The purpose of this study was to determine the description of transformational leadership, nurse competence, increasing nurse motivation, and nurse performance at Dewi Sri Hospital Karawang. This research method uses descriptive and verification with a quantitative approach. The data analysis technique used is (path analysis), with hypothesis testing t test and f test. The results of the study show, there is a strong and significant influence between leadership transformation on work motivation, there is a strong and significant influence between nurse competence on work motivation, there is a strong and significant influence between work motivation and nurse performance. There is a strong and significant influence simultaneously between transformational leadership and nurse competence on nurses' work motivation. Conclusion, transformational leadership has a dominant effect on nurses' work motivation. The competence of nurses gives a significant contribution to work motivation. This means that the better the nurse's competence, the work motivation will increase. The work motivation of nurses at Dewi Sri Hospital is largely determined by these two variables. Keywords: Transformational leadership, Nurse performance, Work competence, Work Motivation

Mranggen Hamlet is a hamlet located in Wangunsari Village, Sawangan District, Magelang Regency. The majority of the population in this village are elderly and elderly who have health problems in the form of degenerative diseases, some of which have experienced complications. In this hamlet, posbindu has only been established and has only been routinely active for the last 1 month. It is hoped that with community service activities, public awareness related to a healthy lifestyle and prevention of worsening of degenerative diseases will improve. The program carried out in this service activity is the strengthening of posbindu and increasing understanding of the community regarding degenerative diseases, their prevention, maintenance and complications that can be experienced by these diseases and efforts to minimize complications with a healthy lifestyle. This activity was carried out by means of counseling to small groups of people consisting of housewives and posbindu administrators. The counseling target takes a target that plays a very important role in the community, namely housewives and posbindu officers. It is hoped that the increased knowledge and understanding of degenerative diseases on both sides will make it easier to realize behavioral changes in the future. The results of the counseling that we carried out received very good enthusiasm from the residents and increased understanding from the community.            Keywords: degenerative disease; elderly; posbindu Abstrak: Dusun Mranggen merupakan dusun yang berada Desa Wangunsari Kecamatan Sawangan Kabupaten Magelang. Mayoritas penduduk di desa ini adalah lansia dan pralansia yang memiliki permasalahan kesehatan berupa penyakit degeneratif yang beberapa telah     mengalami komplikasi. Di Dusun ini baru dibentuk posbindu dan baru aktif secara rutin 1 bulan terakhir. Diharapkan dengan kegiatan pengabdian kepada masyarakat  kesadaran masyarakat terkait pola hidup yang sehat dan pencegahan terjadinya perburukan dari penyakit degeneratif membaik. Program yang dijalankan dalam kegiatan pengabdian ini adalah penguatan posbindu serta peningkatan pemahaman kepada masyarakat terkait penyakit degeneratif, pencegahannya, pemeliharaan serta komplikasi yang bisa dialami oleh penyakit tersebut dan upaya memini-malkan komplikasi dengan pola hidup sehat. Kegiatan ini dilaksanakan dengan metode penyuluhan kepada kelompok-kelompok kecil masyarakat yang terdiri dari ibu rumah tangga dan pengurus posbindu. Target penyuluhan mengambil sasaran yang berperan sangat penting dalam masyarakat yaitu ibu rumah tanggga dan petugas posbindu. Diharapkan dengan meningkatnya pengetahuan dan pemahaman tentang penyakit degeneratif di kedua pihak akan mempermudah dalam mewujudkan perubahan perilaku kedepannya. Hasil dari penyuluhan yang  kami laksanakan mendapatkan antusiasme warga yang sangat baik dan peningkatan pemahaman dari masyarakat.Kata kunci: lansia; penyakit degeneratif; posbindu

Hidroponik dengan sistem aquaponik merupakan upaya pemberdayaan lahan sempit perkotaan dalam menghasilkan produk sayuran dan perikanan dalam satu wadah dan satu kali tahapan proses budidaya. Pemanfaatan limbah botol bekas di sekitar Kampung Jawa sebagai bahan pembuatan instalasi hidroponik akan mengurangi beberapa masalah pelik sampah perkotaan. Kegiatan ini bertujuan untuk meningkatkan pendapatan dan kesejahteraan masyarakat serta menjadi solusi permasalahan sampah di lokasi tersebut. Kegiatan ini dilaksanakan bulan Juni hingga Oktober 2022 yang diikuti oleh ibu-ibu PKK dan sebagian masyarakat Kampung Jawa. Kegiatan ini dilakukan dengan sosialisasi sekaligus praktik langsung bersama peserta pengabdian. Berdasarkan hasil pengabdian, para peserta menunjukkan antusiasme yang tinggi dan sangat gembira dengan adanya pelatihan hidroponik tersebut. Selain dapat menambah wawasan dan keterampilan, kegiatan ini dianggap dapat menjadi solusi dalam menggunakan mengelola limbah anorganik yang selama ini menjadi masalah untuk lingkungan Kampung Jawa.

ABSTRAKStatus gizi pada anak dengan acute lymphoblastic acute (ALL) diketahui dapat mempengaruhi efek samping yang mungkin timbul setelah dilakukan kemoterapi. Salah satu efek samping yang sering terjadi pada anak dengan ALL pasca kemoterapi adalah hematological toxicity. Hematological toxicity adalah efek toksik yang ditimbulkan dari obat kemoterapi yang menyebabkan gangguan pada sel darah yang bila tidak diatasi dengan baik dapat menimbulkan kematian. Hematological toxicity sering terjadi pada anak ALL pasca kemoterapi namun belum menjadi perhatian tenaga kesehatan terutama perawat. Tujuan penelitian ini adalah ingin mengetahui hubungan antara status gizi dengan hematological toxicity pada anak ALL yang sedang menjalani kemoterapi. Penelitian ini dilakukan di RSUP Dr Hasan Sadikin Bandung pada bulan Desember 2016 dengan metode penelitian korelasi dengan pendekatan retrospektif. Penelitian ini dilakukan pada 198 responden yang diambil dari catatan rekam medis bulan Januari-Juli 2016 dengan menggunakan purposive sampling. Analisa data menggunakan uji Korelasi Spearman Rank (Rho). Hasil penelitian didapatkan 13 dari 17 responden berstatus gizi sangat kurus mengalami hematological toxicity dan terdapat hubungan yang signifikan antara status gizi dengan hematological toxicity pada anak ALL (p=0,015) dengan korelasi yang sangat lemah (r=-0,172). Kesimpulan: Terdapat hubungan antara status gizi dengan hematological toxicity pasca kemoterapi pada anak LLA yang menjalani kemoterapi. Oleh karena itu, pentingnya pengkajian status gizi dan monitoring tanda-tanda hematological toxicity untuk mencegah terjadinya efek buruk akibat dari pengobatan kemoterapi pada anak dengan ALL. ABSTRACTAcute lymphoblastic leukemia (ALL) is the most common cancer in children and one of the leading causes of death in children. Many factors affect the prognosis of acute lymphoblastic leukemia, one of which is the nutritional status. Nutrition status in children with acute lymphoblastic acute is known to affect side effects that arise after chemotherapy. One of the side effects which often occur in children with ALL post chemotherapy was hematological toxicity. Hematological toxicity was one of the side effect chemotherapy if not treated properly can caused death. The aimed of this research was to analyze the correlation of nutritional status with hematological toxicity on children with ALL in chemotherapy. This study was done in Hasan Sadikin General Hospital in Bandung in December 2016 with correlational research was performed with retrospective approach. 198 respondents were selected using purposive sampling taken from medical records during January-July in 2016. Data was analyzed using Spearman Rank Correlation Test (Rho). The study showed that 17 children with ALL were categorized in very thin (86,7%) suffered from hematological toxicity thus discovered significant correlation between nutritional status pre chemotherapy and hematological toxicity post chemotherapy in children with ALL (p=0,015) for a very weak correlation (r=-0,172). The conclusion in this study researched was that nutritional stated chemotherapy was correlated with hematological toxicity after chemotherapy in children with ALL. Therefore, assessment of nutritional status in children with acute lymphoblastic leukemia should be done especially when chemotherapy treatment is being taken to minimize the occurrence of hematological toxicity

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.