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Splinting training aims to improve everyone's ability to perform emergency care. The purpose of this study was to analyze the extent to which splinting training influences the ability to manage upper extremity injuries in adolescents using the splinting simulation method. This study was a quantitative study using a one-group pretest-posttest design with a sample of 40 adolescent medical students using a purposive sampling approach. Data were analyzed using the T-test. The results of this study showed that there was a significant difference in the skill level of the simulation group between pre and post (p <0.005). So it was concluded that splinting training using direct simulation can improve the ability to manage upper extremity injuries. Therefore, it is hoped that training using this simulation method can be used for all topics, learning types, and every domain; cognitive, affective, psychomotor and interpersonal.

Awareness of environmental health is an important factor in maintaining community welfare, especially in developing urban areas. The city of Medan, as one of the major cities in Indonesia, still faces various environmental problems such as poor sanitation, garbage accumulation, and water pollution, which have an impact on public health. This study aims to analyze the factors that affect the level of public awareness of environmental health in the city of Medan. This study uses a quantitative design with a cross-sectional approach. Data were collected from 100 randomly selected respondents using a structured questionnaire, which measures people's level of awareness of environmental health and various factors that influence it, such as education level, media exposure, and economic status. Data analysis was carried out univariately, bivariately with Chi-square test, and multivariate using logistic regression to determine the relationship between independent variables and the level of public awareness. The results of the study show that factors such as education level, media exposure, and economic status have a significant influence on the level of public awareness. People with higher levels of education, better media exposure, and better economic status tend to have higher awareness of environmental health issues. The implications of these findings suggest that improving environmental education and more effective dissemination of information can be an important effort in raising public awareness. Community-based programs that focus on education and strengthening environmental information can be a strategic step in overcoming environmental problems in urban areas. The results of this research are expected to be a reference for the formulation of more effective policies and programs in increasing environmental awareness in urban communities.

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.

The topic of Differentiated Instruction (DI) has recently been studied by researchers and practitioners due to its importance and potential to improve student learning. In this regard, the current study aims to provide a concise overview of DI in the context of EFL to illustrate the need for its implementation in the classroom to foster successful language learning. Since differentiated instruction is designed to place students at the centre of the teaching and learning process, promote equity and academic success, as well as recognize diversity among students, it enables teachers to address a student’s unique needs, interests, abilities, English proficiency, and preferred learning strategies. While challenges such as increased workload and implementation pressure in DI may arise, the potential benefits of this approach to students' learning processes, attitudes toward learning, and long-term success are notable. Therefore, the learning process is maximized when teachers are committed to differentiated instruction. SMA ISLAM PLUS ADZKIA (SIPA) is one of the most popular spotlight of school in Medan which the school was succeed in graduating their Alumni to Kedinasan and private university both inside and outside the country with scholarship. This school becomes the spot or role model for many other schools in Medan, therefore, the researcher intended to investigate further about the teaching model applied in this school, especially in EFL classroom in studying English. Some problems need to be answered after applying this study, such as how the English teachers manage the class to apply the DI, how is the students’ understanding about the subject after they applied DI

The toddler period is a golden stage of child development influenced by several factors, including maternal knowledge in parenting. Working mothers face challenges in balancing professional responsibilities with caregiving roles. This study aimed to examine the relationship between working mothers’ knowledge and the growth and development of toddlers at Kasih Ibu Sejati Clinic, Sosa District, Padang Lawas Regency. This research used a descriptive analytic design with a cross-sectional approach involving 42 working mothers with toddlers. The results showed that most working mothers had good knowledge (38.1%) and most toddlers were in the good developmental category (64.3%). The Chi-square test yielded a p-value of 0.004, indicating a significant relationship between the mother's level of knowledge and toddler development. Good knowledge enables mothers to provide better-quality care despite time limitations. These findings imply the importance of enhancing education for working mothers to support optimal child development.

Tourism is a sector strategy in encouraging regional economic growth, cultural preservation, and improving community welfare. Binjai City, as one of the buffer areas of Medan Metropolitan, has a number of areas that have the potential to be developed into leading tourist destinations. However, un-til now there has been no directed and integrated development strategy for areas that have this potential.This research aims to identify and analyze the potential for the development of leading tourist areas in Binjai City through the Mixed Methods approach, which is a combination of qualitative and quantitative methods. The focus of the study is directed at three strategic areas, namely Taman Merdeka Binjai, the Binjai Grand Mosque Area, and the Jalan Veteran Culinary Village, which have strong historical, so-cio-cultural, and local economic potential but have not been optimally exploited.Data was collected through a survey of 150 respondents consisting of tourists, MSME actors, local communities, and government officials, as well as in-depth interviews with 12 key informants. The re-sults of the quantitative analysis showed that the attractiveness of the area and community support re-ceived the highest score in respondents' perception, while infrastructure and the use of digital technolo-gy are aspects that still require special attention. Qualitative analysis supports these findings, where vari-ous technical and institutional constraints are still found that hinder sustainable development.The results of data integration show that the potential for the development of leading tourist areas in Binjai City is quite high in terms of location, cultural value, and support from the local community. However, to realize a competitive region, strategic interventions are needed in the form of improving the quality of infrastructure, digitizing promotions, and collaboration between sectors. Policy recommenda-tions are filled with institutional capacity strengthening, community empowerment, and the establish-ment of tourism development programs based on local and sustainable potential.

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.

The existence of Final Waste Processing Sites (TPA) in urban areas often presents a dilemma between the need for waste management infrastructure and its environmental and social impacts on surrounding communities. This study aims to examine the impact of the TPA Terjun in Medan City on patterns of land use change and the socioeconomic conditions of nearby residents. The method used is quantitative, involving a survey of 150 respondents, and multiple linear regression analysis to test the influence of two independent variables namely, the characteristics of the TPA and public perception and response on community perceptions of environmental impacts. The results indicate that both independent variables have a significant simultaneous effect on public perception, with a model significance value of 0.022. Partially, the physical characteristics of the TPA have a significantly positive influence, while community perceptions and responses also contribute meaningfully. However, the low coefficient of determination (R² = 0.009) suggests that many other factors outside the model also influence perceptions of environmental impact. This study highlights the importance of a holistic approach in spatial planning and urban environmental management, particularly in relation to public facilities such as TPAs. Community participation, infrastructure quality, and zoning certainty are crucial factors in maintaining the balance between the functional needs of the city and the desired quality of the microenvironment.

A thesis is an original scientific paper where the author presents their ideas by referencing the views of experts. The process of writing a thesis often leads to stress among students, which can affect various aspects of life, including physical, mental, emotional, and spiritual health. Stress occurs when individuals struggle to cope with threats or challenges, which can negatively impact their physical well-being (Hardjana, 1994). The factors or situations that cause stress are known as stressors, which are divided into two types: eustress and distress. Eustress is a positive form of stress that encourages individuals to confront challenges constructively, while distress is a negative form of stress that can reduce motivation, concentration, and productivity, especially during the thesis writing process. Proper stress management is crucial for students to remain productive and avoid the negative effects of stress. One effective way to cope with stress is by practicing gratitude. Gratitude helps individuals focus on the positive aspects of their lives, such as the achievements they have made, the support from friends, or assistance from professors. By practicing gratitude, students can shift their focus away from failures or difficulties they face and remain optimistic in confronting challenges. Based on interviews with several students, it was found that those who successfully manage stress tend to practice gratitude in various forms. They look for the positive side in every challenge, appreciate the support from their surrounding environment, and value each small achievement in the thesis-writing process. This approach helps them stay resilient and motivated through the challenges they face during their thesis work, allowing them to remain focused and productive despite the pressure.

The increase in mortality rates, caused by traffic accidents, usually occurs partly because Indonesians do not know how to provide proper first aid when victims are found (Ferianto, 2023). Injuries to the musculoskeletal system must be treated quickly and appropriately, because if it is too late, it will cause the condition of the injury to worsen and cause bleeding. The purpose of this study was to determine the effect of education on emergency assistance for upper extremity injuries with splinting techniques on adolescent knowledge. This research method uses a quantitative design using pretest and posttest questionnaires. The administration of pre-test and post-test questionnaires is according to the number of participants who participated in the education. The number of samples obtained in this study was 40 people with the target of MA adolescents with an age range of 15-17 years. This study was conducted on July 25, 2025, at MA Al-Ittihadiyah Pangkalan Masyhur Medan. The results of this study showed a significant difference between the level of knowledge before (pre-test) and after (post-test). Conclusion: The results of this study indicate that there is an effect of emergency aid education for upper extremity injuries using splinting techniques on the knowledge of adolescents at MA Al-Ittihadiyah Pangkalan Masyhur Medan.

Prenatal exercise is a program designed specifically for pregnant women, featuring movements tailored to their condition, aimed at reducing discomforts during pregnancy and preparing them both physically and mentally for childbirth. The lack of awareness among pregnant women regarding prenatal exercise is likely a contributing factor to their limited participation. This study aims to explore the level of knowledge pregnant women have about prenatal exercise at Alisah Clinic, Medan, during the period of March to May 2025. The research employed primary data collection using a total sampling technique, with questionnaires as the instrument, involving 30 pregnant women as subjects. Data analysis was conducted using frequency distribution in percentages. The results showed that the majority of respondents with knowledge about prenatal exercise were aged 20–35 years, accounting for 19 individuals (63.4%), while the minority were aged over 35 years, totaling 3 individuals (10%). Based on education level, most respondents had completed high school (14 individuals or 46.6%), and the fewest had completed elementary school (3 individuals or 10%). Regarding occupation, the majority were housewives (17 individuals or 26.6%), and the minority were private employees (3 individuals or 3.3%). It is recommended that Alisah Clinic, Medan, use this scientific paper as a reference and input for midwifery practice, particularly in providing health education to pregnant women. Future researchers are advised to conduct broader studies with more comprehensive methods and variables to improve and refine this research.  

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 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.

Hypertension is a condition in which Systolic Blood Pressure (SBP) is greater than 140 mm Hg and Diastolic Blood Pressure (DBP) is greater than 90 mm Hg. This disease is one of the most common chronic diseases and can affect anyone, both young and old. Hypertension is often called a silent killer because it has no major symptoms, so sufferers are often unaware that they have high blood pressure until serious complications occur. This study aims to determine the relationship between medication adherence and the use of complementary therapies in hypertensive patients at Mitra Medika Amplas Hospital. The research design used an analytical survey method with a cross-sectional approach. The population in this study were all hypertensive patients who received treatment at the internal polyclinic of Mitra Medika Amplas Hospital, with a total population of 1,398 people. The sampling technique used was purposive sampling with the Slovin formula, resulting in 94 respondents. Based on the results of the analysis using the chi-square statistical test, the P-Value was obtained at 0.685 or P-Value > 0.005, which indicates that the alternative hypothesis (Ha) is rejected and the null hypothesis (Ho) is accepted. Thus, it can be concluded that there is no significant relationship between medication adherence and the use of complementary therapy in hypertensive patients at Mitra Medika Amplas Hospital. The conclusion of this study shows statistically that there is no relationship between medication adherence and the use of complementary therapy at Mitra Medika Amplas Hospital this year, which indicates the need for more attention in improving patient adherence to recommended treatment. The conclusion of this study statistically shows that there is no relationship of medication adherence in the use of complementary therapy at Mitra Medika Amplas Hospital.

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.

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.

Promiscuity is a common issue among adolescents, as a transitional phase that is highly susceptible to environmental influences, directly impacting physical, mental, and social health. Lack of understanding of the impacts of promiscuity can increase health risks for adolescents, including increased risk of sexually transmitted infections (STIs), unplanned pregnancy, organ damage due to addictive substances (narcotics), mental health disorders, and decreased social and academic functioning. This health promotion activity was conducted at Free Methodist 1 Junior High School in Medan as a form of early education and prevention. The goal was to increase students' knowledge and awareness of the dangers of promiscuity and encourage healthier and more responsible behavior. The method used was preventive education through lectures, discussions, and interactive Q&A sessions. The results of this activity showed an increase in student understanding of the material, for example, understanding of promiscuity increased from 70% to 85% and understanding of drug abuse from 62% to 67.5%, as well as the importance of developing a healthy lifestyle, avoiding harmful substances, and maintaining overall physical, mental, and social health

According to WHO (2015), TT immunization coverage in Africa reached 50%, with TT2 at 60%. In Indonesia, the Making Pregnancy Safer (MPS) program set a target of 95% Antenatal Care (K1) coverage, including TT2 by 2019. Puskesmas data in 2016 showed K1 coverage of 880 with TT1 at 27 (3.1%), and K4 at 739 with TT2 at 64 (8.6%). This study aims to assess premarital knowledge of TT immunization based on age, education, and occupation. Using a descriptive design and total sampling, 32 respondents were involved. Results showed most were under 20 years old (41%), had junior high school education (25%), and worked as entrepreneurs (19%). The lowest knowledge level was found among respondents with primary education (19%) and farmers (3%). It is recommended that midwives at Puskesmas Bestari intensify education to improve premarital knowledge about TT immunization.