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Anxiety in pregnant women is felt since the first trimester, where anxiety is a result of adapting to physical changes in the body, the uterus starting to enlarge, and changes in the breasts as well as psychological changes. This anxiety continues in the next trimester until the third trimester so it is thought to cause less preparation for childbirth later. The aim of the research was to determine the relationship between pregnant women's anxiety levels and readiness for childbirth at the Dolarayat Health Center, Karo Regency, North Sumatra Province. The type of research is analytical with a cross sectional approach. The population is 62 husbands and a sample of 56 people determined based on criteria. Data collection through distributing questionnaires. Data were analyzed univariately and bivariately. The results of the study showed that the anxiety level of third trimester pregnant women was more moderate (73.2%), and the anxiety level was mild (12%), while the anxiety level was severe (14.2%). More prepared for childbirth (76.8%) and less prepared (23.2%). There is a relationship between the level of anxiety of pregnant women and preparation for childbirth (p 0.004 <0.05). It is hoped that health workers can provide education and motivation to husbands, especially pregnant women, about how to deal with anxiety during pregnancy to avoid disorders during pregnancy and childbirth.

The development of science and technology has positive and negative impacts on human life. Likewise with cyberspace, one of the advances in technology, of course it is a reality that is faced with a legal metanarrative. Overcoming the ineffectiveness of legal metanarratives in addressing cyber challenges requires an innovative and comprehensive approach. Currently the world is facing changes in the industrial world which can be called the Industrial Revolution 4.0 which has a major impact on industrial life, especially in the form of rapid technological developments. The rapid development of technology has given birth to a new concept of "creative industry" which utilizes human creativity and thinking abilities. Intellectual property rights play a very important role in the creative industry, and the state recognizes the efforts and perseverance of creators/inventors in producing new innovations and minimizing the occurrence of intellectual property rights. Therefore, intellectual property must be protected legally. Violation of rights. However, in reality there are several challenges and difficulties in implementing laws related to intellectual property rights in Indonesia. This journal uses normative research methods based on legal regulations and literature studies, and considers aspects of theoretical, structural and legal explanations. The main problem that occurs in Indonesia is the low level of public awareness and education regarding intellectual property, and this problem can give rise to other problems. Intellectual property protection in Indonesia not only provides peace of mind and legal certainty for creators/inventors, but also has a psychological impact that motivates creators/inventors to continue to innovate. Indonesia will be a country that has great potential to implement Industry 4.0 because of its large workforce. The digital information era not only brings progress to industry, but can also pose challenges to labor laws. The aim of this research is to analyze labor problems due to the absence of regulations that are appropriate to the situation in the Industrial Revolution 4.0 era.

This research aims to determine law enforcement efforts for criminal acts of theft committed by recidivist perpetrators in the jurisdiction of the Gorontalo City Resort Police from the aspect of law enforcement. The research method used in this research is empirical research, using a document study approach, case studies, observations, interviews which are then analyzed qualitatively. The research results show that the analysis regarding law enforcement efforts against recidivists carried out by the Gorontalo City Police uses efforts; preventive, namely providing legal education to the community and repressive efforts in the form of bringing justice by carrying out investigations, arrests, investigations up to the court level. It can be concluded that this preventive effort is an outreach by providing understanding to the community so that they participate in overcoming the problem of crimes committed by a recidivist, especially in the family environment, school environment and repressive efforts in the form of taking firm action against a recidivist. The action in question is in the form of investigation, arrest. , investigation up to the court level, this action is the last action if pre-emptive action is not successful.

Junior high school students are teenagers who are still growing both physically and in character. However, in the process of growth, various problems arise from teenagers in general. For example, brawls between students, skipping school, cheating, often being late for school, not doing assignments, disobedience and so on. Thus, this article aims to explain how to implement the Glasser learning model in the Christian religious education learning process as an effort to shape the personality of students at the junior high school level that reflects Christian values ​​through everyday behavior. The method used in this research is a descriptive qualitative research method with a library data approach which collects various data and facts sourced from previous research and has relevance to this article, then articles, books and internet media or websites that study related topics. All sources used can be academically accountable. The result of this paper is that students are able to become responsible, independent and virtuous individuals in accordance with Christian values, by accepting the Glasser learning model designed and carried out by Christian religious education teachers through the teaching and learning process.

Long-acting contraception is one effective method of family planning. However, sufficient knowledge about long-acting contraception is still low among birth control acceptors in the North Bogor Region. Therefore, this study aims to investigate the effect of the use of booklet and audio-visual media on the knowledge of birth control acceptors regarding long-term contraception in the region. The purpose of this study was to evaluate whether the use of booklet and audio-visual media can increase the knowledge of family planning acceptors about long-term contraception in the North Bogor Region. This study used a pseudo-experimental design with a control group pretest-posttest design. The study sample consisted of 100 KB acceptors selected by purposive sampling and divided into two groups, namely the experimental group that received intervention using booklet and audio-visual media, and the control group that did not receive the intervention. The study data were collected through knowledge questionnaires before and after the intervention. Data analysis was performed using independent t-test and t-paired test. The results showed that there was a significant increase in knowledge of birth control acceptors after receiving interventions using booklet and audio-visual media. The experimental group showed a higher increase in knowledge compared to the control group, in the treatment group with audiovisual media the increase in knowledge was better when compared to the health education control group with Booklet media The average level of knowledge of the control group before being given treatment was 12.5 After being given treatment the average score of the control group rose to 13.4. While the average Audio visual group average score was 13.25. After being treated, the average score increased by 14.6. The t-test result shows a p value (0.000<0.05). The use of booklet and audio-visual media is effective in increasing the knowledge of birth control acceptors about long-acting contraception.

The circulation and misuse of prohibited narcotics in society must be prevented and addressed. These prevention efforts must be strictly implemented in accordance with Law Number 35 of 2009 concerning Narcotics so that the problem of prohibited narcotics does not continue to grow in society as an epidemic that is bad for the development of the country. A number of cases of distribution of prohibited narcotics in prisons continue to be uncovered. Both in correctional institutions in big cities and in other small cities. The method is the same, carried out via cellphone and internet communication. In fact, it is absolutely impossible for a prison inmate to be able to freely use a cellphone and internet connection in a correctional institution. Because communication tools are prohibited items for a prison inmate. Correctional officers also admitted that they often carry out inspections of detention rooms, searching the prison inmates' possessions. The nature of the research used by the author in this law journal is analytical descriptive because this research describes in detail the social phenomena that are the subject of the problem. A descriptive study is intended to provide as precise data as possible about people, conditions or other symptoms. The type of research used in this writing is empirical juridical research, namely research into problems by looking at and paying attention to applicable legal norms connected to existing facts from the problems encountered in the research. Library Research (Library Research). The factors causing the increasing level of narcotics abuse consist of internal and external factors. The internal factors are religious factors and family factors, while external factors consist of economic and educational factors as well as social factors / environmental influences. The Langkat Class II Youth Correctional Institution has carried out both preventive and repressive measures against perpetrators of crimes involving prohibited narcotics, including providing counseling, coaching and arresting both the public and perpetrators of narcotics crimes. The application of legal sanctions against perpetrators continues to refer to the provisions regulated in Law Number 35 of 2009. In general, perpetrators of crimes involving prohibited narcotics in class II youth correctional institutions are users/using prohibited narcotics for their own consumption (addicts) so that sanctions are alleged to be violations of the provisions for users/consumers of prohibited narcotics.      

English language learning is fundamental in students' physics education since it provides access to worldwide scientific literature, facilitates international collaboration, and allows for effective communication among scientists. This literature study emphasizes integrating English learning within the physics curriculum. By building bridges between language and science, students of physics education study programs can improve communication skills and share knowledge effectively at the international level. Through innovative approaches to learning, students can enhance their language skills and develop an in-depth understanding of physics concepts, preparing them for success in the academic and professional world.

Research background: Chronic Energy Shortage (KEK) is still a problem in Indonesia. Women and children are the groups at highest risk of experiencing Chronic Energy Deficiency (CED). Currently Chronic Energy Deficiency (CED) is a concern for the government and health workers, because a woman of childbearing age (WUS) who experiences CED has a high risk of giving birth to a child who will also experience CED in the future. The aim of the research is to identify study characteristics of the incidence of CED pregnant women at the Kotabaru Community Health Center. The research method uses quantitative descriptive. The population is all 30 KEK pregnant women at the Kotabaru Community Health Center in October – December November 2023. The sample was taken using a total sampling technique of 30 people. Data were analyzed univariately. The results of the research were that age characteristics were the most common in the risk category with a percentage of 66.7%. Parity characteristics were most common in the multiparous group at 50%. The characteristics of pregnancy spacing in the risk category were 56.7% and the highest level of education among respondents was at the middle level, namely 40%.    

This research explores the role of innovative assignment design in enhancing student engagement and learning outcomes within the context of higher education. Utilizing a mixed-methods approach, the study combines quantitative data from surveys of 120 students and 15 instructors of STIA Yappi Makassar across multiple institutions with qualitative insights from semi-structured interviews with a selected subset of these participants. The findings reveal a significant positive correlation between innovative assignment design and increased student engagement, as well as improved learning outcomes. Quantitatively, students exposed to innovative assignments reported higher engagement levels and better learning outcomes compared to their peers in traditional assignment settings. Qualitatively, themes emerged highlighting the benefits of practical application and relevance found in innovative assignments, alongside challenges such as the need for clearer guidelines and additional support. This study underscores the potential of innovative pedagogical strategies to create more engaging, relevant, and effective learning environments in higher education. It calls for educators to embrace and refine these approaches, addressing implementation challenges to fully realize their benefits. The research contributes to the broader discourse on educational quality and innovation, offering evidence-based recommendations for enhancing student engagement and success through pedagogical innovation.

This study analyzes the textbook "Basic English for Tourism" based on Tomlinson's criteria and Littlejohn's Three Levels of Analysis. The findings show that the textbook fulfills several important criteria for effective language learning, such as providing relevant and practical materials, improving language confidence and fluency, and incorporating various learning methods. The book offers a variety of activities, including dialogs, text analysis, writing tasks and grammar lessons, which suit different learning styles and encourage interactive and communicative language use. Although the absence of pictures may be considered a limitation, the content and overall approach of this textbook make a significant contribution in improving English language skills for students in the tourism industry. Therefore, this study provides valuable insights for practitioners and policy makers in the field of English language education, emphasizing the importance of selecting textbooks that match the practical needs and learning objectives of the students.

. Diabetes mellitus (DM) is one of the non-communicable diseases that are commonly found in society today, this disease has increased the number of cases very rapidly from year to year. Therefore, one intervention is needed to prevent and control DM, one of which is how to control blood sugar levels so that complications do not easily occur. Method: This community service method is carried out in the form of providing health education about controlling blood sugar levels and preventing complications in DM cases by means of lectures and distributing leflets after that followed by questions and answers and discussions. Results and Conclusions: from the results of the service, it can be concluded that Health Education with lecture methods and distributing leflets can increase public knowledge about controlling blood sugar levels and preventing DM complications, so that the community is expected to be able to implement blood sugar level control and prevention of complications in the DM case itself.

This research aims to investigate various aspects including teachers' comprehension of the learning process, its application in teaching, outcomes assessment, obstacles encountered by teachers in teaching, and strategies to address these hindrances when implementing Pancasila and citizenship education using a scientific approach in elementary schools. This study adopts an evaluation research methodology employing mixed methods, drawing from the Facial Expression Evaluation Model and Sequential Exploratory Design. Data collection techniques encompass interviews, questionnaires, observation, and documentation. The findings of the research indicate that: (1) PPKn teachers exhibit a strong understanding of the scientific approach, with 66.66% categorized as highly proficient. (2) The implementation of the scientific approach in elementary schools is highly commendable, with 74.92% falling into the high proficiency category. (3) Student performance and teacher efficacy in PPKn learning at the elementary level are deemed highly satisfactory. Teacher efficacy, measured by student learning outcomes, stands at 66.66%, indicating excellent performance. (4) Teachers perceive minimal obstacles in implementing the scientific approach. (5) Efforts made by teachers to address obstacles encountered in implementing the scientific approach are highly commendable.

Early marriage is a marriage that occurs at an age below the ideal provisions, where the prospective bride and groom are generally not physically, mentally, or financially ready. Therefore, early marriage is often considered a hasty decision because it is carried out without proper planning and preparation. The purpose of this study is to determine whether there is an effect of health education about early marriage on the level of knowledge and attitudes of adolescents at the Kuala Health Center, Kuala District, Langkat Regency in 2022. The type of quasi-experimental research with a research design using one group pre-post design, namely This type of research is used to determine the effect of health education about early marriage on the level of knowledge and attitudes of adolescents. This research was conducted at the Kuala Health Center, Kuala District, Langkat Regency in 2022. The population in this study amounted to 30 people, then the sample was part of all the objects studied and was considered to represent the entire population. The number of samples used was 30 people using the Total Sampling technique. The results of the statistical test results using the Wilcoxon test obtained the results of the p value of knowledge = 0.000 <0.05 and the p value of attitude = 0.000 <0.05. So it is proven that there is a significant influence between health education about early marriage on the level of knowledge and attitudes at the Kuala Health Center, Kuala District, Langkat Regency in 2022.

. Introduction: Nurses have a high risk of transmitting pathogens through their hands, because nurses spend the longest time with patients. Apart from this, a nurse must be able to comply with predetermined nursing duties and ethics, including "hand hygiene five moments" which is the term used for washing hands. Objective: To determine the factors related to inpatient nurses' compliance with implementing the five moments and hand hygiene at AZRA Bogor Hospital. Method: This type of research is quantitative with the method used, namely a cross-sectional design with a population of nurses who are still actively working at AZRA Bogor Hospital with a sample size of 87 respondents. Data collection techniques use observation sheets and questionnaires with several closed questions. Data analysis in this study used the chi square test. Results: The highest age of inpatient nurses was 64.4% at the age of 26 -35 years at AZRA Bogor Hospital, Diploma III (D3) education was 59.8%, PK 3 career level was 36.8%, good knowledge was 63.2%, compliance was 59.8%. Variables related to factors related to inpatient nurse compliance are age and education. Variables that have no relationship are career level and knowledge. Conclusion: Implementation of five moments and hand hygiene in hospitals to prevent transmission of HAIs to patients, visitors and health workers.

Community welfare is a primary objective of national development, encompassing various aspects such as health, education, and decent employment, all of which play crucial roles in achieving national stability and progress. However, welfare is not solely dependent on economic factors but also on the overall quality of life. Unfortunately, disparities in welfare persist across different regions, influenced by local environmental factors, including access to education, which in turn affects job opportunities and income levels. Inequalities in employment opportunities can potentially slow down national development by reducing the number of individuals capable of contributing productively to key economic sectors. To enhance national development, further analysis of welfare indicators such as the open unemployment rate, human development index, labor force participation rate, and poverty levels is essential. Therefore, this study conducts cluster analysis on welfare indicators across districts/cities in Central Java for the year 2023. Both hierarchical and non-hierarchical (K-Means) clustering methods are employed to identify patterns of inequality by partitioning data into groups based on specific similarities. This approach facilitates a more effective review of policies to address welfare disparities across various regions. The findings indicate that the welfare indicators in Central Java are in a relatively poor condition, with low labor force participation rates, low human development indices, and high poverty rates. The hierarchical and non-hierarchical cluster analysis identified 5 optimal clusters, with all welfare variables having significant influence, requiring four iterations to reach the final centroids.

Hyperthermia is a condition of failure to regulate body temperature (thermoregulation) due to the body's inability to release or remove heat or excessive heat production by the body with heat release at a normal rate. Determine nursing problems that arise in patients based on the results of the assessment, determine interventions, carry out implementation according to the plans that have been determined and evaluate the actions / implementations that have been carried out. In accordance with the problems experienced by these partners, efforts have been made, among others, by implementing the implementation of a water tepid sponge in pediatric patients who experience hyperthermia who are treated in the pediatric ward. The specific target of this PKM activity is to teach mothers of child patients who experience hyperthermia, but through education by nurses in the children's ward. water tepid sponge therapy can reduce milk quickly and prevent fever, especially in pediatric patients who experience hyperthermia at Permata Medika Hospital Semarang. Teach the nurse in the pediatric ward how to reduce fever by using a water tepis sponge and the nurse will later educate the parents of child patients with fever. The method used in this PKM activity is to apply the implementation of a water tepid sponge in pediatric patients who experience hyperthermia. Demonstration of water tepid sponge according to SOP. The result of this community service activity is that the level of knowledge of nurses and parents of patients who experience hyperthermia at Permata Medika Hospital in Semarang has increased after being given material on reducing fever management, besides that the patient is able to carry out a simulation on how to reduce fever with a water tepid sponge.

The main aim of this activity is to increase public awareness regarding the importance of health and introduce kinesiotaping as an alternative therapy method to treat various musculoskeletal problems. Health checks include checking blood pressure, blood sugar levels, cholesterol, as well as general health consultations, giving the public the opportunity to get medical advice directly from health workers. In addition, socialization of the use of kinesiotaping is carried out through demonstrations of installation techniques and practical applications to reduce muscle pain and improve joint function. The results of the activity showed a positive response from the public who felt more aware of the importance of maintaining health and understanding the benefits of kinesiotaping. This activity also succeeded in strengthening relations between the university and the local community, with the hope of continuing to improve health education in the future.

Employee performance at the Mangunjaya Health Center, Pangandaran Regency is quite good with an achievement of 75.82%. And based on the results of observations at the Mangunjaya Health Center, Pangandaran Regency, it was found that employee performance was not optimal, there were delays in completing work and the work results achieved were not in accordance with the standards that had been set. Then the performance of this employee is also influenced by motivation that is not optimal due to the lack of dedication and loyalty of employees even though they have received a decent salary and the level of promotion for employees who have not been optimal. Employee performance is also influenced by education and training that is not optimal, this is because the abilities and skills possessed by employees do not match the work position given and employees have not fully mastered the work produced. This study aims to study, find out, and analyze (1) The effect of work motivation on employee performance at the Mangunjaya Health Center, Pangandaran Regency. (2) The effect of education and training on employee performance at the Mangunjaya Health Center, Pangandaran Regency. (3) The effect of work motivation and education and training on employee performance at the Mangunjaya Health Center, Pangandaran Regency. This type of research is an explanatory survey, while the technical data analysis is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis (Inferential) with Multiple Regression. The results of the study inform that (1) Motivation has a positive and significant effect on employee performance at the Mangunjaya Health Center, Pangandaran Regency. This means that if motivation is increased, then employee performance at the Mangunjaya Health Center, Pangandaran Regency will also increase. (2) Training education has a positive and significant effect on employee performance at the Mangunjaya Health Center, Pangandaran Regency. This means that if training education is increased, then employee performance at the Mangunjaya Health Center, Pangandaran Regency will also increase. (3) Motivation and training education have a positive and significant effect on employee performance at the Mangunjaya Health Center, Pangandaran Regency. This means that if motivation and training education are increased, then employee performance at the Mangunjaya Health Center, Pangandaran Regency will also increase.

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

Learning with Stimulus Environment Problem Solving (SEPS) is an involved learning process student in a way active good in network nor outside network in reading, writing, doing experiment, and analyze, as well look for solution to the problem social related science environment public.  This study aims to know the effectiveness of the Stimulus Environment Problem Solving (SEPS) learning model so that can increase ability think level high among students biology education Universitas Muhammadiyah Surakarta. Method in study this is correlate ability think critical and solving problem 2 groups student a total of 40 students where is one group totaling 20 students use learning model of Stimulus Environment Problem Solving (SEPS) and other groups with Project based Learning. Analysis hypothesis using the t test and effect size. Based on application of the Stimulus Environment Problem Solving (SEPS) model in the classroom experiment experience increase in t test results significant in cycle I and cycle II. Based on the effect size test, the effectiveness of the Stimulus Environment Problem Solving (SEPS) model is included in category tall with value 3.244 so effectiveness of the Stimulus Environment Problem Solving (SEPS) model on Skills think level tall own category tall.