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Background: Diabetes Mellitus is called the silent killer, because this disease causes various kinds of complaints and can attack all organs of the body. In Southeast Asia, people with Diabetes Mellitus in Indonesia are ranked 3rd with a prevalence of 11.3%. There are four pillars of diabetes mellitus control including physical activity, diet, pharmacological interventions, and education. Of the four pillars, physical activity is the most effective therapy to prevent blood sugar levels from remaining normal. Physical activities recommended for people with Diabetes Mellitus include walking, cycling, gymnastics and jogging. Purpose:  The purpose of this literature review is to determine the effect of non-pharmacological diabetes mellitus therapy on blood sugar levels.Methode: In the search for data sources the article is carried out through the databases Google Scholar, Publish or Perish and Mendeley. Inclusion of study design using Literature Review. Results: The results of the literature review analysis there are 12 journals that ha stated or the alternative hypothesis is accepted. Conclusion:  So it can be concluded that there is an influence of non-pharmacological therapy (diet and physical activity) diabetes mellitus on blood sugar levels. The effect of physical activity therapy on a decrease in blood sugar levels by 66.6%. And the effect of dietary therapy on reducing blood sugar levels by 33.3%. 

Uncontrolled diabetes could lead to serious complication. Diabetes therapy consists of four pillars where nutrition education is very important in managing the disease. Objective : To analyze the effect of nutrition education (Diabetes’ four pillars management) through android mobile application on the knowledge of Diabetes’ four pillars management in patients with DMT2. Method : A quasi experiment research with a pretest posttest control group design. Twenty-six participants were selected by simple random sampling method. Data were collected based on identity and knowledge which were done by interviewing with questionnaires. Changes on knowledge levels were determined by Mann Whitney test. Result : There were significant changes on knowledges related to diabetes (p=0.034), medical nutrition therapy (p=0.008) and physical exercise (0.014) between intervention and control groups, and there was an increase in pharmacological therapy knowledge but we did not observe any significant differences between intervention and control group (p=0.976). Conclusion : Nutrition education (Diabetes four pillars management) through android mobile application can increase knowledge of diabetes, medical nutrition therapy and physical exercise

Telemedicine, as a form of evolution in the field of health services, has emerged as a response to the challenges and opportunities arising from advances in information and communication technology (ICT). In the era of globalization and digitalization, the concept of telemedicine has revolutionized the way medical services are provided, providing broader, more efficient, and innovative access to healthcare. The purpose of this study was to determine the relationship between service quality and satisfaction among telemedicine users in Surakarta City. This research method is a quantitative descriptive method by distributing online questionnaires (google form). The population in this study are telemedicine users in the Surakarta City area. While determining the number of samples using the Lemeshow formula with a sample of 96 respondents. The results showed that most of the respondents were aged 36-45 years (30.2%), female (51%). The education level of the majority of respondents graduated from high school or equivalent (31.2%). The level of employment of civil servants and self-employed (18.8%) and the activity that is often used is to consult a doctor (66.7%). A total of 3 - 4 times using telemedicine a total of 42.7%. While the results of the description of the quality of services provided are in the good category (72.9%) and the description of satisfaction is in the satisfied category (66.7%). The conclusion in this study is that there is a relationship between service quality and satisfaction with the use of telemedicine services indicating a significant and positive relationship (p value = 0.000).    

This research is a type of qualitative descriptive research, because in this research it will describe the condition of the object and the researcher plays the role of being the key instrument that will process the data. This research was carried out naturally, this research chose to focus on the conditions existing at the Dessy Course and Training Institute (LKP), Bergas District. The data collection technique in this research uses 3 data collection techniques, namely semi-structured interviews, documentation and triagulation. The data sources in this research are subject sources who have the information needed to support this research, namely managers, teachers, employees, members and alumni of LKP Dessy. LKP is a form of non-formal education unit organized for people who need knowledge, skills, life skills and attitudes to develop themselves, develop their profession, work, do independent business and/or continue their education to a higher level. In carrying out the LKP, good management is also required, namely in the selection of management strategies by the management. Strategic management is a series of managerial decisions and actions that determine company performance in the long term. Strategic management includes long-term planning, strategy implementation, evaluation and control. This research aims to qualitatively describe strategic management at LKP Dessy, Bergas District. The results of the analysis show that strategic management at LKP Dessy can be described using one of the stages in company development, namely strategic management whose components include environmental observation, strategy formulation by determining the LKP program plan, LKP program planning, strategy implementation, evaluation and control.

Background:  PCOS is a problem experienced by females due to interrupted hormones until the reproduction process is interrupted. This matter leads to anxiety and requires social support. Objective: This research determined the correlation between social support and the anxiety of polycystic ovary syndrome patients. Research design: this descriptive quantitative took 48 respondents as the samples. Research results: most respondents were in early adulthood (52.1%). Most respondents graduated from high education (54.25). They had high social support (89.4%) and got mild anxiety (79.2%). The Spearman rank test obtained a p-value of 0.000 lower than 0.05, indicating the correlation between social support and anxiety levels of PCOS patients. Conclusion: High social support could relieve the patient's anxiety. Suggestion:  The researcher expects future researchers will apply qualitative design to reveal the new PCOS patients' knowledge.

Information technology is not followed by an increase in knowledge, skills and work attitudes of employees in carrying out their duties and responsibilities. In addition, employee performance is affected by good governance which is not optimal due to the absence of transparent data in improving staff quality and lack of employee involvement in the decision-making process and the competence of human resources is not optimal because there are still many employees who do not have a high level of education and the rapid development of information technology is not followed by an increase in knowledge, skills and work attitudes of employees in carrying out their duties and responsibilities. The research was conducted using a quantitative explanatory survey method. The data analysis technique used is descriptive statistics, inferential statistical analysis with multiple regression models. The results of the study inform (1) Good governance has a positive and significant effect on employee performance at the Ciamis District Tourism Office. This means that the better the good governance, the higher the performance of employees at the Ciamis Regency Tourism Office. (2) Competence has a positive and significant effect on employee performance at the Ciamis Regency Tourism Office. This means that the higher the competency, the higher the employee performance at the Ciamis Regency Tourism Office. (3) Good governance and competence have a positive and significant effect on employee performance at the Ciamis District Tourism Office. This means that the better the good governance and competence, the higher the employee performance at the Ciamis Regency Tourism Office.

Menstruation or menstruation is the discharge of blood from the uterus through the vagina which occurs once a month and starts at the age of 12 to 15 years. Usually the menstrual period is between 3 and 7 days. The arrival of the first menstruation is not the same for every teenager. Lack of knowledge about menstruation and dealing with pain during menstruation by young women will have a negative impact on life. Poor menstrual personal hygiene has a major effect on morbidity and complications. Therefore, adolescents must be prepared in terms of knowledge, attitudes and actions towards achieving healthy reproduction. Menstrual hygiene is most likely influenced by the level of knowledge about reproductive health. Stakeholders should further increase public understanding, especially young women, about menstruation by providing education in the form of counseling or other information media so that this information can be reached and accepted by the community, especially young women.

This study aims to determine: Showing an interactive learning media of mathematics on students' mathematical communication skills as a whole, The magnitude of the influence of using Geogebra-based interactive learning media on mathematical communication abilities based on educational level,  the magnitude of the effect of using interactive mathematical learning media on mathematical communication skills based on previously used interactive learning media, the large influence of the use of interactive learning media plays an important role in systematic mathematical methods, the large effect of the use of interactive learning media on mathematical communication skills is imaginative to mathematical communication based on the mathematical ability that is measured. This study uses the addie model. This sampling technique is highly influential using the Addie model and obtained 20 studies that match the criteria. This data collection technique uses freetest and posttest with the help of Geogebra Classic 6 software and the help of Microsoft powerpoint. The results of this data experiment show that:  overall this interactive learning media has a major influence on students' mathematical communication abilities.

The problem of medication adherence in individuals with hypertension remains a challenge, even in developing countries. The purpose of this study was to determine the effect of Emo demo education on adherence to taking medication in hypertensive patients enrolled in the Prolanis program at Puskesmas Sumbersari Lumajang. This study was conducted at Sumbersari Health Center in March 2023. This study used a quasi-experimental research design with a one group pre-post test design. The purposive sampling technique was chosen to select a sample of 50 respondents. This study used the MMAS-8-4 (Morisky Medication Adherence Scale) questionnaire as a measuring tool for medication adherence. Statistical tests using the Wilcoxon Signed Rank test. Before the emo-demo, most of the 22 (44%) respondents were at a low level of compliance. After emo-demo education, most of the respondents were in moderate compliance 33 (66%) and high compliance 14 (28%).  The results of bivariate analysis show that Emo demo education has a significant effect on drug compliance in hypertensive patients participating in Prolanis, with a p-value of 0.000 which is smaller than the predetermined level of significance of 0.05. The provision of Emo Demo in health education with a focus on the target group is expected to be facilitated by the puskesmas. Effective medication adherence among hypertensive patients can improve control of blood pressure and prevent complications of the disease.

Poverty is a central issue for every country worldwide, especially developing countries such as Indonesia. Some factors that cause poverty include low local and global economic growth, low levels of education and mastery of technology, limited natural resources, and high population growth. This study aims to look at the percentage of poor people and the poverty line in Deli Serdang. This study is a qualitative descriptive method with literature and literature studies from journals of previous research results. In 2022, Deli Serdang Regency was found to be the Regency with the smallest poverty percentage value in North Sumatra Province.

Cervical cancer is the second largest cancer in women with an estimated 445,000 new cases (84% of new cases in the world) and causes 87% of deaths in women in developing countries. This is due to the behavior of women who do not routinely detect cervical cancer, one of which is the IVA method. The coverage of IVA examinations in West Java province until 2016 was 205,421 people (3%). In Cirebon Regency from 2015-2016, 289 people were recorded who had been examined for early detection of cervical cancer, which means that the coverage of early detection examinations in Cirebon district was still below 1%. This research is a type of analytic observational research. The design used is cross sectional. The sample of this research is 40 respondents. The research instrument used was a questionnaire. The results showed that there was a significant relationship between the level of knowledge, attitudes, age characteristics and employment status with early detection of cervical cancer. There is no significant relationship between education and parity with early detection of cervical cancer. The conclusion from this study is that there is a significant relationship between the level of knowledge and characteristics of WUS with early detection behavior. It is hoped that midwives can carry out health promotion efforts to increase knowledge so that women of childbearing age carry out early detection of cervical cancer to prevent cervical cancer.

Mathematics is one of the subjects taught at all levels from basic education to higher education, which has a significant role in preparing students to have the ability to think logically, analytically, systematically, critically and creatively, as well as have the ability to work together. One of the activities in learning mathematics at school is through problem solving. Problem solving aims to see students' understanding of a material. Mathematical problem solving ability is a very important part of learning mathematics. However, in reality, the problem-solving ability of junior high school students' mathematics is still very low. From these problems, then one of the lessons that can improve the ability to solve mathematical problems is Problem Solving learning. One of the factors that influence differences in problem solving ability is learning style. Learning styles have a close relationship and influence on the learning process in order to achieve learning goals. With students knowing their learning style, learning Problem Solving can be done easily. The subjects of this study were students of class VIII A MTs Plus Sunan Drajat Kedungsantren Bojonegoro. The purpose of this study was to determine the effectiveness of Problem Solving learning on mathematics learning outcomes when viewed from students' learning styles. The type of research used is quantitative research with the One Group Pretest-Posttest Design. The results showed that testing the data on mathematics learning outcomes with the Paired Sample T-Test stated that the t_count value was -9.726. The t_count value is negative, because the pretest average value is lower than the posttest average value. In this case, the t_count value can be positive so that it becomes 9.726. Meanwhile, the value of t_table with α = 0.05 and degrees of freedom (dk=n-1) with 24 students is 1.714. Then it can be seen that t_count > t_table, then H0 is rejected and Ha is accepted, meaning that there is a significant difference. So it can be concluded that the application of the Problem Solving learning model is quite effectively carried out in the teaching and learning process for class VIII A students of MTs Plus Sunan Drajat Kedungsantren on the material of geometric shapes on the flat sides of cubes and blocks.  

Everyone, including children, adults, and parents, can experience stress. Academic stress is a common type of stress that occurs in a school or educational environment. Students who face high pressure, such as numerous assignments, may experience stress that can lead to insomnia. The purpose of this study is to examine the relationship between stress and insomnia in students. Stress is a negative feeling caused by situations beyond one's control or changes in one's body and mind. Insomnia is the inability to achieve adequate quality and quantity of sleep. A literature review study was conducted, with 5 journals obtained from Google Scholar. The study design was cross-sectional. The results showed a significant relationship between stress and insomnia in college students (p <0.05). This means that stress levels have a moderate positive correlation with insomnia levels. In conclusion, it is important for students to learn how to manage their stress levels to prevent insomnia.

Elderly is someone who is over 60 years old. Older people will experience physical, psychological and cognitive decline, this can trigger anxiety / anxiety. Elderly who have entered old age often tell about their death, where the elderly begin to think about how much time is left in their life. it will cause aging to become depressed to affect its activities. This study aims to look at the description of anxiety in the elderly when approaching the process of dying. This study uses a quantitative method using the frequency distribution of each variable. This study found several findings including, of the 34 respondents the majority of the elderly had a moderate level of anxiety as much as 67.6%, the majority of elderly aged 60 to 74 years as much as 70.6%. the majority of the elderly are female as much as 52%, the majority have divorced marital status as much as 73.5%, and 52.9% of the elderly have elementary school education (SD). This finding can be interpreted that the level of anxiety/anxiety has a close relationship with the age of the elderly, gender, marital status and education of the elderly.  

This research was conducted with the aim of producing digital learning media using the Smart Apps Creator through a Realistic Mathematics Education approach that is valid, effective, and able to improve students' mathematical problem solving abilities in the matter of a system of two-variable linear equations. This type of research is Research and Development (R&D) with the ADDIE model. From the research results, it was obtained that the media and material validity values were 93.6% and 93% with very valid categories. The practicality of the media through the results of the teacher's response questionnaire obtained a practicality value of 97.3% in the very practical category and the results of the student response questionnaire for the small group test and large group test obtained values of 90.9% and 91.4% in the very practical category. Then the value of effectiveness is seen through the mastery of classical learning and the results of the student response questionnaire obtained percentages of 87.5% and 94.05% with very effective categories. Improving problem solving abilities in students, the results obtained are that the level of students' problem solving abilities is at a percentage of 92% with a very high category, while based on the N-Gain test the average value obtained by students is 0.6473 which means there is an increase in problem solving abilities in students medium category. So based on the results obtained it can be concluded that the learning media developed in this study are valid, practical, effective, and able to improve students' mathematical problem solving abilities.

Technology information (IT) has been widely adopted across sectors like healthcare, education, governance, and business, playing a crucial role in facilitating relationships between businesses and stakeholders. However, Val, a business that has incorporated technology, lacks an analysis of information technology governance. Consequently, Val faces challenges in effectively aligning their technology usage with their business objectives. This research aims to assess Val's information technology practices, recommend improvement measures, and achieve desired capability targets. Utilizing the COBIT 2019 framework and the design factor toolkit, two priority Governance and Management Objectives (GMOs) have been identified: APO04 (Managed Innovation) and DSS05 (Managed Security Services). APO04 currently operates at capability level 2, falling 2 levels short of the desired capability level, while DSS05 operates at capability level 1, with a gap of 3 levels.

The health services between urban and rural areas are quite interesting because they have many differences that can be seen, especially the gap between the two areas. One of the characteristics of urban and rural areas is accessibility development, urban areas tend to develop faster than rural areas. This article was created with the aim of knowing the condition of health service facilities in rural areas in Indonesia and their access, especially for the elderly. The search strategy used in this research is a systematic literature review. The disparity in the elderly's use of health facilities are impacted by their education level, socioeconomic status, ownership of insurance, distance traveled, and cost of transportation. In conclusion, access to healthcare is crucial in Indonesia, particularly for elderly people living in rural areas. The Indonesian government must evenly distribute medical facilities in rural areas and guarantee universal coverage with National Health Insurance. To improve elderly health care, the government needs to develop sufficient expertise with health and social care workers with the necessary training in integrated care services.

Elementary school students need to get character education strengthening through education in everyday life so they are able to practice character values, namely nationalist, religious, mutual cooperation, independence, and integrity values. There are phenomena that arise related to character violations which are quite worrying, for example acts of violence, violations of human rights (HAM), free sex, indiscipline, anarchism, corruption, theft, dishonesty, and so on. For this reason, we need a solution, one of which is strengthening character education based on local wisdom culture which is carried out in stages through socialization where the students are. Character education with local wisdom has a role as a driving force that carries good rules and norms to be practiced in everyday life. This activity was carried out at SD Negeri 54/IV, Danau Teluk District for 2 days, namely 2-28 May 2022 and continued with activities, with participants totaling 40 students. The results of the socialization of this activity indicate an increase in insight and understanding of character education and recognition of one's own potential in instilling local wisdom and training the spirit of leadership. This can be seen from the activeness and high enthusiasm of the participants for two days with a usefulness level of 3.75 on average, in addition to positive support from the principal and teaching staff being an important element of this activity. As well as in the learning process there is an influence, namely in cycle 1 the average student score is 67 and after cycle 2 it increases to 78 with improvements to the methods and media used during the learning process in accordance with the school environment and local environment.

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

This study aims to determine the effect of extroverted and introverted personalities on speaking skills. This type of research is a quantitative research with a survey method (expo facto), with a comparative causal design. The objects in this study were students of the Indonesian language and literature education study program. The total population is 238 students, the sample size is 15%, namely 36 students. Accidental sampling technique. The results showed that there were 55.6% or 20 students with introverted personalities and 44.4% or 16 students with extroverted personalities. The results of the mean scores of students' speaking skills show that students with introverted personalities have better speaking skills scores than students who have extroverted personalities. The mean score of students with introverted personalities is 15.65 while the average score of students with extroverted personalities is 13.25. From the results of hypothesis testing with a one-way ANOVA test, the value of Fcount is 1.655, Ftable 4.13, a significance level of 0.05, so Fcount <Ftable, it is stated that Ha is rejected and Ho is accepted. Based on the results of the above study, it was concluded that there was no influence between extroverted and introverted personality types on students' speaking skills.