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The use of image media in Civic Education (PKn) learning, particularly on the topic of understanding the meaning of the Pancasila symbols in fourth-grade elementary school, often faces challenges, especially in enhancing students' comprehension of the abstract concepts involved. This community service program aims to socialize the use of image media as an effective teaching aid in PKn education. The methods employed include training and mentoring teachers in integrating image media into their lessons. The results indicate a significant improvement in students' understanding of the Pancasila symbols and increased motivation to learn. Additionally, the program sparked social change within the school environment, such as new initiatives from teachers to be more creative in using teaching media. This program successfully achieved its goals by fostering positive transformation in the school's learning processes

The purpose of this community service is to increase understanding to the community of Medan Johor sub-district about work supervision and employee performance. The specific target in this community service is for the people of Medan Johor sub-district to know what work supervision and employee performance are. The materials presented in this community service are: what is work supervision, and employee performance. The connection will affect the improvement of community work in Medan Johor sub-district so that the community gets a solution to work supervision and employee performance. From this community service, the results show that the community of Medan Johor sub-district has known and understood the importance of insight into work supervision and employee performance so as to improve work performance.

Youth play a strategic role in national economic development because their creativity, innovation, and energy can drive the growth of micro, small, and medium enterprises (MSMEs) at both local and national levels. However, many youth groups face challenges in developing their businesses due to limited capital, managerial knowledge, marketing skills, and restricted networking opportunities, which hinder optimal profit generation. Business incubators provide a strategic solution to empower youth groups by offering mentorship, training, and facilities to expand networking and access to capital, enabling sustainable profit generation. This community service program was implemented by creating a business incubator for youth groups, including business management training, marketing strategies, financial management, and direct field mentoring. The results indicate improvements in managerial skills, business productivity, and actual profit generation, along with enhanced marketing networks and digital technology utilization to broaden market reach. The conclusion emphasizes that business incubators serve as an effective mechanism to create independent, productive youth entrepreneurs who contribute meaningfully to local and national economic growth.

The implementation of this community service activity was carried out in class VII SMP Negeri Gudang Arang Merauke with a total of 20 participants. It is hoped that these students can understand and know English as a foreign language and as an effort to increase interest, motivation, will, and interest. Students in learning English in the field of education. This service contributes to learning English, especially for beginners (Young Learners) as an effort to increase students’ interest in learning English. In addition, this activity contributes to realizing education in Junior High School (SMP) to foster students’ interests and talents and motivation in learning English and as an effort to provide an introduction to English for the beginner level (Young Learners). This service is carried out in the form of a workshop which includes socialization in the form of training/introduction and mentoring. The material for the service activities is divided into two, namely exposure to motivational material interest in learning English and introduction to English vocabulary and grammar to be able to read texts in English. The expected goals of this service are: 1) increasing students’ knowledge and understanding of how to learn English is easy; 2) increasing students’ skills in English and students being able to understand reading material well. From the whole series of community service activities, the main hope is an improvement. Improving conditions from not knowing, not understanding to very understanding, and from low be high in terms of interest, motivation, willingnesss and interest of sudents in learning English especially English vocabulary and grammar

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.

The hospital is an important organization and is engaged in providing health services  that focus not only on medical service issues but also on non-medical service issues. The hospital guarantees the availability of medical devices to the availability of equipment that can affect the  quality of health services provided, including patient satisfaction. Therefore the purpose of this  study is to determine the analysis of the procurement of medical equipment logistics in hospitals.  The method used in this research is literature review from seven national journals obtained using  online database facilities via Google pages scholar and researchgate. The selected journal is based on its publication published from 2018-2023. The research results show that the analysis of logistics planning and procurement activities of medical devices in several hospitals in Indonesia  have various differences. The difference consists of hospitals that already have a plan logistics is good and some are not running perfectly. Procurement of medical devices that have not been good  due to several factors, one of which is an inadequate budget. So that management or logistics  management of medical devices is needed in hospitals so that medical devices are always available  in accordance with quality standards hospital health. 

This research is motivated by the results of preliminary observations that the Delegation of the Regent's authority to the Sub-district Head has not been running optimally. The improvement of public services is still not optimal. Limited facilities/infrastructure in the sub-district. The number of employees in the sub-district is still limited. Not all SKPDs that delegate authority have technical instructions for the implementation of the delegation of authority by the sub-district. The method used is a qualitative descriptive research method. The sampling technique uses a purposive sample technique, thus the sample in this study was 5 people. The data collection technique uses a questionnaire. The results of the study obtained are as follows: The Effectiveness of the Delegation of Part of the Regent's Authority to the Sub-district Head in Improving Public Services (Regent Regulation Number 18 of 2010 Concerning the Delegation of Part of the Authority from the Regent to the Sub-district Head) has been implemented well, especially in the implementation of aspects of licensing, recommendations, coordination, coaching, supervision, facilitation, and implementation. The implementation of Public Services according to Regent Regulation Number 18 of 2010 concerning the Delegation of Part of the Authority from the Regent to the Sub-district Head has been implemented well, such as in terms of service procedures, service time, service costs, service products, service facilities and infrastructure, and the competence of service officers. The obstacles faced by the Sub-district Head in the effectiveness of the delegation of Part of the Regent's Authority to the Sub-district Head in improving public services in the Sub-district in Ciamis Regency are Limited budget; Lack of facilities and infrastructure to support public services; Lack of human resources; Many human resources do not yet have competence; Lack of public awareness to make permits; not all technical instructions have been made regarding the delegated authority; There are still requirements that must be completed at the Regency level, whether permits must be made immediately at the sub-district, so that it hinders the completion process and the completion time becomes long. Meanwhile, the results of observations show that the number of service providers is still very limited, where each officer has their own main duties and functions. Efforts made by the Sub-district Head to overcome obstacles in the implementation of the delegation of Part of the Regent's Authority to the Sub-district Head in improving public services in the sub-districts in Ciamis Regency, are to increase the budget; complete and improve facilities and infrastructure to support services to the community; propose additional human resources; improve human resource competency through coaching and training; increase public awareness to make permits through socialization; request clear technical instructions regarding the delegated authority; in the completion process and completion time are made easier by assigning district employees to carry out services in the sub-district.

Hospitals in guaranteeing good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Hospital Accreditation is a way of monitoring the implementation of measuring hospital performance indicators. The purpose of writing this scientific article is to find out the importance of improving the quality of hospitals, especially for hospital structures and health workers. The method in this scientific article is to compare cases from several hospital studies that apply the accreditation process and the literature collected at the editing (re-examination) stage. The data is then processed and analyzed and conclusions drawn. The findings from the study of the application of hospitals in the importance of holding accreditation are to improve the quality of hospital services, improve hospital patient safety, increase protection for patients, the public, human resources for hospitals and hospitals as institutions and support government programs in the health sector. It can be concluded that the importance of hospitals carrying out accreditation is to ensure good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Suggestions made for hospital agencies, namely hospitals that have obtained national accreditation status are required to make strategic improvement plans in accordance with the surveyor's recommendations to meet hospital service standards that have not been achieved.

The hospital as a health service institution that organizes individual health services in a complete manner that provides inpatient, outpatient and emergency services. Efforts to improve health services as an agreement on setting long-term goals and visions which then become a common reference in achieving the goals that have been set. The purpose of this theoretical review is to find out how to improve health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review are by increasing efforts such as providing adequate infrastructure facilities including from a physical perspective, besides being efficient, fair, timely, secure, integrated, focused, reliable and effective. It can be concluded that efforts to improve the quality of health services as a process of meeting the needs and life expectancy of patients, both internally and externally. Quality can also be associated as a gradual and continuous improvement process. In general, the quality of health services focuses on the concept that health services have three main foundations, namely quality, access and cost.

This study aims to determine and describe the strategy model for increasing the Village Development Index (IDM) in Ciamis Regency, with a focus on environmental resilience, economic resilience, and social resilience. The method used is qualitative descriptive research. The results of the study indicate that the strategy model for increasing IDM in Ciamis Regency still needs improvement in several aspects. In terms of environmental resilience, although there is no pollution, both underdeveloped and developing villages have the potential to be prone to landslides, with developing villages having disaster response efforts, while underdeveloped villages do not. In terms of economic resilience, developing villages show better livelihood diversity compared to underdeveloped villages, although both have sufficient access to trade facilities, but access to financial institutions is limited. In terms of social resilience, although access to education and health is relatively good in both types of villages, the BPJS membership rate is still low, and access to clean water, sanitation, and electricity has reached 100% in developing villages. Access to information and communication already exists, but is not optimal in both villages. This study concludes that increasing IDM requires strengthening environmental, economic, and social resilience that is more integrated and targeted.

Employees of the Cilacap Tengah District Office, Cilacap Regency often receive criticism from the public. The District itself certainly considers the criticism to be an encouragement and motivation to make the institution's performance even better. This performance improvement can be done through job analysis and career development of each member of the Cilacap Tengah District Office Employees. This study aims to determine 1). Analysis of the influence of positions on the performance of Cilacap Tengah District Office Employees, 2). The influence of career development on the performance of Cilacap Tengah District Office Employees, and 3). Analysis of the influence of positions and career development on the performance of Cilacap Tengah District Office Employees. Therefore, this study uses quantitative research which then interprets the data to produce descriptive data. While the data collection technique uses a questionnaire, and data analysis uses multiple linear regression. The results of the study indicate that job analysis and career development have a positive effect on the performance of Cilacap Tengah District Office Employees. If job analysis and career development are better, then the performance of the members will also be better, and vice versa if job analysis and career development are worse, then the performance of the Cilacap Tengah District Office Employees will also decrease.

The aim of the research is to determine the level of capability of the Human Resources (HR) apparatus at the Maros Regency Youth Sports and Arts Service (DISPORI). And to find out the policies for developing human resources for personnel at the Maros Regency Youth Sports and Arts Service (DISPORI). The research methods used are quantitative and qualitative research methods. The results of the research are that the Human Resources development policy for the apparatus at the Maros Regency Youth, Sports and Arts Service has been running well in accordance with applicable personnel procedures and regulations. This can be seen from the implementation of the HR development policy for personnel at the Maros Regency Youth, Sports and Arts Service. The policy of developing human resource capabilities for the apparatus has goals and objectives, namely development and improvement as well as carrying out the main tasks and functions as government officials so that they can meet predetermined standards while being able to make decisions independently and professionally based on a spirit of service and changes in attitudes that lead to further development. openness, attitude of serving and protecting the public as the main duties and responsibilities.  

This classroom action research was carried out to improve the learning process which was not yet optimal and the low learning outcomes in class V of SD Negeri Marga Cinta Kab. East Oku.  This research aims to evaluate the effect of applying the demonstration method on students' understanding and learning outcomes regarding science subjects regarding animal and human movement organs. Implementation of improvements was carried out in two cycles, namely Cycle I on 06 May 2022 and Cycle II on 08 May 2022. In Cycle I, there were several problems that arose during the learning process so that the expected goals were not achieved optimally. Only 63.6% of the student data obtained scores above the requirements for completeness or (KKM). However, in Cycle II, the learning process becomes more conducive and the expected goals can be achieved well. The demonstration method has succeeded in increasing students' enthusiasm, activeness and learning outcomes very satisfactorily, achieving a success percentage of 100%. This shows that the application of the demonstration method effectively increases students' understanding and learning outcomes in the science subject material on animal and human movement organs in class V of SD Negeri Marga Cinta Kab. East Oku. These results indicate that the demonstration method can be an effective alternative in improving student learning outcomes in animal and human movement organs.

The issue of poor scientific learning results, particularly for the water cycle curriculum, is the main emphasis of this study's class V pupils at SDN 5 No. 050728 Tanjung Pura. By employing DoSiAr media, this project seeks to enhance students' learning outcomes in scientific classes concerning the water cycle. Using the Classroom Action Research (PTK) technique, which comprises of two cycles, the research was carried out in class V at SDN 5 No. 050728 Tanjung Pura. Records, exams, and observation sheets were used to gather research data. Utilizing DoSiAr media, the study's findings demonstrated a statistically significant improvement in learning from cycle I to cycle II. Two meetings are held throughout each of the two cycles that make up this study. According to study findings, learning

Based on data from the Jepara District Health Office in 2021, the Tahunan area has the highest number of pregnancies, reaching 1204 pregnancies compared to other sub-districts in Jepara Regency, with 43.1% of them experiencing sleep disturbances. This study aims to determine the effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency. This type of research is a quasi-experimental one-group pretest-posttest design. The population taken in this study were 50 pregnant women in their third trimester in July – August 2022 in the working area of the Annual Health Center in Jepara Regency. The sampling technique was purposive, and a sample of 44 people was obtained. The data collection tool in this study used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was performed using the Wilcoxon test. The results showed an effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency (p-value <0.05). The average PSQI score before a back massage with lavender essential oil was 8.95 and then decreased to 3.70 after giving a back massage with lavender essential oil. A decrease in PSQI scores indicates an improvement in sleep quality. Based on the Z value obtained, it was 5.811, which means that every one time back massage intervention with lavender essential oil given two times a week in the third trimester of pregnant women has the potential to improve sleep quality 5.811 times.   Keywords: Back massage, Lavender essential oil, Sleep quality

Amyloidosis is a term for various groups of diseases with lots of amyloid protein in organs and/or tissues, causing disease. In this condition, amyloid protein is deposited in the dermis layer of the skin which is called lichen amyloidosis. Lichen amyloidosis is the most common type of cutaneous amyloidosis. The prevalence of cutaneous amyloidosis is relatively rare, only 0.2-0.3%. It is chronic in nature which usually appears later in life. This article discusses a case of a 39-year-old female patient who came with complaints of spots on both sides accompanied by itching. These complaints have been experienced since ± 2 years ago and are felt to be getting worse in the last few months. Previously the patient had used a type of topical medication obtained from the local puskesmas, but there was no improvement. Examination of the general status found the general condition of the patient looked moderately ill, conscious awareness, vital signs within normal limits. Dermatological status obtained efflorescence in the form of macules to multiple papules with hyperpigmentation, well defined, discrete available, accompanied by scaling and lichenification. Patients were treated with oral corticosteroids (methylprednisolone), topical corticosteroids (desoximethasone) and salicylic acid. Patients are also educated to avoid scratching and rubbing on the lesions. The patient showed thinning lesions after 7 days of therapy.

metropolis, and village improvement to gain stability and fairness in development. Allocation of Vilthe large price range is the right of the village as district/metropolis governments have the proper to reap trendy Allocation funds (DAU) and unique Allocation price range (DAK). The expected effects of the Village Fund Allocation are the advent beta the village budget to finance village government packages, both village operations, and village community empowerment to improve village authorities services, improvement, governance, and network empowerment. Goal to determine the effectiveness of the Village Fund Allocation policy in Marga Sungsang Village, Banyuasin II District, Banyuasin Regency, South Sumatra visible from the context, input, manner, and product and evaluation of the extent of Village Fund Allocation in the control category technique: this is quantitative research with a cross-sectional method drawing near. Result: typical, this size has a big move-sectional scale, particularly: the overall context is 79.05 the general input is 76.10, the overall process is eighty one.45 and the overall product is seventy six.88. limitations: based on the researcher's direct theel in the research process, there are numerous barriers, along with the range of respondents is simplest 33 people, direction, twhichiswhichetheless not enough to describe the state of aff, airs and the item of studies which specializes in the effectiveness of the add program in terms of context, input, method, and product and level of control of Village Allocation within the class of Sungsang Marga Village, Bnayausin II District, Banyuasin Regency, South Sumatra. Contribution: For Sungsang Marga Village, Banyuasin II place, South Sumatra Banyuasin, to take advantage of extra village subsidies and increase similarly development of network development and empowerment. F, or the aTher this research to boom knowledge and expand peproperlyon andregardingal inregardinghe problem of coping with the allocation of village budget to solidarity improvement and empowerment. For the Alma mater, the outcomes of this lexpecteddexpectedato dd new references from the analysis of add management in improving network improvement and empowerment.

Elderly residents who live in madania homes use the kitchen as a kitchen places for cooking activities, and have complaints about height and slippery floor conditions, according to the elderly as many as 32% of cooking kitchen users representing the elderly population using purposive sampling, proposed design improvements for elderly cooking places by considering the anthropometric size of elderly users, using a focus approach group discussion to facilitate the wishes and complaints experienced by the elderly, the shape and size of the proposed new kitchen design for the elderly by adding a foothold in front of the kitchen to facilitate cooking reach, with a cooking kitchen width: 53 cm; Height: 132cm; length 53 cm, using anthropometric measurements, namely front arm reach (JTD) 53 cm; shoulder width(LB) (maximum) 43 cm; height (TB) 158 cm; elbow height (TS) 132 cm. The design is the result obtained from the first focus group discussion, then the results of the second focus group discussion explain the proposed new design drawings for the elderly's kitchen to the elderly, related to the suggestions obtained from the results of the first focus group discussion and the senior citizens agree with the results drawn, by having a height, width, length according to body size by adding non-permanent footing facilities in front making it easier for users to reach the kitchen for cooking activities, floors that are designed to be safe and non-slippery, and additional cupboard facilities to make it easier to store cooking utensils.Sig (2-tailed) of 0.003 <0.05 indicates that the H1 hypothesis is accepted.

The onset of stretch Marks makes some people feel insecure. The author made a scrub made from gotu kola leaves. This study aims to determine how to make scrub leaves gotu kola, knowing the feasibility sensory test and knowing the condition of stretch marks after using scrub leaves gotu kola. This study was conducted by observation, interviews, questionnaires, experiments, documentation, and literature. The analysis used qualitative descriptive analysis. The manufacture of powder starts from the preparation of tools and materials, washing, weighing, drying, rarefaction, weighing dry leaves. The powder is taken to taste and mixed using olive oil. The product results are submitted to five expert validators to test the feasibility of the product using sensory tests. The feasibility of the product was tested by color averaging 4,7 in the very decent category, aroma averaging 4,1 in the decent category, texture averaging 4,1 in the decent category, ease of use averaging 3,9 in the moderately decent category, packaging averaging 4,9 in the very decent category. There is an improvement in the product that is more mashed powder, mixing powder using warm water and olive oil in a ratio of 1:2 and cooling scrub enough 5-10 minutes. Based on the results of the feasibility of the product can be concluded concluded that the product scrub leaves gotu kola feasible to be a new innovation in the manufacture of scrubs. The use of scrubs for 6 times conducted by 10 respondents resulted in the condition of stretch marks that fade, skin texture becomes more flat and the stretch decreases.

The objective of this research is to analyze the improvement in quality values between classes that use the Cooperative Learning Method tipe TGT (Team Games Tournament) with the DirectInstruction class at Jakarta 51 High School grade XI MIPA conduct research from april until may 2019. This research method used the quantitative research methods type of quasi experimental thatfocus on the mastery of Elasticity concept in science in seeing the influence of cooperative learning models using the TGT type. The results of the study are described using a purposive sampling that compares the differences in 2 (two) classes, namely the experimental class through the Team Games Tournament learning model and the control class through the Direct Learning model in students and then measures the mastery level of Elasticity concept.