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"[ABSTRAKParadoks kondisi Sumatera Utara selain sebagai penghasil minyak dan gas jugamerupakan provinsi ke-2 terbesar produsen kelapa sawit yang saat ini sedangmengalami krisis energi listrik. Paradigma perhitungan jumlah potensi dari limbahcair kelapa sawit (POME) sebesar 94 MW di Provinsi Sumatera Utara yangseakan-akan bersifat terpusat, kenyataannya besar potensi tersebut tersebar danumumnya terletak di kawasan remote area sehingga umumnya menjadi tidakekonomis untuk membangkitkan energi listrik dari lokasi tersebut dan disalurkankepada pengguna. Alternatif skenario lain yang lebih layak adalah pemanfaatanlimbah cair kelapa sawit (POME) menjadi compress biomethane yang dapatdigunakan sebagai bahan bakar untuk berbagai kebutuhan yang memiliki tingkatprobabilitas kelayakan NPV>0 sebesar 94,87% dan IRR>suku bunga sebesar95,18% lebih tinggi dibandingkan skenario pemanfaatan dalam bentuk listrik.

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ABSTRACTThe paradox of North Sumatra conditions other than as a producer of oiland gas is also the 2nd largest provincial producer of palm oil is currentlyexperiencing a power crisis. Paradigm calculation of the potential amount ofpalm oil mills effluent (POME) by 94 MW in the province of North Sumatra thatseemed to be centralized, in fact great potential spread and are generally locatedin remote areas that generally becomes uneconomical to generate electricalenergy from the site and distributed to users. Another alternative scenario morefeasible is the use of palm oil mills effluent (POME) into compressed biomethanewhich can be used as fuel for various needs that have a probability level offeasibility NPV> 0 by 94.87% and IRR> interest rate of 95.18% higher than theutilization scenarios in the form of electricity., The paradox of North Sumatra conditions other than as a producer of oiland gas is also the 2nd largest provincial producer of palm oil is currentlyexperiencing a power crisis. Paradigm calculation of the potential amount ofpalm oil mills effluent (POME) by 94 MW in the province of North Sumatra thatseemed to be centralized, in fact great potential spread and are generally locatedin remote areas that generally becomes uneconomical to generate electricalenergy from the site and distributed to users. Another alternative scenario morefeasible is the use of palm oil mills effluent (POME) into compressed biomethanewhich can be used as fuel for various needs that have a probability level offeasibility NPV> 0 by 94.87% and IRR> interest rate of 95.18% higher than theutilization scenarios in the form of electricity.]"

"Nyeri kronik pada sendi dapat menimbulkan dampak negatif bagi kehidupan lansia seperti mengganggu aktivitas keseharian dan mobilitas. Studi kasus ini bertujuan untuk menggambarkan hasil intervensi dari manajemen nyeri non farmakologi yaitu kompres hangat jahe yang dilakukan pada lansia dengan masalah nyeri kronik. Kompres hangat jahe dilakukan sebanyak delapan kali selama 20 menit dalam waktu 3 minggu. Hasil intervensi menunjukkan bahwa terjadi penurunan skala nyeri dengan menggunakan Visual Analog Scale (VAS) dari nyeri sedang (skala 5-6) menjadi ringan (1-2) pada ketiga keluarga kelolaan. Hal ini menunjukkan bahwa manajemen nyeri non farmakologi dengan penerapan kompres hangat jahe dapat menurunkan gejala nyeri. Studi ini menyarankan untuk pengaplikasian kompres hangat jahe bagi lansia dengan nyeri kronik di institusi perawatan jangka panjang.

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Chronic pain in joints can cause a negative impact for the elderly, such as disrupted daily activities and mobility. This case study aims to describe the results of interventions from non-pharmacological pain management, namely warm ginger compresses performed in the elderly with chronic pain problems. Ginger warm compress is done eight times for 20 minutes in 3 weeks.

The results of the intervention show that there is a decrease in pain scale by using the Visual Analog Scale (VAS) from moderate (5-6 pain scale) to mild pain (1-2 pain scale) in the three managed families. This shows that non-pharmacological pain management by applied warm ginger compresses can reduce pain symptoms. This study suggests the application of ginger warm compresses for the elderly with chronic pain in long-term care institutions."

"Demam merupakan salah satu permasalahan terbesar ketika anak dilarikan ke Instalasi Gawat Darurat. Keberlangsungan demam bergantung kepada waktu patogen berinvasi di dalam tubuh sehingga memicu proses inflamasi. Demam berkepanjangan merupakan demam yang terjadi lebih dari lima hari dengan salah satu penyebabnya adalah infeksi bakteri. Bakteri tuberkulosis, Mycobacterium tuberculosis kompleks, menjadi etiologi dari kejadian demam berkepanjangan, termasuk pada anak. Penanganan demam dapat dilakukan dengan melakukan kompres menggunakan metode tepid water sponge bersamaan dengan pemberian antipiretik, hal ini telah dibuktikan oleh berbagai penelitian yang ada. Maka dari itu, peneliti hendak membuktikan efektivitas tepid water sponge kepada anak dengan diagnosis medis prolonged fever suspect tuberculosis. Peneliti melakukan penelitian pada Anak AF dengan prolonged fever suspect tuberculosis dengan menimplementasikan asuhan keperawatan untuk mengatasi hipertermia, gangguan nutrisi, dan ketidakefektifan bersihan jalan napas pasien. Rangkaian asuhan keperawatan dimulai dari pengkajian secara holistik pada anak, penegakan diagnosis keperawatan dan menentukan prioritas diagnosis, perencanaan intervensi keperawatan, implementasi tindakan, serta evaluasi. Asuhan keperawatan yang dilakukan didokumentasikan ke dalam Catatan Perkembangan Pasien Terintegrasi. Tindakan utama yang diteliti adalah penerapan tepid water sponge terhadap penurunan suhu tubuh anak. Berdasarkan evaluasi yang dilakukan, tepid water sponge mampu menurunkan suhu tubuh anak hingga sebesar 1°C. Peneliti menarik kesimpulan bahwa penerapan tindakan tepid water sponge pada anak dengan prolonged fever efektif dalam menurunkan demam yang dialami oleh anak.

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Fever is one of the biggest problems when a child is taken to the Emergency Room. The persistence of fever depends on the time when pathogen invades the body then trigger the inflammatory process. Prolonged fever is a fever that lasts more than five days with one of the causes is bacterial infection. The bacteria of tuberculosis, Mycobacterium tuberculosis complex, is an etiology of prolonged fever, even in pediatrics. Fever treatment can be done by applying warm compress using the warm water sponge method along with administering antipyretics, and the effectivity has been proven by various existing studies. Therefore, the researcher would like to prove the effectiveness of warm water sponges for a child with prolonged fever, suspected of being tuberculosis. The writer did the research on AF, a toddler with suspected prolonged tuberculosis fever by implementing nursing care to overcome hyperthermia, nutritional disorders, and ineffectiveness in clearing the patient's airway. The preparation started with a holistic assessment, establishing a diagnosis and determine the nursing diagnosis priorities, planning the interventions, implementing the interventions, and evaluate the nursing care. The nursing care is documented with Integrated Patient Progress Note format. The main intervention to be studied was an application of tepid water sponge to reduce the child's body temperature. Based on the evaluation, tepid water sponge can reduce a child's body temperature by up to 1°C. The writer conclude that applying tepid water sponges to pediatrics with prolonged fever was effective in reducing their fever."