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A traffic accident is an emergency condition that requires immediate or life-threatening help. It is important for all people to have readiness regarding initial handling/first aid quickly and precisely so that the chain of handling traffic accident victims can run properly and correctly. This research aims to find out how the level of community readiness for emergency first aid for victims of traffic accidents on Jalan Raya Gapura, Sumenep Regency. This study uses a descriptive design. The population and sample of this study, namely the entire community along the edge of Jalan Raya Gapura, Braji Village, Sumenep Regency, consisting of 30 people, used a non-probability sampling technique - total sampling. The research instrument used a Type Multiple Choice Questionnaire with 10 questions. The results of the data are processed by means of editing, coding, scoring, tabulating. Nearly half of the respondents were in the unprepared category 14 (47%), almost half of the respondents were in the quite ready category 10 (33%), and a small proportion of respondents were in the ready category 6 (20%). Based on the results of the study, it was found that most of the community's readiness level for emergency first aid for victims of traffic accidents on Jalan Raya Gapura, Sumenep Regency, was with a less prepared level of readiness.

Wolff-Parkinson-White (WPW) syndrome is a commonly undiagnosed cardiac rhythm anomaly in a previously healthy patient who may precipitate malignant arrhythmia under surgical stress. We report successful management of a reconstruction surgery patient who developed cardiac arrest under general anesthesia due to undiagnosed WPW syndrome and a malignant arrhythmia during subsequent emergency surgery. A male patient with no previous history of the co-existing disease, age 23 years old underwent 14 hours of leg reconstruction with a posterior back flap. At the end of the surgery, the patient developed malignant arrhythmia that worsens to pulseless ventricular tachycardia. High-quality resuscitation was conducted and resulted in the return of spontaneous circulation. The patient had to undergo emergency surgery the next day, and another episode of intraoperative malignant arrhythmia was treated with propafenone and diltiazem. The patient underwent ablation postoperatively and, on the 14th day, was discharged without any residual complications. In conclusion, WPW may appear asymptomatic in a healthy young patient. Good anesthesia management and monitoring, knowledge of selective antiarrhythmic drugs and high-quality resuscitation skills can provide an optimal outcome in an unpredicted intraoperative crisis.

Adaptation to the scrap metal business in Surabaya as a livelihood is monitored and analyzed the Madurese adaptation behavior in the scrap metal business operating in the City of Surabaya. This study uses ethnographic methods with data collection techniques of observation and in-depth interviews, data analysis techniques using ethnographic analysis using the Adaptation Theory of Usman Pelly. The results showed that in the adaptation carried out by scrap metal business (Founders) as immigrants of the Madurese Tribe in the City of Surabaya by working with fellow relatives of the scrap metal businessmen of the Madurese Tribe in the City of Surabaya, in addition, relatives who had first migrated in the City Surabaya can guarantee the economic life of overseas relatives by creating jobs within the scope of the scrap metal business. This was repeated to other relatives who wanted to develop in overseas lands as a reciprocal relationship as an Adaptation process. This adaptation was carried out in the process of dealing with the competition of the scrap metal business which strengthened the dominance of the Madurese Tribe in the scrap metal business in the city of Surabaya

The sixth of nine Indonesian national development agendas under the President Joko Widodo administration is to increase productivity and competitiveness, one of which is by the establishment of Techno Parks. The projects will be terminated in 2019; however, exit strategies that contribute to sustainable development have been rarely considered throughout the history of development studies and practice. This paper examines the concept of exit strategies within the context of a case study of the Indonesian Institute of Sciences (LIPI)-assisted project of the Tasikmalaya Techno Park (TP) from 2015-2019. It addresses two questions: (1) How has LIPI executed the TP project in Tasikmalaya throughout the period? (2) What is the recommended exit strategy for regional policymakers after project termination? To overview the implementation of TP activities, an internal- external analysis was conducted, and to formulate exit strategies, SWOT and QSPM were employed. Data were collected from July-September 2018, consisting of primary data collected from competent respondents by semi-structured and in-depth interviews selected by the purposive sampling method as well as secondary data compiled from relevant institutions. The conclusion is that the Tasikmalaya TP has five core businesses and its mission is to become a center for dissemination, technology transfer, and agribusiness incubator. The TP was present in quadrant I, meaning that aggressive strategies were recommended. There were four future management options and independent management was considered as the most appropriate. Its role should be more supported by middle- to long-term strategies and a well prepared legal system. Policy implications are discussed.

Aloe vera and rosella flower has high antioxidants and has the potential as a functional drink. The purpose of this study was to analyze the antioxidant activity of aloe vera drink with the addition of various concentrations of rosella extract and stored for 21 days. The results showed that aloe vera drink with the addition of rosella flower calyx extract had a significant effect on antioxidant levels. The addition of rosella flower calyx extract at a concentration of 3% has the highest antioxidant, which is 58.12% after being stored for 21 days. Increasing the concentration of rosella flower calyx extract also significantly affected pH and total acid values. Aloe vera drink with the addition of 3% rosella extract after storage of 21 days had a total acid value of 6.6% and a pH value of 3.86. Different results are shown in the analysis of sensory tests, where the addition of rosella flower calyx extract to aloe vera drinks did not significantly affect the reception of panelists.

Coffee (Coffea sp), has an important role as a significant influence in live and livelihood of majority community as well as foreign exchange earner for state. It is known that coffee is one of flagship products in Indonesian commodities, noted that Indonesia is one of the world's largest coffee exporting nation. Instant coffee which is available at this time has been accepted by community which is caused by two factors.First, manufacturers build consumer perceptions that the products are kind of instant coffee beverage that offers practicality in its presentation, and not leaving a coarse powder or residue when drunk. Second, intelligence producers through advertising, where instant coffee is identical with urban culture, modern society, and people who are always busy with various kinds of work which spends time. The research goal was to identify the factors influencing consumer decision in buying instant coffee, especially coffee consumers on internet social networking users, by using Quota NonProbabilistic Sampling. The data analysis in this study used multiple regression analysis. The population was the entire of social networking users both personal and group. The results showed that the factors influencing consumer decisions in buying instant coffee were: sex (1.555), duration of activity or working hours (0.933), education (0.198), and information (0.928). Sex factor (1.555) was dominant to influence consumer decisions in buying instant coffee. This occurred because there was psychological aspect that could pose great effects. It is recommended for entrepreneurs in marketing products through television media to be more enhanced because most consumers find out information about coffee through the media. And for further researchers, it is expected to examine other factors that may affect consumers in making decision in buying instant coffee.