The enactment of law Number 30 of 2014 on Government Administration has caused a paradigm shift under development of state administration decision (in short term known as KTUN). By virtue of article 87 of Law number 30 year 2014, KTUN was not only on the written form, but it can also be a factual act. This causes a change in the absolute competence of lawsuit on factual actions taken by the government from the district administrative court (PTUN). It is arises a question whether Article 87 of Law number 30 year 2014 also applies to claims for factual actions committed by the military. The formulation of problems in this research are 1) The position of a lawsuit against factual actions committed by the military before Law number 30 year 2014 and 2) the claim position against factual actions committed by the military after Law Number 30 Year 2014. This research is a doctrinal research by using a statute approach and conceptual approach. The result of the analysis found that the KTUN paradigm have change under Law number 30 year 2014, which does not affect the absolute competence of lawsuits for factual actions carried out by military, though a government were excluded as mentioned on Article 2 of Law Number 9 of 2004 on Amendments of Law Number 5 of 1986 concerning State Administrative Court. It was confirmed under Article 87 of Law 30/2014, which grammatically states that the only changes to the KTUN are those in Law 51/2009, Law 10/2004, and Law 5/1986. The application of lex specialist pictured under the act number 30 year 2014 which regulated the administrative decision by the government, however concerning the military only regulated under the act number 31 year 1997. Further, the absolute competence on handling the legal factual action by the military since the implementation of law number 30 year 2014 is still held in the district court.

Thromboangiitis obliterans (TAO) also referred to as Buerger’s disease is a segmental, non-atherosclerotic, and progressive inflammatory vascular disease. The most frequently impacted arteries are the small and medium arteries in the upper and lower extremities. Smoking plays a significant role in the emergence and progression of TAO, despite the fact that its etiology and pathophysiology are uncertain. Anamnesis, physical examination, and supporting examination can all be used to confirm the diagnosis of TAO. The effective method of TAO management is smoking cessation. Besides smoking cessation, there are supportive therapies both pharmacological and non-pharmacological that can be carried out to maintain the maximum blood flow and prevent complications such as amputation and secondary infections.

<p>Dahulu USG terbatas hanya untuk mengevaluasi masa atau efusi pleura. Namun dalam perkembangannya USG toraks ternyata mampu mendiagnosis pneumonia, Penyakit Paru Obstruktif Kronis (PPOK) atau asma eksaserbasi ; juga edema paru, tromboemboli paru, pneumotoraks, serta efusi pleura maupun empyema. Beberapa protokol dikembangkan untuk membantu mempermudah diagnosis kasus kegawat daruratan kardiorespirasi Tinjauan pustaka ini membahas peran ultrasonografi toraks pada kasus kegawat darutan paru agar dapat digunakan sebagai referensi di instalasi rawat darurat.</p><p>Previously, ultrasound use was limited to evaluate mass or pleural effusion. But in its development thoracic ultrasound was able to diagnose pneumonia, Chronic Obstructive Pulmonary Disease (COPD) or exacerbation asthma, pulmonary edema, pulmonary thromboembolism, pneumothorax, as well as pleural effusion and empyema. Several protocols were developed to help simplify the diagnosis of emergency cases of cardiorespiratory emergencies. This literature review will discuss the role of thoracic ultrasonography in cases of pulmonary emergency to be used in emergency settings.</p>

The activity of creating musical works based on Community Service activities with the  title  “Exploration  of  Harmonious  Composition  Techniques  and  Interlocking Vocal Techniques in Metal Musical Works of the Djiwoastra Group” seeks to express musical works that show the marriage between Nusantara aesthetics and Western aesthetics through working on choir vocal compositions. The agreement to collaborate in composing music with an emphasis on the Gregorian choir composite strategy that explores Nusantara vocal forms such as Senggakan and Gerongan (Javanese), as well as the Balinese Kecak vocal interlocking technique is a problem solving point in overcoming the problem of diversity in metal music production techniques required by Djiwoastra music group as partners. The Participation Action Research method is prioritized in this activity. This activity is a vehicle for realizing mutual understanding between the team implementing the activity and the metal music group Djiwoastra, in order to strengthen each other’s potential for the challenges of musical works based on the internalization of diverse experiences. Community service activities that aim to solve problems in balancing the aesthetics of music between West and East have been achieved to some extent by strengthening the trans-medium composite technique of Javanese vocal forms such as Senggakan, Gerongan, and Balinese Kecak which are packaged in a gregorian choral style, which can become a new techniques mastered by partners to develop subsequent works