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Fibroadenoma of the breast (FAM) is a benign tumor that is painless, movable, has clear boundaries, and a rubbery texture. The incidence of cancer worldwide has increased, with the most common cancers reaching 24.5% and deaths reaching 15.5%, according to the WHO. In Indonesia, the prevalence reached 1.79% per 1,000 population in 2018, and in Central Java, it was 0.7% in 2019. Data from Dr. Soeselo Hospital in Tegal shows an annual increase of 2%, with prevalence reaching 1.9% in 2023, up from 1.7% in 2022. The aim of this research is to provide an overview of nursing care for patients who have undergone left breast tumor surgery. This research specifically focuses on the study involving diagnosis, determination of interventions, implementation, and evaluation. Using a case study design, a descriptive method was employed in this research. The writer narrates and explains the important events that occurred with the patient. Patients who have undergone surgery may experience pain after the operation, which could potentially lead to the risk of infection and a decline in knowledge. As a result, the nursing diagnosis that arises for the patient is acute pain. In the concept of pain, pain measurement is assessed using a numerical rating scale, and the patient's pain management involves relaxation breathing therapy and analgesics.

Development of Garuda Cardbo ard Learning Media for Student Representation in Civics Subjects in Class II MIN 7 Medan City. Learning media can be interpreted as a tool that carries messages and information between teachers and students. One of the learning media that can be applied for learning is Garuda cardboard media. Which is implemented in MIN 7 Medan City. This development research has the following problem formulation: (1). What is the validity of the Kargur learning media for the PPKn learning process for students in class 2 MIN 7, Medan City (2). What is the practicality of using Kargur media in the PPKn learning process for students in class 2 MIN 7 Medan City. (3). What is the effectiveness of kargur media on student representation after using kargur media on class 2 MIN 7 students in Medan City. The objectives of this research are: (1). How to validate the kargur learning media for the PPKn learning process for students in class 2 MIN 7 Medan City. (2). How to practically use kargur media in the PPKn learning process for class 2 MIN 7 students in Medan City. (3). What is the effectiveness of kargur media on student representation after using kargur media for class 2 MIN 7 students in Medan City. The results of this research are (1). ADDIE development model in the development of Garuda cardboard learning media: a. Analysis, which focuses on learning problems and student needs, b. Design, regarding product design in terms of Garuda cardboard learning media and preparation of rules use of media, c. development, this is based on the assessments, suggestions and comments of the validators according to their respective fields, d. implementation, in this research it was tested on 15 class II students at MIN 7 Medan City. e. Evaluation, aims to determine the success of research and development carried out on 15 students at MIN 7 Medan City. (2). The results of the feasibility of the Garuda cardboard learning media have a value of 4.5%, categorized as valid or usable but needing minor revisions from material experts, and 3.2% valid or usable but needing minor revisions.

Stroke is a type of cerebrovascular disease in which blockage, narrowing or rupture of blood arteries supplying the brain results in brain infarction or loss of brain tissue. This writing aims to analyze the process of family nursing care given to Mr. A, a stroke patient in Kalibuntu Village, Brebes Regency. A, a stroke patient in Kalibuntu Village, Brebes Regency, starting from assessment, nursing diagnosis, planning, implementation to evaluation. This writing uses a qualitative descriptive approach with a case study as the writing design. Data collection was done through in-depth interviews with the patient and family, as well as direct observation of the interaction between the nurse and the patient's family. The results of the writing are expected to contribute to the improvement of an effective family nursing care model for stroke patients in the community.    

The use of chemical fertilizers in agricultural activities in Wonosobo can cause heavy metal contamination and soil damage on agricultural land. Gunturmadu Village is a village located in Wonosobo Regency with the majority of the population working as farmers. Based on observations, organic materials in the form of soybean boiled water waste in Gunturmadu Village have not been widely utilized. KPM students in Gunturmadu Village planned a socialization program for the practice of making liquid organic fertilizer from soybean boiled water waste using the batch broth fermentation method as an effort to realize a sustainable environment by preventing damage to soil nutrients, thereby increasing agricultural yields and increasing knowledge and skills in making liquid organic fertilizer. The activity was attended by 26 PKK RW members of Buaran Hamlet, Gunturmadu Village and 13 KPM students with direct counseling and practice methods. Data collection was in the form of pre-tests and post-tests. The research stages include the preparation, counseling, and evaluation stages. The results of the study showed an increase in knowledge and skills in making liquid organic fertilizer by 70.6% and a decrease in the percentage of misunderstanding by 70.96%.

This study aims to determine the benefits of the farmer card program in improving the welfare of poor farmers in Talotenreng Village at the BPP Sabbangparu of the Wajo Regency Agriculture and Food Security Office and to find out the factors that hinder the evaluation of the farmer card program in improving the welfare of poor farmers in Talotenreng Village at the BPP Sabbangparu of the Wajo Regency Agriculture and Food Security Office. The research method used is a qualitative method, usually the data is inductive or qualitative, and the type of research used is descriptive that provides a detailed picture or phenomenon.The results of this study show that the Farmer Card Program in Talotenreng Village has not been used by farmers as recipients of farmer cards or is still tentative so that farmers cannot feel the benefits, because there are no instructions, directions or orders from the Central Government/Ministry of Agriculture of the Republic of Indonesia. The Farmer Card Program is the latest Government program implemented in all regions with the aim of redeeming the purchase of subsidized fertilizers in an effort to improve the welfare of farmers in accordance with Presidential Regulation No. 77 of 2005 concerning the Determination of Subsidized Fertilizers as Goods in Supervision as amended by Presidential Regulation No. 15 of 2011 concerning Changes in the Determination of Subsidized Fertilizers as Goods Under Supervision.

Inclusive education is one of the efforts to realize educational services for children with special needs as regulated in Permendiknas No. 70 of 2009. Magetan Regency was declared an inclusion district in 2017. Based on the 2023 education report card data, junior high school students have the lowest achievement in numeracy literacy compared to elementary and high school students, namely only 41.14%, almost close to the poor category (<40%). Based on the results of interviews with Special Assistant Teachers (GPK), data was obtained that slow learner students had difficulty using writing in the Mathematics learning process. The training activity for making learning videos using OpenShoot videos was carried out using direct practice, mentoring and evaluation methods. The aim of the training is to develop GPK's digital competency. The result of this training is learning media in the form of numeracy literacy learning videos for slow learner students.

In the current digital era, village websites function as an important means of connecting village governments with their communities via the internet. Its main function is to provide an information platform that is easily accessible to village residents, where they can find village profiles that contain a lot of information about the village. The methods used are data collection, website creation, admin training, carrying out website processes online, and analyzing the usability and sustainability of the website. The village profile website is the online face of a village which contains various information regarding history, government structure, vision and mission and so on. The Merangin Village profile website can be accessed at the domain desamerangin.id. The evaluation results show that this website has clarified village government and made it easier for people to get information

This research aims to improve effective digital marketing strategies. In addition, digital marketing provides the necessary training and guidance, so that digital marketing can improve MSME products.  This research uses a community service method with assistance and training that ends with an evaluation of effectiveness.  The results of this study indicate that the use of digital marketing can increase market reach for products owned by MSMEs in Sambongsari Village. Training and guidance to help MSMEs by implementing digital marketing strategies begins with attractive product photos, logo creation, map creation, social media marketing, search engine optimization (SEO) and content marketing. An increase in sales after implementing the strategies taught will continue to be reported. The application of digital marketing has proven effective in improving MSMEs in Sambongsari Village. The community service work program called Programmed Independent Initiative Real Work Lecture (KKN MIT-18) Posko 26 UIN Walisongo Semarang provides benefits to MSMEs, because it facilitates understanding and application of digital marketing. Some things that MSME players should continue to learn such as changing MSME strategies and seeing the impact of long-term digital marketing implementation

Education is a systematic and continuous process for developing a person's knowledge, skills, attitudes and values. The main goal of education is to prepare individuals to function effectively in society, as well as to facilitate personal growth and development. One of these is the Al-Qur'an Education Park. The Al-Qur'an Education Park (TPQ) has an important role in children's religious education, but often faces challenges in terms of improving the quality of teaching. This article discusses various effective strategies that can be implemented to improve the quality of teaching at TPQ Darul Ulum . This research also explores the role of technology in supporting the teaching and learning process and the importance of parental involvement in supporting children's learning. The research results show that strategies such as continuous training for teachers, use of interactive learning media, and regular evaluations have a positive impact in increasing the effectiveness of teaching at TPQ. It is hoped that this article can serve as a guide for TPQ administrators to implement best practices and achieve higher educational standards within the TPQ environment

This study aims to analyze and evaluate the waste management system in Dusun 3, Pasirwangi Village, Pasirwangi Subdistrict, Garut Regency, which currently lacks both a landfill (TPA) and a temporary disposal site (TPS). As a result, residents are accustomed to improperly disposing of waste, including in the river, leading to environmental pollution. Through socialization efforts, a program for separating organic and non-organic waste was introduced. Organic waste is processed into liquid fertilizer using a mixture of organic waste, rice water, and sugar, which also produces magots that can be cultivated. Non-organic waste is repurposed into handicrafts. Additionally, trash bins were provided to improve disposal facilities. The results of the study show behavioral changes among residents in waste management, although not yet fully optimal. The evaluation highlights the need for more trash bins, increased environmental awareness, as well as the development of handicrafts from non-organic waste and magot cultivation as an economic resource. In conclusion, waste management in Dusun 3 has shown progress but still requires continuous improvement, especially regarding facilities and environmental education.

The rapid growth of the business world is forcing companies to adopt automation and efficiency to survive and compete. PT. Varia Usaha Beton, a concrete manufacturer, relies heavily on an accounting system for raw material purchasing to ensure efficient operations. The purpose of this research is to evaluate the company's raw material purchasing accounting system, identify problems and recommend improvements. The research method used is descriptive and qualitative with a case study approach. Primary data was obtained through interviews and observations, while secondary data was obtained through company documents. The research results show that the system works well and supports cost control, inventory management and quality monitoring. However, there are several vulnerabilities such as human error, technical issues with the ERP system, and weather-related delays in shipping raw materials. Recommended improvements include improved employee training, optimizing the ERP system, and developing more efficient inventory management. This research provides insights into the importance of evaluating accounting systems to improve the efficiency and effectiveness of business operations. Further research is recommended to conduct comparative analysis with other companies and explore new technologies to increase purchasing management transparency and efficiency

This study aims to critically analyze how accounting policies implemented in insurance companies contribute to effective risk management and overall financial stability. As the business environment becomes increasingly complex and competitive, insurance firms must adopt robust accounting policies that not only facilitate accurate financial reporting but also enhance their ability to identify, assess, and manage various risks. By employing a mixed-methods approach that integrates both qualitative and quantitative data, this research will explore the intricate relationships between accounting policies, risk management strategies, and their subsequent impact on the financial performance of insurance companies. The study will first provide a theoretical framework that outlines the significance of sound accounting practices in the context of risk management. It will then delve into empirical analysis through case studies of selected insurance companies, assessing how their accounting policies influence risk assessment and mitigation processes. Data will be collected via surveys and interviews with key stakeholders, including financial managers, risk officers, and auditors, to gather insights on the effectiveness of these policies in practice. Furthermore, this research will evaluate the correlation between specific accounting practices and key performance indicators, such as profitability, solvency, and liquidity ratios. By identifying best practices and potential areas for improvement, the study aims to offer practical recommendations that can enhance the alignment between accounting policies and risk management efforts. Ultimately, this research seeks to contribute to the existing literature on accounting and risk management in the insurance sector, providing valuable insights that can inform policy formulation and strategic decision-making within the industry. Through this comprehensive evaluation, the study aspires to foster a deeper understanding of how effective accounting policies can serve as a foundation for robust risk management frameworks, thereby promoting long-term financial stability in insurance companies.

Abuse of Narcotics, Psychotropics and Addictive Substances (Drugs) among the younger generation is a crucial issue that threatens the future of the nation. This abuse has a significant negative impact on the mental and physical development of the younger generation. Therefore, prevention efforts through education, routine counseling and positive activities in the community are very important. The socialization program on the dangers of drugs was carried out at the Sumbersari Village Hall, Ngampel District, Kendal Regency. The targets for this activity are teenagers from Sumbersari Village. This activity is carried out using the ABCD method which includes identifying community strengths, asset mapping, community economic analysis, creating relationships and activity priorities, as well as monitoring and evaluation. The results of counseling regarding the abuse of narcotics, psychotropic substances and other addictive substances in Sumbersari village show significant benefits for the younger generation. Participants' responses emphasized the importance of the understanding provided. The suitability of participants' expectations with the reality of the activity can be seen from the appreciation for the presence of food and similarities with socialization at school. Participants' understanding also increased thanks to the material presented in an interesting way. Comfort during activities is an important factor in maintaining participant concentration. However, participant satisfaction was affected by schedule discrepancies.

Making environmentally friendly biopores and domestic incinerators is one method of waste management that can be used to overcome waste problems, both organic and non-organic waste management. This article discusses innovations in waste management in Tembokrejo, Pasuruan City through the use of environmentally friendly Biopores and Domestic Incinerators to overcome the waste problem in the subdistrict of Tembokrejo. Waste is one of the problems that until now has not been resolved properly. So an effective waste management strategy is   needed to avoid environmental pollution. The use of biopores and environmentally friendly domestic incinerators is one of the waste management techniques. By using organic waste for biopores and an environmentally friendly Domestic Incinerator for burning non-organic waste with minimal smoke so it doesn't pollute the environment. . The method used in this service activity consists of four stages, namely Observation, Preparation, Implementation, Evaluation. The result of this service is a change in people's attitudes and behavior towards waste management through the innovation of using Biopores and Domestic Incinerators so that they are starting to be interested in using this innovation to make the sub-district of Batasrejo free from the difficulties of waste management.

This research evaluates the effectiveness of socialization and law enforcement regarding underage electric bicycle riders, and provides recommendations for improvement. The study results show that current outreach programs are not yet effective in reaching the main audience, namely children and teenagers. This is caused by budget limitations, lack of support from stakeholders, and limited communication media. A lack of understanding among parents and young drivers as well as a lack of information at the school and community level exacerbates this problem. Law enforcement also remains weak and inconsistent, largely due to a lack of strict supervision and regulation, as well as a lack of understanding among law enforcement officials. In terms of regulations, Law no. 22 of 2009 does not yet specifically cover electric bicycles, which require updating to reflect the latest technology. The evaluation shows a mismatch between existing regulations and practice in the field. To improve this situation, it is recommended to increase outreach through educational programs in schools, partnerships with the media, drafting special regulations for electric bicycles, revising the Traffic Law, and increasing law enforcement with special training for law enforcement officers. It is hoped that these steps will create a safer and more orderly environment for electric bicycle users, as well as reduce the risk of accidents

Training on making dishwashing soap for women or housewives in Sumbersari Village, Ngampel District, Kendal Regency, was chosen to be disseminated because soap is one of the main needs for maintaining good hygiene standards in everyday life, even though soap is not included in basic needs group. This training in making dishwashing soap aims to enable people in Sumbersari Village, Ngampel District, Kendal Regency, to make their own dishwashing soap to meet their daily needs, reduce people's expenses for purchasing soap which is quite expensive, and open up business opportunities as a home industry. if mass produced. This activity was carried out using the ABCD method through five stages, including identifying community strengths, asset mapping, community economic analysis, creating relationships and activity priorities, as well as monitoring and evaluation. The result of this training is to provide practical experience and increase public knowledge regarding environmentally friendly soap making. This is proven by the participants' ability to understand the process of making environmentally friendly liquid soap well and the participants' desire to apply the knowledge gained

Organizational performance includes various indicators such as productivity, work quality, efficiency, and innovation. Challenges often arise in the performance evaluation process when not supported by an adequate system. Additionally, facilitators play a crucial role in achieving goals, but poor selection of facilitators can lead to problems like lack of participation, poor time management, and inability to resolve conflicts, negatively impacting productivity and decision quality. This study aims to develop a support system that improves performance evaluation and facilitator roles at BBPPMPV-BBL Medan. The system is expected to simplify performance evaluation, enhance resource management effectiveness, and assist facilitators in carrying out their tasks optimally. The research findings indicate that this support system provides more accurate, structured, and effective performance evaluation, while enhancing facilitators' ability to maintain focus, manage time, and resolve conflicts. Implementing this system at BBPPMPV-BBL Medan contributes to increased productivity, efficiency, and performance quality, and enables proper recognition of high-performing individuals or teams.

Personal Protective Equipment (PPE) is essential for worker safety, especially in oil palm harvesting activities. PT Langkat Nusantara Kepong faces major challenges related to work safety, with analysis showing that work accidents still occur frequently in the Padang Brahrang Plantation. This indicates the need for an in-depth evaluation of the use of Personal Protective Equipment (PPE) to reduce the risk of work accidents. By using the clustering method to group data based on the type of Personal Protective Equipment (PPE) used and aims to provide recommendations for optimizing the use of personal protective equipment based on risk management and reducing the incidence of work accidents. From testing the results of cluster 3, cluster 4 and cluster 5 it can be concluded that clustering with 5 clusters provides the most efficient and precise results, followed by 4 clusters, while 3 clusters provide greater variation within clusters, indicating that clustering with fewer clusters is less able to capture subtle differences in the data.

A cooperative is a business entity based on the principle of kinship. Cooperatives have the aim of improving the welfare of their members through the activities they carry out. The Binjai City Cooperatives and UMKM Service is a regional apparatus within the Binjai City Government for government affairs in the field of Cooperatives, Small and Medium Enterprises. The Binjai City Cooperatives and UMKM Department always carries out assessments of every cooperative in the city of Binjai in the form of an assessment of the best cooperatives which aims to increase the motivation of cooperative institutions and as an evaluation material for the performance of cooperatives recorded in the City of Binjai. In carrying out the assessment of the best cooperatives carried out by the Binjai City Cooperatives and UMKM Service, it took quite a long time. This is because the data collection and processing process is conventional and simple. To overcome existing problems, a decision support system was created to facilitate the management and calculations of each cooperative. In this research, the method used in the calculation process is WASPAS (Weighted Aggregated Sum Product Assessment). The Weighted Aggregated Sum Product Assessment (WASPAS) method is a method that is able to minimize errors or maximize the assessment to determine the highest and lowest values. The final result of this research is a decision support system that is able to produce decision recommendations in determining the best cooperative at the Binjai City Cooperative and UMKM Department.  

Productive zakat is one of the instrument potential Islamic philanthropy in empowerment economy society, especially UMKM actors. Research This aiming For developing a model for empowering Micro, Small, and Medium Enterprises (MSMEs) based on productive zakat at Collection Agency (BAZNAS) of Pekanbaru City. Research This using approach qualitative with method studies cases in BAZNAS Pekanbaru City. Data collected through interview in-depth, observation, and documentation. Research results show that zakat is productive can become solution strategic in development of MSMEs with provide business capital, mentoring and training for mustahik. The proposed empowerment model covering a number of stages , namely identification mustahik potential , assessment eligibility effort , giving capital assistance , mentoring efforts , and evaluation sustainability business . Implementation of this model expected can increase capacity and independence economy mustahik, and optimize management of productive zakat at BAZNAS. With development of this model , BAZNAS Pekanbaru City expected can more effective in operate his role as institution zakat managers who do not only focuses on the distribution of consumptive zakat , but also plays a role active in empowerment economy people through productive zakat . Research This give contribution practical and theoretical in field Islamic philanthropy and empowerment economy, as well as become reference for other zakat institutions in optimize productive use of zakat For support growth of MSMEs.