NILAI EKONOMI KEGUNAAN WISATA ALAM SITUGUNUNG TAMAN NASIONAL GUNUNG GEDE PANGRANGO

The Situgunung area has direct usability value as recreation place and natural tourism. This study aims to determine the perception of visitors and the economic value usability on the natural tourism of Situgunung. This research method uses descriptive methods as well as traveling expenses or the Travel Cost Method (TCM). Testing the perception of visitors using validity and reliability tests were analyzed descriptively using a Likert scale and the economic value use was analyzed using the concept of travel cost (TCM). This result of the study indicates the index of visitors’ perceptions of Situgunung Nature Tourism from the beauty is 89,25% very beautiful, the security aspect is 83,5 % very safe, the hygiene aspect is 77,5% very clean, the accessibility aspect is 77,75% very easy, the facility aspect is 74,25% complete. And the economic value of the use of Situgunung Nature Tourism is Rp.49.197.122.816/year, with the average traveling expenses calculated based on the zone or distance from the area from which the visitor came to the tourist location. With the high perception of visitors and the value of economic use of Situgunung Nature Tourism objects, a more professional management is needed without reducing the concept of natural sustainability.

The Dynamics of Tourism Development: Study Case Tourism Attributes in Penyengat Island

Penyengat Island has a valuable historical footprint not only for Indonesia but also for Malaysia and Singapore, as well as having a wealth of ancient literacy and influential religious values. Data were collected from tourists visiting Penyengat Island through distributing questionnaires to 100 respondents, combined with in-depth interviews, focused discussions with representative and competent key persons related to the issues discussed. This study found that the accommodation and amenities components are still the main problems in developing tourism on Penyengat Island. The factors of tourism management, tourist safety, public awareness of tourism, and environmental preservation are other central issues that need attention. The development of broad tourism promotion using information technology media and supported by professional management will be able to accelerate the tourism growth of Penyengat Island. Purpose of this study is to measure the dynamics of historical and religious tourism on Penyengat Island using the 5 A attribute approach (attractions, accessibility, accommodation, amenities and awareness). This research is focused on the empirical conditions of the dynamics of tourism development in Penyengat Island, with a qualitative descriptive research method through questionnaires, in-depth interviews, observations, and transects. The attributes of accommodation, amenities, and awareness of public tourism are still low. The main factor of the problem lies in the management of tourism in Penyengat Island that has not been done professionally and integratedly by targeting foreign tourists Overall and integrated tourism management by building destinations that ensure the comfort and safety of tourists, building information technology-based promotional media that can reach the wider community, and building a network of partnerships with stakeholders in the development of tourist destinations and strengthening human resources.

Creating a super effective work force for hotel operation through an effective HR system: Recruit, Retain and Train

Human resource development is becoming increasingly crucial for the tourism industry. Mobilizing our human resource is required to enable them to participate in the task of hotel operations for development and nation building. The mobilization of human resources requires developing their skills, knowledge, and attitudes so that they can accomplish effectively the pre-determined objectives. The successful development of this sector requires efficient and professional management. Having equal importance, however, is the quality of staff training, which is often relatively neglected during the early stages of development this sector. Hotel business basically being a service business, so there is a need to take the necessary steps to build a pool of efficient trained people to occupy various jobs. There is, therefore, a need to pay special attention to the training and qualification of manpower and personnel for the various hotel professions. A special effort has also been made to ensure that services and facilis are expanded to keep up with the competition. In this study, an attempt has been made to create a better work force through a more effective HR system.

Tools for solving management tasks in economic systems of the «organization» type

There is a need to research and determine the composition and content of tools that form and ensure the implementation of professional management tasks. Scientific literature and empirical research have allowed us to choose as such tools methods of performing procedures, methods of managerial decision-making and management elements. The use of these tools for the design of technologies for solving professional management tasks will improve the quality and efficiency of the studied, designed and operated processes and their parts in organizations.

MANAGEMENT CONSULTING AS A COMPONENT OF PROFESSIONAL, SCIENTIFIC AND TECHNICAL ACTIVITY OF UKRAINE

The article is devoted to the study of the current state and prerequisites for the development of management consulting as a component of professional, scientific and technical activities of Ukraine. The essence and functions of professional management consulting in the structure of NACE­2010 are revealed. According to static data of the State Statistics Service of Ukraine, the dynamics and structure of development of the field of professional, scientific and technical activities of Ukraine during 2012–2020 were studied. The slowdown in economic growth in 2020 has been revealed in both the industry as a whole and management consulting services caused by the economic crisis caused by the global COVID­19 pandemic. According to the structure of busi-ness entities of the studied industry, there are business entities with the status of individual entrepreneurs. Difficulties have been identified in determining the importance of management consulting in the national economy, due to the lack of statistical infor-mation on the parameters and performance of management consultants. A clear synchronization in the dynamics of the studied market parameters of the development of the industry is a component of professional, scientific and technical activities of Ukraine and management consulting. The dialectical system connection of the development of the field of professional, scientific and technical activity and the market of management consulting services is proved. Modern management consulting is revealed as a leading infrastructural institute of economy, where intellectual products are created, which contribute to the qualitative improve-ment of the activity of socio­economic subjects at the micro and macro level. The innovative orientation of the national economy as a prerequisite for the spread and effective development of management consulting in Ukraine is substantiated. Stimulating and disincentive factors for the development of management consulting in the national economy are argued. Prospects for the development of management consulting in the national economy under conditions of stabilization, the formation of a favorable foreign economic environment, as well as the Government's actions to continue the implementation of measures to mitigate the negative effects of the COVID­19 pandemic.Keywords: management consulting, professional, scientific and technical activity, consultant, statistical information, factors, development. Статтю присвячено вивченню сучасного стану та передумов розвитку управлінського консультування як складової частини професійної, наукової та технічної діяльності в Україні. Розкрито сутність і функції професійного управлінського консультування у структурі КВЕД­2010. За даними Державної служби статистики України досліджено динаміку, структуру розвитку галузі професійної, наукової та технічної діяльності впродовж 2012–2020 рр. Виявлено синхронну поведінку досліджуваних ринкових параметрів розвитку галузі та управлінського консультування. Аргументовано стимулюючі та дестимулюючі чинники розвитку управлінського консультування в національній економіці. Обґрунтовано перспективи розвитку управлінського консультування у сфері професійної, наукової та технічної діяльності в Україні. Ключові слова: управлінське консультування, професійна, наукова та технічна діяльність, консультант, статистична інформація, чинники, розвиток.

Fournier Gangrene: Case Report & Litarature Review

Introduction: Necrotizing fasciitis of the perineal and vaginal region is a symptom of Fournier's gangrene, which is caused by a synergistic polymicrobic infection. The clinical presentation varies depending on the original aetiology, ranging from anorectal or vaginal pain with limited evidence of cutaneous necrosis to a rapidly spreading necrosis of the skin and soft tissue, to systemic sepsis without any obvious signs or symptoms. Case history: A 65-year-old male who was admitted in hospital with the chief complaint of Scrotal enlargement, discomfort, hyperemia, pruritus, crepitus, and fever. There may also be a foul-smelling discharge. Symptoms usually appear during a two- to seven-day period. Soft-tissue gas may be present before clinical crepitus is detected. The patient with Fournier gangrene frequently seems poorly on physical examination, with prodromal signs of fever and lethargy lasting 2-7 days. Edema of the overlaying skin is usually present, as is acute pain and tenderness in the genitalia; pruritus may also be present.Skin may show evidence of trauma, surgery, insect or human bites or injection sites, In Respiratory system, B/L Air entry present. In cardiovascular system, S1 and S2 sound heard and Patient get conscious and well oriented to time, place, and person. Then, as quickly as possible, treatment was began; he did not improve after treatment, and treatment would continue till the conclusion of my care. Conclusion: We focus on professional management and superior nursing care in this study so that we may provide the complete treatment that Fournier Gangrene requires while also effectively managing the complex case. After a full recovery, the patient's comprehensive health care team collaborates to help the patient regain his or her previous level of independence and happiness.

Case Report on Chiari Syndrome

Chiari Malformation is a rare condition. A condition known as Chiari malformation occurs when brain tissue spreads into the spinal canal. When a portion of your skull is excessively small or malformed, it presses on your brain and forces it downward. Chiari malformation is a rare occurrence, although the increased use of imaging testing has resulted in more diagnosis. Case Presentation: A 18-year-old boy was admitted to the hospital with the following symptoms: Tingling sensation, numbness over left hand since 2 to 3 months. Neck bend toward right side, pain in left hand since 6 month. Difficulty during eating by hand since 2 to 3 month. On physical examination, indicated a bright attentive person with pale conjunctiva and no symptoms of icterus. He had a tachycardia, bilateral pitting pedal edema and a swollen abdomen with shifting dullness, all of which pointed to as cites. He had a history of intermittent abdominal pain. On admission he complaint of new onset of dyspnea on exertion, fatigue and abdominal swelling. The rest of all physical examination was normal, with no skin changes and an intact arterial pulses in all four extremities. Conclusion: The primary focus of this case study is on professional management and outstanding nursing care, which may provide the holistic care that Chiari Syndrome necessitates while also effectively managing the challenging case. After a full recovery, the patient's comprehensive health care team collaborates to help the patient regain his or her previous level of independence and satisfaction.

Guillain Barre Syndrome: A Case Report and Literature Review

Introduction: The arrival of Guillain-Barre Syndrome is sudden. It’s a type of neuropathy caused by the immune system. Nutrition is very crucial. In impoverished countries, it is a disabling disease. Autoantibodies against diverse antigens can be seen in the outlying site. The occurrence links 0.4 to 1.7 million individuals per year. Case Presentation: A 5-year-old boy was taken to the hospital with chief complaints of Weakness in bilateral upper and lower limbs, trouble in swallowing, inability to hold the neck, mouth-frothing, fever spikes. On physical examination, the patient has experienced weakness in bilateral upper and lower limbs, Bulbar weakness is present, pain experienced in both legs, the gag reflex is absent, In Cardiovascular System, S1 and S2 sound are present, In Respiratory System, Air entry is bilaterally equal, pupils are reflected light, tone, and power of upper and lower limbs are decreased, then treatment was started as soon as possible, he has not improved after receiving treatment, and the patient is on ventilator support, with treatment continuing until the end of my care. Conclusion: In this study, we primarily focus on professional management, and outstanding nursing care may give the holistic care that Guillain Barre Syndrome requires while also effectively managing the challenging case. The comprehensive health care team collaborates to help the patient achieve their prior level of independence and satisfaction after a full recovery.

Case Report on Hydatid Cysts with Hydropnemonothorax

Introduction: Hydatid disease is caused by a parasite infection induced by an echinococcus tapeworm. The hydatid cyst is one recognized cause of liver mass. It is a significant pathogenic, zoonotic, and parasitic illness (acquired from animals) of humans after consumption of tapeworm eggs produced in the faeces of infected dogs. Hydatid disease is a serious endemic health concern in various regions of the world. Cystic hydatid disease is most often associated with the liver (50–70%), although it can also affect the lung, spleen, kidney, bones, and brain. A hydropneumothorax occurs gradually. Case Presentation: A 35-year-old Man was taken to the Acharya Vinoba Bhave Rural Hospital with the chief complaint of abdominal discomfort, breathlessness (dyspnea) right side pain for 2 days. Approximately to the peritoneal cavity of the right chest by a hydatid cyst in the subscapular posterior part of the right lobe of the liver. For minimal ascites, a contrast study was conducted, revealing a multi-located hypodense cystic lesion spread across the abdomen was recognized as sign of hydatid disease. Conclusion: In a patient with a hydatid disease, physical and psychological therapy should be put together. In this study, we primarily focus on professional management and outstanding nursing care, which may give the comprehensive care that hydatid cyst requires. The complete health care team works together to assist the patient to restore his or her prior level of independence and happiness after a full recovery.