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This community service aims to improve patient knowledge after spinal anesthesia through structured counseling activities. Spinal anesthesia often causes anxiety and is dangerous for patients, especially related to side effects and the recovery process. Lack of understanding can lead to non-compliance with medical injuries, which has the potential to prolong the recovery period and increase risk complications. Therefore, counseling is carried out by providing direct education to patients and families using educational media such as leaflets and interactive discussions. This approach not only helps improve patient understanding of spinal anesthesia procedures but also plays a role in reducing anxiety and increasing compliance with postoperative care. The results of the activity showed a significant increase in the level of patient knowledge, which has an impact on a better recovery experience. Thus, this counseling program contributes to improving the quality of health services and patient satisfaction at PKU Muhammadiyah Surakarta Hospital, as well as being a model of educational intervention that can be applied in various other health facilities.

Increasing prosperity, technological advances and westernization can result in changes in lifestyle and eating patterns in society, especially medical personnel who are at the forefront of maintaining public health. However, ironically, they themselves are faced with a health risk that is no less serious, namely obesity. One of the factors that can influence obesity/overweight is the availability of cheap, fast but unhealthy food, one of which is fast food. Fast food consumption is increasing among medical personnel because this type of food tends to be easy to obtain, tastes delicious, and is served quickly. The nutritional content of food is no longer a consideration for medical personnel. The aim of this research is to determine the effect of fast food consumption on obesity in medical personnel. This type of research uses quantitative descriptive research methods with a cross sectional research design. The results of this study show that there is a direct influence of fast food consumption on the incidence of obesity (9.45%, T statistic 4.06%, α 5%). The conclusion is that excessive consumption of fast food can increase the risk of obesity in medical personnel. Efforts to prevent and control obesity need to be carried out comprehensively to maintain the health of medical personnel and improve the quality of health services.

Diagnostic codification must fulfill 10 characteristics of quality data, namely one of which is accurate, namely the truth and validity of data values. External Causes are external causes of fracture cases which classify based on the place and activity of the incident. It is very important that external causes codes are documented in medical record files for financing analysis, health services and reporting. The purpose of this study was to determine the accuracy of the fracture diagnosis code and external causes at Mardi Waluyo Hospital, Blitar City in 2021. The research method used a retrospective descriptive. The sampling technique is simple random sampling, with 52 samples. The implementation of coding at Mardi Waluyo Hospital, Blitar City, was carried out by coder officers and was in accordance with the policies and standard operating procedures at the hospital. The level of accuracy of the fracture diagnosis code with a percentage of 85% is included in the category that needs improvement and external causes with a percentage of 6% is included in the unsatisfactory category. The inaccuracy of the external causes code is caused by the use of the 5th character or the activity code that has not yet been coded. The inaccuracy of the officers in coding caused the resulting code to be inaccurate, so it was suggested that filling out medical record documents must be filled in completely and clearly to support proper and accurate coding of fractures and external causes so as to produce a better percentage of accuracy.

This study aims to examine the effect of the e-system of taxation, tax incentives, taxvsanctions, and service quality on individual taxpayer compliance in paying taxes. This research was conducted on individual self-employed taxpayers registered at KPP Pratama Jepara. This research is a quantitative research using primary data sources with distribution via google form link. The population in this study were all takxpayers who are independent workers who are registered at KPP Pratama Jepara. The data analysis technique used multiple linear regression analysis wich was processed in the SPSS version 24 program. The result showed that the e-system of taxation, tax incentives, tax sanctions, and service quality had a significant positive effect on taxpayer compliance.

Pelayanan publik merupakan ukuran kinerja pemerintah yang paling terlihat. Masyarakat dapat langsung menilai kinerja pemerintah berdasarkan pelayanan yang mereka terima. Sebab kualitas pelayanan publik di seluruh kementerian/lembaga merupakan hal mendasar yang harus ditingkatkan. Peningkatan pelayanan publik, kebijakan Kemenpan RB yang sejak tahun 2014 merupakan tahun inovasi pelayanan publik. Semua instansi pemerintah, baik di pusat maupun daerah diharapkan membuat ide kreatif atau jawaban cara kerja/metode pelayanan publik. Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi mengumpulkan dan menilai inovasi yang telah dilakukan di sejumlah instansi di seluruh Indonesia. Semoga kualitas dan inovasi pelayanan publik BPS dapat selalu ditingkatkan.

Abstract. The Koinonia ministry is one of the tri-duties of the church's vocation which at this time seems to have begun to weaken quite a number of churches due to the development of the times which requires that the koinonia strategy must be improved or in other words quality. Therefore, a quality Koinonia ministry is able to protect the congregation to remain faithful in fellowship. A good Koinonia is to divide certain categories to improve the quality of the congregation in its growth in quality and quantity. In this paper, I provide Koinonia services by dividing into five categories, namely: Child Category (Age 0-2, 2-5, 6-12), Youth Category (Age 15-35 years), Early Adult Category (Age 17- 22, 22-28, 28-33, 40-45 years), Middle Adult Category (45-65 years old), and Advanced Adult Category (over 60 years old). Each category has its own portion and needs according to their psychological condition and situation, which should be seen from the point of view of their age. This will make it easier for the church to improve or even improve the quality of Koinonia's service to the congregation, especially in today's churches that require an increase in their Koinonia.

Abstract. The Koinonia ministry is one of the tri-duties of the church's vocation which at this time seems to have begun to weaken quite a number of churches due to the development of the times which requires that the koinonia strategy must be improved or in other words quality. Therefore, a quality Koinonia ministry is able to protect the congregation to remain faithful in fellowship. A good Koinonia is to divide certain categories to improve the quality of the congregation in its growth in quality and quantity. In this paper, I provide Koinonia services by dividing into five categories, namely: Child Category (Age 0-2, 2-5, 6-12), Youth Category (Age 15-35 years), Early Adult Category (Age 17- 22, 22-28, 28-33, 40-45 years), Middle Adult Category (45-65 years old), and Advanced Adult Category (over 60 years old). Each category has its own portion and needs according to their psychological condition and situation, which should be seen from the point of view of their age. This will make it easier for the church to improve or even improve the quality of Koinonia's service to the congregation, especially in today's churches that require an increase in their Koinonia.

The Gojek Mobile application is one application that is widely used by the wider community. In recent years, Gojek has developed very rapidly and is able to beat conventional transportation modes because it is more practical and has many service features offered by the applicator. This study aims to analyze and determine the extent to which the ease of use, information quality, security quality and technical & functional quality of the Gojek application are perceived as useful for users and have implications for user satisfaction and loyalty. The approach used in this study is included in the type of explanatory research, namely research whose explanation uses hypothesis testing in which the causal relationship between variables is explained. The respondents of this study were 100 students from various universities in the city of Semarang. The data collection technique in this study used a questionnaire instrument where the variables were measured using a five-scale Likert scale, where the data was processed using SmartPLS 3.0. From the model test, the test results show that of the 7 hypotheses, five hypotheses are accepted because they have a significant effect and two are rejected because they are not significant, the data is said to be significant if it has t < 0.05. customer satisfaction variable has a significant effect on loyalty variable with P Values ​​= 0.000, information quality variable also has a significant effect on perceived usefullness variable with P values ​​= 0.001, perceived easy of use variable affects customer satisfaction variable with P Values ​​= 0.000 , the perceived easy of use variable has an effect on the perceived usefullness variable with P Values ​​= 0.009, the perceived usefullness variable affects the Customer satisfaction variable with the P Values ​​= 0.023, the security quality variable has no effect on the perceived usefullness variable with the P Values ​​= 0.085, the technical variable & functional quality has no effect on the perceived usefullness variable with P Values ​​= 0.813.

Stikubank University (Unisbank) Semarang has implemented a web-based learning system known as a smart campus in which there is an integrated smart campus e-learning model. E-learning applied by Unisbank management is an online learning medium by utilizing information technology to make it easy for all students and lecturers to use in the teaching and learning process. This study aims to analyze the success of university e-learning based on the adaptation of the Delone and McLean information system success model. Primary data and secondary data were used in this study, a questionnaire instrument was used to obtain primary data. Furthermore, the data is processed quantitatively using the Smart PLS 3.0 software. The results of the data test were then analyzed descriptively to provide a narrative description of the research results. The results of research data processing showed that (1) Student assessment of system quality in the e-learning system had no significant effect on intention to use with a p-value of 0.729; (2) Student assessment of system quality in the e-learning system has a significant effect on user satisfaction with a p-value of 0.002; (3) Student assessment of information quality in the e-learning system has a significant effect on intention to use with a p-value of 0.025; (4) Student assessment of information quality in the e-learning system will have a significant effect on user satisfaction with a p-value of 0.000; (5) Student assessment of service quality in the e-learning system has no significant effect on intention to use with a p-value of 0.166; (6) Student assessment of service quality in the e-learning system will have a significant effect on user satisfaction with a p-value of 0.000; (7) User satisfaction related to the e-learning system has a significant effect on intention to use with a p-value of 0.000; (8) Intention to use e-learning system has a significant effect on net benefits p-value 0.004; (9) User satisfaction in the e-learning system has a significant effect on net benefits with a p-value of 0.000. Keywords: PLS, SEM, SmartPLS 3.0, E-Learning, Information Systems success, Delone & McLean Model.

The quality of a product is one of the most important factors in increasing the competitiveness of a product. Total Quality Management is an approach used in running a business to maximize the competitiveness of an organization through continuous improvement of its services, products, processes and environment. Total Quality Management according to Josep M. Juran Quality is the suitability of a product use (Fitness For Use) which is to meet customer needs and satisfaction. Josep is often referred to as "the Father of Quality" by using the concept of the Quality Trilogy thinking, namely Quality Planning, Quality Control and Quality Improvement. Integrated quality management (Total Quality Management) has success in the business world and impacted on other organizations including educational institutions to implement it. But there is still much debate about TQM applied in management education. Total Quality Management (TQM) needs to be done in every activity of the organization, so that the goals of the organization can be achieved and the investments made have not been in vain. With TQM, it can also be used to assess the ability of existing human resources (HR) to plan human resource improvements and organizational strategies in MTs Nurul Fajri.

One very important aspect in the development of Micro, Small and Medium Enterprises (MSMEs) is the form of granting permits for carrying out business activities, which are given by the authorities to business actors. Legality in a business also has a very important role, because it is used as an indication that the business being established is feasible and running. NIB is a business identity number used by business actors to obtain business permits and commercial or operational permits. The community service activities carried out were creating Business Identification Numbers through Online Single Submission (OSS) and marketing to several small business partners, due to a lack of understanding of gadget applications and a lack of product marketing strategies in Sukamoro Hamlet, Puncu Village. The purpose of this service is to provide understanding to the public about the importance of having business legality and product marketing. The method used is observation. The number of umkm in Sukomoro Hamlet is 11 umkm, and 1 umkm does not yet have an NIB. The UMKM was pleased and succeeded in forming an NIB so that it was able to obtain an NIB legality certificate, namely the "Salsabila" banana chips business. The results obtained from this activity were an increase in product quality and customers for "Salsabila" banana chips.  

customer experience marketing is important to learn because changes in the behavior of customers who do not only see the product or service not only from service or from the quality of the product or service but more than that, namely experience, the experience must be unforgettable and positive. This study aims to predict the effect of customer experience on word of mouth either directly or indirectly using a mediating variable, namely customer satisfaction, this study uses an instrument, namely a questionnaire distributed to 100 customers of Bank Mandiri Syariah Jombang. and the results of the study show that the variable customer experience has a direct and indirect effect on word of mouth through customer satisfaction, and the variable costumer satisfaction directly affects word of mouth

Quality control is one of the obstacles experienced by PT. Wahana Kasih Mulia on CV. KKN. Quality control is an important thing that must be done by companies to minimize defective products. To be able to analyze product defects, researchers use the six sigma model, by formulating the Define, Measure, Analyze, Improve, Control (DMAIC) stages. The purpose of this study was to determine the level of quality control using the DMAIC method with the Six Sigma model applied to manufacturing companies. The results showed that from the measurement of the number of Omiland brand baby mattress products in the January-October 2021 period, it was found that defective products came from three main causes of disability. The distribution data of the number of product quality characteristics and company performance are at the sigma level of 3.50 with a DPMO value of 27,082.275. This shows that the company has not been able to meet process quality standards. Based on this research, the recommendations for improvement given are that the company needs to provide periodic training to employees, perform maintenance on machines, apply a clearer and more detailed Standard Operating Procedure (SOP), conduct tighter supervision of newly arrived raw materials and the company needs to place quality control at every stage of the production process.

This study aims to determine and analyze the influence of tourism promotion, tourist attractions, tourist facilities, accessibility, service quality, accommodation, tourist age, and tourist income in Batu Katak Tourism Object, Batujonjong Village, Bahorok District, Langkat Regency. This study used primary data collected to see the classification of tourist visit levels using a sample of 90 visitors to tourist attractions, using the Confirmatory Factor Analysis (CFA) analysis method and then using Multiple Linear Regression. The results of the study showed that of the 8 variables analyzed using a factor analysis model that affects the level of tourist visits to Batu Katak, only 3 factors affect the level of tourist visits, namely tourism promotion, service quality, and tourist income. Based on the results of multiple linear regression analysis, it shows that tourism promotion and service quality have an effect and are signed on the factors of Batu Katak tourism visitation rates, while tourist income has an effect and is not significant on the level of tourist visits to Batu Katak Batujongjong Village, Bahorok District, Langkat Regency.    

This research is motivated by the achievement of work targets for employees of PT. MAS Silueta Indonesia Semarang which has not been maximized. This study aims to analyze leadership style (X1), work discipline (X2), and work environment (X3) on employee performance (Y) in the Office of Supervision and Service of Customs and Excise Middle Type Tanjung Emas Customs. The analytical method in this study is Multiple Linear Regression. Samples were taken using saturated sampling techniques, namely a number of 130 respondents. The results showed that leadership style has a positive effect on the performance of employees at PT. MAS Silhouette Semarang. Work discipline has a positive effect on the performance of employees of PT. MAS Silhouette Semarang. The work environment has a positive effect on the performance of employees of PT. MAS Silhouette Semarang. Based on the results of the research, suggestions can be given to improve the work leadership style at PT. MAS Silueta Semarang by frequently providing stimulus in the form of bonuses for those who excel and awards or promotions. Improving employee work discipline by evaluating employee discipline periodically. Give rewards to disciplined employees and threaten those who are not disciplined Improve the quality of the work environment because based on research the work environment does not affect employee performance. If the quality of the work environment has been improved, it is likely that employee performance will also increase.

In the process of distributing electricity from the generator to the consumer, it goes through many processes and passes through several parts. Starting from the electric power distribution system, one of which is the distribution system. Considering that the scope of this distribution network is directly related and is located in an inhabited area, in addition to meeting technical quality requirements, it must also meet the requirements for being safe for users and familiar with the environment. In this distribution system there is a very important equipment in distributing electric power, namely the distribution substation. Because of the important role of the distribution substation, it must be protected from disturbances that may occur. One of them is the load imbalance between phases. In practice and in reality, in various locations of electric power distribution, a completely balanced load condition is obtained, mainly because of the large number of single-phase load groups that are serviced by a low-voltage three-phase distribution system. This is because the characteristics and types of electrical power user equipment vary with different consumer conditions and activities. To obtain load balance, load balancing is carried out between phases for load distribution so that load adjustments occur at distribution substations.

Hypotension in the elderly is a common condition and requires special attention in health management. This community service program aims to improve patient understanding of hypotension management through education and practical training. The methods used include socialization, interactive counseling, and evaluation of patient understanding before and after education. The results showed an increase in patient understanding from 55% before education to 85% after education. In addition, there was a decrease in complaints of dizziness from 80% to 40% after the intervention. These findings indicate that health education plays an important role in increasing patient awareness and readiness in managing hypotension. This program is recommended to be implemented widely to improve the quality of life of elderly patients.

Hypotension in the elderly is a common condition and requires special attention in health management. This community service program aims to improve patient understanding of hypotension management through education and practical training. The methods used include socialization, interactive counseling, and evaluation of patient understanding before and after education. The results showed an increase in patient understanding from 55% before education to 85% after education. In addition, there was a decrease in complaints of dizziness from 80% to 40% after the intervention. These findings indicate that health education plays an important role in increasing patient awareness and readiness in managing hypotension. This program is recommended to be implemented widely to improve the quality of life of elderly patients.

This study aims to examine the Physical Aspects, Personality Interaction, Problem Solving, mediated by Customer Satisfaction against Customer Loyalty. The data used in this study used data obtained from questionnaires distributed to customers at Mirota Campus, DI Yogyakarta. The number of questionnaires distributed in this study to 220 respondents. The research data were analyzed using multiple linear regression analysis using the SPSS 25 program. The results of this study indicate (X1) Physical Aspects not have a positive effect on (Z) Customer Satisfaction. (X2) Personality Interaction has a positive effect on (Z) Customer Satisfaction. (X3) Problem Solving has a positive effect on (Z) Customer Satisfaction. (Z) Customer Satisfaction directly has a positive effect on (Y) Customer Loyalty. (X1) Physical Aspects through (Z) Customer Satisfaction has a significant influence on (Y) Customer Loyalty. (X2) Personality Interaction through (Z) Customer Satisfaction has a significant influence on (Y) Customer Loyalty. (X3) Problem Solving through (Z) Customer Satisfaction has no significant effect on (Y) Customer Loyalty and service quality mediated by costumer satisfaction (Z) on costumer loyalty (Y) has a positive effect.

This study aims to analyze and explain the level of competence and professionalism of the State Civil Apparatus (ASN) in improving services at the North Jakarta Fire and Rescue Service.  This research uses a qualitative method of collecting data through interviews, observations, and secondary data. The results showed that ASN's competencies include technical, managerial, socio-cultural, and integrity aspects. ASN professionalism involves attitudes, behaviors, and work qualities that reflect dedication, integrity, and responsibility. Education has met the competencies, but training is needed to improve employee professionalism. Public service civil servants at the North Jakarta Fire and Rescue Service are responsive, effective, efficient, and highly quality. An indicator of the success of employee professionalism is seen in the increase in fire and rescue service time. With adequate competence, high professionalism, and quality public services, civil servants in the North Jakarta Fire and Rescue Service can provide optimal services to the community. To achieve this goal, it is recommended to improve education training and implement a code of ethics, transparency, accountability, and efficient management of resources.