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The increasing demand for cloud computing services has led to the rapid expansion of cloud data centers, which consume significant amounts of energy and contribute substantially to global CO2 emissions. As the IT industry grows, the environmental impact of these data centers becomes an urgent concern. Green Cloud Computing (GCC) has emerged as a solution to mitigate this impact by focusing on energy efficiency and reducing carbon footprints while maintaining the necessary functionality and performance of cloud infrastructures. However, traditional blockchain consensus algorithms such as Proof of Work (PoW) and Proof of Stake (PoS) face limitations regarding energy consumption and scalability, which exacerbates the environmental burden. This study proposes a quantum-inspired blockchain consensus algorithm designed to optimize energy consumption and reduce latency in cloud data centers. By integrating quantum principles such as superposition and entanglement, the algorithm enhances task scheduling and resource utilization, enabling more energy-efficient operations without sacrificing performance. Simulations in a green cloud environment showed that the quantum-inspired algorithm resulted in up to a 30% reduction in energy usage compared to traditional consensus methods, with a 40% improvement in consensus processing time. These results suggest that quantum-inspired algorithms hold significant potential for enhancing the sustainability of cloud infrastructures by improving energy efficiency and scalability. Furthermore, this study discusses the feasibility of implementing quantum-inspired algorithms on classical hardware, addressing challenges in scalability and integration into existing blockchain frameworks. The findings provide valuable insights into the potential of quantum-inspired technologies to drive energy-efficient solutions in cloud computing.

This study aims to determine the effect of training and competency development on the improvement of competencies among Papuan students in the YPMAK – Binterbusih Scholarship Program. The research is based on the importance of training and development in preparing high–quality and competitive human resources from Papua. A quantitative research method with a survey approach was employed. Data were collected through questionnaires distributed to recipients of the YPMAK – Binterbusih scholarship. The results of the analysis indicate that the training variable has a positive and significant effect on student competency improvement, with a significance value of 0.001 (p < 0.05). Likewise, the competency development variable also shows a significant influence with the same level of significance. Simultaneously, the two independent variables contribute 79.3% to the improvement of student competencies, while the remaining 20.7% is influenced by other factors beyond the scope of this study. These findings emphasize that systematically and relevantly designed training and development programs can enhance both the academic and non-academic capabilities of Papuan students. Therefore, it is recommended that YPMAK continue to enhance structured and sustainable training programs to develop a generation of Papuans who are competent and ready to compete at national and global levels.

Acne is a common health problem experienced by adolescents, a skin disease found particularly in teenagers. Acne begins to emerge during puberty, and the main factors causing it are a lack of facial hygiene, excessive sebum production, clogged pores, and Propionibacterium acnes bacterial infection. The purpose of this study was to determine the effect of education on Piper crocatum in treating acne. This was a quasi-experimental study using a one-group pretest-posttest design. The population consisted of all 55 eleventh-grade students at Futuhiyyah Mranggen High School. Total sampling was used as the sampling technique. Data collection was done using pre- and post-questionnaires to assess the level of knowledge about Piper crocatum. Data were analyzed using the Wilcoxon test. The results showed a p-value of 0.00 (<0.05), indicating that there was an effect of providing education about Piper crocatum in treating acne in adolescents. The Z-value was -6.681, which means that the education about Piper crocatum had a significant effect, leading to an improvement in facial condition before and after the education was provided. In conclusion, providing education had a significant effect on the knowledge of adolescents about Piper crocatum in treating acne. The recommendation is that educating adolescents can increase their knowledge, understanding, and awareness of Piper crocatum as a treatment for facial acne.

Introduction: Back pain during pregnancy is a problem that is often experienced by pregnant women and is complex because it involves not only physical changes, but also psychological aspects. Changes in body biomechanics, weight gain, and shifting of the center of gravity due to uterine enlargement are the main factors that trigger pain complaints, especially in the lower back area. This condition can have a negative impact on the quality of life of pregnant women, interfere with daily activities, and even worsen emotional states due to the emergence of anxiety, fear, and stress if not managed properly. Treatment of back pain in pregnant women can be done through safe non-pharmacological methods, one of which is prenatal yoga. Yoga practice for pregnant women has been proven to provide benefits in the form of relaxation, posture improvement, and increased muscle elasticity. One of the effective movements is the Angry Cat Pose because it is able to stretch the back muscles, improve blood circulation, and reduce pressure on the lower spine. Objective: This study aims to analyze the effect  of Angry Cat Pose  exercise on the intensity of back pain in pregnant women in the third trimester. Methods: This study used a quasi-experimental design with a one group pretest-posttest design. The study sample consisted of 31 pregnant women in the third trimester with complaints of back pain who visited the Gunungpati Health Center. The research instrument was in the form of a questionnaire, while the data analysis was carried out using the Wilcoxon test with a significance level of <0.05. Results: The results showed a significant effect of the Angry Cat Pose  exercise on the reduction of back pain in pregnant women in the third trimester with p=0.000. After the intervention, the majority of respondents experienced a decrease in pain to the mild category on a scale of 1–3. Conclusion: The Angry Cat Pose  exercise has been shown to be effective in reducing back pain in third trimester pregnant women, so it can be recommended as a safe, simple, and routine nonpharmacological intervention under the supervision of health workers.

The Rempang Eco City area in Batam City has great potential for SMEs, especially in the culinary and local product sectors. However, the development of SMEs in this area is still limited due to a lack of knowledge about product packaging and minimal use of digital technology for marketing. The mentoring program conducted by KKN student group 62 aims to improve the competitiveness of SMEs through strengthening more modern packaging and digital marketing strategies using social media, especially Instagram. The method used is a qualitative approach with participatory observation, in-depth interviews, and group discussions. The stages of activities include an initial survey to map the potential and conditions of MSMEs, conducting workshops and training on product design, packaging, and digital marketing, as well as direct assistance in creating and managing social media accounts. The results of the activities show an improvement in the ability of MSME actors to create attractive packaging designs, manage social media as a product showcase, as well as increased digital interaction with consumers. This program successfully increased the selling value of products, expanded market reach, and built the confidence of MSME actors. Although there are challenges related to digital literacy and creativity, this program has a positive long-term impact in promoting economic independence in the community and strengthening local cultural identity in Rempang Eco City.

This article presents a review study that proposes a blended model combining actual programming techniques with queuing theory to improve the performance and service quality of service systems. The main objective is to design a system that is capable of serving customers as efficiently as possible, using solutions derived from queuing theory to regulate and optimize customer flow, while applying accurate programming methods to ensure that the system operates correctly and in accordance with established standards. The study discusses how these two approaches complement each other and demonstrates that integrating them provides a balance between operational efficiency and the quality of services delivered. To illustrate the effectiveness of this hybrid model, a case study is examined to highlight the practical impact and real-world implications of the proposed framework. Both mathematical formulations and experimental analyses were employed to evaluate the model’s effectiveness. Findings indicate that this combined approach not only enhances system reliability but also provides measurable improvements in customer satisfaction and service outcomes. By offering a structured way to integrate queuing solutions with precise programming, this research contributes to the development of more sustainable and effective service management strategies. The model therefore has significant potential for broader application in industries that rely heavily on service delivery and customer flow optimization.

Introducion The performance of nurses is a critical determinant of hospital service quality, influenced by multiple factors such as workload, competence, and supervision. This study aimed to analyze the effect of workload and nurse competence on nurse performance with supervision as a moderating variable at X  Hospital. Methods The research employed a quantitative approach with a causal survey design. Data were collected using structured questionnaires distributed to 176 nurses and analyzed through Structural Equation Modeling (SEM) with SmartPLS 4.0. Result The findings revealed that both workload and competence significantly influenced nurse performance, with competence showing a strong positive effect. Workload was also found to have a significant effect on supervision, and nurse competence significantly enhanced supervision quality. However, supervision did not function as a moderating factor in the relationship between workload and nurse performance, nor between competence and nurse performance. Similarly, supervision itself was not significantly associated with nurse performance. The coefficient of determination showed that workload, competence, and supervision jointly explained 60% of nurse performance, while the remaining 40% was influenced by other unmeasured factors. Conclusion, workload and competence are proven to be direct determinants of nurse performance, whereas supervision in its current form does not enhance these effects. Hospital management should therefore focus on optimizing workload distribution, strengthening nurse competencies through continuous training, and reformulating supervision methods to be more participatory and supportive. These strategies are expected to improve the quality and effectiveness of nursing services and ensure sustainable improvements in hospital performance outcomes.

Early childhood education is a fundamental stage in shaping children's cognitive, social, emotional, and motor development. However, learning practices in many early childhood institutions still rely on conventional methods that make children passive and less engaged. This community service program was implemented at PAUD Alamanda in Padamaju Village with a focus on introducing color concepts through play-based learning strategies. The objective of this program was to enhance the quality of science learning that is more interactive, enjoyable, and developmentally appropriate, while also strengthening teachers’ capacity in designing innovative learning strategies. The method applied was Participatory Action Research, conducted in several stages including observation and coordination, teacher training, implementation of play activities with children, and reflection and evaluation. The results revealed that children became more enthusiastic, successfully recognized primary and secondary colors, and demonstrated improvements in fine motor skills, creativity, and social interaction. Teachers also gained new insights into the application of more varied and innovative teaching methods. Overall, this program successfully bridged the gap between early childhood education theories emphasizing play-based learning and classroom practices, and contributed positively to the improvement of early childhood education quality.

The management of household waste remains a major challenge in society, especially in densely populated rural and urban areas. The practice of open burning of waste is still often carried out because it is considered quick and practical, despite its negative impacts on health and the environment. The smoke from burning can trigger respiratory diseases, reduce air quality, and accelerate global warming. In light of this issue, the 2025 KKN-T 23 UMSIDA students initiated a community service program by introducing an innovation in the form of an environmentally friendly waste bin that can reduce the practice of waste burning. This waste bin is designed with a system for separating organic and inorganic waste and special ventilation that accelerates the natural decomposition process. Through a participatory approach, students involve the community in the planning, creation, and testing of the innovative trash bins. The results of the activities show an increase in community awareness in sorting waste, a decrease in the habit of burning waste, and an improvement in the quality of the surrounding environment. This program has also successfully fostered collaboration between students, village officials, and residents in creating a greener and healthier environment. This trash bin innovation is hoped to be a sustainable model that can be implemented in various areas as a simple yet effective solution for community-based waste management.

This study was conducted to develop an edutainment-based learning media product and to assess its feasibility in terms of validity, practicality, and effectiveness with a focus on understanding mathematical concepts and fostering self-directed learning in social arithmetic topics. The research employed a development approach using the ADDIE model, which consists of Analysis, Design, Development, Implementation, and Evaluation. The instruments used included validation sheets completed by experts, practicality questionnaires filled out by teachers and students, mathematical concept comprehension tests, and self-directed learning questionnaires. Research subjects consisted of two groups: a small-scale trial with 10 seventh-grade students and a large-scale trial with 32 students. The findings revealed that the edutainment learning media developed was appropriate for use, fulfilling all three aspects of feasibility. The validity score for media was 142 out of 230 (medium category), while the material validation reached 110 out of 135 (high category). Practicality assessments showed very high results, with teachers assigning a score of 175 out of 172 indicators and students achieving an average score of 156.8, which placed the media in the very high category. Effectiveness was demonstrated by improved mathematical concept comprehension, where the pretest average of 75.24 increased to 84.38 in the posttest, meeting the minimum high category. Similarly, the self-directed learning questionnaire showed improvement, with average scores rising from 99.97 to 102.91, and the percentage of students attaining very high posttest results increased to 90.63%.

This study aims to examine the effect of work discipline, work motivation, and work environment on employee performance at PT. Yara Berkah Semesta Kediri. The research employed a quantitative approach with a survey method by distributing questionnaires to 50 employees, who were selected as the sample using a census technique. The data analysis techniques used in this study included validity and reliability tests, classical assumption tests, multiple linear regression analysis, t-test, and F-test, with the assistance of SPSS software. The results revealed that, partially, work discipline and work motivation did not have a significant effect on employee performance, while the work environment had a positive and significant effect. Simultaneously, work discipline, work motivation, and work environment had a positive and significant effect on employee performance, with an F-value of 32.586 and a significance level of 0.000. These findings indicate that employee performance improvement is more strongly influenced by a supportive and comfortable work environment. Therefore, the company is advised to reconsider its strategies for enhancing discipline and motivation, while maintaining a conducive work environment to support productivity. The practical implications of this study suggest that organizations should prioritize creating and maintaining a positive work environment as a fundamental strategy to boost performance. Additionally, companies need to design interventions that strengthen employee discipline and motivation, such as recognition programs, training, and clear performance management systems, while ensuring that these efforts are integrated with improvements in the work environment.

This study aims to examine the effect of work discipline, work motivation, and work environment on employee performance at PT. Yara Berkah Semesta Kediri. The research employed a quantitative approach with a survey method by distributing questionnaires to 50 employees, who were selected as the sample using a census technique. The data analysis techniques used in this study included validity and reliability tests, classical assumption tests, multiple linear regression analysis, t-test, and F-test, with the assistance of SPSS software. The results revealed that, partially, work discipline and work motivation did not have a significant effect on employee performance, while the work environment had a positive and significant effect. Simultaneously, work discipline, work motivation, and work environment had a positive and significant effect on employee performance, with an F-value of 32.586 and a significance level of 0.000. These findings indicate that employee performance improvement is more strongly influenced by a supportive and comfortable work environment. Therefore, the company is advised to reconsider its strategies for enhancing discipline and motivation, while maintaining a conducive work environment to support productivity. The practical implications of this study suggest that organizations should prioritize creating and maintaining a positive work environment as a fundamental strategy to boost performance. Additionally, companies need to design interventions that strengthen employee discipline and motivation, such as recognition programs, training, and clear performance management systems, while ensuring that these efforts are integrated with improvements in the work environment.

Anxiety is an emotional response that is commonly experienced by patients before surgery, including in pre sectio caesarean patients. High levels of anxiety can affect the patient's physiological and psychological condition, so appropriate handling efforts are needed. Non-pharmacological interventions, such as prayer dhikr therapy, can be used as an alternative to help reduce anxiety because it provides relaxation, calmness, and increased spirituality. This study aims to analyze the effectiveness of dhikr sholawat therapy on anxiety levels in pre sectio caesarean patients. The research design used a quasi-experiment with a pre-test and post-test control group approach. The research sample consisted of pre-sectio caesarea patients who met the inclusion criteria, then divided into two groups, namely the intervention group that was given prayer dhikr therapy and the control group that only received standard treatment. The instrument used to measure anxiety levels is the Hamilton Anxiety Rating Scale (HARS). Data analysis was carried out by statistical tests according to the distribution of data to find out the difference in results between the two groups. The results showed a significant decrease in anxiety levels in the intervention group compared to the control group (p < 0.05). These findings prove that prayer dhikr therapy is effective in reducing anxiety in pre-sectio caesarean patients. Thus, this therapy can be recommended as one of the non-pharmacological nursing interventions that support the improvement of service quality and patient comfort.

This study aims to analyze the implementation of the Unit Dose Drugs Dispensing Sistem (UDDDS) based on the SERVQUAL theory at the Inpatient Pharmacy Installation of RS “X”. The research method used a quantitative design with SERVQUAL questionnaires given to pharmacists and nurses, supplemented by in-depth interviews to explore perceptions of the UDDDS implementation. Data analysis was conducted using univariate, bivariate, and multivariate methods. The results of the study indicate that all SERVQUAL dimensions significantly influence the quality of UDDDS services. Based on multiple linear regression analysis, the dimension of Assurance had the most dominant influence on service quality, with a B value of 8.464 and a contribution of 35%. This was followed by Empathy (B = 7.475, 31%), Tangibles (B = 7.547, 28%), Responsiveness (B = 4.847, 20%), and Reliability (B = 3.475, 16%). These findings suggest that the Assurance dimension, which includes trust and confidence in healthcare professionals, plays a crucial role in improving service quality at the Inpatient Pharmacy Installation. Overall, the findings indicate a significant relationship between the implementation of UDDDS and improvements in hospital service quality, particularly in terms of timely medication administration, reduced medication returns, and increased healthcare worker satisfaction. The reduction in medication returns reflects the efficiency of the drug distribution sistem, while the increased satisfaction of healthcare workers shows that UDDDS contributes to better service quality. These findings emphasize the importance of strengthening the Assurance dimension through improving the competence, ethics, and professionalism of healthcare workers. Additionally, integrating UDDDS into the hospital's quality indicators is essential for establishing a sustainable quality culture. This will support the overall improvement of service quality at the hospital.

The Indonesia National Single Window (INSW) is an integrated system designed to facilitate, accelerate, and simplify port administration processes through real-time data exchange among relevant agencies. The purpose of this study is to analyze the effectiveness of implementing the INSW system in synchronizing data between customs and other related agencies within the ship agency process at PT. Samudera Shipping Agency Dumai. The research method employed is qualitative, with data collected through library research and field studies. The field study was conducted through direct observation and interviews at PT. Samudera Shipping Agency Dumai, while the library research involved reviewing various related sources, including journals, books, and government regulations. The results of the study indicate that the INSW system makes a significant contribution to harmonizing data between agencies, which positively impacts administrative efficiency, information transparency, and the reduction of data errors, particularly in interactions with customs. The system also supports improved coordination among related parties, such as quarantine offices, harbor masters, and port authorities, thereby enabling more effective services. However, several challenges still hinder optimal performance, including human resource readiness, limited internet connectivity, and dependence on the stability of the central system. These obstacles may lead to technical issues such as system errors, delays in document verification, and even risks of power outages, which could potentially cause delays in data submission and result in sanctions from authorities. In conclusion, the INSW system has proven effective in expediting and simplifying ship agency processes at PT. Samudera Shipping Agency Dumai. Nevertheless, to achieve greater effectiveness, continuous training for human resources, improvement of digital infrastructure, and the development of a more modern, transparent, and internationally competitive system are required.

This study aims to analyze the influence of workload, work discipline, and the work environment on employee performance at the Tarokan District Office. Employee performance is a crucial element in achieving organizational objectives, as human resources are considered the most valuable asset of an institution. Workload, work discipline, and the work environment are three interrelated factors that often determine whether employees can achieve optimal performance levels. This research employs a quantitative approach with data collected through questionnaires distributed to employees of the Tarokan District Office. The analysis was conducted to examine both partial and simultaneous effects of the three variables on employee performance. The findings reveal that workload partially has a significant effect on employee performance, indicating that a balanced workload improves effectiveness while excessive workload may hinder output. Similarly, work discipline partially demonstrates a significant effect, highlighting the role of adherence to rules and punctuality in enhancing performance outcomes. The work environment also partially exerts a significant effect, suggesting that supportive facilities, comfortable conditions, and positive interpersonal relationships contribute to higher productivity. Furthermore, the results show that workload, work discipline, and work environment simultaneously have a significant effect on employee performance. These findings provide important implications for organizational leaders in designing policies that ensure sustainable performance improvements.

Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.

Oil palm is a leading commodity that makes a major contribution to Indonesia’s economy, yet a significant productivity gap remains between actual and potential yields. A principal cause is suboptimal water management, which leads to flooding during the rainy season and drought in the dry season. This study develops a Conceptual Design (CD) for water management to map existing problems, analyse root causes, formulate improvement measures, and present a macro-level cost estimate for the study site. The research was conducted at an oil palm plantation in East Kalimantan anonymized as “PT XYZ.” The site was selected due to recurrent flooding and a recent change in ownership that limited data availability, making it well-suited for a CD-stage assessment. The objective is to identify water management issues and propose effective recommendations. A quantitative approach integrates primary data from field observations and measurements with secondary data. The analyses cover flood problem assessment, Water Management Zoning (WMZ/ZPA), rainfall analysis, hydrology, hydraulics, improvement proposals, and macro cost estimation. Results indicate that challenges are driven by swampy land conditions and inadequate channel and hydraulic structure capacity. Micro-watershed delineation using DEMNAS identified four ZPAs totalling 479–4,061 ha. Design rainfall was derived from CHIRPS satellite data using a log-normal distribution. Hydrologically, peak discharges range from 3.87–22.58 m³/s for the 2-year return period and 4.46–26.31 m³/s for the 5-year return period. Hydraulically, the proposed dimensions for rivers, outlet drains, carrier drains, and field-edge drains are 4×3×2 m to 9×7×3 m (T=2 years) and 4×3×2 m to 10×8×3 m (T=5 years), while collection and main drains are proposed at 3×2×2 m for both return periods. The total estimated investment for the 5-year design scenario is IDR 27,999,263,000.

Background : Nausea and vomiting are common physiological complaints during the first trimester of pregnancy, caused mainly by increased levels of hCG, estrogen, and progesterone. Although considered normal, these symptoms can disrupt daily activities and decrease quality of life. If excessive, they may result in complications such as dehydration, electrolyte imbalance, weight loss, and hyperemesis gravidarum, which threaten maternal and fetal health. Management can involve pharmacological and non-pharmacological strategies. One safe, simple, and widely applied non-pharmacological approach is acupressure at the Pericardium 6 (PC6) point, believed to regulate the nausea center in the brain. Objective : This study aimed to determine the effectiveness of acupressure at the PC6 point in reducing nausea and vomiting among first-trimester pregnant women at PMB Ariyawati Susiandari, S.Tr.Keb., Central Lampung Regency. Method : This pre-experimental study used a one-group pretest–posttest design. Acupressure was performed at the PC6 point for 30 seconds, twice daily (morning and evening). Data were collected by observing changes in the intensity of nausea and vomiting before and after the intervention.The assessment was conducted by observing changes in the intensity of nausea and vomiting before and after the intervention. Result : Before acupressure, all respondents experienced moderate nausea and vomiting. After the intervention, most reported improvement, with symptoms reduced to the mild category. Statistical analysis with the Wilcoxon test showed a significance value of p=0.000, indicating a significant difference between pre- and post-intervention scores. Conclusion : Acupressure at the PC6 point effectively reduced nausea and vomiting in first-trimester pregnant women. This method can be recommended as a complementary non-pharmacological therapy that is safe, practical, and easily integrated into midwifery care.

This report discusses the mental workload of employees in the Human Resources (HR) Department of PT X in Gresik, which is an important concern in the context of employee productivity and well-being. The purpose of this research is to identify the factors that influence mental workload and provide recommendations for improvement. The research methods used include observation, interviews, and the distribution of questionnaires to all HR employees, with the NASA TLX approach to measure the level of mental workload. The research sample consists of eight employees selected based on the questionnaire results. The data analysis technique was carried out by identifying factors that influence mental workload and evaluating the effectiveness of interventions through counseling sessions. The research results show that mental workload is influenced by high job demands, lack of team support, and poor communication. The counseling sessions conducted had a positive impact on employee stress management. The novelty of this research lies in its focus on mental workload within the organizational context, as well as recommendations for more humane policies. The implications of this research highlight the importance of paying attention to employees' mental well-being to enhance productivity and create a healthier work environment. This research is expected to serve as a reference for management in designing strategies that support employee well-being.