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All Journal Jurnal Anestesiologi Indonesia Jurnal Kedokteran Diponegoro Fokus Ekonomi BBM (Buletin Bisnis dan Manajemen) Journal of Anaesthesia and Pain COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Majalah Anestesia & Critical Care (MACC) Ahmad Dahlan Medical Journal Jurnal Ilmiah Fokus Ekonomi, Manajemen, Bisnis & Akuntansi (EMBA) Fokus Abdimas MANGGALI Jurnal Komplikasi Anestesi
Untung Widodo, Untung
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Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Public Health Social Sciences

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Manajemen Perioperatif pada Pasien Varises Esofagus yang Menjalani Endoskopi Sari, Djayanti; Widodo, Untung; Mi’raj, Geza Getar
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 2 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v8i2.8357

Abstract

Esophageal varices are a condition in which there is distension of the submucosal veins that project into the esophageal lumen in patients with portal hypertension. Endoscopic examination is needed in cases of esophageal variceal bleeding to confirm a diagnosis, assess varicose veins and plan their management. We report a 12-year-old patient with grade 3 esophageal varices who underwent an endoscopy procedure. Management of anesthesia in esophageal varices patients undergoing endoscopy needs to pay attention to the depth of anesthesia and to keep the patient’s airway secure to avoid hypoxemia.
Optimalisasi Keselamatan Pasien di Post-Anesthesia Care Unit Widodo, Untung; Wisudarti, Calcarina Fitriani Retno; Krispratama, Avian
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 3 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v8i3.8367

Abstract

Post-Anesthesia Care Unit (PACU) is a place for monitoring patients who have undergone the anesthesia process, both regional and general. The recovery period begins immediately after the patient leaves the operating table. Complications can occur at any time, including when transferring a patient from the operating room to the recovery room. The patient must be closely monitored and monitored. Several post-anesthesia complications include consciousness disorder, a decrease of peripheral resistance and cardiac output due to residual anesthesia, and hypovolemia due to inadequate fluid replacement during surgery or continued postoperative bleeding. Hypertension may occur due to increased activity of sympathoadrenal and severe pain.
Hubungan Fungsi Absorbsi Gastrointestinal dengan Lama Rawat Inap dan Mortalitas pada Pasien Pascaoperasi Kraniotomi di ICU RSUP Dr. Sardjito Yogyakarta Setiadi, Teguh; Widodo, Untung; Jufan, Akhmad Yun
Jurnal Komplikasi Anestesi Vol 9 No 1 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v9i1.8516

Abstract

Background: Nutrition is an important part of patient management in the intensive care unit. Nutritional factors need to be known, whether there is a relationship between nutrition and ICU outcome in post craniotomy patients in ICU. Objective: The aim of this study is to know the relationship between gastrointestinal absorption function with the length of stay (LOS) and mortality in post-operative craniotomy patients in ICU RSUP Dr. Sardjito. Methods: Prospective cohort observational study design with the number of the sample was 60 post craniotomy surgery patients older than 18 years old hospitalized in ICU RSUP Dr. Sardjito. The gastrointestinal absorption function was assessed from the parameters of blood sugar examination before and after the administration of enteral nutrition. The association of gastrointestinal absorption function related to the LOS and mortality in ICU RSUP Dr. Sardjito Yogyakarta was analyzed. Results: There were 60 patients enrolled in this study. GCS values 13-15 were 45 patients (75%), GCS values 9-12 were 6 patients (10%), GCS values 3-8 were 9 patients (15%). The average LOS in the ICU was 3.4±5.13 days. The outcome was 58 patients (96.7%) survived and 2 patients (3.3%) died. The 2002 NRS average score was 3.2 ± 0.4, average APACHE II score was 6.53±4.7. There were 47 patients (78.3%) with good absorption and 13 patients (21.7%) with poor absorption. Vomiting occurred in 14 patients (23.35%), diarrhea 6 patients (10%), constipation 10 patients (16,7%). Spearman's correlation test showed a significant correlation of GCS and APACHE II score with LOS (p<0.05). While age, gender, weight, height, and BMI were not significant (p>0.05). A significant variable in multivariate analysis was the gastrointestinal absorption function(p<0.05) with a regression coefficient of -9.3. Conclusion: There was a significant relationship between gastrointestinal absorption function with length of stay and mortality, If the gastrointestinal absorption function was good the length of stay and mortality were decreased in post craniotomy patients in the ICU RSUP DR. Sardjito. > <0.05) with a regression coefficient of -9.3. Conclusion: There was a significant relationship between gastrointestinal absorption function with length of stay and mortality, If the gastrointestinal absorption function was good the length of stay and mortality were decreased in post craniotomy patients in the ICU RSUP DR. Sardjito.
Manajemen Akhir Hayat Pasien Sakit Kritis Di ICU COVID-19 Adiyanto, Bowo; Widodo, Untung; Hernawan, Agung Diky
Jurnal Komplikasi Anestesi Vol 9 No 1 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v9i1.8654

Abstract

End-of-life condition was showed with symptoms of brain-stem death and functional impairment of breathing effort that persisted at fifth day of care. Physician explained to patient’s family about end-of-life condition, prognose, probability, and a desicion making that would had to make. Family decided to accept this condition, wish to continue medication but not to resuscitate if patient’s condition became worst. A chaplain gave spiritual care, end-of-life counceling, and praying to patient. Unfortunately, there was no intensive communication among medical teams about end-of-life condition. Patient care was underwent until the time of death with permitted family at patient’s bedside, not gave cardiopulmonal resuscitation as family’s wishes and pronaounced death in front of family.
Pengaruh Teknik Anestesi Kombinasi Blok Skalp dengan Levobupivacaine 0,5% Terhadap Penggunaan Fentanyl Intravena untuk Mengatasi Nyeri Paska Operasi Kraniotomi Pengangkatan Tumor Di RSUP Dr. Sardjito Akbar, Shonnif; Sudadi; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i1.10207

Abstract

Latar Belakang. Pengunaan opioid dosis besar terbukti efektif untuk memblokade stimulasi pada insisi kepala namun memiliki efek yang tidak diinginkan. Blok skalp adalah salah satu pilihan alternatif yang dapat dikombinasikan dengan pembiusan umum. Blok skalp sendiri dapat menumpulkan respon stres pada kraniotomi dan dapat menjaga gejolak hemodinamik yang tidak diinginkan. Blok skalp menurunkan insiden dan skala nyeri paska operasi kraniotomi pengangkatan tumor. Tujuan. Membandingkan jumlah konsumsi fentanyl paska operasi pada pasien yang menjalani operasi kraniotomi pengangkatan tumor dengan teknik pembiusan umum dan teknik pembiusan umum dengan kombinasi blok skalp menggunakan levobupivacaine 0,5%. Metode. Dua puluh orang pasien dengan rentang usia 18-65 tahun dengan tumor intrakranial yang menjalani tindakan operasi kraniotomi pengangkatan tumor di RSUP Dr. Sardjito dikelompokkan menjadi 2 kelompok perlakuan dengan teknik pembiusan umum dengan kombinasi blok skalp menggunakan levobupivacaine 0,5% dan pembiusan umum dengan kombinasi blok skalp menggunakan normal saline. Pasien dievaluasi kebutuhan fentanyl dan skala nyeri 12 jam paska operasi di ICU. Pasien dengan riwayat alergi anestesi lokal, riwayat alergi fentanyl, BMI <18 kg/m2 dan BMI >35 kg/m2 dan durasi operasi >6 jam akan dieksklusi dari pengambilan data. Hasil. Rerata penggunaan fentanyl 12 jam paska operasi pada pasien yang menjalani operasi kraniotomi pengangkatan tumor dengan teknik pembiusan umum dengan kombinasi blok skalp menggunakan levobupivacaine 0,5% sebesar 300,50 mcg dengan standar deviasi 68,65 mcg. Sedangkan pada pasien dengan teknik pembiusan umum dengan kombinasi blok skalp menggunakan normal salin sebesar 408,75 mcg dengan standar deviasi 84,02 mcg. Selisih rerata penggunaan fentanyl paska operasi pengangkatan tumor antara kedua kelompok sebesar 108,25 mcg menunjukkan perbedaan yang bermakna p=0,006 (p<0,05). Kesimpulan. Pembiusan umum dengan kombinasi blok skalp menggunakan levobupivacaine 0,5% terbukti mengurangi kebutuhan fentanyl 12 jam paska operasi kraniotomi pengangkatan tumor dibandingkan pembiusan umum dengan kombinasi blok skalp menggunakan normal salin.
Management of Diabetes Insipidus After Sublabial Transsphenoidal Hypophysectomy Surgery Prasamya, Erlangga; Wisudarti, Calcarina Fitriani Retno; Widodo, Untung; Jufan, Ahmad Yun
Jurnal Komplikasi Anestesi Vol 11 No 2 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i2.12773

Abstract

Summary A 36-year-old female patient was diagnosed with diabetes insipidus after sublabial transsphenoid hypophysectomy (SLTH) surgery. The patient had pituitary adenoma. The patient undergoes 14 days of care in the ICU with titrated intravenous vasopressin dose(0,01-0,3unit/hour) and later subcutaneous dose(6-13unit/8 hours). Subcutaneous vasopressin started on day 3 while intravenous was tapering down; at the early transition from the intravenous vasopressin route to the subcutaneous vasopressin route on day 7, there is a sharp surge of urine production as well at plasma sodium level. The intravenous vasopressin started again, along with the elevated dose of subcutaneous vasopressin. The patient shows a response to therapy after a watchfully titrated dose. Background Diabetes insipidus is a combination of signs and symptoms generating a plentiful volume of urine and causing elevated serum osmolality. There are two types of diabetes insipidus: central diabetes insipidus and nephrogenic diabetes insipidus. Central neurogenic diabetes insipidus occurs when the production of the hormone Arginine Vasopressin (AVP) is low. In contrast, nephrogenic diabetes insipidus occurs when the kidneys cannot respond to high levels of the hormone AVP. Postsurgical central insipidus can be categorized into transient, permanent, and triphasic. Transient courses of diabetes insipidus following surgery represent most of the cases. Temporary diabetes insipidus is thought to be caused by temporary dysfunction of AVP-producing neurons as a result of direct surgical trauma or indirect after-surgical edema. The incidence of diabetes insipidus in patients who underwent pituitary surgery is 5%, and 4.6% of these patients will have only transient diabetes insipidus, and only 0.4% became permanent. Transphenoidal surgery is considered a minimally invasive and effective procedure for pituitary adenomas. Diabetes Insipidus after this surgery is not an uncommon complication, even though the reported rate of postsurgical central diabetes insipidus varies widely from 1 to 67%. Postoperative temporary diabetes insipidus gradually resolves up to 6 months. Case Presentation A 36-year-old female patient presented chief complaints of headache and blurred vision, which gradually worsened one year ago. After undergoing several examinations, the patient was diagnosed with pituitary adenoma. The patient underwent a sublabial transsphenoidal hypophysectomy. The duration was three long hours and uneventful. On Day 0, the patient arrived at the intensive care unit (ICU) intubated, hemodynamically stable, and sedated. The patient is then monitored and weaned; a brain protection strategy and strict fluid balance urine collection and pain management are applied. On day 1, the patient was then extubated. The patient was examined for several parameters, such as electrolytes, kidney function, and blood glucose level. The patient began to significantly increase urine output (>5 milliliters/kilogram body weight/hour). Increased urine production is accompanied by a simultaneous decrease in urine-specific gravity (<1.005) and an increase in serum sodium level up to 151 mmol/liter. The patient was diagnosed with postsurgical diabetes insipidus. The patient started receiving intravenous vasopressin at a dose of 0.3 units/hour and titrated according to urine production until the target urine output was reached after the third day of care. After urine is reached, the dose of vasopressin slowly decreases, and the administration begins to transition to the subcutaneous route. On day 7 of treatment, when the intravenous vasopressin dose had been discontinued and the vasopressin dose at the 8u/h point, there was a significant urine production spike and an increase in the plasma sodium level to 156 mmol/liter. On the eighth day of treatment, the administration of vasopressin was again given intravenously and subcutaneously until a decrease in urine production towards the target was achieved. Finally, on days 11 to 14, vasopressin is administered only subcutaneously until the patient is discharged from the ICU. The patient was successfully discharged to the ward with a tapering-off subtotal dose. Discussion The patient developed polyuria within the initial hours of treatment. Polyuria is a hallmark sign of diabetes insipidus. The clinician should be aware of other polyuria causes, such as postoperative hypervolemia, hyperglycemia, and the use of diuresis drugs. This differential diagnosis must be excluded. In this case, the differential diagnosis was excluded through proper fluid balance calculations, monitoring serum electrolytes and glucose levels, and ensuring the absence of diuretic use. Confirmation of the postoperative central diabetes insipidus is made based on findings of high urine output (5 ml/kg BW/hour), urine specific gravity (<1.005), response to vasopressin, average blood glucose level, and absence of diuretic use. Diabetes Insipidus is the body's inability condition to concentrate urine due to defective production of the antidiuretic hormone (central diabetes insipidus) or nephrogenic diabetes insipidus (NDI), which corresponds to the insensitivity of the kidney to the antidiuretic effects of vasopressin. Diabetes insipidus (DI) is a syndrome characterized by polyuria (>30ml/kg/24H) of hypotonic urine, equivalent polydipsia, and hypernatremia. The patient shows elevated urine volume (108 cc/kg/24H) and blood sodium levels (144-151mmol/L). The primary therapy was the titrated vasopressin dose, in conjunction with electrolytes and fluid management. Vasopressin titration is based on patient clinical condition, urin output, fluid management, oral intake, and laboratory measures (natrium blood level and urin osmolarity). Transient Diabetes Insipidus must be closely monitored after neurosurgical operations, especially in regions adjacent to the pituitary DI. Transient Management with good monitoring is the key. The risk of morbidity comes from the risk of untreated dehydration, electrolyte imbalance Intravenous vasopressin provides a rapid effect with lower doses. At the same time, subcutaneous administration requires caution in critically ill patients because absorption is slow, resulting in a slow effect and the need for higher doses. The conversion of the administration route needs to consider the patient's pharmacology, route, and hemodynamics. References Leroy, C., Karrouz, W., Douillard, C., Do Cao, C., Cortet, C., Wémeau, J.-L., Vantyghem, M.-C., 2013. Diabetes insipidus. Ann. Endocrinol. 74, 496–507. https://doi.org/10.1016/j.ando.2013.10.002 Priya, G., Kalra, S., Dasgupta, A., Grewal, E., 2021. Diabetes Insipidus: A Pragmatic Approach to Management. Cureus. https://doi.org/10.7759/cureus.12498 Schreckinger, M., Szerlip, N., Mittal, S., 2013. Diabetes insipidus following resection of pituitary tumors. Clin. Neurol. Neurosurg. 115, 121–126. https://doi.org/10.1016/j.clineuro.2012.08.009 Sharman, A., Low, J., 2008. Vasopressin and its role in critical care. Contin. Educ. Anaesth. Crit. Care Pain 8, 134–137. https://doi.org/10.1093/bjaceaccp/mkn021
Serial Kasus Tatalaksana Sulit Jalan Napas pada Tumor Tiroid Bayu, Timor Krisna; Widodo, Untung; Sudadi; Wisudarti, Calcarina Fitriani Retno; Farid, Anisa Fadhila
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i1.12913

Abstract

This case report studies three patients with difficult airways managed according to the American Society of Anesthesiologists (ASA) algorithm. The first case is a 46-year-old woman with bilateral SNNT who underwent a subtotal thyroidectomy without prior hyperthyroid therapy. The patient, with an ASA physical status II, was intubated using a videolaryngoscope. Postoperatively, the patient was cared for in the ward. The second case is a 58-year-old woman with a retrosternal goiter and comorbid hyperthyroidism and hypertension, who underwent a total thyroidectomy. The patient, with an ASA physical status II, was intubated while conscious. Postoperatively, the patient was admitted to the ICU. The third case is a 60-year-old woman with bilateral SNNT planned for thyroidectomy and permanent tracheostomy. The patient, with an ASA physical status III and comorbid hyperthyroidism, had failed intubation attempts with a videolaryngoscope and fiber optics. The patient could not be intubated, and the family was educated about the condition. This study demonstrates the importance of individualized management in patients with difficult airways, following ASA guidelines for optimal results.
Faktor Risiko Perioperatif Terhadap Kejadian Delirium Saat Pulih Sadar Setelah Anestesi Umum Pada Pasien Dewasa Yang Menjalani Operasi Elektif Di RSUP Dr Sardjito Dewi, Wahyu Jati Paramita; Widodo, Untung; Apsari, Ratih Kumala Fajar
Jurnal Komplikasi Anestesi Vol 10 No 3 (2022)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v10i3.13021

Abstract

Background. Emergence delirium in anesthesia is a common problem after anesthesia especially in recovery room,but the incidence and risk were unclear. Emergence delirium makes serious complication and impact in morbidity and mortality were no treated properly. So this study built. Objective. To determine the perioperative risk factors of emergence delirium after general anesthesia of elective surgery at Dr Sardjito Hospital. Method. Ninety-nine patients who have surgery under general anesthesia were prospectively observed and variables were potentials perioperative risk factors for delirium at recovery room were dated. The data were statistically analyzed by bivariate and multivariate analysis based on the incidence of delirium after recovery. Results. Total sample of the study were 99 patients who had delirium 55 (55.6%). The results of multivariate analysis showed risk factor of emergence delirium were age 18-25 years old (p=0,045, OR 5,54, 95%CI 1,02-15,189), smoker (p=0,06, OR 6,83, 95%CI 1,769-21,069), alkoholism (p=0,018, OR 10,34, 95%CI 2,09-78,98), ophthalmology (p=0,005, OR 5,43, 95%CI 1,86-32,266), alprazolam premedication (p=0,045, OR 4.035, 95%CI = 1.029-15.819), general anesthesia/ET (p=0,024, OR 5,23, 95%CI 1,697-21,792), duration of surgical procedure > 2 jam (p=0,025, OR 10.320, 95% CI 1.331-79.987), duration 1-2 jam (p=0.023, OR 6.554, 95% CI 1.291-33.266), opioid analgetic (p=0,019, OR 4,15, 95%CI 1,028-17,819) epidural cath (p=0,021, OR 5,83, 95%CI 1,981-20,069), artery line/CVC (p=0,043, OR 9,79, 95% CI 1,08-89,32), DC (p=0.010, OR 0.074. 95%CI 0.010-0.529), blood transfusion and vasopressors (p=0.004, OR 10,38, 95% CI = 2.11-51,08), pain scale/NRS >7 (p=0.049, OR 10.598, 95%CI 0.933-120.386), and NRS 3-7 (p=0.039, OR 5.465, 95%CI 1.091-27.372), PONV dan shivering (p=0.006, OR 3,77, 95% CI = 1.47-9,67). Conclusions. Age 18-25 years old, smoking and alcoholism, ophthalmology surgery, alprazolam premedication, general anesthesia/ET, duration surgery > 1 hour, opioid and epidural catheter analgesia, artery line/CVC, DC, blood transfusion and vasopressor, post operative pain with NRS >3, PONV/shivering have increased risk for emergence delirium.
THE INFLUENCE OF WORK MOTIVATION, COMPENSATION AND WORK DISCIPLINE ON EMPLOYEE PERFORMANCE (CASE STUDY AT MATAHARI DEPARTMENT STORE PARAGON SEMARANG) Yuliati, Yuliati; Wahyuningsih, Susanti; Widodo, Untung; Indriyatni, Lies; Widowati, Madurento
Fokus Ekonomi : Jurnal Ilmiah Ekonomi Vol 19, No 2: December 2024
Publisher : STIE Pelita Nusantara Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34152/fe.19.2.208-215

Abstract

This research aims to determine the influence of the variables Work Motivation, Compensation and Work Disciplin on Employee Performance at Matahari Departement Store Paragon Semarang. The research is a quantitative study using 105 responden from Matahari Departement Store employees in the sales promotion section. The method used is multiple linear regression SPSS program version 23. Multiple linear regression analysis technique Y = α + β1X1 + β2X2 + β3X3 + e. The research data variable is Employee Performance (Y) and X is Work Motivation, Compensation and Work Disciplin. The results of the Work Motivation (X1) have positive and significant influence on Employee Performance with t count 1,660), with a significance value of 0.000 t table (9,336>1,660), with a significance value of 0.000 t table (2,823>1,660), with a significance value of 0.006 F table (72,401 >2.699) with a significance of 0.000. Calculation of the value of the Coefficient of Determination (R2) obtained Adjusted R2 of 0,673. This means that the percentage of the influence of the variable Work Motivation, Compensation and Work Disciplin on Employee Performance is 67,3 %, while the remaining 32.7% is influenced or explained by other factors.
MEMBANGUN WIRAUSAHA MUDA BAGI PESERTA PELATIHAN DI LKP FLORENZA KABUPATEN DEMAK Wahyuningsih, Susanti; Widodo, Untung; Indriyatni, Lies; Yuliati, Yuliati; Prabowo, Janitra; Damayanti, Damayanti; Ainiyah, Ghonimah Zumroatun
Fokus ABDIMAS Vol 3, No 2: Oktober 2024
Publisher : STIE Pelita Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34152/abdimas.3.2.166-175

Abstract

This community service aims to broaden the perspectives and motivate participants of LPK Florenza in Demak Regency to become competent and successful entrepreneurs, so they can support themselves without depending on others, in accordance with the principles of management and accounting. The methods used include lectures, workshops, and mentoring in starting a business. Based on the results of the community service conducted at LPK FLORENZA, there is a lack of motivation to be creative and a lack of understanding of managing financial reports and tax reports correctly, often leading to fear of becoming an entrepreneur. The conclusion that can be drawn is the importance of providing training on building effective individuals and understanding business ethics, being able to manage financial reports and understand tax reports properly for each participant so that they can cultivate an interest in becoming an entrepreneur and be able to run their businesses without fear due to lack of knowledge. Thus, the training participants can become competent entrepreneurs. Keyword : Building effective individuals, Enterpreuner , Business ethics, Managing financial reports and Tax reports
Co-Authors Abu Tholib Aman Adi Nugroho Adrin, Olga Elenska Agustina, Ayu Yesi Ainiyah, Ghonimah Zumroatun Aji, Bambang Hantoro Sarti Akbar, Shonnif Akhmad Yun Akhmad Yun Jufan Al-Hilal, Said Rival Andriani, Ika Jati Setya Anggraini, Diana Anisa Fadhila Farid Aprianti, Tutut Arif Setyo Wibowo Artika, I Gusti Ngurah Rai Bahrun, Nugraha Septian Baskoro, Windu Adi Bayu, Timor Krisna Bernadeta M Wara Kushartanti Bhaktiyar, Agung Bhirowo Yudo Pratomo Bowo Adiyanto Burhanuddin, Muhammad Fuad Calcarina Fitriani Retno Wisudarti Castro, Toto Damayanti Damayanti Dewi, Wahyu Jati Paramita Djayanti Sari Farizi, Sulaiman Al Ferdiansyah, David FRW, Calcarina Gafar, Wiramas Ikhsan Gautama, Raditsya Mada Gentong, Metia Gledis Gilang Hamam Hadi Harianto, Widi Yuli Hendra, Maijoni Hernawan, Agung Diky Heru Susilo Hihayat, Ibnu Hijriyatunnisa, Hijriyatunnisa Ikhwandi, Arif Indra Wijaya, Adi Irawati, Tri Endang Jaelani, M Jufan, Ahmad Yun Krispratama, Avian Kusumasari, Nur Hesti Lies Indriyatni Loru, Martha Yuanita Lumbantoruan, Mitra Maduretno Widowati Marthysal, Audhiaz Mi’raj, Geza Getar Mulyono, Arif Hei Muniroh Almunawar, Nira Naomi, Diah Anis Ningtias, Devi Rosita Noegroho, Wahyu Permatasari, Kartika Dewi Perwira, Rendra Prabowo, Janitra Prasamya, Erlangga Puspita, Mia Qurrotuaini, Dhiya Nisrina Rakhmatjati, Pradana Bayu Ramsi, Irhash Faisal Ratih Kumala Fajar Apsari Rudika Harminingtyas Sari, Ayu Rosema Sarosa, Pandit Satrya, Rafi Nanda Septiyono, Dwi Rahmat Gandhi Setiawan, Yosy Budi Shila Suryani, Shila Siti Helmyati Sudadi Sulistiyantoro, Antonius Catur Suryaman, Rifandi Suryono S, Bambang Susanti Wahyuningsih, Susanti Susetyowati Sutiyoso, Noor Aditya Tasriastuti, Nurohmi Ambar Taufik Eko Nugroho Teguh Setiadi Toruan, Joner Lumban Trifiana, May Lisa Triongko, Budi Ummi, Riadatul Wahyunigsih, Susanti Wicaksono, Galih Sahid Widowati, Madu Retno Widowati, Madurento Wijayanti, Maria Setya Yuliati - Yunita Widyastuti Yusmein Uyun Zulkarnaini, Zukarnaini