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Community Health Centers (Puskesmas) serve as the frontline for basic healthcare services for the community. However, the services at Waimangura Community Health Center are not yet fully optimal due to several obstacles, particularly in patient data recording, which is essential for registering every individual who visits for health check-ups, registration, and medical record management. Therefore, an information technology-based system is needed to enhance the effectiveness and efficiency of services. This research aims to implement a healthcare service system at Waimangura Community Health Center using the CodeIgniter 3 framework by applying the MVC (Model, View, Controller) method. The MVC method was chosen because it can separate application logic, display, and data management, making the system more structured, easier to develop, and maintaining consistency. The research stages include needs analysis, system design, implementation, and testing. The implementation results show that the built system is capable of assisting officers in patient registration, medical record data management, and information services. Patients also benefit from more transparent and efficient services. Based on the trial results, the system operates according to user needs and can improve the quality of healthcare services at the Waimangura Community Health Center. Thus, the implementation of CodeIgniter 3 with the MVC method has proven effective in building a structured, easily maintainable healthcare service system that can be further developed to support digital-based healthcare services.

This study examines the role of classification, definition, and analogy as logical pillars that constitute the fundamental framework of knowledge. These three instruments of logic are closely interconnected in supporting the process of scientific reasoning. Classification functions to organize objects or phenomena into systematic categories, thereby facilitating identification. Definition provides clear boundaries of meaning to prevent conceptual ambiguity and ensure consistency of interpretation among researchers and practitioners. Meanwhile, analogy serves as a reasoning tool that bridges existing knowledge with new insights through rational comparison. This article employs a descriptive qualitative approach with a literature review of both classical and modern logic theories. The findings indicate that the integration of classification, definition, and analogy not only strengthens the consistency of scientific reasoning but also contributes significantly to education, communication, and the development of interdisciplinary knowledge. Thus, these three pillars of logic hold a strategic position in building a foundation of rationality and promoting the advancement of knowledge that is both comprehensive and applicablee.

Real Analysis is a fundamental course in mathematics education characterized by its deductive and axiomatic structure, which requires logical, systematic, and conceptual understanding. However, many studies have shown that students often face difficulties in grasping abstract concepts and constructing mathematical proofs deductively. Lestari (2015) found that most students were only able to conduct proofs inductively, while their deductive proof skills remained low due to weak prerequisite knowledge and lack of formal reasoning practice. Meanwhile, Darmadi, Sanusi, and Rifai (2024) explained that students’ difficulties in understanding formal definitions and the structure of real numbers indicate the need for a learning approach that emphasizes conceptual comprehension. This article employs a literature review approach to analyze the application of conceptual approaches in helping beginners understand Real Analysis. The results show that a conceptual approach enhances students’ understanding of the meaning behind mathematical symbols and procedures, helps them build connections among concepts such as limits, continuity, and the real number system, and gradually develops their deductive reasoning skills. Therefore, applying a conceptual approach in Real Analysis learning is an essential strategy to help students achieve deep, logical, and meaningful understanding.

In the digital era, YouTube has become a powerful platform for sharing knowledge, shaping perspectives, and encouraging critical engagement. This study explores how multimodal elements—verbal, visual, and audio—construct meaning in the educational video “Kalau Kamu Mau Punya Critical Thinking, Jangan Skip Obrolan Ini!” from the Suara Berkelas channel. Using a qualitative case study approach, the research interprets how these modes work together to support critical thinking. Data were collected through video observation, transcription, and documentation of multimodal features, then analyzed thematically using Kress and van Leeuwen’s multimodal framework and Facione’s critical thinking model. The findings show that the verbal mode structures logical arguments and rhetorical appeals, the visual mode emphasizes meaning through gestures, expressions, and text overlays, while the audio mode builds emotional engagement through tone, pauses, and background music. Together, these modes create a coherent and persuasive discourse that not only informs but also invites viewers to reflect critically. The study contributes theoretically to the understanding of multimodality in digital education and practically provides insights for educators and content creators to design more interactive, reflective, and engaging educational content.

Container loading and unloading procedures are a series of essential operational activities carried out to systematically, safely, and efficiently move containers from ships to the stacking yard or vice versa. This study aims to examine these procedures, analyze the effectiveness of their implementation, and identify the obstacles and corrective efforts encountered in the field. The methods used include field observation (field research) and literature review (library research). The results indicate that the procedural stages involve document preparation (Bill of Lading and Manifest), ship berthing, the utilization of various loading and unloading equipment (such as Gantry Crane, RTG, and Headtruck), and container arrangement within the Container Yard (CY). The process involves three main work stages: Stevedoring, Cargodoring, and Receiving/Delivery, which require close coordination among port operators, foremen, and Stevedoring Workers (TKBM). Implementation can be hindered by crane breakdowns, headtruck limitations, traffic congestion, and slow stevedoring performance. Effective solutions suggested include routine equipment maintenance, increasing HT fleet capacity, enhancing human resource competency through training, and coordinating traffic routes with relevant authorities. Optimal procedure execution is crucial for ensuring smooth logistics flow, time efficiency, and occupational safety.

This study examines in depth the risk factors influencing financial statement fraud in the Indonesian banking sector by employing the Fraud Hexagon framework. This framework comprises six core elements—pressure, opportunity, rationalization, capability, arrogance, and collusion—each representing potential drivers of fraudulent behavior. The study also aims to assess whether institutional investor involvement can serve as a moderating factor capable of reducing the likelihood of fraud. The research uses secondary data derived from the annual reports of banks listed on the Indonesia Stock Exchange (IDX) for the period 2020–2023. Logistic regression analysis is employed to examine the relationships between the Fraud Hexagon variables and financial statement fraud, as well as to test the moderating role of institutional ownership. The findings reveal that, among the six elements of the Fraud Hexagon, only auditor changes (representing rationalization) and political connections (representing collusion) have a significant effect on financial statement fraud. The other elements—pressure, opportunity, capability, and arrogance—do not show a significant impact. Furthermore, institutional investor involvement is found not to moderate the relationship between the Fraud Hexagon elements and financial statement fraud, indicating that external monitoring through institutional ownership remains ineffective in the context of Indonesian banking. These results underscore the importance of closer supervision of rationalization and collusion factors, as well as the need for stronger internal control mechanisms to prevent fraudulent financial reporting. The study’s findings are expected to provide valuable insights for regulators, banking management, and other stakeholders in their efforts to enhance fraud prevention measures in the financial sector.  

Real analysis is one of the main branches of mathematics that serves as a fundamental foundation for the development of science and technology. This study emphasizes the understanding of basic concepts such as real numbers, limits, continuity, the principle of mathematical induction, as well as deductive and axiomatic approaches as a strong framework for mathematical proofs. This research employs the Systematic Literature Review (SLR) method by examining articles and journals related to both the theoretical aspects and the implementation of real analysis in solving mathematical problems. The findings indicate that the application of Polya’s method, visualization through demonstration, and the use of modern technology such as augmented reality (AR) can enhance the effectiveness of real analysis learning. These approaches help students connect abstract concepts with real applications, thereby strengthening logical, systematic, critical, and rigorous thinking skills. However, several learning difficulties are also identified, including the complexity of the material, weak learning habits, social influences, and inappropriate teaching strategies. Therefore, more applicative, interactive, and contextual learning strategies are needed to support the achievement of learning objectives. The conclusion of this review highlights that the integration of theoretical understanding, problem-solving methods, and innovative technology is a strategic step to improve students’ thinking quality in real analysis courses. Thus, real analysis is not only positioned as a theoretical subject but also as a medium for developing problem-solving abilities and higher-order thinking skills that are relevant to both academic needs and real-world applications.

This study aims to examine the effect of financial ratios on financial distress in transportation and logistics sector companies listed on the Indonesia Stock Exchange (IDX) during the 2019–2024 period. The research employed a documentation method by collecting secondary data from the companies’ financial statements within the observed period. The financial ratios analyzed include profitability, liquidity, leverage, and activity. The level of financial distress was measured using the Altman Z-Score method. The sample was selected using a purposive sampling technique, consisting of 22 companies observed over six years. Data analysis was conducted using panel data regression with the assistance of EViews 12, with the selected model being the Fixed Effect Model (FEM). The partial test results indicate that profitability, liquidity, leverage, and activity ratios do not have a significant effect on financial distress. However, the simultaneous test results show that the four variables together significantly affect financial distress. These findings suggest that financial ratios cannot serve as a single indicator in assessing a company’s financial distress. Nevertheless, when used collectively and combined with the Altman Z-Score measurement, they can provide a more accurate assessment of a company’s financial distress condition.

This study aims to analyze the effect of changes in interest rates, exchange rates, economic growth, and world oil prices on stock returns in the transportation and logistics sector in Indonesia during the period 2006–2024. This sector was chosen because it is highly vulnerable to fluctuations in macroeconomic factors that have a direct impact on companies' operating costs and financial performance. The method used is multiple linear regression with an annual panel data approach, using a sample of transportation and logistics companies listed on the Indonesia Stock Exchange. The independent variables include changes in interest rates, exchange rates, economic growth, and oil prices, while the dependent variable is stock returns. The results show that, partially, only changes in interest rates have a significant negative effect on stock returns. Conversely, exchange rates, economic growth, and oil prices have no statistically significant effect. Simultaneously, these four variables also show no significant effect on stock returns. This study makes a new contribution through the use of a long observation period and a focus on the transportation and logistics sector, thereby providing a deeper understanding of this sector's sensitivity to macroeconomic conditions.

Refusal of Visual Inspection with Acetic Acid (VIA) examination remains a major challenge in cervical cancer early detection, particularly among women of reproductive age. This study aimed to analyze factors influencing refusal of VIA examination among women of reproductive age in Beringin Jaya Village, Oba Tengah District. A quantitative analytic study with a cross-sectional design was conducted involving 74 respondents. Data were collected using a structured questionnaire assessing educational level, knowledge, information, and the role of health workers. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using ordinal logistic regression.The results showed that most respondents refused or hesitated to undergo VIA examination. Bivariate analysis demonstrated that educational level, information, and the role of health workers were associated with refusal of VIA examination, while knowledge level showed a tendency toward association. However, multivariate analysis revealed that only the role of health workers had a statistically significant effect on refusal of VIA examination. Educational level, knowledge, and information were not significant predictors after adjustment.These findings indicate that service-related factors, particularly the role of health workers, are more influential than individual factors in shaping decisions regarding VIA examination. Strengthening health workers’ roles through effective communication and interpersonal counseling is essential to improve VIA examination uptake.

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.

PT Pos Logistik Indonesia (POSLOG) is a company that provides integrated logistics services across various sectors. One of the main commodities delivered regularly each year is rice from Bulog, which has a significant distribution volume. At present, PT Pos Logistik Indonesia – Branch Bandung still relies on third-party (vendor) transportation services, which leads to suboptimal company revenue and creates dependency on external parties. This study aims to conduct a comparative analysis of operational cost efficiency between the use of company-owned vehicles and rented vehicles. The analytical methods applied include Vehicle Operating Costs (VOC), Net Present Value (NPV), Internal Rate of Return (IRR), and Payback Period (PP). The analysis results show that the cost of using vendor services amounts to IDR 710 per kilogram, while the cost of using company-owned vehicles is only IDR 284 per kilogram. Furthermore, the NPV value reached IDR 2,732,364,981, the IRR was 129.94%, and the Payback Period was 1 year and 9 months. Based on these findings, investing in company-owned vehicles is proven to be more efficient, economical, and feasible to improve profitability and ensure business sustainability.

The doctrine of the Perseverance of the Saints-also known as "once saved, always saved"-has been one of the most important tenets of the Reformed tradition. It states that those who are truly chosen and born again will never lose their salvation. However, this doctrine is not free from criticism, both from the perspective of Arminian theology and from the pastoral reality of people who fall into sin. This journal aims to evaluate the biblical basis, systematic logic, and practical implications of this doctrine. The research is conducted through a theological-critical approach, taking into account the primary sources of Scripture and the thought of classical and contemporary theologians. The results show that this doctrine, while having a strong Biblical foundation, requires caution in its application so as not to give rise to a permissive attitude towards sin or neglect the importance of continued growth in faith.

This study aims to analyze the strategic role of the shipping agent, specifically PT. Naval Global Trans Belawan Branch, in ensuring the smooth flow of the maritime logistics chain. The shipping agent functions as a crucial intermediary coordinating contasiner distribution, bridging the interests of cargo owners, shipping companies, and the Belawan Port authority. The research utilizes a descriptive qualitative approach, with data collection performed through field observation and documentary study within the Belawan Port environment. The findings identify that the shipping agent holds broad responsibilities, commencing with container booking according to the required type and size, scheduling vessel arrivals and departures, managing customs and port documentation, and monitoring container movements (from the depot to loading onto the vessel). This role is highly instrumental in determining port throughput efficiency. However, in carrying out its functions, the shipping agent encounters several significant challenges. These constraints include limited container availability, disruptions in the port information system which is not yet optimally integrated, and dynamic changes in export-import regulations. These obstacles potentially cause operational delays and an increase in logistics costs. The study concludes by emphasizing the importance of better information technology integration between the shipping agent and the port authority. Furthermore, enhancing the quality of human resources (HR) through training and certification is key to ensuring that agents can respond to regulatory changes and operational challenges quickly and professionally.

Background: Traditional naval maintenance strategies rely on centralized supply chains and pre-manufactured spare parts, leading to long repair downtimes and logistical inefficiencies, particularly for vessels operating in remote maritime regions. Additive manufacturing (3D printing) offers a disruptive alternative by enabling on-demand production of spare parts, reducing dependence on external suppliers, and enhancing fleet self-sufficiency. However, material durability, operational feasibility, and cost-effectiveness remain underexplored for naval applications. Original Value: This research advances the study of AM in naval engineering, assessing its practical viability beyond theoretical potential. Unlike previous studies focusing on commercial maritime applications, this study evaluates 3D printing’s impact on naval fleet readiness, supply chain resilience, and sustainability. Objectives: The study investigates how 3D printing can optimize naval maintenance efficiency, specifically analyzing its feasibility, material performance, cost implications, and logistical advantages. Methodology: A qualitative-empirical approach was used, combining material performance testing, expert interviews, and operational case studies to evaluate mechanical durability, economic feasibility, and AM integration challenges. Results: Findings indicate that AM reduces repair downtime by 40%, lowers part procurement costs by 30–50%, and enhances supply chain resilience. However, material limitations and infrastructure readiness remain key adoption challenges. Conclusions: Hybrid AM adoption—where 3D printing supplements rather than replaces traditional manufacturing—offers the most practical near-term approach for naval fleets. Strategic investment in material research, onboard AM training, and fabrication infrastructure will enhance fleet efficiency, reduce environmental impact, and future-proof maritime maintenance strategies.

This research aims to comprehensively describe and understand the utilization of the SINKARKES system (Ship and Health Information System) in the issuance of the Ship Sanitation Control Exemption Certificate (SSCEC) and the First Aid for Accidents (P3K) Certificate for vessels managed by PT. Surya Samudera Indah Batam. Compliance with ship sanitation and health standards is a mandatory prerequisite for preventing disease spread and ensuring occupational safety in accordance with prevailing regulations. The research methodology employed is field research (field research) to observe direct operational procedures in the field, supplemented by literature review (library research) to strengthen the theoretical and regulatory foundations of the Ministry of Health. The findings indicate that the process of issuing the certificates through SINKARKES begins with agent login access to the official application (sinakarkes.kemkes.go.id) using a registered company account. Subsequently, the agent submits an application for SSCEC and P3K issuance, followed by the completion of data and the uploading of mandatory supporting documents. These documents include the Maritime Health Declaration (MDH), previous SSCC/SSCEC certificates, the P3K certificate, crew list, voyage memo, and the list of last ports of call. Once the documents are verified, the Special Health Quarantine Officer (KarKessus) proceeds to conduct a physical survey onboard the vessel. The main obstacle encountered is poor internet network connectivity in the port area, which often leads to data input failures and double entry errors during certificate printing.

The 5-star hotel is full of beauty, futuristic design, and perfect service. One of the components that guests complain about at the Tentrem Hotel Yogyakarta is housekeeping negligence. The research method is qualitative, with data collection techniques including interviews, observations, and documentation. The results of the study show that the forms of negligence that occur in housekeeping services at Hotel Tentrem Yogyakarta are 3 (three) actions: first, negligence in cleaning guest rooms, errors in placing guests' personal belongings, and delays in providing additional requests (amenity delay). Housekeeping negligence affects guest satisfaction at Hotel Tentrem Yogyakarta by reducing the reliability and tangibles dimensions of service quality. Guests feel the hotel cannot be trusted to provide a comfortable stay experience, leading to a decrease in the empathy and assurance dimensions. Guests feel their privacy is violated, which may even lead to suspicion toward hotel staff. Efforts to improve the negligence occurring in housekeeping services at Hotel Tentrem Yogyakarta involve three actions: implementing an inspection checklist and supervisor verification before guests check-in, ensuring staff are well-trained, educated, and professional in their work, and adopting a digital logistics system to record guest requests and prioritize deliveries.

Opinion is a person's opinion or thought regarding a problem that is currently occurring in society. An opinion must pay attention to the effectiveness of the sentence so that the reader can capture its contents. Therefore, this study will focus on the effectiveness of a sentence in a collection of opinions. This study was conducted to describe the effectiveness of sentences in a collection of opinions as critical reading teaching materials. This type of study is qualitative with a descriptive method; the technique for collecting data is using the listening and note-taking technique. The results of this study indicate that there are still several sentences that are not effective, so that readers have difficulty capturing their contents properly. Effective sentences meet requirements such as the economy of words, commensurate structure, logical language, and careful reasoning. Meanwhile, ineffective sentences occur because the structure of the sentence does not show unity, is wasteful of words or long-winded explanations, and lacks clarity in conveying information. The benefits of this study, in practice, are that it makes it easier for readers to determine the effectiveness of sentences in a collection of opinions. This study took data in the form of ineffective sentences contained in a collection of opinions for statistical literacy, the November 2024 edition of critical reading teaching materials for high school students.

Opinion is a person's opinion or thought regarding a problem that is currently occurring in society. An opinion must pay attention to the effectiveness of the sentence so that the reader can capture its contents. Therefore, this study will focus on the effectiveness of a sentence in a collection of opinions. This study was conducted to describe the effectiveness of sentences in a collection of opinions as critical reading teaching materials. This type of study is qualitative with a descriptive method; the technique for collecting data is using the listening and note-taking technique. The results of this study indicate that there are still several sentences that are not effective, so that readers have difficulty capturing their contents properly. Effective sentences meet requirements such as the economy of words, commensurate structure, logical language, and careful reasoning. Meanwhile, ineffective sentences occur because the structure of the sentence does not show unity, is wasteful of words or long-winded explanations, and lacks clarity in conveying information. The benefits of this study, in practice, are that it makes it easier for readers to determine the effectiveness of sentences in a collection of opinions. This study took data in the form of ineffective sentences contained in a collection of opinions for statistical literacy, the November 2024 edition of critical reading teaching materials for high school students.

The Student Evaluation of Lecturers (EDOM) at the Faculty of Engineering, Universitas Dr. Soetomo has historically been conducted via Google Forms and processed manually, resulting in slow response times, repetitive recap procedures, and insufficiently documented reporting validity. This study aims to design, build, and evaluate a web-based EDOM system using the Prototype Model (MODEL PROTOTYPE) to improve data collection efficiency, recap accuracy, and the effectiveness of feedback for teaching quality assurance. The development method comprises requirements elicitation with the Quality Assurance Unit through a review of SPMI documents and brief interviews, architectural and interface design (Laravel, MVC pattern, and MySQL), staged prototyping, and rapid iterations based on stakeholder feedback until functional conformity is achieved. The resulting system provides authentication and role-based authorization (Admin, GPM, Lecturer, Student), odd/even period management, a question bank employing a Likert scale, anonymous questionnaire submission, score recap per lecturer and per category (pedagogical, professional, personal, social), dashboard visualizations, and report export to support governance needs. Functional evaluation was conducted through black-box testing on core scenarios (login, period scheduling, submission, recap, and export) and indicated conformance to specifications. User acceptance evaluation employed the Technology Acceptance Model (TAM) to examine perceived usefulness, perceived ease of use, attitude toward use, and behavioral intention; the results indicate positive acceptance and potential for operational adoption. Practically, the prototype approach accelerates requirement alignment, reduces the risk of mis-specification, and facilitates change control, while the Laravel-based implementation supports maintainability, role-based access security, and further feature development. The study is limited to a single faculty; future work may include SSO integration, audit trails, and longitudinal, cross-semester analytics for more comprehensive monitoring of lecturer performance.