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HUBUNGAN JUMLAH PERDARAHAN INTRA OPERASI DENGAN KEJADIAN SHIVERING PASCA SPINAL ANESTESI PADA PASIEN SECTIO CAESAREA DI RSUD WATES Nurjanah, Mia; Riyadi, Raden Sugeng
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 5 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

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Abstract

Latar Belakang : Shivering merupakan peningkatan aktifitas muskular yang sering terjadi pada pasien operasi, khususnya pasien dengan anestesi apinal. Pasien sectio caesarea pasca spinal anestesi dapat menglami shivering diakibatkan oleh beberapa faktor salah satunya yaitu jumlah perdarahan intra operasi. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan jumlah perdarahan intra operasi dengan kejadian shivering pasca spinal anestesi pada pasien sectio caesarea di RSUD Wates. Metode Penelitian : Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian deskriptif korelasi. Penelitian ini menggunakan rancangan cross-sectional.. Teknik pengambilan sampel menggunkan teknik accidental sampling dengan besar sampel 35 responden sesuai dengan kriteria inklunsi dan eksklusi. Metode pengumpulan data menggunakan lembar obervasi derajat perdarahan dan derajat shivering dan pengolahan data dengan uji korelasi spearman rank. Hasil : hasil uji spearman rank terlihat bahwa p value adalah 0,000 atau kurang dari 0,05 (0,000 0,05) maka Ho ditolak dan Ha diterima. mengenai karakteristik responden berdasarkan derajat shivering menunjukan bahwa mayoritas responden dengan shivering derajat 0 sebanyak 1 responden (2,9%), derajat 1 sebanyak 10 responden (28,6%), derajat 2 sebanyak 11 orang (31,4%), shivering derajat 3 sebanyak 11 (31,4%) dan derajat 4 sebanyak 2 responden (5,7%) dari total responden. Simpulan : Terdapat Hubungan jumlah perdarahan intra operasi dengan kejadian shivering pasca spinal anestesi pada pasien sectio caesarea di RSUD Wates memiliki kooefisien korelasi yang kuat. Saran : Bagi peneliti selanjutnya agar bisa lebih memperhatikan lagi faktor faktor yang dapat mempengaruhi shivering seperti lama prosedur operasi, suhu ruang operasi dan cairan dingin yang digunakan pada pasien operasi pasca spinal anestesi.
KONSEP DIRI KP2KP DI DIREKTORAT JENDERAL PAJAK TANGERANG Nurjanah, Mia
Bureaucracy Journal : Indonesia Journal of Law and Social-Political Governance Vol. 4 No. 3 (2024): Bureaucracy Journal : Indonesia Journal of Law and Social-Political Governance
Publisher : Gapenas Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53363/bureau.v4i3.444

Abstract

This paper aims to find out KP2KP's self-knowledge in revealing his meaning of the profession related to communication styles at work, find out self-assessment in describing communication patterns, and to find out B's self-expectations. The research method uses interview techniques involving data sources from KP2KP at Direktorat Jenderal Pajak Tangerang. Data analysis using qualitative analysis using phenomenological methods. The results of the research show that KP2KP 's self-knowledge as a profession is lillahi ta'ala so that his communication style towards taxpayer is more humanistic; KP2KP 's negative self-evaluation of non- KP2KP employees gives rise to awkward, suspicious and dismissive communication patterns in human relations, while positive self-evaluation of taxpayer gives rise to harmonious communication patterns; KP2KP 's self-expectations provide a picture of self-evaluation with high self-esteem, KP2KP feels competent so that his communication is more confident, independent, firm, and not easily persuaded. KP2KP's self-concept at the Direktorat Jenderal Pajak Tangerang is classified as fluctuating and is still in process and needs improvement for maximum service
REVIEW OF THE CREDIT GUNA BHAKTI (KGB) GRANTING PROCEDURE AT BANK BJB KCP MITRA BATIK TASIKMALAYA Nurjanah, Mia; Andi Usmar
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 2 (2025): Vol. 2 No. 2 Edisi April 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i2.703

Abstract

This study aims to examine the procedures involved in the provision of Kredit Guna Bhakti (KGB) at Bank Bjb KCP Mitra Batik Tasikmalaya, identify the challenges encountered during the process, and evaluate the solutions implemented to address these obstacles. This study uses a qualitative descriptive approach, with data collection methods through interviews with bank staff, direct observation of the credit process, and literature review. Findings reveal that the KGB procedure consists of several key stages: application submission, credit analysis, credit decision, credit agreement, and fund disbursement. However, its implementation faces both internal and external challenges, such as limited credit staff resulting in slower service, and a lack of understanding among prospective borrowers regarding the credit procedure. To address these issues, the bank has prepared appropriate solutions. Overall, the KGB procedure at Bank Bjb KCP Mitra Batik has been carried out effectively and efficiently.