studies on the application of blockchain and federated learning in education. The review identified key themes such as blockchain’s potential to provide transparency, immutability, and security, while federated learning enables privacy-preserving data analysis without sharing sensitive information. The findings suggest that the integration of these technologies offers a promising solution to the challenges of managing educational data, enhancing both security and privacy. This study contributes to the academic literature by presenting a conceptual framework that combines blockchain and federated learning for secure and efficient educational data management. The implications of this work extend to policy and practice, particularly in ensuring regulatory compliance and data protection in educational institutions, and offer valuable insights for future research on the scalability and practical implementation of these technologies in real-world educational settings.

Rumah sakit wajib memenuhi hak pasien memperoleh keamanan dan keselamatan selama dalam perawatan di rumah sakit untuk menghindari Near Miss(Kejadian nyaris cedera/KNC) dan Adversert Event(Kejadian tidak di harapkan/KTD). Masih tingginya kejadian dari insiden keselamatan pasien di rumah sakit ini menjadi perhatian, dikarenakan dapat mencederai pasien hingga dapat menyebabkan kematian pada pasien. Tujuan Penelitian ini adalah ingin mengetahui upaya-upaya yang dapat meningkatkan dari keselamatan pasien. Studi ini dilakukan dengan literature review. sepuluh literatur diidentifikasi dari empat database yaitu: Google Scholar, Garuda, Pubmed dan Science Directdalam rentang tahun 2016-2021. Desain penelitian yang ditelaah adalah Crossectional, case control, dan Quasi Exprementaldengan populasi perawat yang bekerja dirumah sakit. Dari hasil analisi didapatkan sepuluh artikel yang memenuhi kriteria inklusi pada penelitian ini. Semua artikel dianalisis menggunakan instrumen JBI’s Critical Appraisaldan memenuhi kriteria. Hasil reviewdari Sepuluh artikel penelitian ini adanya terdapat beberapa upaya yang dapat dilaksanakan oleh perawat dan rumah sakit untuk meingkatkan dari keselamatan pasien. Dari ke 10 artikel yang dianalisi didapatkan upaya yang dapat meningkatkan dari keselamatan pasien yaitu seperti peningkatan supervisi klinis, menggunakan metode SBAR saat handover, peningkatan motivasi internal, peningkatan pemahaman obat hight alert, pelatihan sasaran keselamatan pasien, dan pelaksanaan asesmen risiko jatuh.Kata-Kata Kunci:Upaya Keselamatan Pasien, Rumah Sakit

Objective To find out how important discharge planning program influence of satisfaction and independency stroke patients due to hypertension. Discharge planning is important for continuity of care and treatment during the patient hospitalized and after going home. Method This study Quasi-experimental method was used, pre and post-test for control group and intervention group with 160 respondent, 33 respondent pre and post 33 respondent for control group, and 33 respondent pre and 37 respondent post for intervention group, then 24 respondent observed start from hospitalized until discharge from hospital for patient independency. Results The result of the study show that the satisfaction compares between control group meaningless significant, but satisfaction compare pre and post-test between intervention group very strong significant, but while comparing between control and intervention group, it does not significant. Meanwhile, patient independency strong significant while discharge planning programs applied. Conclusions It is concluded that discharge planning is necessary to be implemented for stroke patient and used by the healthcare team to perform the care and treatment.

Object recognition with visual computer techniques is a process necessary to detect different objects in a three-dimensional image to get precise results. Color extraction process Red Green Blue (RGB), Red, Green, Blue (HSV) and other color spaces can produce high accuracy and minimize the number of parameters to speed the computing process. In this study the diagnosis of pneumonia was based on a CT scan of the lungs in the color image segmentation process. The removal of color features is done by using the HSV color segmentation method to classify the pneumonia in CT scans, which makes it possible to detect an image segmenting object as a blob. The color sample generates a value that is the reference point for the filter range during the segmentation process, based on the test results. In this process, it is clear how many objects are found as a color-based pneumonia diagnosis by changing the HSV and RGB thresholds.

Physical activity is related to uric acid levels in the blood, and an increase in body mass index (BMI) is associated with an increase in uric acid levels due to increased triglyceride synthesis in the liver associated with increased purine synthesis by new routes, thereby accelerating uric acid production. The results of Riskesdas in 2018 showed the number of joint diseases from the weighted average results in Ogan Komering Ulu Regency was 1,040. This study aims to determine whether there is a relationship between BMI, physical activity, and uric acid levels in the community in Sukaraya Village, East Baturaja District, Ogan Komering Ulu Regency in 2023. This study used an accidental sampling method with a cross-sectional approach and involved 67 respondents with criteria aged between 26 and 45 years, living in Sukaraya Village, being able to read and communicate well, and being willing to be respondents, while the exclusion criteria in this study were not willing to be respondents and could not communicate, and willing to be a respondent, while the exclusion criteria in this study are not willing to be a respondent and cannot be communicated with.  The instruments used were the International Physical Activity Quitioner (IPAQ) questionnaire to measure physical activity, scales to measure body weight and height, and uric acid sticks and digital devices (easytouch) to measure uric acid levels. Data were processed using SPSS and chi-square analysis to determine the relationship between the independent variable and the dependent variable. The results of chi-square data analysis showed a relationship between physical activity and uric acid levels (p-value 0.005) and a relationship between BMI and uric acid levels (p-value 0.000). Physical activity and BMI index correlate with uric acid levels in residents in Sukaraya Village, East Baturaja District, Ogan Komering Ulu Regency. It is necessary to increase knowledge about joint health for the community by providing counseling on joint health and also holding activities such as gymnastics so that physical activity and body mass index can be controlled so as to reduce the risk of high uric acid levels.

Kebutuhan dasar manusia adalah unsur-unsur yang dibutuhkan manusia dalam mempertahankan keseimbangan fisiologis maupun psikologis, yang bertujuan untuk mempertahankan kehidupan maupun Kesehatan. Kondisi sakit tertentu dapat menghambat proses oksigenasi dalam tubuh, Kondisi tersebut antara lain gangguan pada sistem pernapasan dan kardiovaskuler Salah satu penyakit yang terjadi pada paruparu adalah efusi pleura. Dalam penanganan efusi pleura, terapi farmakologi saja tidak cukup untuk meredakan sesak pada beberapa pasien Salah satu terapi non farmakologi yang dikembangkan sekarang adalah breathing exercise dalam upaya menangani keluhan sesak napas pada pasien. Tujuan penelitian ini adalah untuk mengetahui gambaran Analisa Asuhan Keperawatan pada Klien Efusi Pleura dengan Gangguan Pemenuhan Kebutuhan Dasar Oksigenasi Menggunakan Intervensi Breathing Exercise Di RSUP Dr.Wahidin Sudirohusodo Makassar. Metode peneltiian yang digunakan adalah studi kasus dengan tehnik pengumpulan data melalui pemeriksaan fisik,wawancara dan observasi.Hasil : beberapa masalah keperawatan dapat teratasi, dan terdapat perubahan setelah pemberian intervensi keperawatan dilakukan Kesimpulan : pemberian intervensi breathing Exercise dapat membantu sesak napas klien dan mengoptimalkan kerja otot pernapasan, beberapa masalah keperawatan yang dirumuskan dapat teratasi Ketwords : breathing exercise, pemenuhan kebutuhan oksigenasi, efusi pleura

Background: Knowledge about wound care in families and patients with diabetes mellitus foot wounds needs to be increased so that families can assist in the optimal wound healing process and patients can understand more about wound care. The need for education with booklets and audiovisual media for families of diabetes mellitus patients is to increase the effectiveness of family understanding in detecting signs of diabetes mellitus foot problems and appropriate treatment. The purpose of the case study is to illustrate the application of education using booklets and audiovisual media to increase family knowledge about the treatment of diabetic foot wounds in the Sekaran Health Center target area. This research method uses a case study with a descriptive approach. The results of the study regarding family knowledge about the treatment of diabetes mellitus foot wounds were obtained in subject I before receiving education a good level of knowledge with a score of 24, after receiving education a good level of knowledge with a score of 28, subject II before receiving education a moderate level of knowledge with a score of 19, after receiving education level of knowledge is good with a score of 26. Conclusion: health education is very important to increase family knowledge about the treatment of foot wounds with diabetes mellitus, carried out at the Sekaran Health Center.

Aging is a natural process followed by physical and behavioural changes. All individuals will experience the process of growing old and old age is the final stage of human life, where there is a gradual physical, mental and social decline. Actual deterioration occurs in the elderly will reduce muscle mass and flexibility, so it can affect the capacity of the elderly to meet their needs. The lack of elderly activities carried out independently in daily activities, elderly people aged 85 years and over have difficulty in managing daily activities, and deterioration of cognitive function. Objective: To determine the Effectiveness of Cognitive Function and Activity of Daily Living (ADL) on Elderly Independence at Panti Sosial Harapan Kita Palembang. Methods: This study used parametric statistics to determine the relationship between cognitive function and Activity Of Daily Living on independence with a sample of 36 respondents taken by total sampling technique. Results: The results of the statistical test obtained a p value of 0.766 means that there is no significant relationship between cognitive function and independence. As for the relationship between Activity of daily living and the independence of the elderly, the p value is 0.039, meaning that there is a significant relationship between Activity of Daily Living and independence. Conclusion: There is no significant relationship between cognitive function and independence and there is a significant relationship between Activity of Daily Living and the independence of the elderly at Harapan Kita Palembang social centre. Keywords: Cognitive Function, Activity of Daily Living, Independence

In the beginning year of 2020, the World Health Organization (WHO) declared the coronavirus outbreak as a Global Public Health Emergency. Coronavirus is continuing its spread across the world. The virus is surging in many regions and countries that had apparent success in suppressing initial outbreaks are also seeing infections rise. The COVID-19 pandemic has led to a dramatic loss of human life worldwide and presents an unprecedented challenge to public health, food systems and the world of work. The impact of the COVID-19 pandemic was now beginning to spread to the world of education. The policies taken by many countries including Indonesia by dismissing all educational activities and related institutions must present alternative educational processes for students and students who cannot carry out the educational process in educational institutions. This community project was aimed to increase the knowledge of COVID-19 and to promote the health status of college students in Surya Nusantara Nursing School, School of Business, School of Theology and academy students as well. These schools are situated in the area of Pondok Sayur, city of Pematangsiantar. It is expected that those who completed the health promotion seminar would be able to conduct effective prevention and control activities for COVID-19 as per the guidelines in primary health centers across the country. The main aim of this community project was to encourage behaviour change among the people that will help them adapt helpful behaviours in the long fight against COVID-19.Keywords: Covid-19, Health Promotion, Interactive Education, Students

Pendahuluan. Menurut data World Health Organization (WHO) TBC berada di urutan kedua untuk penyakit infeksius yang paling banyak menyebabkan kematian setelah COVID-19 (WHO, 2022). Di Indonesia, TBC termasuk masalah kesehatan dengan angka kasus dan kematian yang tinggi. Pada 2021 Indonesia menempati posisi kedua di dunia setelah India dengan estimasi sebanyak 969.000 kasus. Estimasi kasus pada 2022 juga sebanyak 969.000 kasus, terdiri dari TBC sensitif obat (SO) dan TBC resisten obat (RO). Nyatanya, capaian penemuan kasus TBC pada November 2022 hanya 52% dari sebesar 90% (Kemenkes RI, 2022). Kesenjangan ini menunjukkan Indonesia belum mencapai target penemuan kasus sehingga berpengaruh terhadap jumlah penderita TBC yang belum mendapat pengobatan dan menyebabkan tingginya penularan. Tujuan umum penelitian ini untuk memberikan asuhan keperawatan kepada pasien meliputi pengkajian, menegakkan diagnosa, membuat intervensi dan melaksanakannya dan mengevaluasi asuhan, secara khusus perawat memberikan intervensi kepatuhan pada program pengobatan dan pencegahan penyakit. Metode. Penelitian ini adalah studi kasus dengan empat hari proses perawatan yang dilakukan pada pasien Ny. R dengan TB Paru dengan pengumpulan data melalui wawancara, pemeriksaan fisik, observasi, studi kepustakaan dan media internet. Hasil Penelitian. Pada studi kasus pada Ny. R ditemukan batuk berdarah, sesak, dan nafsu makan menurun. Diagnosa keperawatan Ny. R adalah ketidakpatuhan berhubungan dengan program terapi kompleks dan/atau lama, bersihan jalan nafas tidak efektif, gangguan pertukaran gas, resiko defisit nutrisi, managemen kesehatan tidak efektif. Pada tahap intervensi dan pelaksanaan tindakan, perawat tidak menemukan hambatan karena bekerjasama dengan klien dan tim medis. Pada tahap evaluasi keperawatan, dari lima masalah keperawatan, masalah ketidakpatuhan dapat teratasi dan masalah lain belum dapat diatasi. Kesimpulan. Dari lima masalah keperawatan pasien, masalah ketidakpatuhan dapat diatasi dengan pemberian edukasi kesehatan terkait pencegahan dan program pengobatan. Kata kunci: Asuhan keperawatan, Tuberkulosis paru, Kepatuhan, Ketidakpatuhan