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Kemiskinan merupakan kondisi dimana masyarakat tidak mampu memenuhi kebutuhan hidup sehari hari. Penelitian ini dilatarbelakangi oleh permasalahan pada kesejahteraan sosial di Kabupaten Brebes, berupa kemiskinan dengan pokok permasalahan yaitu tidak meratanya distribusi pendapatan dengan tingkat pengangguran terbuka yang cukup signifikan dalam memengaruhi struktur sosial perekonomian wilayah tersebut. Untuk merespons permasalahan tersebut, para peneliti melakukan penelitian dengan tujuan mengetahui pengaruh daripada tidak meratanya distribusi pendapatan dan tingkat pengangguran terbuka terhadap kemiskinan yang berakibat cukup besar terhadap perekonomian wilayah Kabupaten Brebes. Penelitian ini dilakukan menggunakan data pasti yang mengacu pada BPS. Kemudian menggunakan kajian teori pengangguran yang juga menggunakan BPS dan data tersebut diuji dengan menggunakan software SPSS, dan terakhir Kajian teori kemiskinan beserta kerangka konseptual dimana faktor yang ada merupakan sumber dari permasalahan kemiskinan yang diteliti.

Ship waiting time is one issue that is always getting serious attention in every country. Marine transportation became the main made of transportation in trade. Nearly 90% of foreign trade is done by sea. Freight carried by sea to be very efficient due to large carring capacity and this the role of the port as a place where ships can carry out loading and unloading of goods becomes an important means of supporting adequate facilities and infrastructure. If the performance of the port is not optimal, it will have a direct impact on the service so that it will cause new problems, namely the ship’s waiting time gets higher, so that it  willlead to high costs, which have a direct impact on the price of goods on the market. This research has objective to know analysis the influence of factor ship scheduling, pilotage, and loading and unloading productivity to the waiting time. This research was conducted at the Port of Sei Kolak Kijang as a sample. The data collection done was through a method of observation, the literature study, interview, documentatuion and the questionnaires. Techique the analysis used is linear regression multiple with program assitance SPSS V.20. Based on the results of research and analysis produced equation: Y = 15.326 - 0,220 X1 - 0,178 X2 – 0,308 X3 + µ. Where the decision variable of waiting time (Y), ship scheduling (X1), pilotage (X2), loading and unloading productivity (X3) tested using t test show that the three independent variables significantly influence passenger decision as dependent variable. The Adjusted R Square number of 0,665 indicates that 66,5 percent of waiting time variables can be explained through the three independent variables in the regression equation. While the remaining 33,5 percent is explained by other variables outside the three variables used in this study.

Youth unemployment remains a strategic issue in social and economic development, particularly at the community level. Limited formal employment opportunities, low entrepreneurial skills, and restricted access to information and capital have constrained youth economic independence. This community service program aims to accelerate employment growth through youth entrepreneurship development based on a business incubator approach in RT 013, Lubuk Gaung Sub-district, Sungai Sembilan District, Dumai City. The program employed a community organizing approach through participatory counseling, interactive discussions, and initial business mentoring. The results indicate a significant improvement in youths’ knowledge, skills, and entrepreneurial attitudes, particularly in business planning and micro-enterprise management. Furthermore, a shift in orientation from job seekers to job creators was observed, along with the emergence of collective business initiatives and increased awareness of entrepreneurship as a means of job creation. This program contributes to accelerating employment growth and  strengthening youth-based local economic development  

Penelitian ini bertujuan untuk mengetahui : (1) pengaruh gaya kepeminmpinan terhadap kinerja karyawan, (2) pengaruh lingkungan kerja non fisik terhadap kinerja karyawan, (3) pengaruh disiplin kerja terhadap kinerja karyawan. Penelitian ini menggunakan pendekatan kuantitatif. Sampel yang diambil pada penelitian ini menggunakan sebanyak 68 responden karyawan PT Karya Setiawan Ekatama. Teknik yang digunakan pada penelitian ini menggunakan Teknik Sampel Jenuh. Teknik pengumpulan data menggunakan kuisioner yang telah diujikan menggunakan validitas dan reliabilitas. Teknik analisis data pada penelitian ini menggukanan regresi linier berganda. Hasil dari penelitian ini pada taraf signifikansi 0,05 yang menunjkan bahwa : (1) terdapat pengaruh signifikan secara parsial gaya kepemimpinan terhadap kinerja karyawan adalah 0,034 yang artinya < 0,05 dan nilai thitung > ttabel yaitu sebesar 2,165 > 1,997. (2) terdapat pengaruh signifikan secara parsial lingkungan kerja non fisik terhadap kinerja karyawan adalah 0,000 yang artinya <0,05 dan dan nilai thitung > ttabel yaitu sebesar 5,074 > 1,997. (3) terdapat pengaruh signifikan secara parsial disiplin kerja terhadap kinerja karyawan 0,000 yang artinya < 0,05 dan nilai thitung > ttabel yaitu sebesar 5,096 > 1,997. (4) terdapat pengaruh signifikan secara simultan gaya kepemimpinan, lingkungan kerja non fisik dan displin kerja karyawan terhadap kinerja karyawan adalah 0,000 yang berarti > 0,05 dan nilai thitung > ttabel yaitu sebesar 70,819 > 2.75. Perhitungan analisis linier berganda dengan menggunakan persamaan linier regresi diperoleh dengan nilai : Y = -4,714+ 0,192 + 0,389 + 0,435

Background: Regional anesthesia is a major factor in safety patients during labor by Sectio Caesaria (SC). The rise of spinal anesthesia as a popular technique in use made possible by the development of a small needle with a tip pencil and has become the anesthetic method of choice for elective surgery and for multiple emergency cesarean deliveries if an epidural catheter not there yet. Research method: This research is an experimental analytic observational study with a cross sectional study approach. Result: Known Asymp value. Sig. (2-tailed) of 0.734 because the value of asymp. Sig (2-tailed) > 0.05 or 0.0734 > 0.05, it can be concluded that H0 is accepted, Ha is rejected, so no. Comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia. Conclusion: There is no comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.

: Financial distress is a condition where a company experiences a decline in financial condition which is usually temporary, but will develop worse if the condition is not quickly overcome and can cause the company to go bankrupt. The purpose of this study is to determine the effect of profitability, liquidity, company size and institutional ownership on financial distress. The population is property and real estate companies listed on the Indonesia Stock Exchange (IDX) in the financial statements for the 2016-2021 period. Samples were determined by purposive sampling techniques with certain criteria and obtained samples of 36 companies. This study used a multiple linear regression analysis method assisted by the SPSS Version 22 program. The results of this study show that profitability as measured by return on equity has a positive and significant effect on financial distress, liquidity as measured by curre ratio has a positive and significant effect on financial distress, while company size does not affect financial distress, institutional ownership positively affects financial distress

The existence of technology has become insignificant and affects all activities and human life in the world. As in today's era, almost everything is dependent on technology. Information technology in the e-government era can make it easy for people to obtain information and communicate interactively. Because with this technology, we can get information quickly. Information obtained through communication technology makes it easier for an organization to cooperate with each other in achieving the goals of the organization. Therefore the use of technology needs to be optimized and developed so as not to experience backwardness in obtaining information. This study aims to analyze the application of electronic signatures to the electronic official document system at the Jakarta Directorate General of Population and Civil Registration using qualitative research methods by collecting data through recording and observation. The theory used is Grindle's policy implementation theory. Based on the results of the research and discussion above, it can be concluded that the application of electronic signatures to the electronic official document system at the Directorate General of Population and Civil Registration in Jakarta in general has a positive impact and eases the work of its employees.

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.

Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.

Entering elementary school age is a very important time for the continuity of a child's development. Children have many activities that are often directly related to a dirty environment that causes children to be susceptible to disease. Parental support in terms that are very important for children's independence, especially in personal hygiene. The purpose of this study was to find out if there is a relationship between parental parenting and personal hygiene independence in elementary school children in Madrasah Ibtidaiyah Negeri 2 Manado. The design of this study uses a cross sectional approach. . This type of research is observational. The sample in this study was 50 respondents. Respondents with the measuring tool used in this study is questionnaires and then data collected and processed using the SPSS computer program,, to be analyzed using the Chi-square test. The results of the study using the Chi-square test found that the value of p value was less than a significant value (0.01<0.05) the results of this study showed that Ha was accepted and H0 was rejected. The conclusion that can be taken is the parenting of parents have a relationship to personal hygiene independence in elementary school children. The results of this study can be a means of education for parents in improving the independence of children's personal hygiene.

Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

This study aims to determine the relationship between motivation and learning outcomes of biology in class XI MIPA SMAN 1 Luhak Nan Duo, West Pasaman Regency. In the learning process, motivation plays an important role, especially student learning outcomes. This type of research is descriptive with quantitative research methods. The research was conducted at SMAN 1 Luhak Nan Duo, West Pasaman Regency with a population of 126 students of class XI MIPA enrolled in the odd semester of the academic year 2021/2022, with a sample of 94 students. The sampling technique was simple random sampling which was carried out randomly, using a significance of = 5%. The data collection in this study used a questionnaire containing statements of student learning motivation using a Likert scale, odd mid-semester exam scores for the 2021/2022 academic year. The results of the Pearson product moment correlation test are 0.611 (61.1%) on extrinsic motivation (X1) and intrinsic motivation (X2) of 0.505 (50.5)%, meaning that there is a fairly strong relationship between extrinsic motivation (X1) and intrinsic motivation. (X2) with the results of learning biology in class XI MIPA SMAN 1 Luhak Nan Duo, West Pasaman Regency. The results of the t-test showed that the t-count of extrinsic motivation (X1) was 7.410 and the t-count of intrinsic motivation (X2) was 5.618 indicating that there was a significant relationship. The coefficient of determination of extrinsic motivation (X1) is 37.4% and intrinsic motivation (X2) is 25.5%, this means that extrinsic motivation (X1) and intrinsic motivation (X2) contribute to student biology learning outcomes (Y).

Breast cancer is a malignant tumor of the breast, lump or single mass often present in the upper outer quadrant region, this lump is hard and irregularly shaped and can be moved. Breast cancer as the most common type of cancer in women. In every year more than 250,000 new cases of breast cancer. The incidence of breast cancer in Putri Hijau Hospital Medan 2014-2022 was 43 cases. The purpose of this study was to determine the relationship between age and parity with breast cancer Kebonjati Bandung Hopital. This research was an Analytical Survey with Cross Sectional approach that is a research where the measurement of free variable and dependent variable is done in the same time. This study used the Total Population method to take a sample where the entire population amounted 43 cases of breast cancer. Techniques of data collection were secondary data that was taken from medical record of Kebonjati Hospital Bandung. Breast cancer stands out at the age of 40-50 years as many as 18 people (41. 9%) and in multiparous parity as many as 21 people (48. 8%). The results showed that the variable age ρ = 0. 036 and parity ρ = 0. 023 < 0. 05, it eans there is a significant relationship between age and parity with breast cancer. Conclusions in this study were respondents who are at high risk of developing breast cancer occurs at the age of 40-50 years and multiparity parity. For health workers are expected to provide health promotion and provide proper and prompt health services in breast cancer disease so that it can reduce mortality.

Various factors can influence a country's economic growth, among which is the availability of manpower. The substantial availability of human resources in a country can serve as a catalyst for the progress of Indonesia's economy. This research aims to determine the influence of the Human Development Index on the economic growth of Bali Province during the period of 2018-2022. The research methodology employed is quantitative, involving the gathering of data from the Central Bureau of Statistics (BPS) and a literature review. In this study, the dependent variable is Economic Growth, while the independent variable is the Human Development Index (HDI). The research findings reveal that the HDI has no significant impact on economic growth.

Salah satu sumber mata pencaharian masyarakat di Desa Sibalaya Selatan, Kecamatan Tanambulava, Kabupaten Sigi adalah di bidang pertanian yang ditanami jagung. Setelah melakukan observasi, kami menemukan bahwa di daerah ini banyak menghasilkan limbah hasil pertanian yaitu tongkol jagung. Seperti yang kita ketahui bersama bahwa limbah adalah buangan yang dihasilkan dari suatu proses produksi baik industri maupun domestik. Dan sampai saat ini memang masih menjadi masalah besar dalam masyarakat. Fenomena ini juga yang terjadi pada masyarakat di Desa Sibalaya Selatan.Masyarakat hanya membuang limbah jagung-jagung tersebut, tidak memanfaatkannya sama sekali. Melihat fenomena tersebut kami mencoba menemukan salah satu solusi untuk mengurangi limbah tongkol jagung tersebut dengan menjadikannya suatu produk yang selain bernilai manfaat juga nantinya dapat memiliki nilai komersil. Salah satu caranya adalah dengan memanfaatkan tongkol jagung itu sendiri menjadi bahan bakar dan sumber energy. Metode pelaksaan yang dilakukan dalam kegiatan ini adalah (1) observasi, (2) demonstrasi, dan (3) praktek langsung oleh masyarakat. Pemanfaatan limbah tongkol ini tujuan yang ingin dicapai adalah salah satunya mengurangi pencemaran limbah tongkol jagung, karena banyaknya limbah tongkol yang tidak di manfaatkan dengan baik sehingga kami berpikir soal tongkol jagung tersebut diubah menjadi produk yang bernilai yaitu termasuk suatu teknologi alternatif sebagai pengganti bahan bakar minyak yaitu briket, sekaligus membuka peluang usaha yang dapat memajukan pendapatan di Desa Sibalaya Selatan.

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

This community service activity focuses on training in the preparation and observation of fungal cell preparations at SMA Negeri 1 Banawa, Donggala Regency. The issue faced is the lack of understanding and skills among students in the field of biology, particularly regarding the structure and function of fungal cells. The goal of this activity is to enhance students' understanding of basic biological concepts and practical skills in preparing fungal cell preparations. The methods used in the training include opening, introducing basic theory, preparing preparations, and microscopic observation. The research results indicate that students successfully prepared samples from spoiled ketan rice, moldy bread, and spoiled tempeh. Microscopic observations allowed students to identify the morphology and structure of fungal cells well, as well as increase their interest in biological sciences. This activity demonstrates significant potential in enhancing scientific literacy and environmental awareness among students.

The use of image media in Civic Education (PKn) learning, particularly on the topic of understanding the meaning of the Pancasila symbols in fourth-grade elementary school, often faces challenges, especially in enhancing students' comprehension of the abstract concepts involved. This community service program aims to socialize the use of image media as an effective teaching aid in PKn education. The methods employed include training and mentoring teachers in integrating image media into their lessons. The results indicate a significant improvement in students' understanding of the Pancasila symbols and increased motivation to learn. Additionally, the program sparked social change within the school environment, such as new initiatives from teachers to be more creative in using teaching media. This program successfully achieved its goals by fostering positive transformation in the school's learning processes