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Abstract Objective: To analyse the association between determinants of maternal deaths and obstetric haemorrhage in Padang, Indonesia. Methods: A retrospective case-control study was conducted in Padang, Indonesia from 2015 to 2019. Maternal deaths that occurred due to obstetric hemorrhage in Padang Health Department was compared to three mothers who survived from obstetric hemorrhage (controls) in Dr. M. Djamil General Hospital, Padang, Indonesia. Results: There were 20 deaths caused by obstetric hemorrhage during 2015 to 2019. Death records could only be found in 16 cases. The most common etiology of obstetric hemorrhage was uterine atony (62.5%). Determinants associated with maternal deaths due to obstetric hemorrhage were interval between pregnancies (p=0.045; OR:10.846), history of previous labour (p=0.003; OR:8.556), and antenatal care (p=0.003; OR:21.364). Age, parity, birth attendant, and mother’s educational level were not significantly associated with maternal deaths due to obstetric hemorrhage. Conclusion: Uterine atony was the most frequent etiology of maternal deaths due to obstetric hemorrhage. There was a significant association between pregnancy intervals, history of previous labour, and antenatal care with maternal deaths due to obstetric hemorrhage. Keywords: determinant, obstetric hemorrhage, maternal death. Abstrak Tujuan: Menganalisis hubungan determinan kematian maternal akibat perdarahan obstetri di Kota Padang. Metode: Sebuah studi retrospektif case-control dilakukan di Kota Padang dari tahun 2015–2019. Setiap kasus kematian ibu akibat perdarahan obstetri dari tahun 2015–2019 yang dilaporkan oleh Dinas Kesehatan Kota Padang dibandingkan dengan tiga kasus perdarahan obstetri yang tidak berakibat kematian di RSUP Dr. M. Djamil Padang. Analisis data menggunakan uji Chi-square. Hasil: Ada 20 kasus kematian akibat perdarahan obstetri selama tahun 2015–2019. Catatan kematian hanya dapat diperoleh pada 16 kasus. Etiologi terbanyak kematian akibat perdarahan obstetri ialah atonia uteri. Determinan yang berhubungan dengan kematian akibat perdarahan obstetri ialah jarak kehamilan (p=0.045; OR:10.846), riwayat persalinan sebelumnya (p=0.003; OR:8.556), dan antenatal care (p=0.003; OR:21.364). Tidak terdapat hubungan yang signifikan antara usia, paritas, penolong persalinan, dan tingkat pendidikan ibu dengan kematian maternal akibat perdarahan obstetri. Kesimpulan: Atonia uteri merupakan etiologi tertinggi kematian maternal akibat perdarahan obstetri. Ada hubungan yang signifikan antara jarak kehamilan, riwayat persalinan sebelumnya, dan antenatal care dengan kematian maternal akibat perdarahan obstetri. Kata kunci: determinan, kematian maternal, perdarahan obstetri.

ABSTRACT Koi fish is one of the species included in the intensification program of ornamental fish production. Production of koi has only reached 82.04% of total national production target thus making it potential for development. The objective of the study was to assess additional financial benefit of production increment through stocking pattern modification. Present research was performed using case study method on Pokdakan PBC Fish Farm (PPFF), koi fish farmers in Sukabumi. Financial analysis consisted of business analysis, investment criteria, and sensitivity. Stocking pattern management could increase ornamental fish production and its benefit margin up to 1.5 times higher. That investment criteria has shown NPV at value of IDR3,824 million, net BCR 4.96, IRR 86.0%, and PP 1.7 years. Koi fish farming was sensitive to a decline in survival rate and insensitive to the rise of formulated feed price. Keywords: business analysis, koi, investment criteria, production pattern, sensitivity ABSTRAK Ikan koi merupakan salah satu ikan yang termasuk dalam program penguatan produksi ikan hias Indonesia. Capaian dari target produksi ikan koi yang ditetapkan pemerintah hanya mencapai 82,04 %, sehingga budidaya ikan koi potensial untuk dikembangkan dan ditingkatkan produksinya. Metode yang digunakan adalah studi kasus pada kelompok pembudidaya ikan hias koi PPFF di Sukabumi. Analisis finansial yang digunakan meliputi analisis usaha, kriteria investasi dan sensitivitas. Pengaturan pola tebar dapat meningkatkan jumlah produksi ikan hias dan marjin keuntungan hingga 1,5 kali. Analisis kriteria investasi menghasilkan nilai NPV sebesar Rp3.824 juta, net B/C 4,94, IRR 86,0% dan PP 1,7 tahun. Budidaya ikan koi sensitif terhadap penurunan kelangsungan hidup dan tidak sensitif terhadap peningkatan harga pakan buatan. Kata kunci: analisis usaha, koi, kriteria investasi, pola tebar, produksi

Purpose: This study aims to reveal the family dynamics of "sandwich generation" accountants who apply the values of agency theory in the family environment. Methodology/approach: This research uses a qualitative description method, interviewing accountants in the "Sandwich Generation." Researchers also interviewed their parents as a form of source triangulation. Findings: The results show that the application of agency theory values transforms family relationships into transactional and materialistic, which often leads to stress and conflicts of interest. Practical and Theoretical contribution/Originality: Agency theory, which naturally resides in corporations, has now permeated all of life, including family life. Research Limitation: The informant focused on her role as a sandwich generation without realizing that there were good memories with her parents.

Inclusive education has become increasingly common worldwide, even in higher education; however, the corresponding practical support in Indonesia is limited. Herein, a support website was developed for postsecondary students with learning difficulties vis-à-vis campus life in Indonesia. Web contents and information for supporting such students were developed from an occupational therapy perspective, including considering web accessibility and university lecturers’ opinion in Indonesia. After the feedback on the pre-launched version administered to current students in Indonesia, this new tool had a good level of satisfaction regarding the provision of support to such students’ academic activities on campus. However, information volume and display organization may require improvements in the future. Furthermore, the website could not only facilitate support for postsecondary students with learning difficulties in connection to the awareness of this area, which is limited in Indonesia, but also elucidate the role of occupational therapists.

Nowadays, the innovations of AI and other automated decision-making software are spreading to many different areas. The automotive field in particular is rapidly shifting towards the concepts of Advanced Driver Assistance Systems (ADAS), which could bring huge benefits in the future. However, before being able to use these tools, many assurances are required regarding their functioning and safety. To this end, several control techniques exist to evaluate the performance of this software, but a reliable and repeatable method for evaluating complex scenarios and corner cases is still lacking. In this paper, we propose a suite of tools for the generation and analysis of synthetic tests, aimed at evaluating and analyzing the functioning of autonomous driving systems in order to measure their effectiveness and drive their development. [ABSTRACT FROM AUTHOR]

This study aims to explain the history of curriculum development in Indonesia, several times there has been a change of curriculum which has certainly had an impact on the education process in Indonesia where we know that the curriculum is an important element in the education process in Indonesia. This study uses a qualitative method with data collection techniques through library research which involves collecting information and data from various sources in the library such as reference books, relevant previous research results, articles, related notes and including journals related to the topic to be resolved. The curriculum in Indonesia after Indonesian independence in 1945 underwent 9 changes including 1947, 1952, 1964, 1968, 1975, 1984, 1994, 2004, 2006 and 2013. Curriculum development is based on several factors, namely first. The challenges of the future are globalization, environmental problems and technological advances, convergence of science and technology and business, industrial revival. Creative industry and culture of global economic change, quality. Second, future skills are communication skills, clear and critical thinking and critical, creative and critical thinking skills and skills.

ABSTRAK Saluran distribusi 20 kV ULP Sukaraja merupakan saluran distribusi yang cukup panjang. Hal ini memungkinkan terjadinya tegangan jatuh dan rugi daya yang cukup besar. Pada saat beban dalam Waktu Beban Puncak (WBP) tegangan yang diterima pada gardu PAIGD sebesar 18,794 kV atau tegangan jatuhnya sebesar 6,53%. Artinya tegangan jatuh yang terjadi pada sistem distribusi 20 kV ULP Sukaraja tidak sesuai dengan standar SPLN 72:1987 maksimal sebesar 5%. Metoda penelitian memodelkan aliran daya pada sistem distribusi tersebut menggunakan aplikasi ETAP. Hasil penelitian menunjukkan berdasarkan beberapa alternatif solusi yang disimulasikan, untuk menurunkan tegangan jatuh dan rugi daya paling optimal yaitu untuk jangka pendek dengan metode manuver jaringan karena dapat memberikan cost reduction tertinggi sebesar Rp 1.065.175.911,35 per tahun sedangkan untuk jangka panjang dengan metode penggantian penghantar disertai pengaturan tap changer dengan tegangan jatuh terendah sebesar 2,85%. Kata kunci: ETAP, PAIGD, Rugi daya, Tegangan jatuh, ULP Sukaraja. Â ABSTRACT The 20 kV distribution line of ULP Sukaraja is a fairly long distribution line. This allows for considerable voltage drops and power losses. When the load is in Peak Load Time (WBP) the voltage received at the PAIGD substation is 18.794 kV or the voltage drop is 6.53%. This means that the voltage drop that occurs in the 20 kV distribution system of ULP Sukaraja is not in accordance with the SPLN 72: 1987 standard of a maximum of 5%. The research method modelled the power flow in the distribution system using the ETAP application. The results showed that based on several alternative solutions simulated, to reduce the voltage drop and the best power loss is for the short term with the network manoeuvre method because it can provide the highest cost reduction of Rp 1,065,175,911.35 per year while for the long term with the conductor replacement method accompanied by tap changer settings with the lowest voltage drop of 2.85%. Keywords: Drop voltage, ETAP, Losses, PAIGD, ULP Sukaraja

This work demonstrated the use of green material catalysts, produced from Sengon sawdust waste, to obtain nanocellulose biopolymers. The green material catalysts were utilized as catalysts support of TiO2-ZrO2 binary oxide in the form of nanocomposite materials with superior synergistic properties. The isolation of nanocellulose was achieved using a hydrolysis method with a yield of 63.40%. The TiO2 and ZrO2 nanoparticles have average particle sizes of around 25 and 15 nm, respectively, and the binary oxides of iO2-ZrO2 pretained an average particle size of 30 nm were used. Furthermore, the nanocellulose combined with the TiO2-ZrO2 binary oxide had formed a cellulose/ TiO2-ZrO2 nanocomposite with an average particle size of 30 nm. This indicates that the supporting nanocellulose can stabilize the nanoparticles and avoid aggregation. Moreover, the nanocomposites can be used as a catalyst for the conversion of glucose to 5-ethoxymethylfurfural (5-EMF). The catalytic activity increased with the nanoparticle effect obtained ZrO2, TiO2, TiO2-ZrO2, and cellulose and TiO2-ZrO2 nanocomposite, in 15.50%, 20.20%, 35.20%, and 45.50% yields, respectively. The best yield of 5-EMF was 45.50%, with reaction conditions of 1:1 TiO2-ZrO2 ratio, 4 h reaction time, and 160 °C reaction temperature. The use of nanocellulose biopolymer generated from Sengon sawdust waste in Indonesia provides a promising catalyst support material as an alternative green catalyst. In addition, the glucose carbohydrates can be converted to biofuel feedstocks in the development of a renewable alternative energy. [ABSTRACT FROM AUTHOR]

Background: Inadequate airway clearance is one of the nursing issues that arises during the pulmonary tuberculosis disease process. If untreated, ineffective airway clearance can result in hypoxemia, decreased consciousness, and even cell death. Objective: The purpose of this study is to see that simple inhalation therapy can help pulmonary tuberculosis patients at the Banyu Urip Community Health Center to overcome ineffective airway clearance. Methods: The research methodology combines a case study approach with a family nursing process approach, with one case as the unit of analysis, Mrs. K, a pulmonary tuberculosis patient who get treatment at the Banyu Urip Community Health Center working area. Data was gathered through interviews, physical examinations, supporting examinations, and a literature review. In the study, 350 ml of hot water steam and 5 drops of eucalyptus oil were applied twice a day for three days, for 10-15 minutes. Result: The research results of simple inhalation therapy proved to have a positive effect on Mrs. K, as evidenced by a reduction in verbal complaints, including ease in driving out secretions, respiratory frequency was within normal limits, and breathing became easier, because the cineol content of eucalyptus oil has mucolytic, bronchodilator, and anti-inflammatory functions. Conclusion: To overcome airway ineffectiveness and improve health status, simple inhalation therapy combined with eucalyptus oil can be used as an alternative. Non-pharmacological techniques that are simple, easy to use but provide numerous benefits in health care facilities, such as simple inhalation therapy, are expected of health care workers.

Keberadaan gua umumnya hanya dimanfaatkan sebagai tempat wisata biasa atau bahkan belum dikembangkan menjadi obyek wisata. Dalam kajian ini, keberadaan gua tidak hanya dikembangkan sebagai tempat wisata biasa, namun dimanfaatkan sebagai wisata edukasi dan Pusat Kajian Ilmu Pengetahuan. Kegiatan ini bertujuan untuk sosialisasi pengembangan fungsi Gua Lowo, Watulimo, Trenggalek sebagai Pusat Kajian Ilmu Pengetahuan. Metode yang digunakan yaitu sosialisasi yang bekerjasama dengan mitra Pemda Kecamatan Watulimo, Trenggalek yang diikuti oleh 30 peserta. Proses evaluasi dilakukan dengan instrumen kuisioner dan Focus Group Discussion. Kegiatan dalam pengabdian masyarakat ini meliputi: pembuatan poster, buku perfectus, serta video yang berisi hasil penelitian sebelumnya, seperti peran gua dalam merekam perubahan iklim dan lingkungan dimasa lampau, perubahan arah medan magnet bumi, serta kejadian gempa dimasa lampau. Hasil kuesioner menunjukkan rata-rata 90% persen responden menyatakan sangat setuju karena mendapatkan pengetahuan baru, sehingga perlu mendapatkan pelatihan lanjutan untuk pemandu wisata profesional. Hasil pengabdian masyarakat ini dapat digunakan sebagai role model bagi pengembangan wisata gua di Indonesia.

Lake Ciburuy area is highly impacted by a wide range of human activities, including residential areas, rice fields, animal husbandry, plantations, dense vehicular traffic, and various industries, leading to the accumulation of pollutants. Particulates generated by the anthropogenic activities will be carried away and settle with the eroded soil to become sediment in the lake. This could cause serious problems in the aquatic environment if there is no monitoring study. Therefore, this study aimed to identify the anthropogenic material produced by human activities using physical and chemical properties analyses and pollution index calculations. The analysis of physical properties showed that Electrical Conductivity (EC), Total Dissolved Solid (TDS), and magnetic susceptibility were within the range of 30 – 790 µS/cm, 29 – 555 mg/L, 7.310 – 3431.956 ×10-8 m3/kg, respectively. The X-ray diffraction (XRD) and the hysteresis parameter indicated that the samples contain ferrimagnetic materials, particularly magnetite with a mixture of Pseudo-Single Domain (PSD) and Multi-Domain (MD). The Scanning Electron Microscope (SEM) and Energy Dispersive Spectroscopy (EDS) identified the morphology of the magnetic mineral with different shapes, such as octahedral and spherule. Furthermore, the spherule shape indicated the presence of anthropogenic materials in the sample. In terms of chemical properties, this study measured the pH and Potential Toxic Elements (PTEs) in the sediments. The pH ranged from 7.2-8.9, while the PTEs showed moderate to very severe levels of contamination by Mn, Pb, Zn, Cd, and Cu, which exceeded the sediment quality standard. The PCA reveals the interconnection between physical and chemical properties, which can identify pollutants derived from anthropogenic materials, as well as indicate low, medium, and high levels of pollution in the lake area.

Abstrak Pinjaik patah atau jarum jahit yang dipatahkan merupakan brand yang cukup dikenal untuk persoalan produk sulaman terawang di Sumatra Barat, khususnya di kabupaten Agam, Nagari Panampuang. Sayangnya, pengembangan motif yang dilakukan masih minim sehingga diversifikasi produk, pembeda produk hasil sulaman pinjaik patah dan hasil produk kompetitor tidak dapat dibedakan. Perlu dirancang sebuah desain motif baru yang berangkat dari picture mark logo galeri sulam pinjaik patah dengan tujuan untuk menciptakan diversifikasi produk dan brand awareness sulaman pinjaik patah. Metode yang digunakan adalah research and development dengan tahapan 1) Potensi dan Masalah; 2) Pengumpulan informasi; 3) Pengembangan model; 4) Validasi model; 5) Uji coba model. Hasil yang didapatkan yaitu perajin sulaman dapat mengaplikasikan desain motif dalam jenis sulaman terawang dan sulaman menggunakan bordir, hanya saja masih diperlukan revisi dan latihan dari perajin sulaman agar dapat menghasilkan motif yang harmonis. Pengembangan desain dan produk sebaiknya difokuskan pada sulaman terawang yang menjadi unggulan sulam pinjaik patah. Kata kunci: brand awareness, desain motif, pinjaik patah, sulaman Abstract Pinjaik patah or a broken sewing needle is a well-known brand for embroidery products in West Sumatra, especially in Agam district, Nagari Panampuang. Unfortunately, the development of the motifs is still minimal so that product diversification, the difference between the product of pinjaik patah embroidery and the product of competitors cannot be distinguished. It is necessary to design a new motif design that departs from the picture mark of the Pinjaik Patah embroidery gallery logo with the aim of creating product diversification and brand awareness of Pinjaik Patah embroidery. The method used is research and development which includes five steps like 1) potentials and problems; 2) gathering information; 3) designing; 4) validation and; 5) design testing. The results obtained are that the embroiderer can apply the motif design in the type of overlay embroidery and embroidery using embroidery, it's just that revision and practice from the embroiderer is still needed in order to produce a harmonious motif. Design and product development should be focused on terawang embroidery which is the flagship of pinjaik patah embroidery. Keywords: brand awareness, embroidery, motif design, pinjaik patah

A study on the effectiveness of a spirituality-based drug and substance abuse prevention module was carried out by researchers on youth living in a high-risk area in the north of Peninsular Malaysia. The study was done to investigate the effectiveness of the spiritual drug abuse prevention module based on (1) self-assertiveness, (2) spirituality, and (3) their belief concerning substance and drug abuse. The study sample was divided into an experimental and control group for the pre and post stages. This study used a quasi-experimental design involving two youth groups from different zones, each consisting of 33 people (experimental and control groups). A psychoeducational intervention of seven meeting sessions was carried out on the experimental group, while the control group was not given any intervention. The results of the pre-and post-test comparison showed that there was a significant increase in the mean value of self-assertiveness (mean value from pre-test 99.45 to 106.42 post-test), spirituality (mean value from pre-test 172.24 to 188.12 post-test) and beliefs about drug abuse (mean value from pre-test 28.91 to 41.48 post-test) for the experimental group that went through the intervention given by the trained facilitator using this spirituality module. The mean results of the control group showed no mean increase for the three variables studied. In conclusion, the spiritual module for preventing drug abuse can help the youth from being involved in substance and drug abuse and enjoy a more positive life.

ABSTRAK Pada penelitian ini dilakukan analisis studi kelayakan potensi pembangkit listrik tenaga hybrid dengan sumber energi terbarukan surya dan bayu untuk skala rumah tangga di daerah kota Bandung. Beban yang digunakan sebesar 4896Wh setiap harinya. Analisis dilakukan dengan menggunakan aplikasi HOMER untuk menentukan nilai investasi dari PLTH yang dirancang serta produksi energi listrik yang dihasilkannya. Hasil dari penelitian ini adalah sistem pembangkit listrik hybrid mampu menghasilkan daya sebesar 2.313 kWh/tahun dengan perbandingan 48,7% dari sumber energi angin, 20,8% dari sumber energi surya, serta 9,7% sumber PLN. Nilai investasi dari sistem tersebut adalah Rp 32.910.770 untuk NPC, dengan IRR yang dihasilkan adalah 13%. Berdasarkan hasil analisis studi kelayakan tersebut, maka investasi yang digunakan pada sistem hybrid ini tidak rugi dan layak untuk direalisasikan. Kata kunci: PLTH, studi kelayakan, HOMER, surya, bayu. Â ABSTRACT In this research, an analysis of the feasibility study of potential hybrid power plants with solar and wind renewable energy was carried out for household scale in Bandung city. The load used is 4896Wh every day. The analysis was carried out using the HOMER application to determine the investment value of the designed PLTH and the production of the electrical energy it produces. The result of this research is that the hybrid power generation system is capable of producing a power of 2313 kWh/year with a ratio of 48.7% from wind energy sources, 20.8% from solar energy sources, and 9.7% from PLN sources. The investment value of the system is IDR 32,910,770 for NPC, with the resulting IRR of 13%. Based on the results of the feasibility study analysis, the investment used in this hybrid system is lossless and feasible to realize. Keywords: hybrid power plant, feasibility study, HOMER, solar, wind.