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Sustainable management of coastal spaces is a major challenge in urban-coastal planning, especially in vulnerable areas such as Medan Belawan. This study aims to identify and analyze the influence of six independent variables on the sustainability of coastal space management. The variables studied included Microecological Inequality, Inclusivity of Coastal Asset Ownership, Adaptive Preparedness to Climate Risks, Inter-Functional Spatial Connectivity, Local Institutional Accountability, and Communal Social Resilience. The method used is a quantitative approach with a multiple linear regression model on primary data obtained through surveys, field observations, and in-depth interviews with 150 respondents.The results showed that five of the six variables had a significant effect on the sustainability of coastal space management. The most dominant variable was Local Institutional Accountability, followed by Asset Inclusivity, Ecological Inequality, Social Resilience, and Adaptive Readiness. Meanwhile, Connectivity between Spatial Functions does not have a significant impact. The regression model shows an R² value of 0.539 which means that 53.9% of the variation in coastal space management can be explained by these six variables.These findings imply the importance of strengthening participatory governance, equitable distribution of space access, and building community's adaptive capacity as a cornerstone for contextual and sustainable coastal spatial planning. Strategic recommendations are directed at institutional reform, community-based planning, and micro-ecological conservation in urban-coastal areas.

This research is an evaluative study of the old urban area of Kesawan in Medan City, which has been part of the city’s revitalization efforts initiated by the Medan City Government. Kesawan possesses strong historical and colonial architectural character but has undergone functional and visual degradation due to uncontrolled modern urban development. One of the key issues identified is the presence of inactive urban spaces, disconnected from the public realm and lacking social meaning—phenomena recognized in urban theory as lost space. This concept serves as the foundation for evaluating the effectiveness of the revitalization program implemented since 2021. The study employs a qualitative approach using a single-case study method, focusing on Kesawan as a complex urban space. Data were collected through field observations, in-depth interviews with five categories of informants (building owners, visitors, security personnel, street vendors, and architects), and visual documentation. The analysis adopts the theoretical framework of Finding Lost Space by Roger Trancik (1986), which comprises three main approaches: Figure-Ground Theory, Linkage Theory, and Place Theory. These were further elaborated into six evaluative indicators: connectivity, continuity and circulation, enclosure, accessibility, visual orientation, and the meaning and perception of space by the public. The findings indicate that revitalization has brought significant visual improvements and physical enhancements, particularly along the main corridor of Jalan Ahmad Yani I–VII. However, many secondary streets and non-priority areas still exhibit characteristics of lost space, such as disconnected pedestrian paths, underutilized voids, weak spatial integration, and limited social engagement. These conditions suggest that the revitalization outcomes remain uneven and predominantly cosmetic in certain areas. The study recommends integrating spatial and social approaches in future urban revitalization policies to ensure that public space functions can be restored holistically, sustainably, and contextually in line with local identity.

Motor development in infants is a crucial process that occurs gradually and follows the principles of age-appropriate development. Each fundamental motor stage—such as tummy time, rolling over, sitting, crawling, standing, and walking—must be passed through sequentially to ensure optimal motor concept development. Skipping or insufficient stimulation of these stages may lead to difficulties in understanding functional body movements. One of the main causes of delayed motor development includes a lack of motor stimulation time, overly restrictive parental supervision, and low levels of motivation and stimulation provided to the child. Tummy time, or placing the baby in a prone position while awake, is a proven effective form of motor stimulation that supports the development of the baby’s neck, back, and arm muscles. This activity also assists infants in reaching subsequent developmental milestones such as rolling over and crawling. This Community Service Program (PkM) was conducted at the Physioroom Clinic and was attended by 15 mothers with infants aged 3 to 6 months. The objective of the program was to enhance mothers’ knowledge regarding the importance of tummy time in supporting infant motor development. The program's implementation included educational sessions, tummy time practice demonstrations, group discussions, and interactive Q&A sessions. To measure the increase in participant knowledge, a pre-test and post-test were administered before and after the activity.The results of this PkM activity showed an increase in the average knowledge score from 6.4 in the pre-test to 8.6 in the post-test. This improvement demonstrates the program’s effectiveness in educating mothers about the benefits of tummy time for infant motor development. It is hoped that the mothers will consistently apply this stimulation at home to optimally support their children's growth and development.

This study investigates the correlation between mental health and turnover intention among working students at STIE IBMI Medan who fulfill dual roles as both students and employees. These individuals are particularly vulnerable to psychological stress arising from academic responsibilities and workplace demands. The objective of this research is to examine the influence of mental health on their tendency to resign from their jobs. An associative quantitative research method was adopted, with data collected through structured interviews involving 71 respondents. The analysis was conducted using simple linear regression via the SPSS application. The findings reveal that mental health has a significant negative effect on turnover intention, with a significance value of 0.001. This suggests that students who experience better mental health are less likely to consider leaving their jobs. The coefficient of determination (R Square) is 14.6%, indicating that mental health explains 14.6% of the variation in turnover intention. The remaining 85.4% may be attributed to other contributing factors, such as high work pressure from supervisors, poor work-life balance, financial stress, inflexible schedules, and lack of organizational support. The implication of these results is that efforts to support and maintain the psychological well-being of working students are essential for reducing employee turnover. Educational institutions and employers should collaborate to create supportive environments through counseling services, flexible scheduling, mental health awareness programs, and policies that accommodate the dual responsibilities of student workers. By addressing these mental health concerns, institutions can improve student performance and job retention simultaneously. This study highlights the importance of integrating mental health strategies in workforce and academic management, especially for populations that manage competing academic and professional obligations.

This study aims to determine the effect of the use of Word Search Puzzle media on English vocabulary mastery in grade IV students at MIS Nurul Hidayah Medan for the 2024/2025 academic year. Vocabulary mastery is an important aspect of learning English, as it is the basis for language skills such as reading, writing, speaking, and listening. In an effort to improve students' vocabulary skills, innovative, interesting, and interactive learning media is needed. One of the media used in this study is Word Search Puzzle, which is a game to find words in a letter box that can stimulate students' interest in learning and make it easier for them to recognize and remember new vocabulary. This study uses an experimental method with a One-Group Pretest-Posttest Design. The sample in this study is all fourth grade students of MIS Nurul Hidayah Medan, which totals 19 people. The research instrument was in the form of a multiple-choice test of 20 questions that measured students' English vocabulary mastery before and after treatment. The data was analyzed using the Paired Sample T-Test statistical test with the help of SPSS software. The results of the study showed a significant increase in the average score of students, from 55.26 in the pretest to 82.36 in the posttest. The hypothesis test showed a significance value of 0.000 (sig < 0.05), which means that Ho was rejected and Ha was accepted. Thus, it can be concluded that the use of Word Search Puzzle media has a significant influence on improving the English vocabulary mastery of grade IV students. These findings indicate that game-based learning media can be an effective strategy in English learning at the elementary school level.

Hypothermia after general anesthesia is a common complication that can seriously impact patient recovery. Identifying risk factors contributing to this occurrence is crucial for effective prevention and management. Objective: To determine the risk factors associated with the occurrence of hypothermia after general anesthesia in patients in the Surgical Unit of Regina Maris Regional Hospital, Medan. Methods: This study used a quantitative analytical design with a cross-sectional approach. A sample of 78 patients undergoing general anesthesia was selected using a purposive sampling technique. Data were collected through observation and documentation, and analyzed using the Chi-square test. Results: Factors shown to be significantly associated with the occurrence of hypothermia after general anesthesia included preoperative body temperature (p=0.010), gender (p=0.014), and duration of surgery (p=0.001). Meanwhile, age and body mass index did not show a significant association. Conclusion: Body temperature, gender, and duration of surgery are the main determinants of the occurrence of hypothermia after general anesthesia. Preventive strategies that focus on body temperature management before and during surgery are needed, especially in high-risk patients.

Low back pain, also known as low back pain, is a common condition characterized by pain or discomfort in the lower back area, which is between the lower ribs and the buttock folds. This condition can be mild to severe, and can be temporary or chronic. One of the nonpharmacological methods that is often used to reduce the intensity of pain is ice packs. Ice packs are able to provide an analgesic effect by lowering local blood flow and reducing inflammation in the area experiencing pain. This study aims to determine the effectiveness of ice packs in reducing low back pain in office administration employees. The research design uses an experimental method with a one group pre-test–post-test design approach. The research sample consisted of 25 respondents who were administrative employees at the Helvetia Health Institute. Pain intensity measurements were taken before and after the administration of ice packs to determine the effect of this therapy on low back pain. The results showed a decrease in the intensity of low back pain with an average value before treatment of 51.63 and after treatment decreasing to 38.8. Statistical analysis yielded a significance value (p) of 0.004 < 0.05, which showed that ice packs had a significant effect on reducing low back pain in administrative employees. Regular application of ice packs can be a simple, safe, and effective intervention that can be done independently at home by employees to reduce pain. This study provides recommendations for health workers to promote ice pack therapy as a non-pharmacological pain relief method, especially for office workers who often experience low back pain due to static work positions.

This study aims to analyze the influence of Product Quality, Price, Sales Promotion, and Advertising on consumer purchasing decisions on the Bukalapak online store platform. This study used a quantitative approach with descriptive methods, aiming to illustrate the relationships between variables based on empirical data. Primary data were obtained by distributing questionnaires to 120 respondents who were active Bukalapak users in the West Medan District. The data analysis technique used was multiple linear regression with the aid of SPSS software to determine the effect of each independent variable on the dependent variable. The analysis results indicate that, partially, the variables Product Quality, Sales Promotion, and Advertising have a positive and significant influence on purchasing decisions. This means that the higher the product quality, the more effective the promotion, and the more attractive the advertisement, the greater the likelihood of consumers making a purchase. Conversely, the variable Price showed a negative and significant influence, indicating that inappropriate pricing can reduce purchase intention. Simultaneously, all four variables have a significant influence on purchasing decisions. The Adjusted R Square value of 70.4% indicates that this research model is able to explain 70.4% of the variation in purchasing decisions, while the dependent variable is influenced by factors outside the model. This study recommends that Bukalapak continue to improve product quality, develop competitive pricing strategies, strengthen promotions, and create creative advertising. Further research is recommended to consider additional variables such as product reviews, brand image, and service quality to enrich the analysis.

As a chronic disease, hypertension requires long-term management focused on patient fulfillment, where the active role of individuals in self-care contributes significantly to the prevention of complications and improving quality of life. This study aims to explore knowledge, attitudes, and social support regarding self-management in hypertensive patients. This study is a descriptive study with a cross-sectional design. The population of this study was all hypertensive patients who received treatment at the Pulo Brayan Community Health Center in Medan City in 2025. The study sample consisted of 216 people selected using a simple random sampling technique. Data collection was carried out by distributing questionnaires to hypertensive patients based on the variables of knowledge, attitudes, and social support. The data obtained were then analyzed descriptively. The results showed that 60.6% of respondents with hypertension had a poor level of knowledge regarding hypertension management, while 39.4% had good knowledge. 55.1% of respondents showed a positive attitude towards hypertension management, and 44.9% had a negative attitude. 57.9% of respondents received good social support, and 42.1% of respondents experienced poor social support. In conclusion, most respondents had poor knowledge regarding hypertension management. However, most respondents demonstrated positive attitudes and received good social support in implementing hypertension self-management.

This study aims to determine the effect of Islamic branding and Islamic service quality on customer loyalty at PT Bank Muamalat Indonesia, Tbk, Medan Balai Kota Branch, with customer satisfaction as an intervening variable. This is a quantitative study. Data collection used a questionnaire with a sample size of 100 respondents using a random sampling technique. The obtained data were then processed using SPSS 25. Instrument tests used included validity and reliability tests. The classical assumption tests used included normality, multicollinearity, and heteroscedasticity. Hypothesis testing used t-tests, f-tests, and coefficient of determination tests. Data analysis used path analysis. The results of the first t-test indicate that Islamic branding, Islamic service quality, and customer satisfaction have a positive and significant effect on customer loyalty. The results of the second t-test indicate that Islamic branding and Islamic service quality have a positive and significant effect on customer satisfaction. Customer satisfaction can mediate the relationship between Islamic branding and service quality.

Although MSMEs are an essential part of the national economy, many still face challenges in utilizing digital technology to enhance their business competitiveness. As a micro-enterprise based in Medan City, KYTA MSME produces herbal beverages made from natural ingredients. They encounter difficulties in digital marketing, particularly in showcasing their products and disseminating information online. The objective of this community service activity is to enhance the capacity of KYTA MSME through training and mentoring in the creation of digital catalogs, which serve as effective and contemporary promotional tools. The results of the activity indicate that the MSME actors gained a better understanding of digital technology, basic graphic design skills, and knowledge of visual marketing strategies. The outputs of the activity include ready-to-use digital catalogs, instructional modules on using Canva and Google Drive, and documentation of the reporting process. It is expected that this program can serve as a replicable model for the digitalization of other MSMEs and encourage more flexible marketing transformation in the digital economy era.

Advances in science and technology have significantly improved and facilitated the work of health professionals. One example is the transition from manual medical records to Electronic Medical Records (EMDR). At Mitra Sejati Hospital, the implementation of EMR still uses manual and electronic methods, so it is not in accordance with the Minister of Health Regulation Number 24 in 2022. This study aims to analyze the implementation of EMR in the mitra sejati hospital on the regulation. The research method used is descriptive qualitative, with observations made using checklist sheets to evaluate the SIMRS application. The research subjects included doctors, nurses, radiology, IT officers, and medical record officers, each represented by one participant. The results of the study showed that the implementation of EMR at Mitra Sejati Hospital was in accordance with the Minister of Health Regulation Number 24 in 2022 about filling in clinical information, inputting financing claim data, and storing EMR. However, the implementation of patient registration, EMR data distribution, information processing, quality assurance, and transfer of EMR contents were not fully in accordance. This discrepancy indicates that the implementation of EMR in the hospital was not fully in accordance with the regulations. To address this gap, special efforts are needed to improve technical systems and staff training, so that it can ensure full compliance with regulations and optimize the function of the EMR.

This study aims to determine the effect of job rotation, career development and motivation on employee performance at PT. Kemuning Group Medan Branch II. The population in this study are employees at PT. Kemuning Group Branch Medan II, amounting to 56 people, while the determination technique using the saturated sampling method. The data sources in this study are primary and secondary data. And the data analysis technique used is quantitative analysis and multiple linear regression. The results of the multiple linear regression analysis are: Y = 21,162 + 0,496X1 + -0,146X2 + 0,543X3+e. The results of the t-test (partial): 1) job rotation, with a tcount value of 7.148 > ttable 1.674, so that compensation (X1) has a significant effect on employee performance (Y) partially. 2) career development with tcount 1.538 < ttable 1.674, so career development (X2) does not have a significant effect on employee performance (Y) partially. 3) motivation with a value of tcount 6.213 > ttable 1.674 so that motivation (X3) has a significant effect on employee performance (Y) partially. F count = 35.706 > F table 2.78. Then the coefficient of determination (R2) is 0.673 (67.3%). So that it can be said that 67.3% of the variation of the independent variables, namely job rotation, career development and motivation in the model can explain the variables of employee performance at PT. Kemuning Group Branch Medan II while the remaining 32.7% is influenced by other variables outside the model.

The purpose of this study was to investigate how Madrasah Aliyah Negeri Preparatory 4 (MAPN 4) Medan implemented curriculum adjustments in preparation for the preservation of the Independent Curriculum. Data were collected through interviews with teacher representatives, activity documentation, and analysis of interview transcript themes and mentoring materials using qualitative descriptive methodology. Based on these findings, MAPN 4 Medan has adopted curriculum modifications progressively and methodically, starting with the School Level Curriculum (KTSP), continuing to the 2013 Curriculum, and ending with the Independent Curriculum. The role of teachers is very central to the successful implementation of this curriculum, both as learning facilitators, developers of open modules, and implementers of formative evaluations. Despite facing various challenges such as understanding learning concepts and time constraints, most teachers showed high enthusiasm and readiness to adapt, supported by internal training and support. Meanwhile, students showed active involvement in project-based and thematic learning, although there were still errors in adaptability. Overall, this study concludes that the implementation of the Independent Curriculum at MAPN 4 Medan reflects the institution's readiness to incorporate 21st-century skills and character values into the educational process, in line with strengthening the Pancasila Student Profile.

This research aims to determine the influence of Social Media, Price, and Servicescape on Purchase Decisions at Warkop Mie Aceh Hijrah Jaya Medan Amplas. In this research, data collection was conducted using purposive sampling, with a sample of 84 respondents. All analyses in this research were assisted by the SPSS 25.0 software. The data analysis techniques used included classical assumption tests, multiple linear regression analysis, and hypothesis testing. Based on the t-test results, it was found that the significance value (Sig.) of Social Media was 0.000 < 0.05 and the t-count value (3.783) > t-table (1.664). Therefore, it can be concluded that the Social Media variable has a positive and significant influence on the Purchase Decision variable. Furthermore, the significance value for the Price variable was 0.000 < 0.05, and the t-count value (5.435) > t-table (1.664). Thus, it can be concluded that the Price variable significantly influences the Purchase Decision variable. Next, the significance value for the Servicescape variable was 0.000 < 0.05, indicating a significant influence on the Purchase Decision variable. Based on the data, the t-count value was (9.892) > t-table (1.664). Therefore, it can be stated that the Servicescape variable has a positive and significant influence on the Purchase Decision variable.

Background: Myxoid liposarcoma is a malignant tumor composed of uniform, partially round to oval cells with lipoblast, in the myxoid stroma with branching capillaries. Very rarely presents as a primary neoplasm of the subcutis or retroperitoneum. Myxoid liposarcoma in the retroperitoneum is the most common metastases. Case description: We reported a case of  Mr M, male, 48 years old, came to the hospital. Private in the city of Medan on April 19 2021 with complaints of upper left abdominal pain, nausea (+), vomiting (-), fever. vital sign, general condition: compos mentis, temperature: 36 ℃, Pulse: 80 x/min. Breathing: 20x/min, Blood pressure: 120/80 mmHg. Previously, a gastric biopsy was performed on suspicion of gastric carcinoma and a histopathological examination was carried out with the results of a gastric adenoma. Subsequently, an exploratory laparotomy was performed with tumor debulking and the tissue was sent to the H. Adam Malik Hospital unit. On macroscopic examination, the tissue was split in a state of 16 cm x 12 cm x 7 cm, yellowish-gray in color, chewy consistency. The of cutting, a solid mass of white, yellow, and brown color appears, the consistency is chewy and brittle. With a tissue-weight of 800 grams then labeled O/1260/21. On microscopic examination of the tumor mass, it appears that the tumor mass is mostly arranged in solid sheets, consisting of round, relatively uniform cells, arranged back to back. Round and oval nuclei with increased N/C ratio, coarse chromatin, eosinophilic cytoplasm. Among them are lipoblast cells with spider web and small signet ring lipoblast. Atypical mitoses are relatively easy to find > 19 mitoses / 10 LPB. Proliferative and congested blood vessels, necrotic masses <50% are also seen. Immunohistochemical examination was carried out with S100 positive staining results on the nuclear membrane and cytoplasm of tumor cells with a proportion of more than 70% moderate to strong intensity. Conclusion: Based on macroscopic and microscopic examination this patient was diagnosed with High grade myxoid round cell liposarcoma grade III with ICD-O 8852/3.

This paper examines the influence of financial education on personal financial management practices of Generation Z. A quantitative method with a survey approach was used, involving 30 Generation Z respondents (aged 17-25 years) through questionnaires and simple linear regression analysis. The results of the study indicate a significant influence of financial education on wise financial management practices. Generation Z with adequate financial education tends to be more able to budget, save, invest, and avoid impulsive debt. Conversely, the lack of financial education makes them vulnerable to unwise financial decisions. This paper highlights the importance of integrating financial education into the curriculum and self-development programs to improve literacy and healthy financial practices among Generation Z. This study also discusses the challenges faced by Generation Z in managing finances in the digital era, such as a consumptive lifestyle influenced by social media and e-commerce.

This research was conducted at PT ADAM DANI LESTARI with the formulation of the problem is how the distribution strategy process of Frisian Flag products. The purpose of this study is to determine the distribution strategies of Frisian Flag products. The data used in writing this journal were collected through interviews and analyzed using qualitative description methods. The results of this study concluded that the distribution strategy process of Frisian Flag Milk products carried out by PT ADAM DANI LESTARI uses a direct distribution strategy to dominate the market and face competitors. However, in order to increase the brand and customer value, the company uses wholesalers and retailers so that products can be sold and delivered to consumers properly and maintain the availability of Frisian Flag Milk products in Medan City.  

Marketing communication is a tool or medium used by a company or business person to increase the number of visitors. The aim of this research is to explain the marketing communication strategies to enhance sales at PT. Bintang Mas Mitra Amanah. This research utilizes qualitative methods. The data obtained comes from three informants. The data sources used in this study are observation, interviews, and documentation. In this research, data analysis is performed using qualitative methods, starting with reviewing all available data from various sources, namely interviews, observations recorded in notes, and personal documentation, including photographs. The stages in the data analysis process include data reduction, data presentation, and conclusions or verification. The results obtained from this study indicate that marketing communication strategies play a crucial role in the business world, especially in the field of social media. PT. Bintang Mas Mitra Amanah has a significant amount of sales derived from social media. In conclusion, social media plays an important role in the business world.

The degree of customer happiness is impacted by the location and quality of the service. Consumers will always remember favorable memories, and they are more likely to suggest the experience to others. The goal of this research is to further explore and comprehend the Analysis of Service Quality and Location on Customer Satisfaction at J&T Express ED Saqila Medan. The study's sample size was 100 people. Quantitative approaches were used in this study. The data analysis method employed in this study was purposive sampling, and the results were analyzed using a statistical formula, specifically multiple linear regression analysis with the help of the SPSS version 26 program. According to the results of this research, customer satisfaction is significantly and positively impacted by service quality. Similarly, the site also has a substantial and beneficial impact on how happy clients are. With a percentage of 51. 8%, it may be deduced that there is a strong correlation between service quality and location with customer satisfaction, and that the remaining 48. 2% may be attributed to other variables not covered in this research.