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Background: Low back pain is one of the common musculoskeletal disorders. Muscle energy technique (MET) may be a useful intervention for treating such disorder. Objective: The aim of this study was to compare the effect of MET in people with mechanical back pain. Methods: A randomized controlled trial was undertaken. thirty patients with mechanical back pain were randomly allocated to either the MET group or control group. The former group received MET pre-post 3 and 6 times, and the latter group MET pre-post 6 and 12 times treatment. Treatment was given once a day for 30 days. A numerical pain rating scale (NPRS) was used to measure the intensity of pain was immediately before treatment and again on the 3th, 6th and 12th day. Results: NPRS scores showed no significant improvement in MET 3th and 6hh time and MET groups on the 6th and 12th day post intervention (p <0.05). However, NPRS scores showed better improvement in the MET group A as compared to the MET group B (p < 0.015). Conclusion: Muscle energy technique was better in improving pain in people with mechanical back pain.    

Based on Susenas 2017 data, 17.52 percent of women in Central Java Province were married under the age of 20. years later SKAP 2019 there were 36.4 percent. The purpose of this study was to determine the determinants of the age of first marriage in urban and rural areas in Central Java province. Quantitative research type by using data SKAP Central Java secondary data 2019. Sampling was carried out using systematic random sampling for households selected, then women of childbearing age aged 15-49 years were taken. The unit of analysis was all women of childbearing age with the status married for the first time under 20 years old. Based on the results of the data selection, 971 people were obtained women. Research design The cross-sectional method used is cross-sectional. The results are factors related to the age of first marriage. under 20 years in urban and rural areas are factors of education and welfare level. Factors occupation, age of first sexual intercourse and media exposure to KRR information are not related to the age of first marriage under 20 years in urban and rural areas. Recommendations for Representative National Population and Family Planning Agency Province Java Middle the more intense do Communication Information And Education (IEC) about maturity age marriage especially on region rural.      

Virtual reality (VR) is an emerging tool in education that allows students to interact with complex concepts in an immersive environment. This paper investigates the potential of VR in enhancing Science, Technology, Engineering, and Mathematics (STEM) education for children. By reviewing various case studies, the paper explores how VR applications are being used to make abstract STEM concepts more accessible and engaging. The study concludes that VR enhances conceptual understanding, problem-solving skills, and critical thinking among young learners.  

Wearable technology has become increasingly popular in healthcare for monitoring personal health metrics. This paper explores how wearable devices are being utilized to track children's health and fitness levels. The study focuses on devices that monitor heart rate, physical activity, sleep patterns, and nutrition, assessing their impact on improving children's health outcomes. The paper concludes that wearable technology can play a significant role in promoting healthy lifestyles among children and preventing chronic health issues.  

The Internet of Things (IoT) is transforming the education sector by connecting devices, environments, and people to improve learning experiences. This paper investigates the integration of IoT technologies in schools, such as smart classrooms, connected learning tools, and automated systems for student tracking. The study highlights how IoT enhances the learning environment, improves operational efficiency, and provides real-time feedback for both students and teachers.  

Childhood obesity and malnutrition are growing global concerns, and technology offers innovative solutions to promote healthy eating habits. This paper explores how technology can encourage better nutrition among children through apps, games, and digital platforms that provide personalized dietary recommendations, nutrition tracking, and educational content. The study evaluates the effectiveness of these technologies in improving children's eating habits and preventing nutrition-related health issues.  

Mobile learning apps have gained popularity as an educational tool for children, offering an interactive and engaging approach to learning. This paper explores the influence of mobile learning apps on children's cognitive development, focusing on skills such as memory, problem-solving, and attention. The study reviews several mobile learning applications used in early childhood education and assesses their effectiveness in fostering cognitive growth and skill development.  

Access to healthcare remains a significant challenge in rural areas, especially for children. This paper explores the role of telehealth in providing healthcare services to rural children, particularly in remote areas with limited medical infrastructure. The study examines telemedicine technologies, such as remote consultations, diagnostic tools, and health monitoring systems, and their impact on improving healthcare access and outcomes for children in underserved communities.

Current development of manufacturing industry is expected to have a good and innovative system. Machine planning is a very important part in determining the manufacturing process. Machine prototypes are very important in model and product development, because they can help a designer to evaluate processes, machine performance, and product developments. In this study, a prototype design of a plate roll machine was made. One of the manufacturing processes that is widely used in companies and home industries is the rolling process. Plate roll machine prototype design to find suitable dimensions. The plate roll machine prototype will be made using a 3D printing machine with Polylatic Acid (PLA) material. The prototype plate rolling machine uses a synchronous electric motor type 60KTYZ which has a power of 14 watts and a rotation of 15 rpm. The prototype of this plate rolling machine was tested using aluminum plate as raw material with a length of 820 mm, a width of 10 mm and a thickness of 2 mm. The test results with a given compressive force of 75 N, namely a deflection of 9 mm with a rolling speed of 0.02 m/s. In the equilibrium test, it is produced by calculating structural statics that the action forces and reaction forces are proven to be balanced.

Aluminum coating in Indonesia is one of the business fields that has experienced an increase in development and rapid progress starting from the type of coating used to produce coatings that also vary. The purpose of this study was to determine the hot temperatures of 600°C, 700°C and 800°C in the aluminum coating process uses carbon powder and determines the effective hardness values ​​at temperatures of 600°C, 700°C, and 800°C. Test result hardness shows that the highest average hardness value is at a temperature of 600°C of 68.6 Hv and the lowest average hardness value is at a temperature of 800°C which is equal to 51.7 Hv

This study aims to determine differences instudent learning outcomes in SMA Negeri 18 Medan. The population in this study were all Class XI IPA consisting of five classes. The sample in this study was taken randomly and selected two classes, namely Class XI IPA 1 and class XI IPA 2 was used as the experimental class 1 and 2  with the PBL and DL model. There are two instruments used in this study, namely the test instrument and the non-test instrument. The test instrument for measuring learning outcomes is in the form of multiple choice of 20 valid and reliable questions.. Data were analyzed by independent sample t test. The results showed that for the experimental class 1:  learning outcomes 83.3 ± 7.8. While the experimental class 2:  learning outcomes 76.0 ± 11.01. From the statistical test it was obtained sig for learning outcomes sig (0.001) < α (0.05) H0 was rejected and Ha was accepted, as well as the learning outcomes obtained value sig (0.000) < α (0.05) and sig (0.001) < α (0.05) in experimental class 1 and 2 respectively. Thus, it can be concluded that there are significant differences in  learning outcomes.    

Perianal fistula is a condition where a cavity forms in the area around the rectum and fills with pus. Perianal fistula is an anorectal disorder that arises due to obstruction of the anal crypts. If left untreated perianal fistula can lead to serious complications such as perineal gangrene and sepsis. A large number of perianal abscesses will recur within a year or two, especially if predisposing factors are present. This study aims to determine patient characteristics and management of perianal fistula patients at Cut Meutia General Hospital in 2018-2021. This is a retrospective descriptive study using secondary data from perianal fistula patients at Cut Meutia General Hospital. The results of the study were 11 patients diagnosed with perianal fistula based on medical record data that met the inclusion and exclusion criteria. Based on the age range criteria, the most patients with perianal fistulas were in the age group range of 20 - 40 and 41-60 years, each of which was 5 patients (45.45%), male patients were the most, namely 9 patients (81.18%), based on the operation of perianal fistula patients who underwent surgery the most using LIFT procedures were 7 patients (63.63%), and based on the history of recurrence, the most patients who experienced new/primary cases of perianal fistula were as many as 9 patients (81.8%).

Sumbawa Besar Regency is one of the regencies in the West Nusa Tenggara region which has very abundant forestry resources. The forest is used as a business engaged in the extraction of forest products which is processed into various kinds such as Sumbawa oil which is produced in Kelungkung Village, Batulanteh District. The raw materials for making Sumbawa oil are obtained directly from the mountains and forests in the region which are efficacious as traditional medicines. The purpose of this study was to obtain a strategy and determine strategic priorities in the development of the Sumbawa oil agro-industry in Kelungkung Village, Batulanteh District. The stages of this research started with a field study by interviewing Sumbawa oil agro-industry players in Kelungkung Village, Batulanteh District. The analytical method used is SWOT analysis (Strengths, Weaknesses, Opportunities, Threats) and the QSPM matrix to obtain strategic priorities. Based on the results of the study, it was found that the position of the Sumbawa oil agro-industry was in quadrant I, namely supporting an aggressive strategy. Furthermore, based on the research results obtained by the QSPM matrix, 9 alternative strategies were obtained, and the prioritized strategy was to maintain and improve product quality according to tradition as a natural medicine that was of interest to consumers.

Introduction: Head injury is a traumatic disorder of brain function that does not result in a disconnection of brain continuity and can occur with or without interstitial hemorrhage of the brain substance. Purpose:Acute pain is one of the nursing problems experienced by patients with head injuries. To analyze the application of finger hold therapy interventions in reducing pain in patients with mild head injuries. Research methods: is Pre Experimental, which is a design with a One group pre test post test design approach, when this study was carried out from December 21, 2022 to January 23, 2023, with a sample of 6 patients. Research Results: The frequency of patients who experienced moderate pain levels before treatment was 4 patients (66.7.7%), and severe pain levels were 2 patients (33.3%) while the distribution of psien frequency who experienced mild pain levels after treatment was 3 respondents (50.0%), moderate pain levels were 1 patient (16.7%) and berst pain levels were 2 patients (33.3%). This shows that there is no change in pain levels in patients with severe pain scales, because finger hold terap cannot be applied to patients with severe pain levels.Conclusion :This study showed that there is an effect of finger hold therapy in reducing pain in patients with mild head injuries

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

This study aims to identify the Islamic education values found in the Taman Mandi activity in Pulau Merbau and their implementation in daily life. The research method used is qualitative with observation and interview techniques with Taman Mandi participants in Pulau Merbau. The results of the study indicate that there are Islamic education values such as rahmatan lil alamin, tawakal, gratitude, cleanliness, balance, and environmental care in Taman Mandi activity in Pulau Merbau. The implementation of these Islamic education values can be carried out in daily life through attitudes such as maintaining environmental cleanliness, expressing gratitude and thankfulness for the blessings received, and maintaining balance in all aspects of life.

The government through the Ministry of Health has been continuously outreaching and educating the public to understand health protocols, but the phenomena that occurred in Mon Ara Village, Makmur District, Bireuen Regency include; there are still many people who are lazy to wear masks, wash their hands with soap, and keep their distance, there are still many people who think that Covid-19 is just the engineering of certain elements, there are still people who think that Covid-19 is exaggerated, and there are still people who have the view that handling Covid-19 is the government's job. This study aims to determine community intervention on the governance of handling Covid-19 in Desa Mon Ara, Makmur District, Bireuen Regency. The theory used in this research is intervention theory. The research approach used is qualitative by using interview instruments, documentation and observation. The data obtained were analyzed descriptively. The results of the study explained that community intervention in the governance of handling Covid-19 in Desa Mon Ara, Makmur District, Bireuen Regency, mobilized the masses to be vaccinated. However, some people do not follow the regulations, so that the community's willingness to use masks is not optimal. Community intervention in the distribution of direct cash assistance (BLT) is another problem during Covid.

This research explores the importance of studying English minimal pairs of vowels and their impact on language learners' pronunciation skills. The discussion highlights the significance of differentiating vowel sounds through the analysis of minimal pairs, which consist of words sharing consonant sounds but differing in vowel articulation. By focusing on specific minimal pairs such as [iː] / [ɪ], [æ] / [ʌ], [ɑ:] / [ɔ], [ɛ], and [ɒ], learners can refine their ability to recognize and produce the distinct vowel sounds accurately. Mastering these minimal pairs enhances phonemic awareness, enabling learners to differentiate between similar vowel sounds, thereby improving overall pronunciation accuracy. Furthermore, the study of minimal pairs contributes to word differentiation, listening skills, and spelling and reading proficiency. It empowers learners to grasp the subtle nuances in vowel pronunciation, thereby enhancing their ability to comprehend and communicate effectively in English. In conclusion, a comprehensive understanding and application of English minimal pairs of vowels are vital for language learners striving to achieve optimal pronunciation proficiency.   English minimal pairs of vowel

Indonesia is a country with a tropical climate, so it can produce high diversity, and plants adapt. This includes educational areas with green areas and a fairly even level of diversity, especially in the Anacardiaceae family with special characteristics, such as woody trees, resin channels, plants belonging to the shrub habitus, and single and compound leaves. This study used cruise methods or cruising methods by calculating and analyzing the actual situation in the environment of State Islamic University Sunan Gunung Djati Campus I. There were two genera and three species found, namely the genus Spondias with its species Spondias pinnata or amra and the genus Mangifera with its species Mangifera indica or mango and Mangifera odorata or kweni.    

Tofu is a food that is in great demand by the people of Indonesia because it tastes good and the price is relatively cheap. One of the businesses that is active and has a sizeable market potential on the island of Sumbawa, NTB is CV Maik Meres which is located in the Brang Biji village, Sumbawa sub-district. CV Maik Meres is an industry engaged in processing soybeans with 37 kg of large white tofu and 33 kg of small white tofu in one production as the main raw material for tofu products. The purpose of this study was to find out the effective optimization of the production process to be carried out by CV maik meres using the simplex linear programming method. Before using the simplex linear programming method, CV Maik Meres produced 20 prints for large white tofu and 10 prints for small white tofu. From the results of research using QM software for Windows V5, it resulted in an optimization of the production process for large tofu as much as 40,74 prints and did not produce small tofu to get a maximum profit of Rp. 361,166,7 in one production. So that the maximum profit of CV Maik Meres in one production is Rp. 188,440,7 and an increase of 19% from factual conditions.