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Introduction: Older adult with hypertension often experience several problems, one of which is disturbed sleep patterns. Disorders of sleep patterns experienced by the elderly have an impact on the recurrence of the disease, therefore the problem of sleep quality in the elderly must be addressed immediately One of them is providing foot massage reflexology Methods: This study uses a descriptive research design with a case study approach. This research is a study of the application of foot reflexology in the elderly with hypertension with nursing problems with sleep pattern disorders Result: The results of the study at the beginning of the study, on 3 Mey 2023 it was known that the respondent had problems with sleep patterns with a PSQI score of 18. Based on the evaluation results on 5 Mey 2023, it can be concluded that there was an increase in the quality of sleep of respondents with a PSQI score of 9 by giving intervention for 3 days starting from 3-5 Mey 2023 Discussion: Providing an effective foot massage reflexology intervention to overcome the problem of sleep pattern disorders in the elderly with hypertension, foot massage reflexology can relax the body so that sleep will feel more restful, foot massage reflexology intervention is recommended to be given every bedtime.

MRI (Magnetic Resonance Imaging) examination becomes tool diagnostic important in evaluation the soft tissue anatomy of the human body. MRI examination of the ankle joint role crucial in detect soft tissue impingement in the ankle joint. Fast Spoiled Gradient Echo (FSPGR) is an MRI method with high sensitivity in diagnose soft tissue problems in the ankle joint. Ankle joint MRI protocol at RSUD Dr. Moewardi uses several types of sequences with addition 3D sequences but not routinely. This study aims to examine the use of the 3D FSPGR oblique sequence in MRI ankle joint, while comparing it with the Sagittal T1 FSE and Sagittal FSE STIR sequences. This quantitative study involved 5 people to compare imaging 3D oblique FSPGR, sagittal T1 FSE and sagittal FSE STIR sequences. Analysis was carried out using the intraclass correlation coefficient (ICC) test, Friedman test, and Kruskal Wallis test. The results study showed there is difference information MRI ankle joint anatomy with oblique 3D FSPGR, sagittal T1 FSE, and sagittal FSE STIR sequences (p-value = 0.000). Test Kruskal Wallis show sequence 3D FSPGR and sagittal T1 FSE produce imaging different on every type anatomy (p-value= 0.045; 0.020), whereas Sagittal FSE STIR sequence shows results No different significant (p-value= 0.065. 3D oblique sequence of FSPGR is proven effective show anatomy ankle joint and posterior talofibular ligament.

The main aim of this study was to assess the efficacy of the Inquiry technique in improving reading comprehension skills.   This study utilized a quantitative and pre-experimental methodology for the purpose of conducting tests. The pre-experimental design included two evaluations: an initial pre-test and a subsequent post-test carried out following the intervention. The study's sample size comprised 30 students in the eighth grade. The results demonstrated a significant rise in the scores achieved post-test, surpassing the scores achieved pre-test.   Furthermore, when the significance level is established at 0.05%, the t-score is considered to be less than the corresponding number in the t-table. The study resulted in the adoption of the Alternative Hypothesis (Ha) and the rejection of the Null Hypothesis (Ho). Hence, it is advisable for educators and students to utilize this method to augment reading comprehension.

The existence of infrastructure and development that continues to develop in Kulon Progo, such as the YIA Airport in  Kulon Progo, hotels and shopping centers can lead to rapid development growth in Kulon Progo. With development increasing rapidly but not accompanied by the development of human resources in the surrounding area, this has resulted in the marginalization of the surrounding community. The author's aim is to analyze the activities carried out by the Kulon Progo government to increase the capacity of the Kulon Progo community. Can also analyze problems that arise in the development process and how the Department handles them. A qualitative approach was chosen for this research process, namely descriptive research. The data sources used are primary data obtained during the research process and secondary data from books and other literature. The data collection process was carried out by interviews, direct observation and documentation. The research results include plans for development and empowerment activities prepared by the department taking into account various agency linkages and the needs of business actors in Kulon Progo. The Department carries out various programs such as training to increase production capacity, improving central management, issuing permits to increase business capacity in Kulon Progo. Monitoring and evaluation of activities is also carried out to determine the obstacles and successes of activity programs.

The aim of this research is to develop a product in the form of story-based teaching materials for the subjects of Christian Religious Education and Character Education for class III elementary school and to determine the suitability of the teaching materials developed. The method used is research and development (Research and Development) with the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). The data obtained was analyzed descriptively qualitatively and descriptively quantitatively. Based on the results of research at the analysis stage, the overall average result of the 11 PAK teachers' answers was 3.60, which stated that the score was in the "Very High" category, meaning that the PAK class III elementary school teachers strongly agreed with using story-based teaching materials as learning material in Aku. Can Love Others. At the design stage, the product is designed including designing story-based teaching materials, determining the materials and reviewing subjects according to the curriculum. The development stage contains activities to design and assess the product. The suitability of teaching materials based on story material from the research results is "Very Good" used for learning for third grade elementary school students with the results of assessing the suitability of the material with an indicator of 88%, the suitability of the material with the learning objectives is 92%, the message/message is conveyed well and does not deviate from the theme 96%, suitability of story content with the theme of story-based teaching materials 92%, and material packaging in story-based teaching materials applied in daily life 84% showing the criteria "Very Good". Then in the implementation stage, teacher response assessment data shows that story-based teaching materials have met the criteria well as Christian Religious Education learning materials for third grade elementary school students with a score percentage of 72% in the "Good" category. The evaluation of student learning outcomes according to the RPP which was carried out showed that the effectiveness of story-based teaching materials had met the requirements, namely that out of 25 students at SD Negeri 173140 Pagar Batu, it was known that 88% of students obtained learning outcomes > 75, namely 22 students had met the minimum completeness criteria (KKM) score. , b) spiritual evaluation is known to have achieved 81.6% and is in the Good category, c) social evaluation achieved 81.4% and is in the Good category. The evaluation stage is carried out by improving the product using criticism and suggestions from validators and educators who have assessed the material story material-based teaching to provide feedback on the development of subsequent story material-based teaching materials.

The aim of this research is to develop a product in the form of story-based teaching materials for the subjects of Christian Religious Education and Character Education for class III elementary school and to determine the suitability of the teaching materials developed. The method used is research and development (Research and Development) with the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). The data obtained was analyzed descriptively qualitatively and descriptively quantitatively. Based on the results of research at the analysis stage, the overall average result of the 11 PAK teachers' answers was 3.60, which stated that the score was in the "Very High" category, meaning that the PAK class III elementary school teachers strongly agreed with using story-based teaching materials as learning material in Aku. Can Love Others. At the design stage, the product is designed including designing story-based teaching materials, determining the materials and reviewing subjects according to the curriculum. The development stage contains activities to design and assess the product. The suitability of teaching materials based on story material from the research results is "Very Good" used for learning for third grade elementary school students with the results of assessing the suitability of the material with an indicator of 88%, the suitability of the material with the learning objectives is 92%, the message/message is conveyed well and does not deviate from the theme 96%, suitability of story content with the theme of story-based teaching materials 92%, and material packaging in story-based teaching materials applied in daily life 84% showing the criteria "Very Good". Then in the implementation stage, teacher response assessment data shows that story-based teaching materials have met the criteria well as Christian Religious Education learning materials for third grade elementary school students with a score percentage of 72% in the "Good" category. The evaluation of student learning outcomes according to the RPP which was carried out showed that the effectiveness of story-based teaching materials had met the requirements, namely that out of 25 students at SD Negeri 173140 Pagar Batu, it was known that 88% of students obtained learning outcomes > 75, namely 22 students had met the minimum completeness criteria (KKM) score. , b) spiritual evaluation is known to have achieved 81.6% and is in the Good category, c) social evaluation achieved 81.4% and is in the Good category. The evaluation stage is carried out by improving the product using criticism and suggestions from validators and educators who have assessed the material story material-based teaching to provide feedback on the development of subsequent story material-based teaching materials.

Community service activities are carried out at Bintang Timur Kindergarten in Pematang Siantar in order to help children at an early age understand android educational games that are suitable for consumption by the child himself. Educational games as a support for children's cognitive development so that parents must understand various types of educational game applications, how to choose the right educational games, and how to install on cellphones. The implementation method used is presentation, demonstration, practice, brainstorming, and sharing about educational games to the Principal at Bintang Timur Kindergarten, Pematang Siantar.  This activity was carried out through three stages, namely 1) socialization, 2) mentoring, 3) monitoring and evaluation. The results of the implementation of this activity are:  1) understanding of android educational games as a support for children's cognitive development in the very good category.  This is indicated by the percentage of indicators of achievement of recognizing educational games (96%), choosing educational games (89%), installing educational games (93%), and implementing educational games (86%); 2) obtained a positive response as seen from the attendance indicator of participants reaching 93% of the target and enthusiastic participants during the activity from the beginning to the end of the activity. The ultimate goal of introducing educational games is that parents are IT literate so that they are able to monitor their children in using cellphones, especially when playing games.

Magnetic Resonance Imaging (MRI) is a medical diagnostic imaging technique that works on the principle of nuclear magnetic resonance. MRI aircraft can produce diagnostic images of the inside of the human body in both sagittal, coronal, and transverse cuts, Magnetic resonance imaging (MRI) is a widely accepted non-invasive technique for the evaluation of cartilage lesions. The femur, tibia, fibula, and patella are united into one complex group by ligaments. According to Moeller, Genu Examination uses STIR Sequence, Sagital T2 Weighted Fat saturated, Sagittal 3D GRE, Proton Density weighted fat saturated T1 Coronal. The author's purpose in conducting this study is because Genu Examination at one of the Jakarta Hospital in the Case of Soft Tissue Tumor, Meniscus Tear and Oesteoarthritis added the Axial 3D SPGR sequence. The research method used is descriptive research with an observational approach. Data collection was carried out on June 5 to August 31 using Mri GE aircraft with a power of 1.5 Tesla. The patient samples used in this study were three patients with clinical Soft Tissue Tumor, Meniscus Tear, and Osteoarthritis. Data collection was carried out through observation, interviews and Genu Examination Documentation with the addition of Axial 3D SPGR. The examination is carried out using Quad Knee Coil, the patient's position is supine, feet first. The sequences used in the examination at one of the Jakarta hospitals are Axial Proton Density Fat saturated, Sagital Proton Density Fat saturated, Sagital T2, Coronal Proton Density Fat saturated, Coronal STIR. The role of the Axial 3D SPGR sequence is to evaluate articular cartilage due to its clear depiction of cartilage morphology and high signal to noise ratio (SNR) images.

Counseling is carried out aimed at providing health information and education to adolescents about dysmenorrhea or pain during menstruation which can cause a teenager to be absent from school or other activities where dysmenorrhea is not a disease, but a symptom that arises due to abnormalities in the pelvic cavity and is very severe. Interfere with women's activities, even often requiring sufferers to rest or leave their work for hours due to dysmenorrhea. The method used is to provide information in the form of health promotion to adolescents by using posters as a medium in counseling, giving pre-test and also post-test in the form of questions to adolescents to measuring the effectiveness of the counseling that is being carried out. The extension went well so that in the evaluation there was a level of knowledge from the participants after being given counseling. Extension activities could increase the knowledge of adolescents about desminorrhea and how to reduce pain during menstruation. 

The aim of this research is to understand how the principal's management is implemented in improving the quality of education at SMK Negeri 1 Siborongborong. The type of research used in this research is a qualitative descriptive research method using observation, interview and documentation techniques. The main subject of this research is the school principal and the sources of information supporting this research are teaching and educational staff, committees and students. Data analysis techniques use data reduction, data presentation, and drawing conclusions. The findings of this research found that the implementation of school principal management to improve the quality of education at SMK Negeri 1 Siborongborong was through planning and preparing work plans as well as preparing the school's vision, mission and goals. Furthermore, the school principal's efforts to improve the quality of education are carried out, such as grouping the tasks of each teacher and employee according to their abilities and expertise. Apart from that, in carrying out the process of improving the quality of education, the principal mobilizes the resources available at the school by providing encouragement and motivation in implementing each activity. Finally, in terms of achieving educational quality, school principals routinely carry out evaluation activities and make improvements so that the quality of education becomes better. Therefore, school principal management in improving the quality of education can support the realization of eight national education standards, namely content standards, process standards, graduate competency standards, teacher and teaching staff standards, facility and infrastructure standards, and management standards. standards, financing criteria and evaluation criteria, educate.

The aim of this research is to understand how the principal's management is implemented in improving the quality of education at SMK Negeri 1 Siborongborong. The type of research used in this research is a qualitative descriptive research method using observation, interview and documentation techniques. The main subject of this research is the school principal and the sources of information supporting this research are teaching and educational staff, committees and students. Data analysis techniques use data reduction, data presentation, and drawing conclusions. The findings of this research found that the implementation of school principal management to improve the quality of education at SMK Negeri 1 Siborongborong was through planning and preparing work plans as well as preparing the school's vision, mission and goals. Furthermore, the school principal's efforts to improve the quality of education are carried out, such as grouping the tasks of each teacher and employee according to their abilities and expertise. Apart from that, in carrying out the process of improving the quality of education, the principal mobilizes the resources available at the school by providing encouragement and motivation in implementing each activity. Finally, in terms of achieving educational quality, school principals routinely carry out evaluation activities and make improvements so that the quality of education becomes better. Therefore, school principal management in improving the quality of education can support the realization of eight national education standards, namely content standards, process standards, graduate competency standards, teacher and teaching staff standards, facility and infrastructure standards, and management standards. standards, financing criteria and evaluation criteria, educate.

Cervical brachytherapy is a type of treatment for cervical cancer by providing direct radiation to the cancer or tumor area. The brachytherapy itself is usually a booster combined with external radiotherapy. Evaluation of the success of radiation can be seen from the survival rate of patients or local control. In patients, survival and local control can be influenced by several prognostic factors such as the stage of the cancer, the size of the cancer diameter, and the pathology of the cancer itself. The aim of this research is to determine the impact of brachytherapy radiation on the life survival of cervical cancer patients by paying attention to the relationship between cancer stage, cancer size, cancer pathology on patient survival. This research uses a qualitative descriptive method with a literature study approach regarding the impact of brachytherapy radiation on patient life survival. cervical cancer. It was concluded that prognostic factors such as tumor or cancer size, cancer stage and cancer pathology in cervical cancer have a relationship with patient survival.

In this study there are two variables that influence each other, namely the independent variable, namely the Key Performance Indicator and the Work Environment. Which affects the dependent variable, namely Tazbiya Brands Employee Performance. Research using quantitative methods with saturated sampling of 40 employees as respondents. The Key Performance Indicator variable has a t value> t table (4.216> 2.026) with a significant 0.00> 0.05 so that the Key Performance Indicator has a significant effect on employee performance. Meanwhile, the work environment variable has a t value> t table (1.958> 2.026) with a significant 0.038> 0.05 so that the work environment has a significant effect on employee performance. Key Performance Indicator and work environment simultaneously have a significant effect on employee performance. Based on the results of the above analysis, it can be concluded that the Tazbiya brands company has performance appraisal indicators that need to be considered as evaluation material so that it affects employee performance and has a good work environment in the company.

The aim of the research is to develop learning media in the form of electronic modules that are suitable for high school students to use. The development of this e-module product also aims to improve understanding of the material. This type of research is included in research and development. The research stages using the ADDIE model consist of: (1) needs analysis and material analysis stage, (2) design stage for making e-modules, (3) development stage by carrying out material validation and media validation, (4) implementation stage by carrying out tests extensive and limited testing, (5) evaluation stage. The research subjects for the limited test were 7 students of class XI IPS 2 and the broad test involved 36 students of class XI IPS 3. The data collection technique used was observation and using questionnaires and tests. The research data analysis technique goes through stages: (1) validity analysis, (2) practicality analysis, (3) effectiveness analysis, (4) gain test. The research results show that the e-module developed is suitable for use and can be said to be able to improve understanding of the material. Based on the research results, it shows that: (1) the average media expert score is 3.504 in the "very valid" category and the average material expert score is 3.22 in the "valid" category, (2) student questionnaire responses in limited trials with an average of an average of 3.14 is included in the "practical" category and the test response is broad with an average of 3.42 and is included in the "very practical" category, (3) the calculation of learning completeness reaches 75%, which is included in the "good" criteria, (4) The average gain test score was 0.5367 in the "medium" category.

Banjaran Raya Village is one of the villages in Padang Tualang District, Langkat Regency. Banjaran Raya Village has natural resources in the form of oil palm plantations which are one of the main potentials of the village. This article discusses the socialization of training assistance and the use of practical tools for cleaning palm oil waste sticks in Banjaran Raya village. By utilizing palm oil frond waste, the benefits of which not many people know about. Palm Oil Sticks are one of the basic ingredients for making various kinds of craft products which have good beneficial value. The aim of this outreach is to introduce and provide training assistance in the use of practical tools for cleaning sticks with a low accident rate which are made based on student creativity using wood and cutter knives. The method I used in this research was preparation, implementation and evaluation. The expected result of carrying out this activity is that the community will know how to use this practical tool and can help the community's work in cleaning sticks. An indicator of achieving the goal of this socialization is the enthusiasm of village residents with the program being implemented.

Indonesia's vision for 2020-2024 is to focus on developing human resources starting from development in the health sector. Priority programs in the Health sector include maternal and toddler/child health. Stunting is a hot issue and urgent to be resolved because it has an impact on the quality of Indonesia's human resources in the future. Human resources are the main factor in determining the success of a country and nation. The aim of writing the article is to socialize maintaining zero stunting which was initiated by Kukerta UNRI students in Simpang Perak Jaya village. The research method used is a qualitative approach with descriptive analysis. The data source is an analysis of policy documents. Stunting is defined as a height index for age (TB/U) less than the 3rd percentile. Kukerta UNRI in Simpang Perak Jaya Village, through this activity, took the initiative to carry out socialization activities to maintain zero stunting with the aim of increasing the community's knowledge and knowledge regarding stunting. The implementation of stunting socialization goes through 3 stages, namely preparing facilities and infrastructure, the socialization stage and the evaluation stage. The result of the implementation of this socialization on maintaining zero stunting is an increase in the knowledge of the Simpang Perak Jaya Village community after being given counseling in the form of socialization.  

Background: Abdominal MSCT examination is a type of radiodiagnostic examination that uses the MSCT device. Considering that the abdomen is close to organs that have radiosensitive properties such as the gonads and ovaries, it is necessary to monitor the radiation dose received so that it does not exceed the predetermined I-DRL value. The prevalence of contrast Abdominal MSCT examinations in the Radiodiagnostic Installation at Dr Hasan Sadikin Bandung Hospital was recorded during the last 3 months, there were 327 Contrast Abdominal MSCT examinations out of a total of 880 examinations with a percentage of contrast Abdominal MSCT examinations of 0.37%. This proves that contrast Abdominal MSCT examinations are often carried out but evaluation has never been carried out regarding the radiation dose received by the patient. Method: The type of research used in this research is descriptive quantitative with an observational approach by collecting data from patients with contrast Abdominal MSCT examinations during the period January-March 2023 with a sample of 128 patients. The local DRL value is calculated using the 2nd quart formula in the SPSS statistical application, then this local DRL value is compared with the I-DRL value determined by BAPETEN. Results: Calculation of the 50th percentile value of CTDIvol and DLP on 128 samples. The results show a CTDIvol value of 15.91 mGy and DLP of 740 mGy*cm. The DRL (50 percentile) values ​​based on gender are 13.71 mGy and 743 mGy*cm for men, and 17.74 mGy and 792 mGy*cm for women. Based on abdominal thickness, patients with a thickness of 10-19 cm have values ​​of 12.19 mGy and 587 mGy*cm, while patients with a thickness of 20-30 cm have values ​​of 22.57 mGy and 965 mGy*cm. For the most clinical cases (Ca Recti) the values ​​were 11.27 mGy and 586 mGy*cm. Conclusion: The 2nd quartile value (50 percentile) of CTDIvol and DLP received by patients during the Contrast Abdominal MSCT examination at the Radiodiagnostic Installation of RSUP Dr. Hasan Sadikin Bandung is in accordance with the standard values ​​set by BAPETEN/I-DRL 2021. However, special attention is needed for patients with an abdominal thickness of 20-30 cm, where the CTDIvol value exceeds the standards set by BAPETEN/I-DRL 2021.

Every company or agency that employs more than 100 people is required to implement an Occupational Safety and Health Management System (SMK3). This research aims to determine and analyze the implementation of SMK3 in the Engineering Sector of Perum Airnav Indonesia Pontianak Branch, and employee awareness in implementing an occupational health and safety management system.This study used qualitative research methods. Data collection techniques use observation, interviews, and documentation. Researchers directly made observations in the field and carried out documentation. Interviews were conducted with 3 sources, namely the Junior Manager for Safety and K3 Engineering, the Engineering Manager, and Employees in the Safety Sector. The data analysis techniques used are data reduction, data presentation, and concluding. The results of the research that has been carried out show that Perum LPPNPI Airnav Pontianak Branch in the engineering sector has implemented SMK3 Implementation in accordance with PP No. 50 of 2012 which includes: 1) Determination of K3 Policy, 2) K3 Planning, 3) Implementation of K3 Plan/Implementation, 4) Monitoring K3 Evaluation and Performance, 5) Reviewing and Improving SMK3. Employee awareness in implementing SMK3 in general is very good but there needs to be increased awareness of the importance of K3 and SMK3 among employees which must be carried out on an ongoing basis.    

Drug management is a cycle including selection, procurement, distribution and use which is supported by an appropriate organizational structure, finances and management information system. The aim of this research is to determine drug management in the Pharmacy Installation at RSUD dr. Soeratno Gemolong, Sragen Regency.This research uses prospective and retrospective methods. Where retrospective data is taken from 2022 data. Prospective data is taken through direct observation. The results of this research are: the percentage of available funds and the required funds is 80%, the percentage of procurement and actual use is 98%, invoice errors are 0.47%, there are no delayed payments by hospitals, compatibility between drugs and stock cards is 100% , drug availability level of 16 months, warehouse management system with FIFO, FEFO and LASA marking systems, average time used to serve compounded prescriptions is 11 minutes and non-mixed prescriptions is 7 minutes, conformity of drug items with the National Formulary is 93%, frequency of procurement of each drug item 4-6x a year, turn over ratio 3 times, percentage of expired and damaged drug value 5.05%, dead stock percentage 3%, number of drug items per prescription sheet 3.5 items, percentage of prescriptions with generic names 88%. These results indicate that drug management in the Pharmacy Installation at RSUD dr. Soeratno Gemolong, Sragen Regency is not yet good.

PT Jaya Kencana is a company engaged in the field of mechanical and electrical contractors. One of the divisions at PT Jaya Kencana is engaged in the elevator escalator service division. This division is a division that offers elevator and escalator maintenance services. Where in this division the level of customer satisfaction is needed for the progress of the company. The independent variables in this study are marketing relationships and technician performance. The dependent variable in this study is customer satisfaction. The research uses statistical quantitative methods by determining the minimum number of samples using the slovin formula. The sample in this study was 101 respondents. Marketing relationship has a t count > t table (3.932 > 1.9844) with a significant value of 0.00 <0.05, which means that marketing relationships have an effect on customer satisfaction. Technician performance has a t count > t table (5.530 > 1.9844) with a significant value of 0.00 <0.05, which means that technician performance has an effect on customer satisfaction. Marketing relationship and technician performance have a significant value of 000 <0.05 and F count > F table (160.776 > 3.94), which means that marketing relationship and technician performance have a significant simultaneous effect on customer satisfaction. The results of this study can be used as input for related companies and can be used as an evaluation to increase company customer satisfaction.