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Hernia is the protrusion or protrusion of the contents of a cavity through a defect or a weak part of the cavity wall concerned. In an abdominal hernia, the abdominal contents protrude through a defect or a weak part of the musculoaponeurotic layer of the abdominal wall. The hernia consists of a ring, pouch and hernia contents (1). The incidence rate of inguinal hernia (medial and lateralis) is 10 times more than femoral hernia and both have a percentage of about 75- 80% of all types of hernia, incisional hernia 10 %, ventral hernia 10 %, umbilical hernia 3 %, and other hernia about 3%. Hernia surgery using a mesh is one of the most common actions performed in general surgery. With the installation of a mesh on an inguinal hernia can reduce the recurrence rate by less than 5%. This technique can also reduce the presentation of postoperative pain so that patients can quickly return to their daily activities. Another advantage with using the mesh method is that it reduces the pressure on the seam line and reduces long-term follow-up.

The Nutrition Care Center (NCC) is a teaching factory (TEFA) at the Jember State Polytechnic (Polije) which provides assessment and diagnostic services for nutritional problems, comprehensive nutritional assessments, diagnostic services, nutritional counseling, and customized diet plans for clients. Health services, including nutrition, require accurate medical records that include patient identification, examination, treatment, interventions, and other relevant information. However, NCC faces challenges, namely that the medical recording system is still manual paper-based. Medical record numbers do not comply with numbering regulations, age is still used instead of date of birth, the nutritional assessment section is not yet standardized and disease code classification does not yet exist. This manual system is susceptible to damage, loss, and requires dedicated storage time and space. Since it was inaugurated in November 2021, the number of NCC visits has continued to increase both from internal clients and external clients of Polije with initiations with several educational institutions, offices and elderly groups. The use of EMR which is made easier with QR Codes and the application of Whatsapp Bot is the main alternative to build or improve the management of assessment and diagnostic services for nutritional problems according to client needs. Socialization of assistance in implementing Electronic Medical Records (EMR) with QR Code and WhatsApp Bot at NCC aims to make things easier for experts. nutrition to access the client's examination history, allergy history and previous therapy in one view and make it easier for clients to access medical record numbers without a card. This initiative is in line with the Department of Health Research Masterplan 2022 and the development of TEFA services. NCC recognized the need for a more efficient system and proposed implementing EMR with QR Codes and WhatsApp Bots to optimize patient care. This socialization was carried out at the Jember State Polytechnic NCC with the presence of participants from nutritionists, students, the community and administrators from NCC. This socialization obtained results in the form of increasing public understanding of nutritional care, especially in relation to the existence of NCC as a teaching factory at the Jember State Polytechnic, the use of EMR via QR codes and WhatsApp Bot as a solution implemented by NCC in optimizing patient care and increasing the empowerment of partners in using it. and implementation of EMR with QR codes and WhatsApp Bot in patient nutrition care at NCC.

In the current era of globalization, the use of computer technology has been widely used, including in the operations of non-formal organizations such as farmer women's groups (KWT), one of which is in administration, activities, schedules, sales. agenda, and reporting is still manual, namely with bookkeeping records and does not yet have a system for this. Given these problems, the right solution is to create a web-based information system for women farmer groups (kwt). In analyzing and designing, the author uses a software development method that uses the V-Model method, which is an extension of the waterfall model. It is called expansion because the stages are similar to those in the waterfall model. If in the waterfall model the process is carried out linearly, then in the V model the process is branched. In this V model, the relationship between the software development stage and the testing phase is described. The purpose of this research is to produce an information system that can make it easier for the kwt to do administration. activity. timetable. sale. agenda. and reporting without recording with the books.

The Central Statistics Agency explains that poverty is the inability to meet minimum standards of needs, both food and non-food needs. According to BPS, poverty is the condition of a person who is only able to meet his food needs of less than 2100 calories per capita per day. This research aims to determine the influence of inflation, GRDP and household consumption on poverty levels in Indonesia for the 2019-2022 period. The data used in this research is secondary data in the form of monthly time series data for four years, namely 2019-2022 with a sample size of 48. The analytical method used is a quantitative method with multiple linear regression analysis. Based on the results of the T test analysis, it was found that the variables Inflation, GRDP and Household Consumption partially influence poverty in Indonesia. Then an F test was carried out which showed that the variables Inflation, GRDP and Household Consumption simultaneously had a significant effect on poverty in Indonesia. This determination produces a determination (R2) of 0.959. Shows that the contribution of the variables Inflation, GRDP and Household Consumption to Poverty in Indonesia is 95.9%. Meanwhile, the remaining 4.1% is explained by other variables not included in this study.

IPM is an important indicator for measuring success in efforts to build the quality of human life (society/population) in Indonesia, including in West Sumatra Province. The aim of this research is to analyze gross regional domestic product, economic growth rate, Gini index and poverty in West Sumatra Province 2013-2022. The analytical method used in this research is multiple linear regression analysis. The data used in this research is secondary data and is a form of time series data. Based on the results of multiple linear analysis, PDRB per capita partially has a positive and significant effect on IPM in West Sumatra Province, while the Growth Rate and Gini Index partially have a negative and insignificant effect on IPM in West Sumatra Province and Poverty partially has a positive and insignificant effect on PDRB West Sumatra. Simultaneously GRDP Per Capita, Economic Growth Rate, Poverty and Gini Index have a significant effect on IPM. So the fifth hypothesis states that simultaneously PDRB per capita, economic growth rate, poverty and Gini index have a significant effect on IPM

Pertumbuhan ekonomi menentukan posisi negara di pasar internasional dan pembangunan berkelanjutan adalah untuk mempertahankan posisi di seluruh negara. Pembangunan berkelanjutan tidak hanya dimaksudkan untuk pertumbuhan ekonomi tetapi juga mengarah pada kelimpahan sumber daya dan kemakmuran sosial di dalam negeri. Hubungan antara pertumbuhan ekonomi dan degradasi lingkungan telah menjadi isu hangat selama dua dekade terakhir.  Penelitian ini akan menganalisis progam Sustainable Development Goals (SGDs) di Indonesia dengan memperhatikan pengaruh dari variabel penentu pertumbuhan ekonomi seperti emisi karbon dan sumber daya manusia (human capital). Analisis data dilakukan dengan metode analisis regresi linear berganda. Data time series bersumber dari worldbank.org dalam penelitian ini adalah rentang waktu tahun 1995 hingga 2019 Hasil penelitian menunjukkan bahwa emisi karbon berpengaruh positif dan signifikan terhadap pertumbuhan ekonomi sedangkan sumber daya manusia (human capital) tidak berpengaruh pada pertumbuhan ekonomi di indonesia. namun kedua secara simultan emisi karbon dan sumber daya manusia signifikan terhadap pertumbuhan ekonomi.

The background of this research is the novel Selamat Selamat, written by Tere Liye, which is very focused on the course of an interrupted study period. Apart from problems in the world of education, there is the development of talent that has been hidden for a long time and is re-emerging because someone makes the story in the novel even more interesting to read until the end because the story line is very good, and the novel can be linked to intrinsic learning material in high school. The approach in this research is descriptive qualitative. The data source is the text of the novel Selamat Selamat by Tere Liye. The form of data is in the form of written data, namely, character quotes from the characters in the novel Selamat Selamat By Tere Liye as an alternative learning material for intrinsic elements in high school. Data collection techniques use documentation techniques. The data analysis technique uses descriptive analysis and the technique for presenting the results of data analysis is carried out descriptively. The results of the analysis of Tere Liye's novel Selamat Selamat, which has been carried out and can be seen, is that the novel Selamat Selamat By Tere Liye has a form that can be analyzed in the form of character traits, conversational relationships between one character and another, story setting, theme and message. Social relationships between characters which contain conversations that occur between one character and another character. In the intrinsic element, there is characterization, there are characters from the characters in the novel Selamat Selamat by Tere Liye. Next there is a theme, namely about education and in the background there is a place, time and socio-cultural setting.

This research was conducted to observe the effect of gold prices, world oil prices and palm oil prices as commodity prices on the movement of stock prices in Indonesia from 2019 to 2022. The research method used is a quantitative method, using secondary data. The analysis technique used is multiple linear regression analysis technique. The research data is in the form of time series data, namely monthly data from January 2019 to December 2022. The total data is 48 for each variable. The conclusion of this study is that the price of gold has no significant effect on the Jakarta Composite Index (IHSG). World oil prices have a significant effect on the Jakarta Composite Index (IHSG). The price of Palm Oil has a significant effect on the Jakarta Composite Index (IHSG). The results of this study are to prove that gold price movements cannot be used as an indication of stock prices on the Indonesia Stock Exchange (IDX). Movements in world oil prices and palm oil prices can indicate stock prices on the Indonesia Stock Exchange (IDX). The above conditions apply for the long term.

The influence of digital media is growing rapidly and influencing the lives of Christian families. The development of digital media has an impact on Christian families. Families have challenges in dealing with this situation. So Christian families need to rebuild a foundation that is able to meet the demands of the times and is in accordance with God's teachings. Building an attitude of love that can answer the needs of the times and is in line with God's teachings. The love that is built in a Christian family is Agape love. Agape love means total love, identified with God's love for His creation. An attitude of love is important for Christian families in everyday life. This article focuses on efforts to build an attitude of love in Christian families and the importance of an attitude of love for Christian families in the digital era. The implication of this research is to guide Christian families in using social media and technology responsibly. This includes monitoring the content consumed and maintaining Christian values ​​in interactions. This article uses a qualitative research method with a literature study approach. The data used in this article is secondary data from various sources such as books, articles and journals. Based on the research results, it was found that an attitude of love helps Christian families to maintain integrity and harmony in the digital era with healthy communication, using devices or applications that support togetherness and technology as a means of strengthening the quality of family relationships.

Parenting is a parenting style that provides teachings to toddlers that will aim to shape the child's characteristics, provide education that can shape the toddler's personality and provide support in the development process, both growth and development and related to the toddler's skills. In implementing parenting patterns, parents discover the unique behavior of toddlers because the characteristics of children are very different, so parents need to pay attention to their children and provide different parenting patterns for each toddler. Parenting for toddlers will be carried out under the age of 5-6 years, during this time the attention given to the child must be more active where parents pay attention to their development and growth, mental, physical, social development and the interactions carried out every day (Rahmat, 2018). In line with previous research conducted by Sisri Landa Sari, entitled the relationship between parenting patterns and children's social development in Jorong Kampung VII District. South Rao District. Pasaman in 2019, where research results showed that there was a significant relationship between parental parenting patterns and the social development of children under five with a correlation coefficient of 0.350 and a significant p-value of 0.010<0.05, which means that the higher the parenting pattern, the the higher the level of social development of the child, and vice versa, if the toddler receives low parenting, the social development of the toddler will be low (Sari, 2019).Based on the initial survey conducted at the BP Nauli Community Health Center, Siantar Marihat District, Pematangsiantar City, it can be seen that there are two villages and there are toddlers whose language and social development is still lacking, this is because the parents of these toddlers are not often near their children all the time because the parents are older. there is a lot of time to work and farm to earn a living so that the development experienced by children is given less attention and the parents' knowledge about the development of toddlers is lacking. .Keywords: Parenting Patterns, Toddler Development.  

Drug-resistant tuberculosis (TB) is an escalating global health issue, particularly with the rise of multidrug-resistant (MDR-TB) and extensively drug-resistant TB (XDR-TB), which complicate treatment and control efforts. Resistance to both first-line and second-line drugs weakens the effectiveness of standard WHO-recommended therapies, while alternative drugs can cause severe side effects and reduce patient adherence. This study aims to explore the integration of bioinformatics and pharmacogenomics in supporting personalized TB treatment to improve therapeutic success and reduce the risk of further resistance. The research employed a laboratory-based experimental design with a bioinformatics approach, involving TB patients with clinical evidence of drug resistance. Clinical samples were analyzed through whole genome sequencing to identify gene mutations associated with resistance, followed by pharmacogenomic mapping to predict pharmacological responses based on patients’ genetic variations. The results revealed several specific gene mutations consistently linked to resistance and produced individualized therapeutic recommendations that were more targeted than standard protocols. Effectiveness evaluation demonstrated that genome-based personalized therapy yielded higher treatment success rates, faster recovery times, and lower rates of subsequent resistance. These findings highlight the significant potential of precision medicine in TB management, particularly for resistant cases that are difficult to treat with conventional approaches. In conclusion, the integration of bioinformatics and pharmacogenomics plays an essential role in strengthening TB treatment strategies through a personalized, adaptive, effective, and sustainable approach. Nevertheless, its implementation still faces challenges such as high costs, limited infrastructure, and the need for clear regulations regarding the use of patients’ genomic data.

The advancement of Industry 4.0 demands production systems to operate more efficiently, adaptively, and securely in facing global challenges. One promising technology that addresses these needs is the Digital Twin (DT), a digital representation of physical systems that enables integration between the real and virtual environments. Through DT, production processes can be modeled, monitored, and tested in real time, allowing for evaluation and optimization before implementation in actual systems. This study aims to explore the effectiveness of DT in modeling automated industrial systems, particularly in relation to improving production efficiency, quality control, energy savings, and operational safety. The research employed an experimental approach based on simulation within a robotic production line consisting of machines, sensors, actuators, and conveyors. The research stages included identifying system components and workflows, developing a DT model that integrates physical and virtual layers with Internet of Things–based data connectivity, and conducting simulations representing diverse operational scenarios. The findings indicate that DT implementation enhances operational efficiency, reduces production errors, and optimizes energy utilization. Furthermore, DT proves effective in strengthening safety aspects by enabling early detection of potential disruptions and providing preventive recommendations before significant impacts occur. Compared to conventional simulations, DT offers a more realistic, adaptive, and relevant approach to the needs of modern industry. The implications of this study highlight DT’s strong potential to become a new standard in the development and control of automation-based production systems, driving the creation of smarter, more efficient, and sustainable industries.

The development of information technology is currently changing the minds of customers or consumers in carrying out various transaction activities in the banking world, where customers prioritize aspects of convenience, flexibility, efficiency and simplicity. Mobile banking technology is a type of service provided by banks to their customers so that they can carry out their banking activities at any time without having to come to the bank. The purpose of this study was to determine the effect of benefits and convenience on the interest in using BSI Mobile in the community in Sungai Tering Village, Nipah Panjang District. This type of research uses quantitative methods. The population in this study consisted of 100 respondents. This research uses a random sampling technique, namely taking the population based on the area of the object of this research. The data analysis technique used to answer all the problem formulations uses multiple linear regression analysis using the SPSS version 23 program. The results of the t test show that the benefits variable has a tcount value of 1.870 > ttable 1.660 Then H1 is accepted, the convenience variable has a tcount value of 5.676 > ttable 1.660 then H2 is accepted, and the R2 test is 0.678, this means that the interest variable can be explained by the perception variable convenience, benefits and safety. The t test results of the variable that is very influential in using mobile banking, namely the convenience variable, has a t value of 5.676.

The purpose of this research is to determine the effect of short-term receivables and debt on income at PT. Astra International Tbk. This research shows that there is a discrepancy between theory and financial reports at PT. Astra International Tbk. In 2020 and 2021, income decreased, receivables increased in those years, namely 2020 and 2021, while income decreased, and short-term debt increased in 2018 and 2021, and income also increased. The formulation of the problem in this research is whether short-term receivables and debts have an effect on income at PT. Astra International Tbk. The discussion in this research is related to the field of accounting which discusses financial report analysis. The theory used in this research is regarding company income, namely the company's ability to fulfill its short-term obligations, receivables, namely company claims to other parties whose maturity is less than one year, and short-term debt, namely the company's obligations to other parties which must be paid immediately within a period of time. less than one year. The type of research used in this research is quantitative research. The data source used is secondary data obtained via the website www.idx.co.id. Data processing in this research was carried out using SPSS version 23. Data analysis techniques used descriptive tests, normality tests, linearity tests, classical assumptions, hypothesis testing, and multiple linear regression analysis. The results of this research show that there is a partial influence between the receivables variable and the income variable with a calculated t value of 3.264901 > ttable with a value of 2.026192. Partially, short-term debt has an effect on income with a calculated t value of 15.93768 > t table with a value of 2.026192.  

Education plays a central role in community development and the enhancement of human resources. In the rapidly evolving digital era, information and communication technology has significantly transformed the education landscape. Technology has become an integral part of the teaching and learning process in schools, bringing both challenges and significant opportunities. Particularly at the Junior High School (SMP) level, subjects like Mathematics, Natural Sciences (IPA), Physics, and Chemistry play a central role in shaping students' foundational knowledge. However, students often have varying levels of understanding and different learning styles. This poses a challenge for teachers trying to meet the diverse learning needs of their students. The use of the same linear teaching methods for all students is often ineffective in such a context. In this research, we employed a literature review methodology. This approach helps summarize and synthesize existing knowledge on the role of technology in enhancing student motivation in Science, Technology, Engineering, and Mathematics (STEM) education. By analyzing trends, findings, and patterns emerging from related literature, we can establish a strong knowledge base for this research. The adaptive learning approach, leveraging technology, has emerged as an intriguing solution. This approach allows for real-time analysis of student learning data and the adjustment of content, material, or teaching methods to suit individual needs. The research highlights the primary benefits of adaptive learning, such as personalized content adjustment, enhanced student motivation, more efficient monitoring and evaluation, and time savings in achieving better understanding. However, the research also acknowledges several challenges, including uneven technology infrastructure, the need for teacher training, and student data protection. Nevertheless, this research emphasizes the importance of adaptive learning in the context of STEM education at the SMP level in the digital era, while recognizing the need for further research to explore the potential of technology in enhancing the quality of education at this level.  

The culinary business is currently one of the most promising business opportunities. However, behind the success of the business there are certainly factors that influence consumers, such as strategic location and lifestyle that is appropriate at this time. This study aims to describe and analyze the influence or impact obtained from location and lifestyle on purchasing decisions at Jiwa Raga Kitchenette Padang Restaurant. This type of research is quantitative with an associative method in the form of a causal relationship. The study population consisted of consumers who visited Jiwa Raga Kitchenette Restaurant with a research sample of 160 samples and the sample was collected by applying purposive sampling technique. The data collection technique used was the distribution of questionnaires to consumers of Jiwa Raga Kitchenette Restaurant. The questionnaire was prepared using a Likert scale and had been tested for validity with the help of SPSS 23.00. The research data were analyzed using multiple linear regression analysis methods, using prerequisite analysis tests, namely normality test, multicollinearity test and heteroscedasticity test. In testing this hypothesis, partial statistical test (t test) and simultaneous statistical test (F test) were used with significance level α = 0.05 (5%). The results of the research data analysis indicate that the independent variables, namely location (X1) and lifestyle (X2), have a positive and significant influence on the dependent variable, namely the purchase decision (Y). The results of the hypothesis test indicate that the location variable has a significantly positive impact on purchasing decisions, as well as the lifestyle variable on purchasing decisions. Overall, the simultaneous test results indicate that both variables, location (X1) and lifestyle (X2), have a positive and significant effect on the purchasing decision variable (Y).

The purpose of this study is to determine the effect of company size and sales growth on corporate social responsibility in mining companies listed on the Indonesia Stock Exchange. The research time period used is 5 years, namely the 2017-2020 period. The population of this study includes all mining companies listed on the Indonesia Stock Exchange (IDX) for the 2017-2020 period. The sampling technique used purposive sampling technique. Based on the predetermined criteria obtained 9 companies. The type of data used is secondary data obtained from the Indonesia Stock Exchange website. The analytical method used is multiple linear regression supported by the SPSS 25 program. The results show that company size have effect on corporate social responsibility and sales growth have no effect on corporate social responsibility.   Keywords: company size, sales growth, corporate social responsibility  

This article aims to optimize the profit of seblak business through the application of Simplex method in linear program. Seblak is a popular business today with a wide variety of toppings such as meatballs, sausages, noodles, feet and many more, but efficient production planning and resource allocation can be challenging. In calculating this profit optimization, we use the Simplex method to identify production combinations that can generate maximum profit by considering various constraints related to raw materials, processing time, production costs to product selling prices. The result is expected to help seblak business owners in making smarter decisions regarding production, inventory, and pricing strategies, thus improving their business profitability.

Penelitian ini dilatar belakangi oleh permasalahan kinerja pegawai pada kantor Badan Perencanaan dan Penelitian Kabupaten Sikka dari apsek waktu (Time Line) dan pengawasan (Need For Supervison) belum maksimal. Penelitian ini bertujuan untuk: (1) mengetahui gambaran kinerja pegawai, Fasilitas Kerja, dan Karakteristik Pekerjaan; (2) menganalisis pengaruh Fasilitas Kerja dan Karakteristik Pekerjaan terhadap kinerja pegawai  baik secara parsial maupun secara simultan.  Populasi dalam penelitian ini adalah Pegawai Kantor Badan Perencanaan dan Litbang Kabupaten Sikka, berjumlah 56 orang. Karena populasinya terbatas, maka penelitian ini dilakukan secara sensus atau sampling jenuh. Data dikumpulkan melalui quisioner dan dianalisis menggunakan metode deskriptif dan statistik inferensial yaitu regresi linier berganda. Pengujian hipotesis dilakukan melalui uji F dan Uji t. Hasil analisis deskriptif menunjukan bahwa variabel kinerja pegawai pegawai, Fasilitas Kerja dan Karakteristik Pekerjaan dikategorikan baik. Hasil statistik uji t menunjukkan bahwa secara parsial variabel Fasilitas Kerja dan Karakteristik Pekerjaan berpengaruh positif dan signifikan terhadap kinerja pegawai. Hasil statistik uji F menunjukkan bahwa secara simultan variabel Fasilitas Kerja dan Karakteristik Pekerjaan berpengaruh signifikan terhadap kinerja pegawai. Hasil analisis determinasi menujukan kedua variabel bebas dalam penelitian ini mampu menjelaskan terhadap variasi naik turunnya kinerja pegawai Kantor Badan Perencanaan dan Litbang Kabupaten Sikka  sebesar 25,2%.

The team teaching approach in madrasah ibtidaiyah (MI) is often considered effective in improving the quality of learning, but empirical evidence on its impact on student discipline and focus is still limited in the context of basic Islamic education. This study uses a qualitative design of a case study in class II of MI Unggulan Al Muhammad Cepu. Primary data sources include participant observations, in-depth interviews with two teachers of the teaching team and six purposive students, as well as secondary data such as collaborative lesson plans and teacher reflections. The purpose of the study is to analyze the effectiveness of team teaching in improving student discipline and focus on learning. The results showed that the symbiotic-asymmetrical collaboration between the Core Guides and the Response Facilitators created a pauseless instructional flow, reduced extrinsic cognitive load (time-on-task by an average of 85%), and transformed the discipline from external control to relational-proactive co-regulation that is in line with Islamic ta'dib. These findings have practical implications for MI teacher training.