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Choosing a good machine and process to make a particular product requires basic knowledge about all the possibilities that occur during the production process. Therefore, material selection, machine settings and determining appropriate machining parameters need to be optimized to produce quality products. In the milling process, surface roughness is very important. From this surface roughness, an evaluation can be made whether the workpiece is acceptabel or not. The lower the surface roughness of a workpiece, the better the quality of the workpiece. The higher the surface roughness, the lower the performance of the components of the workpiece pair will be because it will increase friction on the components of the machine elements. This research aims to determine the effect of variations in feeding work movement, spindle rotation, and feed depth on the level of surface roughness resulting from conventional milling machining processes. This research also discusses which influences produce optimal surface roughness values in conventional milling machining processes. This research was carried out three times in one combination. Data collection on surface roughness values was carried out horizontally on the surface of the workpiece by taking data three times on the workpiece. The results of the statistical analysis prove that the feeding movement variable is proven to have a significant influence on surface roughness, while the optimum combination for the lowest level of surface roughness can be obtained with a feeding movement of 249 mm/minute (3rd test)

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

This research aims to understand the level of competency of accounting staff at the Tarbiyah College of Science (STIT) Batu Bara, the quality of regional financial information, the role of accounting staff competency at the Tarbiyah College of Science (STIT) Batu Bara, and its impact on the competency of accounting staff. The research method used is Census with a qualitative and quantitative approach. The analysis tool used is simple regression. The research results show that the important role of accounting staff competencies such as a thorough understanding of financial accounting standards, proficiency in financial analysis, and technical proficiency in accounting information systems in maintaining the quality of regional financial data. This shows that there is a need to increase investment in developing the skills of accounting staff through training and continuous education to support the efficiency and effectiveness of financial management in the educational environment. It can be believed that this research can expand knowledge about the relationship between the quality of regional financial information and the ability of accounting staff, especially at the Tarbiyah College of Science (STIT) Batu Bara.  

Sometimes umbilical cord infections occur because young mothers are unaware of the need to provide umbilical cord care to their babies after giving birth. The umbilical cord, a type of connective tissue, holds the placenta and foetus together. The umbilical cord functions as a source of life for the foetus while it is in the womb. Umbilical cord care is a procedure for handling the umbilical cord in a sterile, clean, and dry manner to avoid infection. The aim of the research is to find out how health education on umbilical cord care influences the behaviour of postpartum mothers in the work environment at the Kaiely Community Health Centre, Buru Regency, in 2024. This research uses a pre-experimental research strategy. Total sampling was used as the sampling technique. We used the Wilcoxon test to analyze the data. The research findings showed a p-value of 0.001 when compared with the significance level (p-value <0.05), thus approving Ha. This shows that health education regarding correct umbilical cord management influences the behaviour of postpartum mothers in the operational area of the Kaiely Community Health Centre, Buru Regency. Based on the research conclusions, postpartum mothers fall into the poor knowledge category, negative attitude category, action not implemented, poor pre-test and post-test behaviour category, and action not taken. behaviour is classified as very good, and the behaviour of postpartum mothers at the Kaiely Community Health Centre, Buru Regency, is influenced by health education about umbilical cord care.

This study aims to determine the perceptions of coastal communities in Reroroja Village in the Utilization of mangrove ecosystem as ecotourism. This study used a qualitative descriptive approach. There were 3 data collection techniques used, namely observation, interviews, and documentation. In this study there were 12 informants consisting of the mangrove forest manager, the Head of Reroroja Village, Kena RT Dusun Magelo’o, and people from Magelo’o of Magepanda District, Sikka Regency. Based on the results of the study, it can be cancluded that the perception of the people of Reroroja Village in utilizing mangrove forests as an ecotourism area is still relatively low. This is caused by the lack participation og the village community in protecting and managing mangrove forests as ecotourism. Factors that influence community perceptions are knowledge, attitudes and level of education. The community considers thet protecting the mangrove forests area in Reroroja Village in not their reponsibility but that it is already the responsibility of the management.

Administrative services at the sub-district or village level are one of the public services that are very important for the community. This administrative service includes various types of certificates, such as birth certificates, death certificates and resident mutation letters. This research uses a qualitative method with a descriptive approach, with library study research techniques and field studies with observation, interviews and documentation to collect data. Other research shows that analysis of the quality of administrative services at the sub-district office of Gunung Halu Regency can be carried out using quantitative methods with techniques. questionnaire data collection. The results of the research show that the quality of administrative services at the sub-district office of Gunung Halu Regency still needs to be improved. In technical guidance, village officials are provided with knowledge and skills in financial management and village administration.

Caries is a disease of hard tooth tissue, namely enamel, dentin and cementum, which is caused by the activity of microorganisms in fermentable carbohydrates. Federation Dental International (FDI) and WHO target that at least 50% of children aged 5-6 years should be free from dental caries in every country. The results of the 2018 Basic Health Research (Risksdas) show that the prevalence of cavities in early childhood is still very high, namely around 93%. This means that only 7% of Indonesian children are free from dental caries (Ministry of Health, 2021). This article aims to determine the relationship between the level of knowledge and the mother's education level with the occurrence of dental caries in pre-school children at the Bukit Damai PAUDHI Kindergarten, Maluk District. The research method for this article is an analytical survey with a cross-sectional approach. The population is parents, guardians of students at HI BukitDamai PAUD Kindergarten in Maluk District, Kab. West Sumbawa, NTB as many as 20 parents/guardians of students. The results of this study showed that there was a relationship between the level of maternal knowledge and the occurrence of dental caries in pre-school children with a p-value of 0.001 (<0.05). Also, there is a significant relationship between maternal education level and the occurrence of dental caries in pre-school children with a p-value of 0.011 (<0.05). It is hoped that there will be a need for intensive dental and oral health checks on pre-school aged children, as well as providing counseling to mothers of toddlers, especially pre-school aged children.

Typhoid fever is a type of infection caused by Salmonella Enterica bacteria, especially Salmonella Typhi derivatives. The purpose of this study was to determine whether there is a relationship between knowledge and attitudes of parents towards typhoid fever prevention measures in children in the dahlia room of Robert Wolter Mongisidi Kindergarten Hospital in Manado City. The study was conducted using analytical descriptive research methods that are cross sectional. The sample was taken based on the number of subjekts as many as 30 people using random sampling, data collection was carried out by giving questionnaires. Furthermore, the data that has been collected is processed using the help of the SPSS program computer to analyze the chi-square statistical test with a meaning level (α) of 0.05. The results showed that the most sex obtained in this study was 20 female subjekts (66.7%). The conclusion in this study is that there is a relationship between knowledge and attitudes of parents towards typhoid fever prevention measures in children p = 0.000. This p value is smaller than α = 0.05, there is a relationship between knowledge and parents' attitudes towards preventive measures against typhoid fever in children. The conclusion in this study is that there is a relationship between knowledge and attitudes of parents towards typhoid fever prevention measures in children p = 0.000. This p value is smaller than α = 0.05, there is a relationship between knowledge and parents' attitudes towards preventive measures against typhoid fever in children.

Clean and Healthy Living Behavior (PHBS) are all health behaviors carried out out of personal awareness so that the family and all its members are able to help themselves in the health sector and have an active role in community activities. The main goal of the PHBS movement is to improve the quality of health through an awareness-raising process which is the beginning of the contribution of individuals in living a clean and healthy daily life. the average percentage of PHBS in Surabaya city households is 75.07%, this figure has reached the target of PHBS in East Java province households of 53%, however, there is still the lowest working area of ​​the health center, namely the Krembangan Selatan health center with a percentage of 48%. . This type of research is Literature Review or literature review. Literature review is what the author does by searching various sources related to a particular topic which can be obtained from various sources such as journals, archive books, articles, the internet, or other documents that are revered. the provision of knowledge through counseling and training with a combination of Leaflet media is very influential on changes in knowledge. there is a positive and significant effectiveness of animaker-based animated videos on clean and healthy living behavior. It can be seen and proven from the results of the Pearson correlation coefficient at a significance level of 5% or 0.05, namely: 0.538. One effort that can be done is to provide counseling through health promotion media that is used so that it is easy to understand and interesting to look at, and can relate to the level of target knowledge.

PT XNX is a leading company operating in the food and beverage industry in Indonesia. This company produces based on demand, so the level of employee performance productivity is very important. There are many factors that influence worker productivity, such as experience, knowledge, and age. This research was conducted in the production department for 5 (five) months. The primary data collection method is by making direct observations in the field and using the time and motion study method, a systematic study of work systems with the aim of developing better systems and methods, standardizing systems and standards for determining time standards and selecting operators with a Lean Manufacturing approach, namely waste. or waste to increase labor productivity in the Production department area. The results were obtained in the form of recommendations for improvement, namely by optimizing productivity by means of operator efficiency from initially 6 people to 5 people, where before improvements were made, labor productivity was 53.11% in dissolving soy sauce, after improvements were made, labor productivity was 74.84. %. This has an effect on cost savings of IDR 4,515,133 for 26 working days, each day amounting to IDR 173,548. Therefore, there are 3 shifts in one day, so the total daily income is IDR 520,644 or a cost savings of 16.63%.  

Type 2 diabetes mellitus (DM) occurs when the body does not produce enough insulin to compensate for disturbed insulin production. Type 2 DM complications are diabetic ulcers. Feet care is an activity to carry out regularly to maintain hygiene in when the blood sugar levels increased or even in the normal condition. The objective of this research is to educate the health education to detect the peripheral neuropathy symptoms, minimize the risk of ulcers, amputations and prevent chronic complications.This is quasi experiment research with one group pre-post test design, using Mac-Nemar test taken 225 population of samples using Ari Kunto. 10% formula with Purposive sampling technique of 23 respondents.The researchers found there was a difference before and after given health education with the method of  the ability to carry out for the feet demonstrated. Results Before performed the demonstration category both 2 people (8.7%) and category less good 21 people (91.3%), then the result After demonstration both 22 people (95.7%), and less good 1 person (4.3%) of 23 respondents, result P value = 0,000.Conclusion: The health education with demonstration methods on the ability to care for the feet of type 2 diabetics in Puskesmas Ranomuut Manado affected. Advice: Early research can add insight into the source of knowledge about how to prevent the occurrence of diabetic ulcers.

Choking is an emergency condition that must be treated quickly, i fit takes too long it will result in a lack of oxygen and result in death duet o blockage of the respiratory tract by foreign objects in the from of food, toys, etc. The aim of this research was to determine the effect of choking first aid education on community knowledge in the Tumumpa 1 subdistrict, Manado City. The research was conducted using a quasi-experimental research method (one-group prepost test design). The sample in this study wa 12 respondents taken using purposive sampling, research instruments using SAP, Leaflets and Questionnaires. Next, the data that has been collected is processed using the SPSS version 24 computer program to be analyzed using the Mc nonparametric test. Nemar with a significance level (α) 0.05. The results of this research show that there is an influence of first aid choking education on the leve of public knowledge by obtaining a value of p = 0.016, which is 0.016 which is smaller than the value of a ≤ 0.05. This, it can be said that Ha is accepted and H0 is rejected andi t can be concluded that Ha has an effect. Choking first aid education on community knowledge in Tumumpa 1 Subdistrict, Manado City The conclusion is this research is that there is an influence of first aid choking education on community knowledge in Tumumpa 1 Village, Manado City. I tis hoped that this suggestion will add insight and useful knowledge regarding fist aid for choking

Pre-hospital stroke is a service provided when and during the victim is first found, during the transportation process until the patient arrives at the hospital. Pre-hospital stroke treatment can be a determinant of the condition and subsequent treatment. The aim of this research is to determine the effect of pre-hospital education about stroke on community knowledge in carrying out pre-hospital stroke aid measures in Kombos Timur Subdistrict, Environment V, Manado City.This research is an experimental design research with a One Group pretest-posttest design. The sampling technique is purposive sampling. The sample was 15, the instrument used was a questionnaire, then the data collected was tested using the Mac-Nemar test.The research results showed that the largest gender in the study was male, with respondents (53.3%). The highest level of education was junior high school with 8 respondents (53.3%) with the highest age being adults 46-55 years as many as 7 respondents (46.7%) while the highest education was junior high school with 8 respondents (53.3%). The conclusion in this study is that there is an influence of pre-hospital education about stroke on public knowledge in carrying out pre-hospital stroke aid measures. The suggestions in this research are that it is hoped that this research will be used as a source of knowledge for patients regarding knowledge in carrying out pre-hospital stroke procedures, so that it can be applied by families at home so that this education will be more beneficial.

Diabetes Mellitus is a group of metabolic diseases characterized by hyperglycemia due to impaired insulin production, insulin action. Management of the 4 pillars of diabetes mellitus includes education on eating arrangements. The purpose of this study was to determine the effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area.The research design used is a pre-experiment with a one group pre and posttest design approach. The sample in this study were 23 respondents using purposive sampling technique. the research instrument used was a questionnaire sheet. Then the data that has been collected is processed using the SPSS 16.0 program to be analyzed using the Mc.Nemar statistical test with a level of meaningfulness (α) = 0.05. Based on the results of the study when given education for the pre-test, the highest percentage was non-compliant 21 respondents (91.3%) and the post-test the highest percentage was compliant 22 respondents (95.7%). From the results of the Mc.Nemar statistical test, the P value = 0.000 with a significance of <0.05, which means Ha is accepted and Ho is rejected. The conclusion of this study is that there is an effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area. This study is expected to increase knowledge in implementing dietary compliance so that it can control the problem of diabetes mellitus.

Toddler problems are prone to nutritional health problems, at that time is an important period in the process of toddler growth and development. If the required intake does not meet then toddlers will have less nutritional status. The purpose of this study was to determine the efficacy of booklet media education with maternal cognitive abilities in feeding toddlers. The study was conducted using pre-experimental research method design (one-group pretest-posttest) The sample in this study as many as 15 subjekts were taken using purposive sampling in s research instrument using SAP, leaflets and questionnaires. Furthermore, the collected data was processed using the SPSS program computer version 16.0 to be analyzed with Mc. Nemar's nonparametric test with a meaning level (α) of 0.05. The results of this study show that there is an influence of education with booklet media on the cognitive ability of mothers in feeding todler-aged children in the working area of the wori health center in Manado City. with the value of p = 0.016 it can be said that Ha is accepted and H0 is rejected and it is concluded that Ha has an educational influence with booklet media on the cognitive ability of mothers in food production in toddler-aged children in the work area of the wori health center. The conclusion in this study is the influence of education with booklet media on the cognitive ability of mothers in food production in toddler-aged children in the work area of the wori health center. Suggestions are expected to add useful insight and knowledge about booklet media education on cognitive abilities

Teenagers are less aware of the hygiene of their genital organs. This can cause problems in reproductive health, one of which is vaginal discharge. Fluor albus or commonly known as vaginal discharge is a term for discharge from female genitalia that is not blood. This problem can be prevented by providing health education knowledge. This study aims to determine the effect of providing health education with leaflets on the level of prevention of vaginal discharge in adolescent girls at Pondok Pesantren Al-Jamil Purwokerto. This research is a quantitative study with a Pre-experiment approach and One Group Pretest-Postest Design. The sampling technique used was purposive sampling and the respondents obtained were 25 people. Statistical analysis using the Wilcoxon Signed Rank Test. The results of this study prove that there is a significant effect between the provision of health education with leaflets on the level of vaginal discharge prevention in adolescent girls with a mean difference of 6.92 and 9.76. Wilcoxon p-value analysis test results (p=0.000). There is an effect of providing health education knowledge with leaflets on the level of prevention of vaginal discharge in adolescent girls at PP Al-Jamil Purwokerto.

Introduction: third-trimester pregnant women at the Karangdoro Health Center in Semarang experience anxiety in facing labour. Stress due to anxiety about facing labour impacts the length of the labour process and the welfare of the fetus. Providing CIE can increase mothers' knowledge and reduce the appearance of psychosocial factors such as ignorance and lack of attention from health workers, which have a negative impact, so that pregnant women are better prepared and anxiety in facing childbirth can be minimized. Objective: to determine the effectiveness of CIE preparation for delivery to reduce anxiety in third-trimester pregnant women facing labour. Method: This study used a quantitative method with a quasi-experimental type of research and a one-group pretest-post-test design. Population: all third-trimester pregnant women at the Karangdoro Health Center Semarangfrom June to July 2023 with 62 respondents. Sample: The sampling technique used accidental sampling and obtained a total sample of 54 respondents. Results: The results of the study were that Communication Information Educational (CIE) for childbirth preparation was effective in reducing anxiety in third-trimester pregnant women facing labour with a value of 0.00 (<0.005), where every single delivery of CIE for childbirth preparation can make third-trimester pregnant women potentially 6,280 times more likely to experience a decrease in the level of anxiety in facing childbirth (Z = 6,280). Of the 54 respondents, 52 (96.3%) experienced a decrease in their level of anxiety, there were no (0%) respondents who experienced an increase in their level of anxiety, and there were 2 (3.7%) respondents with a constant level of anxiety.

Objective to mobilize local communities to want to become entrepreneurs by developing all the potential around them, especially for members of the multi-business cooperative "Aneka Usaha" Karangbendo, Kapanewon Banguntapan Bantul. Problem there is still a low level of entrepreneurial spirit and limited knowledge about entrepreneurship, especially for members of the multi-business cooperative "Aneka Usaha", which has not been developed optimally. Method opening a mindset regarding entrepreneurship and providing motivation and practical knowledge to members of the multi-business cooperative "Aneka Usaha" by providing workshops and discussions with business people and new members who do not yet have their own business. Results: Interest in entrepreneurship among members of the multi-business cooperative "Aneka Usaha" is very high, especially for new members of the cooperative. For this reason, partnerships are needed with more established business actors and universities so that new local entrepreneurs emerge more quickly among the younger generation.

Transcultural nursing theory (transcultural nursing), this theory is seen as knowledge about individuals, families, groups, communities, and institutions in diverse health care systems. The aim of this research is to determine the relationship between nurse competency regarding transcultural nursing and experience in implementing therapeutic communication in the internal inpatient room at RSU GMIM Pancaran Kasih Manado. This research design uses descriptive analysis with a cross sectional approach. The sample in this research was carried out using total sampling, namely the sampling technique is the same as the population size. So the total sample in the study was 36 nurses. Data collection was carried out by direct interviews with subjekts and distributing questionnaires. Furthermore, the data that had been collected using computer assistance with IBM SPSS Version 23 was analyzed using the chi-square test with a significance level (α) <0.05. The results of the research using the Chi-Square Test show a p value of 0.003, which is smaller than α ≤0.05, meaning Ha is accepted and Hο is rejected. The conclusion in this research is that there is a relationship between nurse competency regarding transcultural nursing and experience in implementing therapeutic communication in the internal inpatient room at RSU GMIM Pancaran Kasih Manado. It is hoped that the results of this research will allow nurses to respond to and carry out nursing care from cultural diversity by using therapeutic communication that can be adapted to the patient's condition.

Osteoarthritis is a cartilage disorder in the joints of bones that often affects elderly people. As many as 24 million people in the Southeast Asia region and 151 million people worldwide suffer from osteoarthritis. The community service practice aims to provide education to elderly people with osteoarthritis. The sampling technique was purposive sampling with 85 elderly respondents. The level of knowledge of the elderly about osteoarthritis disease is obtained through pretest and posttest. Providing education to the elderly about osteoarthritis disease by counseling and exposure to material using posters and leaflets and demonstrations related to the handling of osteoarthritis. Analysis of research data using chi square and fisher exact tests. The results obtained in the age factor (p = 0.021), gender (p = 0.015), BMI (p = 0.002) and physical activity (p = 0.584). There is a relationship between age, gender and body mass index with the incidence of osteoarthritis in the elderly and there is no relationship between physical activity and the incidence of osteoarthritis in the elderly.