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Background: Kidney stones (nephrolithiasis) are solid masses formed from urine precipitated crystals. The formation of stones is caused by increased calcium, oxalate and uric acid content in the body, scans to view kidney stones (nephrolithiasis) can be performed with or without contrast. Non-contrast CT urography is the imaging modality of choice for the initial evaluation of patients with suspected urolithiasis, as it has a sensitivity of up to 98% and specificity of 96-98%. Components that affect image quality in CT scans are spatial resolution, contrast resolution, and noise. One of the important parameters in image quality is the selection of slice thickness. Spatial resolution is the ability to show objects or organs with a high level of contrast. Noise is the standard deviation percentage of the sum of pixel values obtained from the waterbath image. Methods; This type of research is quantitative research with an experimental approach to analyze the effect of slice thickness variations on image quality using variations of 2 mm, 3 mm, 4 mm, 5 mm, and 6 m. The data were collected in August 2023 with 10 samples. Data were collected in August 2023 with 10 samples. Researchers took urographic CT scan examination data with a diagnosis of nephrolithiasis. Results and Conclusion: With the results of the research conducted, it can be concluded that in the overall Friedman test results there is an effect of using slice thickness variations on image quality in urographic CT Scan examinations with nephrolithiasis diagnoses. using slice thickness variations. Based on the results of this study, the researcher can recommend on CT Scan urography with nephrolithiasis diagnosis using 4 mm slice thickness to get good and optimal image quality results.

Education is a key element in the development of society and the nation. Madrasah Ibtidaiyah Raudlatul Mutaallimin Pandean Paiton Probolinggo faces challenges in evaluating student learning outcomes during distance learning. Technological limitations have prompted the search for innovative solutions. The goal of this service effort is to improve the quality of student learning outcome evaluations by utilizing Google Drive and Google Form applications in distance learning. Teachers are empowered through intensive training, workshops, and mentoring, including the use of Google Drive and Google Form in teaching and evaluation question development techniques. Active interaction and knowledge sharing occur during training, which has successfully enhanced teachers' knowledge and skills in creating evaluation instruments with Google Form. The final survey results show a significant improvement, with 87% of respondents experiencing improvement. They are now able to design evaluation instruments more effectively during distance learning. The use of Google Drive and Google Form as evaluation tools opens up opportunities for improving the quality of education. Recommendations for the future include continuing to support teachers, deepening the integration of technology in the learning process, and expanding training to enhance the effectiveness of learning at Madrasah Ibtidaiyah Raudlatul Mutaallimin Pandean Paiton Probolinggo..

Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) is an invasive diagnostic technique used to evaluate the condition of the coronary blood vessels in patients with acute transmural myocardial infarction (MI). Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and its role in the management of Severe (MS) Patient preparation involves patient education about procedures, fasting before examination, renal function checks, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Narrowing of the heart's mitral valve is a pathological condition in which this narrowing inhibits blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) plays an important role in clinical evaluation and therapeutic planning. Background: Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. This can increase pressure in the left atrium and reduce the amount of blood pumped throughout the body. Because MS is associated with increased left atrial pressure and can affect overall cardiac hemodynamics, it is important to understand how this condition may interact with coronary artery pathology. This research method is a literature review study, where literature exploration is carried out in various databases with keywords such as Coronary Angiography, Severe Mitral Stenosis Cases. Results: Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and their role in the management of (MS) Severe Patient preparation involves patient education about the procedure, fasting before examination, renal function testing, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Severe (MS) patients require special attention in this preparation. Equipment preparation includes a stable catheterization table, a fluoroscopic imaging system, various types of catheters, appropriate contrast agents, resuscitation equipment, pre-procedure medications, and hemostasis equipment. The medical team involved in CAG examination in Severe (MS) patients involves an interventional cardiologist, radiological technologist, catheterization nurse, catheterization technician, and additional support personnel such as the anesthesia team and resuscitation team. The examination procedure includes patient preparation, vascular access, catheter insertion into the coronary arteries, evaluation and imaging of the coronary arteries, and completion of the procedure. CAG examination has an important role in the detection of coronary artery disease. CAG examination in patients with (MS) Severe requires careful preparation and involves the collaboration of a well-coordinated medical team to provide optimal results and a significant contribution in the management of (MS) Severe. Conclusion: Narrowing of the mitral valve, severe mitral stenosis (MS) is a pathological condition where this narrowing inhibits blood flow from the left atrium to the left ventricle. This condition is most often caused by rheumatic heart disease, which results in inflammation and ultimately thickening and narrowing of the mitral valve. Coronary Angiography (CAG) examination in Severe Mitral Stenosis (MS) cases has an important role in detecting coronary artery disease.

This research use desciptive qualitative approach. The data was collected by means of interviews, observation and documentation. The data analysis process is carried out starting from data collection, and checking the validity of the data. To check the validity of the research data using the data triangulation method. The results of the study indicate that: 1) Management planning for extracurricular activities in improving non-academic achievement at Sabiluth Thoyyib High School there are 3 activities, namely meetings with stakeholders, extra coordinators and extracurricular coaches, the second is selection for students who participate in extra activities and the last is all students must follow the mandatory extra i.e. scouts. 2) The implementation is held, every Saturday, either extra mandatory or extra optional. 3) The evaluation consists of 2 activities, the first with an assessment of each extracurricular once a month, every mid-semester and one semester. The second is an evaluation meeting from the school with extra supervisors and extra coordinators which is held every mid-semester, semester and yearly.    

The purpose of this service is to describe initiatives that can be done to increase students' interest in learning mathematics, especially in the material of natural number calculation operations. The solution offered in this activity is assistance in learning the concept of natural number counting operations using natural number calculation operation board props. Participants in this service activity involved 28 students of grade III MI Miftahul Islam. The stages of this activity consist of three stages, namely the preparation, implementation, and evaluation stages. The conclusion obtained from this service activity is that assistance in learning the concept of natural number counting operations using natural number calculation operation board props is said to have succeeded in increasing students' interest in learning mathematics. This is evidenced by the increase in the percentage of students who achieve scores above KKM (Minimum Completeness Criteria) after mentoring, from 30% to 85%.

Gender equality is an important human rights principle to be realized in Indonesia. Although there has been significant progress in achieving gender equality, major challenges remain, especially in overcoming discrimination against women. One solution to achieving gender equality is to encourage women to become influential and competitive leaders. This research describes the method of implementing gender equality socialization, its results and achievements, as well as the importance of women in leadership. This effort involves outreach targets such as women's groups, teenagers and the general public through materials that emphasize that women also have rights in various fields, including politics and economics. In this socialization process, the presenters who are legislative candidates become resource persons to provide inspiration to the participants. Evaluation is carried out to measure participants' understanding of the socialization material. The results show that women have great potential as influential leaders if given equal opportunities and support.

The purpose of this research is to measure the performance of 12th grade students at SMA Negeri 1 Ciruas in the subject of biodiversity and to assess the 12th grade students ability to solve problems through environmentally based learning activities. The research procedure involves using pre-tests and post-tests. The pre-test is used to determine the students initial abilities. The post-test is conducted to assess the students problem solving abilities after learning through Problem Based Learning using Student Discussion Sheets (LKPD). Student performance data, obtained from answering Student Discussion Sheets (LKPD), is analyzed descriptively and qualitatively. Scores obtained from all assessed aspects are then converted to determine the groups assessment criteria. The problem solving abilities of 12th grade students at SMA Negeri Ciruas fall into the "Good" category, and there is an improvement in scores between the pre-test and post-test evaluations.    

This research uses qualitative research with a case study approach. Data collection was carried out by interviews, observation and documentation. The data analysis process is carried out starting from data collection and checking the validity of the data. To check the validity of the research data using the data triangulation method.The research results show that: 1) Planning by: a) integrating curriculum objectives, namely using the same vision and mission, b) integrating the organization of curriculum content by pairing Islamic boarding school material and school material in general knowledge, this curriculum organization is included in the form of integration in the form of extracurricular activities;. 2) Implementation by: by: a) integrating curriculum implementation programs, namely academic calendars and joint school and Islamic boarding school academic activity plans, academic activities such as daily schedules for students, matsada, wama, high school and family convergence, student achievements, graduation certificates, b) integrating supervision of curriculum implementation with cooperation between Islamic boarding schools and schools; 3) Evaluation by: a) evaluating the context of the joint curriculum, which includes: socio-cultural development, development of science and technology, b) evaluating joint input, which includes: competency of teaching staff, readiness of students and availability of learning media/facilities, c ) conducting joint process evaluations, including: weekly evaluations and incidental evaluations, and d) conducting joint product evaluations, which include: mid-year evaluations and end-of-year evaluations.   Keywords: Management of Islamic Boarding School Curriculum Integration, Extracurricular Activities

In Indonesian education system, junior high schools have an important role in the growth and development of students who are in the teenage age range. Therefore, a community service program was carried out, Solar Hydroponic Training as a Learning Media for Muhammadiyah 5 Karanggeneng Middle School Students. This activity aims to train students at SMP Muhammadiyah 5 Karanggeneng in optimally utilizing the school environment's natural resources by managing solar powered hydroponic plantations, which in the process can become an effective student learning medium to increase students' insight and skills. This training was carried out for 4 months with various training methods which included counseling, demonstrations and direct practice carried out during the implementation process which included the socialization stage, seeding training, system installation and transplanting, cultivation assistance, harvest & post-harvest assistance and evaluation. The target of this activity is all students of SMP Muhammadiyah 5 Karanggeneng, totaling 42 students with the assistance of 2 teachers. During implementation, this program has achieved all the specified targets, including the establishment of a hydroponic green area that can be managed by students, which in the process has increased students' knowledge about hydroponic concepts and renewable technology, this is supported by the results of direct evaluations with teachers. companion along with the results of a comparison of post test and pretest scores which were quite significant.

This community service activity is based on an understanding of the importance of religious education and the formation of a Qur'anic generation from an early age. Reading and memorizing the Qur'an is an effective method to ensure that the younger generation has a strong understanding and deep connection with the holy book of Islam. In addition, it also helps to form individuals who are committed to religious teachings and have good morality This activity was conducted in several stages, namely the preparation, implementation, and evaluation stages. The preparation stage included observations and interviews to identify the problems faced. The results of the observation showed that the management of Markaz Talaqqi Al Athfal had difficulty in encouraging the interest and participation of children in Pasar I, Jl. Setia Budi, Tj. Sari, Kec. Medan Selayang, Medan City, North Sumatra to read the Qur'an. To overcome this challenge, efforts were made to increase the interest and participation of children in the Markaz Talaqqi Al Athfal, totaling 22 people. This was realized through the implementation of outbound activities and giving rewards to children, with the aim of increasing their enthusiasm in learning the Qur'an. Evaluation was carried out after the activity was completed, and the results showed that the children at Markaz Talaqqi Al Athfal were very enthusiastic in participating in each activity. This enthusiasm can be seen from the participation and interest in learning the Quran which is increasing day by day. The children's parents also feel helped and happy to see the children's participation in the activities.

Employee performance is the result of quality and quantity standards set by the organization. Employee performance will influence the success of an organization, so employee performance has a close relationship with performance appraisal. Performance appraisal or what can also be called performance evaluation, is an organization's effort to assess the achievements of its employees for the purpose of increasing their productivity. However, sometimes companies still make poor assessments so that their goals are not achieved. This results in a decline in company targets. Performance appraisal does not only look at the results of the work that employees do, but can also be seen from how the employee completes his work. This research uses a qualitative descriptive approach through case studies, namely by analyzing existing problems. This qualitative research uses primary data and secondary data. The primary data for this research was obtained through observation, interviews and documentation, while the secondary data was obtained through previous research. The population in this study were employees of CV Awing Citra Abadi Teknik with a total of 20 employees. The purpose of this research is to determine the implementation of employee performance appraisals at CV Awing Citra Abadi Teknik which includes procedures for implementing employee performance appraisals, efforts to encourage the implementation of employee performance appraisals, and employee performance appraisal procedures.

The Class IIA Women's Correctional Institution (LPP) in Malang City is included in a productive prison which is not only used as a place for fostering prisoners (inmates), but also used as a facility to accommodate the production of quality prisoner products. The WBP participates in productive program activities held by the prison, such as managing the soy sauce industry, handicrafts, convection business, salon business, making ecoprint batik, production of souvenir snacks. All WBPs are involved in these productive activities as a form of effort by the prison in organizing work guidance programs and skills education. The results of the activity show that the production of Malang City Class IIA Women's Prison can be said to be quite good and has selling value. However, it is unfortunate that marketing is done conventionally so that it has not achieved maximum product sales results. Therefore, it is necessary to have an evaluation that can be solved through the service activities carried out. This digital marketing practice activity with website development training can be a solution provided through this service. The activity can run smoothly because all prison officers are enthusiastic and conducive in participating in the training held. The hope of this activity is that they will be able to apply the marketing function optimally so that it can increase sales volume

Purworejo Village is one of the villages in Ngantang Subdistrict that has a lot of potential. One of the prominent potentials is agricultural products, especially shallots. Purworejo village is one of the best suppliers of shallots in Indonesia. This makes many people come to Purworejo Village to conduct research related to shallots. Where this can make Purworejo Village has the potential to become an Educational Tourism Village, but the surrounding community is still unable to utilize it. With the existence of Central Education, it can encourage Purworejo Village to become an Educational Tourism Village. Devotion is carried out in increasing the development of the Purworejo Shallot Village Tourism Village through the role of Central Education. With the Participatory Rural Appraisal (PRA) method through initial observations, conducting forum group discussions with lecturers and resource persons, then conducting educational and mentoring activities, followed by follow-up activities and ending with evaluation actions. This method is applied with the intervention of the Purworejo Village community directly in this service.

This research aims to produce a mobile learning media product using an articulate storyline application on human circulatory system material that is feasible and can be used by students at SMA Negeri 1 Amurang. Mobile learning media using the articulate storyline application is needed by school teachers to help during the learning process. This type of research is Research and Development / R&D development research using the ADDIE model. This model, as the name suggests, is Analysis, Design, Development, Implementation and Evaluation. The test instrument in this research is the product validity results from material and media experts. The data analysis techniques used are qualitative and quantitative approaches. The results of this research: 1) Development of mobile learning media using the articulate storyline application on the circulatory system material. 2) The quality of mobile learning aids on human circulatory system material is excellent. The assessment results from learning material experts obtained a feasibility percentage score of 85% for the very valid category. The assessment results from learning media experts obtained a feasibility percentage score of 89.9% for the very valid category. The response of students in class XI MIPA was in the perfect/exciting criteria with a percentage of 87.5%. It was concluded that the mobile learning media using the articulate storyline application on the circulatory system material at SMA Negeri 1 Amurang is very suitable to be used as a source of teaching material in the learning process.

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 purpose of this research is to analyse the factors causing and overcoming violations of route permits in Manggarai Regency. This research is an empirical juridical research, which uses primary data sources, namely field research with interview methods to sources with an interest in this paper and secondary. Based on the results of the research, the factors causing violations of route permits by the Department of Transportation of Manggarai Regency are divided into three, namely government factors, namely the lack of honorary staff in the terminal; vehicle business factors (owners and drivers) caused by economic factors, administrative factors, intense competition between transport drivers; community factors that do not obey government regulations. Countermeasures are supervision and inspection by means of routine supervision and inspection, sudden and quarterly inspections; granting permits with special conditions, monitoring and evaluation; permit scoping. Law enforcement is preventive and repressive.

This study aims to develop Busy Book learning media on the material of the digestive system of ruminants for grade V elementary school. This research is a development research using the ADDIE model which consists of five stages (analysis, design, development, implementation, evaluation). The subject of this study consisted of 25 students. The results of the research that has been carried out show that the Busy Book media on the material for the digestive system of ruminants for class V elementary school fulfills the validity indicators, namely a) the results of validation from the material expert validator obtain a score of 95%, material expert 2 obtains a score of 92.5% while media expert 1 get a score of 85%, media experts 2 get a score of 95% with a very valid category. b) the response from the students obtained a percentage of 86.2% in the very good category. c) the learning outcomes of students obtain a percentage of 84% with complete criteria. based on this description, the learning media and material contained in the media developed by researchers can be used in the learning process.

The granting of Batam Island management rights is stated in Article 6 paragraph (2) letter a of Presidential Decree Number 41 of 1973, stating that all land areas located on Batam Island are handed over with management rights to the Chairman of the Batam Island Industrial Area Development Authority (later called the Batam Authority). Referring to Article 4 of Government Regulation Number 46 of 2007, Management Rights over land under the authority of the Batam Authority and Management Rights over land under the authority of the Batam City Government located in the Batam Free Trade Zone and Free Port are transferred to BP Batam by statutory regulations. Invitation. The areas in question are Batam Island, Setokok Island, Watch Island, Nipah Island, Galang Baru Island, Rempang Island, and Galang Island. However, replacing the subject of management rights does not end existing rights on Management Rights land; these rights remain in effect until the validity period ends. Thus, currently, Batam City Management Rights are owned by BP Batam. Problems with management rights also occur in the community of Batam City. This is, of course, a result of the development of Batam City, where the land rights are mainly allocated to industrial areas, housing (residential), government, and protected forests. One of the purposes of granting Management Rights to BP Batam was to accelerate investment. However, during the process, it was discovered that the land allocated to a third party (Investor) had yet to be physically developed as agreed upon at the time of allocation. This then becomes the basis for BP Batam to carry out evaluation and control over land that is not built and built not by its intended use.  

Bronchial asthma is a chronic respiratory disease that often impairs the quality of life of sufferers. Bronchial asthma is characterized by inflammation of the respiratory tract that causes narrowing of the bronchi, swelling, and increased production of mucus. The purpose of this study was to provide nursing care for the ineffectiveness of nasfas patterns with bronchial asthma in the Emergency Room of Patut Patuh Patju Hospital, Gerung, West Lombok. Researchers used a case study method with stages of the nursing process including assessment, formulation of nursing diagnoses, planning, implementation, evaluation and documentation. Nursing care for the ineffectiveness of breathing patterns in AI with bronchial asthma in the emergency room of the Patut Patuh Patju Hospital, Gerung, West Lombok, which was carried out for 3x24 hours, obtained the results that the patient was no longer short of breath, the rhythm of breathing was regular and there was no additional breath sound.    

The importance of character education in learning is to improve the quality of implementation and educational outcomes in schools which leads to the achievement of student character formation. In this case, the teacher is not only tasked with delivering learning material, but is also tasked with instilling character values in students (Fatmawati, 2017: 8). This type of research is qualitative research and the method used is a descriptive method. Sugiyono (2017:9) qualitative research is a research method used to examine natural objects. The main aim of qualitative research is to understand social phenomena or symptoms by providing an explanation in the form of a clear description of the social phenomenon or symptom in the form of a series of words which will ultimately produce a theory, which is explained (Sujardewi, 2014: 110). Based on the description that has been presented, this research is defined as a research process that produces descriptive data in the form of written or spoken words from people and behavior that is observed and carried out naturally. This research uses a qualitative research method with the hope of being able to describe the analysis of character education in mathematics learning material on absolute values for students at SMA class X Harapan Bangsa Samalantan. absolutely at SMA Harapan Bangsa Samalantan class X. In chapter IV, the results of the research that has been carried out and the discussion are presented. Therefore, (1) Results, (2) Discussion are successively put forward.1. Analysis of character education in mathematics learning with absolute value material in class X has been carried out by the teacher through planning, implementation and evaluation carried out by the teacher. Mathematics teachers in planning mathematics learning material have absolute values for the character values listed in the RPP, namely the character values of discipline, honesty, responsibility and skills. In implementing learning, mathematics teachers also apply character education through methods, strategies and learning media. Analysis of character education in mathematics learning with absolute value material is based on lesson plans that have been created and adapted to learning conditions. The teacher's learning implementation uses the case study method, so that students always think critically in their efforts to solve problem formulation in mathematics learning with absolute value material. Assessment of the achievement of character education in mathematics learning absolute value material in class X using test questions and observation sheets of student behavior in learning.