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Chronic renal failure is a progressive deterioration in kidney function and irreversible, in where the body is unable to maintain fluid balance and electrolyte metabolism. Inpractice, patients must limit fluid diet to prevent complications. However, such action may affect some aspect of the human body, that is dry mouth or xerostomiadue to decrease saliva production. To reduce patient complaint, actions which can be done is to stimulate gland salivary with chemical stimulation using lozenges sour taste vitamin C. The aim of this study is to the determine the stimulation effect of the vitamin C lozenges provision to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital.This study used a quasi experimental design with pretest — postest design. Samples amounts 42 respondents, consisting of 21 respondents control and 21 respondents intervention by using Purposive Sampling technique. Data analysis technique using Paired t Test to determine whether there were significant differences in salivary secretion in the pretest and postest.Based on a statistical test Paired t Test found a significant increase in the salivary secretion between pretest saliva and postest one intervention group with a value of p=0,003. In conclusion, stimulation of vitamin C lozenges giving has affect to increase saliva secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital. Keywords: stimulation, secretion of saliva, chronic renal failure

Salah satu strategi untuk menurunkan angka kematian akibat henti jantung adalah dengan menerapkan Early Warning Score System (EWSS). EWSS merupakan sistem skoring fisiologis dalam menganalisis hasil pemeriksaan tanda-tanda vital untuk mendeteksi perubahan atau perburukan kondisi pasien sebelum terjadi kegawatan. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan Early Warning Score System (EWSS) di Ruang Perawatan RSUD dr Soedirman Kebumen. Penelitian ini menggunakan metode non-eksperimen dengan desain analitis deskriptif. Subjek penelitian diambil menggunakan teknik total sampling sebanyak 39 responden. Hasil penelitian didapatkan pengetahuan perawat tentang EWSS baik (35.9%), sebagian besar pendidikan perawat D3 (61.5%), mengikuti pelatihan BT&CLS (87.1%), lama kerja kurang dari 5 tahun (48.7%), dokumentasi EWSS lengkap (35.8%) dan penerapan EWSS dalam kategori cukup (51.3%). Ada hubungan tingkat pengetahuan perawat dengan penerapan Early Warning Score System (EWSS) di ruang perawatan yaitu Dahlia dan Terate RSUD dr Soedirman Kebumen. Sosialisasi yang berkaitan dengan Early Warning Score System (EWSS) perlu dilakukan untuk meningkatkan pengetahuan perawat dan meningkatkan mutu pelayanan keperawatan.

ABSTRAKPaper ini membahas tentang state of the art penyelesaian sengketa konstruksi di Indonesia yang meliputi jenis sengketa, indikasi potensi sengketa, dan perbandingan peraturan penyelesaian sengketa jasa konstruksi. Metode yang digunakan adalah mix method yang terdiri dari expert judgment, studi literatur dengan memperbandingkan riwayat penyelesaian perselisihan kontrak konstruksi mengacu kepada UU No.02/2017, Perpres No.16, UU No. 30 / 1999, dan PP No. 22/2020, dan Dispute Resolution Management Matrix (DRM-Matrix). Hasil analisis menunjukkan bahwa dua hal pokok penyelesaian sengketa yaitu pilihan penyelesaian sengketa dan penyelesaian sengketa di luar pengadilan (litigasi dan non litigasi). Penyempurnaan diberlakukan dalam PP No.22 Tahun 2020 yang menjelaskan tentang tahapan penyelesaian sengketa yang menyangkut mediasi, konsiliasi, dan arbitrase, juga terkait dengan penunjukkan dewan sengketa.Kata kunci: kontrak, konstruksi, perselisihan, state of the art ABSTRACTThis paper discusses of state of the art construction dispute resolution in Indonesia, which includes types of disputes, indications of potential disputes, and comparison of construction service dispute resolution regulations. The proposed method is a mixed-method consisting of expert judgment, literature study by comparing the history of construction contract dispute settlement referring to Law No. 02/2017, Presidential Decree No. 16, Law No. 30/1999, and PP. 22/2020, and the Dispute Resolution Management Matrix (DRM-Matrix). The results show that there are two main issues for dispute resolution, namely the choice of dispute resolution and dispute resolution outside the court (litigation and non-litigation). Improvements are enforced in Government Regulation No.22 of 2020 which explains the stages of dispute resolution involving mediation, conciliation and arbitration, as well as the appointment of a dispute board.Keywords: contract, constructions, dispute, state of the art