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Colorectal carcinoma, a malignant neoplasm originating from the epithelial cells of the large intestine or rectum, poses a significant health problem worldwide. The estimated global incidence of colorectal cancer was 2.17 million cases in 2019. Meanwhile, in Indonesia, colorectal cancer ranks fifth among the most common cancer cases with a mortality rate of 9.5%. Demographic characteristics, including age, gender, ethnicity, and geographic location, have been extensively studied in relation to colorectal carcinoma. Understanding the patterns of differentiation and demographic characteristics associated with this disease is crucial for the diagnosis, treatment, and overall prognosis of patients. This study is a descriptive observational study that examines the demographic characteristics and differentiation of colorectal carcinoma patients. The study sample consists of a subset of the research population at Ciawi Regional General Hospital who underwent surgery from June 2021 to May 2023. A total of 21 respondents met the inclusion criteria, with a mean age of 54 years, and were predominantly female (57.1%). The results of this study indicate that poorly differentiated colorectal carcinoma generally occurs at a younger age compared to well and moderately differentiated cases. In terms of gender, females are more likely to experience colorectal carcinoma compared to males. Further research is needed to uncover the interactions between tumor biology, demographics, and clinical outcomes, with the ultimate goal of improving the prognosis and survival rates for individuals with colorectal carcinoma.    

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

Communication becomes very important in people's lives, because with indirect communication we can understand the attitudes, behaviors and actions of the environment around us. Communication that occurs between the Batak and Javanese tribes that occurs is called intercultural communication which involves two or more people with different cultural backgrounds. Communication and interaction between Batak and Javanese tribes in Environment II Untemanis is intertwined with the process of understanding each other's differences. This study is intended to determine the pattern of intercultural communication between Batak and Javanese tribes in Environment II Untemanis, Losung Batu Village, North Padangsidimpuan District, Padangsidimpuan Regency, North Sumatra. This research uses qualitative methods with a descriptive approach. The subjects in this study amounted to 14 informants determined purposively, consisting of the head of ligkungan II Untemanis, traditional leaders / hatobangon, and Batak and Javanese people who were at least domiciled for 3-4 years. Data collection is carried out by interview, observation and documentation techniques. In analyzing data, this study uses data reduction, data presentation and conclusions. The results of this study show that communities in Environment II Untemanis coexist harmoniously through a process of adjustment and then accept each other's differences. In the process of communication and interaction these two tribes use mixed languages, namely Batak, Javanese and Indonesian. Despite having different cultural backgrounds, Batak and Javanese people in this environment live without any discrimination. The existence of high tolerance in Environment II Untemanis makes community life harmonious and open to each other. The pattern of communication that occurs between the Batak and Javanese tribes in this environment is a circular pattern. The creation of a circular pattern that indicates a reciprocal process due to supporting factors, namely the ability to communicate, mutual acceptance and respect between cultures, and the adaptability of the Batak and Javanese people.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.  

The purpose of this research is to provide understanding of English phonology to the learners who are new with English phonology. The method used in this research is literature review. This discussion explores the study of English sounds, known as English phonology. It covers important topics for beginners, such as understanding the basic units of sounds (phonemes) and their variations (allophones). The chat also introduces processes like assimilation, dissimilation, and deletion that affect how sounds change in spoken English. Additionally, it explains vowel and consonant reduction, which impact how certain sounds are pronounced. Lastly, the chat provides an overview of classifying consonant and vowel sounds based on their characteristics. By learning about these aspects, beginners can improve their pronunciation, understand different sound patterns, and enhance their overall communication skills in English.

Historically, the outer space structure of the Sentani traditional defense settlement is an ancestral formation aimed at protecting its citizens from outside intervention and defending themselves from tribal wars. The phenomenon of this ancestral formation is maintained until now as a pattern of traditional Sentani defense settlements. From the previous research has been stated, research on traditional settlement patterns on the meaning of defense and the sacredness of outer spatial planning has never been carried out. No research reveals that the sacred outer space in the traditional Sentani settlement is a phenomenon formed by a sacred defense space to protect indigenous peoples from intervention and tribal wars. The research method used is a qualitative approach using the Intrisic Case Study Approach model with the nature of descriptive research. Data analysis in this study used the method of Discovering Cultural Themes. The locus of this research is the oldest village written in historical references and the Sentani traditional village on Lake Sentani today. The data collection method used observation, in-depth participant interviews, measurable pictures, and photographs. The study results found that the structure of the sacred outer space of the traditional settlements formed by the ancestors is still maintained today as a pattern of traditional Sentani defense settlements. The structural pattern of the sacred space forms a defense space in the traditional Sentani settlement forming a sacred outdoor layout for the Sentani indigenous people with one entrance for visitors or guests to the traditional village, namely a wooden pier for the boat landing. The sacred outer spatial arrangement is indicated by the position of the "Obe Imae" traditional house as the center of activity and customary activities are located at the very front, the two customary zones as the seat of tribal chiefs (traditional devices), the third community zone as the residential space of indigenous peoples, the fourth zone ancestors (traditional graves) and the fifth highest worship zone, namely the church as a place of worship to God.

In psychology, temperament broadly refers to consistent individual differences in behavior that are based on biology and are relatively independent of learning, value systems, and attitudes. Every child is born with a different temperament or biological behavior, depending on the temperament or biological behavior of their parents. However, in the process of character formation, this temperament will change in the course of life according to the parenting patterns of parents and even the environment in which they live. The development of children in the social, cognitive and emotional fields is very important in their future life when starting life or maturing. Parenting patterns are divided into 4 which can certainly influence a child's growth and development, namely: authoritarian (authoritarian), indulgent (permissive), authoritative (democratic), neglectful (ignorant). The aim of this research is to determine the influence of parental parenting on children's temperament. This research sample used 4 teenagers who had different parenting patterns.

Children who grow up in orphanages have the same rights as children who are in a family environment. Communication carried out by caregivers to provide motivation to foster children in terms of self-confidence. Based on this, orphanage caregivers need to carry out good communication patterns in increasing the confidence of foster children. The theory used in this study is the theory of social penetration popularized by Irwin Altman and Dalmas Taylor. This theory discusses the development of relationships through 4 stages, namely the orientation stage, the exploratory exchange stage, the affective exchange stage, and the stable exchange stage. This research uses a qualitative approach. Researchers use the constructivist paradigm, where knowledge is the result of human construction. Data collection techniques in this study through direct observation, in-depth interviews and documentation. The results showed that the pattern of communication of caregivers to foster children in increasing self-confidence in the Asyiyah orphanage was a wheel pattern, and a star pattern. The relationship between caregivers and foster children goes through 4 stages, namely the orientation stage, the exploratory exchange stage, the affective exchange stage, and the stable exchange stage. Factors that influence the increase in self-confidence in foster children are environmental factors and educational factors.

This research explores the role of emotions in intercultural communication through an ethnographic study of a multicultural community. Findings show significant variations in patterns of emotional expression across different ethnic groups and cultures, where cultural norms play an important role. Emotions such as joy, anger and disappointment are expressed differently based on cultural background, with examples such as East Asian holistic approaches compared to North American individual focus. Emotion regulation strategies also vary, influenced by the situation, individual disposition and cultural adaptations. Cultural values, norms and beliefs impact emotional experiences, with the interaction of gender and culture shaping the perception and expression of emotions.  Emotions play a key role in the dynamics of intercultural interactions, influencing relationship formation and the potential for conflict. Practical implications emphasize the importance of culturally sensitive communication for effective diversity management in organizations, improving team efficiency, and supporting organizational change. The research contributes theoretically by offering insights into the complexity of emotional processes in culturally diverse environments, enriching intercultural communication theory and the psychology of emotion. These results confirm the importance of an in-depth understanding of cultural diversity in emotions to promote more harmonious and effective interactions in multicultural environments.

The theory of consonants in English phonology is an important aspect in understanding the sound system in that language. Phonology is the study of how the sounds in language are used to form meaning. In English, consonants and vowels have different roles in forming word structure and sound articulation.Consonants in English are defined as sounds that experience resistance or airflow shift when spoken. There are various types of consonants in English, such as hissing consonants, popping consonants, sliding consonants, and so on. These consonants have certain characteristics, such as the place and manner of articulation, which distinguish one consonant from another.Places of articulation refer to the parts in the mouth or throat that are used to produce consonant sounds. For example, the lips, teeth, tongue, palate, and throat can play a role in the production of consonants. For example, the consonant /p/ is pronounced by bringing the lips together, while the consonant /k/ is pronounced by moving the back palate with the back of the tongue.The manner of articulation refers to the type of resistance or shift in airflow that occurs when pronouncing the consonant. Some examples of how consonants are articulated in English include complete closure of the airflow (eg /p/), partial obstruction of the airflow (eg /s/), or passage of air through the nose (eg /m/). The theory of consonants and vowels in English phonology helps to explain how these sounds form a distinctive language system. Knowledge of the place and manner of consonant articulation, as well as the position of the tongue and the tilt of the vowel lips, allows linguistics to analyze the differences in sounds in English. In the study of phonology, this theory also helps to understand sound patterns, sound changes, and the placement of sounds in words as well as in the broader structure of language.     

Verbs are the action words that describe what the subject is doing. Many verbs are synonymous, namely, they could convey very similar meanings, such as the verbs hurry and rush, which roughly convey ‘speeded actions’. This paper presents a corpus linguistic study of the semantic preferences of hurry and rush in terms of the nouns that co-occur (i.e., collocate) with them. The noun collocations data, and their degree of association with the verbs, were extracted from the Corpus of Contemporary American English focusing on collocates appearing within a two-words window to the right (i.e., after) and to the left of (i.e., before) hurry and rush. These collocates were further analyzed semantically for (i) their semantic fields using the Concepticon catalogue (List et al. 2023) and (ii) their broader noun types (Wren 2021). Overall, we found that hurry and rush exhibit distinct collocational patterns and semantic preferences, particularly in terms of the preferred semantic fields (e.g., KINSHIP, RELIGION AND BELIEF, EMOTION AND VALUE are semantic fields preferred for the left-side collocates of hurry while rush is associated with THE BODY and SOCIAL AND POLITICAL RELATIONS). This study shows that synonymous verbs can have distinct semantic patterns. 

This descriptive study aims to investigate the phonological development in acquiring English pronunciation among learners. The research focuses on understanding the process by which learners develop their pronunciation skills in English as a second language. The study employs qualitative research methods, involving data collection through recordings of learners' speech and interviews. The participants are English language learners from various linguistic backgrounds. The findings provide insights into the specific phonological challenges faced by learners and highlight the patterns and stages of their development in acquiring English pronunciation. The study contributes to the understanding of the factors influencing phonological acquisition and offers implications for language teaching and curriculum design.  

This study aims to investigate the acquisition of consonants in children's phonological development. Phonological development is a complex process that involves the acquisition and use of speech sounds. The acquisition of consonants is particularly significant as they play a crucial role in the formation of words and overall language development. This research will explore various factors that contribute to the acquisition of consonants, such as articulatory mechanisms, phonetic inventory development, and phonological patterns. Additionally, the study will examine the sequence and rate of consonant acquisition, potential cross-linguistic differences, and the impact of individual and environmental factors on this developmental process. The findings from this study will provide valuable insights into the specific challenges and milestones associated with consonant acquisition, contributing to our understanding of phonological development in children.

Optimizing the arrangement of the classroom learning environment will be the key to achieving learning objectives so that a meaningful learning pattern is achieved. Building a classroom environment is meant as effective classroom management to support learning, or also known as creating a conducive learning atmosphere. Structuring the classroom environment is defined as the process of coordinating and integrating all sources, both human, facilities and other technical resources to achieve certain goals that have been set. Keywords: structuring the learning environment, learning outcomes, Early Childhood

The purpose of this study is to find out how loanwords from other languages in Indonesian change their phonemes. Changes in vowel and consonant phonemes indicate these changes. The research method combines literature review techniques and qualitative descriptive methods. The data collected are taken from various literature sources and then grouped according to certain criteria. The results showed that language sounds are based on two premises: they usually form symmetrical patterns and the sounds of language usually interact with each other. Phonology also has hypotheses, which serve as the basis of its analysis in the following way, in addition to these two premises. When phonetically similar sounds contrast in minimal pairs, it is first necessary to treat them as different phonemes.  

Ribbon embroidery is an embroidery art that uses ribbons as the embroidery material, the development of ribbon embroidery to be applied to the clohting is still something that is rare because usually ribbon embroidery is only used in the manufacture of household linen or just as decoration. Likewise with webbing which is usually found on objects made of bamboo, because woven is rarely used in decoration on clothing. Destination making this report to find out the process of making decorated clothes using ribbon and woven embroidery. The methodology. The methodology used is Research and Development (R&D) method, data analysis using Analysis Descriptive. Making ribbon and woven embroidery that is applied to clothing through several stages, namely: 1) determining the fashion design, 2) the process of embroidering robbon, 3) weaving process, 4) validation, 5) sizing on the model, 6) pattern making, 7) cutting material, 8) making seams, 9) pressing, 10) sewing process, 11) finishing. The process of making clothing needs to be done carefully, to produce appropriate clothing. On sewing the skirt with refence to the pattern Singo Sato should be done carefully when sewing curved, because it can make the fabric stretchy if it’s too tight holding it in the sewing process. And it will make the stitching result not according to size.

The amount of newspaper waste makes the writer want to use newsprint as the basic material for making nail art extensions as a new innovation in the nail art field. This research was conducted with the methods of observation, documentation, literature, experiments, interviews and questionnaires. The manufacture of nail art extensions using newspaper waste is carried out in 3 stages, namely, the preparation of tools and materials, the process of making nail art extensions using newspaper waste and the final stage of using nail art extensions on fingernails. The feasibility of nail art extensions using newsprint waste, the color indicator has an average value of 4 which is declared feasible, the shape indicator has an average value of 4.5 which is considered quite feasible, the texture indicator has an average value of 4 which is considered quite feasible, the ease of application indicator obtains an average value. an average of 4.5 was declared quite feasible and the product design indicators obtained an average value of 4.3 with a fairly decent category. The results of a public test conducted on 38 respondents can be concluded that 94% like nail art extension products from newsprint waste. The results of this study produce a product that has a unique and attractive design because of the pattern of waste newsprint that makes the product look aesthetic. Thus, it can be concluded that nail art extension products using newsprint waste are quite feasible to use.

Streetwear is street clothing that is used every day and can be combined with various clothes that create a relaxed yet attractive effect. Batik, the fabric that is characteristic of Indonesia, is also widely combined with various models of clothing. Origami combination that would be applied to the fabric aimed to create decorative techniques so that the clothes are unique and interesting. The aim of this study was to determine how is the process of making batik streetwear with origami decorative techniques. The research method used was qualitative. The data collection methods used was literature, observation and documentation. The combination of origami placed on the shirt and outer sleeves produced a different artistic value, with the composition that has been considered so that they will look harmonious when wearing origami and batik. The production of this dress used the basic pattern of the Soen system so as to obtain pieces of clothing, darts, sleeves and sizes that are comfortable when worn. The conclusion of making streetwear that has been done was the cutting process of batik and materials must be done correctly. Then, pressing was also important to obtain good origami results.The suggestions for the next opportunity in making origami was on the arms should use layers to obtain arms that have firmness. The manufacture of streetwear clothing with a combination of origami should pay more attention to the materials used and the pressing process.

Ready to wear is ready-to-wear clothing for various occasions with the addition of various interesting variations. One of them is a variation of macrame. Macrame began to be applied to clothing. The problems studied was how the process of making ready-to-wear looks for fantasy and dramatic exotic styles and the application of macrame decorations on clothing. The aim of this report was to know the process of making ready to wear fantasy looks and dramatic exotic styles and the application of macrame decorations to clothing. The method used was R & D. The process of making Ready To Wear includes determining the fashion design, preparing tools and materials, applying measurements, making patterns, cutting materials, marking the stitches on the fabric, ironing upholstery, and sewing clothes. The main materials of this clothes were drill cloth in red, black, white, toyobo fabric in red, black, brown, yellow, and sekar Jagat batik fabric. It used a Japanese anime cartoon fantasy look, Tsundere characters. The style used was Exotic Dramatic Style. The decoration used was macrame. Making macrame was done by hanging it so it did not move. The macrame was made consistently so it did not hang and stretch for too long. The application of macrame to clothing was spread to avoid the spread of macrame. The size of the furing cloth used must be shorter than the main material so that the result was neater.

Gothic is a clothing style that is characterized by striking, mysterious, exotic, and complex dark features, in this study the author adds fabric painting with Dayak ethnic motifs on synthetic leather in a gothic look. This study aims to determine the process of making a ready-to-wear gothic look with variations of synthetic leather details and painting of Dayak ethnic motifs. The method used in this research process is a qualitative method. The process of making ready-to- wear which consists of a blazer, crop top, obi belt, and skirt begins with determining the fashion design, making patterns from basic patterns to breaking patterns, cutting materials, marking stitches, then sewing the sides of the crop top, combining with lining, attaching zipper and collar, sewing the sides and lining of the blazer, combining the main material and the lining, attaching the painting to the back, attaching the buttons, then sewing the sides and lining of the skirt, then combining the main material and the lining, reassembling, then combining the main material and the lining , reassembling, painting variations, installing tires on the waist, followed by combining all sides with a furing obi belt, sewing the waist, then installing chicken eyes, finally painting the Dayak ethnic motif on the skin, starting with making a pattern sketch of the motif, then installing it on the cloth, block the motif with white, and the last one gives color to the motif.