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Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable

The attitude of the bride and groom is a form of active community participation in premarital health checks. The bride and groom are expected to be able to carry out activities in order to improve health status because. This study aims to assess the relationship between perceptions, knowledge, and awareness, about premarital health with premarital examination attitudes. The research design used is Crosssectional. Collecting data using a questionnaire that is served and analyzed using Multiple Regression. The sampling method used is probability sampling. The data quality test used is a validity test using Corrected Item Total and a reliability test using Cronbach Alpha. To test the hypothesis in this study, the researcher used F test. The results of this study indicate that the variables of perception, and awareness have an influence on premarital examination..

This study aims to analyze the principal’s efforts in improving the quality of Islamic Religious Education (PAI) learning at SMP Hikmah Yapis Jayapura. PAI learning plays a significant role in shaping students’ faith, morals, and personality in accordance with Islamic teachings derived from the Qur'an and Hadith, as well as the exemplary conduct of the Prophet Muhammad SAW. In this context, the principal, as an educational leader, holds a strategic role in managing, guiding, and enhancing the performance of PAI teachers to ensure that the learning process is carried out effectively and contributes positively to students’ spiritual and character development.This research employs a qualitative approach with a descriptive design. The subjects of the study include the principal, PAI teachers, and students of SMP Hikmah Yapis Jayapura. Data were collected through observation, in-depth interviews, and documentation to obtain comprehensive and contextual information regarding the implementation of PAI learning. The data analysis process was conducted through data reduction, data presentation, and conclusion drawing. To ensure the validity and reliability of the findings, source and technique triangulation were applied.The results indicate that PAI learning at SMP Hikmah Yapis Jayapura is not only conducted in the classroom through the delivery of materials related to aqidah, morals, fiqh, and the Qur'an and Hadith, but is also strengthened through various religious programs integrated into the school culture. The principal’s efforts to improve learning quality include conducting regular academic supervision, involving teachers in professional development programs, providing work motivation, and consistently monitoring the learning process. Additionally, religious activities such as Qur'an memorization programs, daily Qur'an recitation before lessons, and routine dhikr and salawat activities support the internalization of Islamic values.Supporting factors include the principal’s active leadership and professional experience, while inhibiting factors consist of limited infrastructure, administrative burdens, and varying levels of teacher competence. Overall, these efforts have contributed positively to improving the quality of PAI learning and fostering students’ character development.

Online media news is known for its lack of credibility in conveying information and its lack of prioritizing objectivity (accuracy, fairness , completeness) in pursuit of instantaneousness. There is quite a bit of news that puts Muslims in a corner, creating a negative image of the Islamic religion . This research aims to find out how the Radar Bogor media presents news content, as well as knowing the accuracy of news content about Islam on the Radar Bogor online media. This research uses the library research method or library study using Roland Barthes' Semiotics. The assessment categories in analyzing accuracy are in accordance with research conducted by the Press Council in reporting research on 28 newspapers in Java in 2004, including checking, writing errors, relevant news sources, title and content accuracy, photo and content accuracy. The results of the research show that in terms of checking and rechecking, suitability of photos and news content, relevant news sources, suitability of news titles and content, Radar Bogor accurately presents news about Islam. However, in news writing, the 5W 1 H element is complete, the sentences are connected to each other. In spelling, typos or typos were found in 6 news stories which did not reduce the original meaning.

Gamesis an activity done for fun or enjoyment that has rules so that someone wins and someone loses. Addiction to playing games excessively is known as Games Addiction. The aim of this research is to find out the description of online game addiction among teenagers in Kebun Cengkeh Rt.01/Rw.09, Batu Merah Village, Sirimau District, Ambon City in 2020. This research method is descriptive research. The sample in this study consisted of 51 teenagers located in Kebun Cengkeh Rt.01/Rw.09 Batu Merah Village, Sirimau District.This research has one variable, namely online game addiction. From the results of data analysis withFrequency distribution results showed that the level of online game addiction was mostly mild, as many as 24 respondents (47.1%) among teenagers in Kebun Cengkeh Rt.01/ Rw 09 Batu Merah Village. The conclusion is that it can be described that there is a medium level of online game addiction, severe online game addiction among teenagers in Kebung Cengkeh Rt.01/ Rw 09 Batu Merah Village.  

Basic sanitation is a community effort that focuses on controlling the physical structure, where people use it as a shelter that affects the degree of human health. The purpose of this study was to determine the description of basic sanitation facilities in Kairatu Village, Pakarena Coastal Area in 2021 which includes facilities for providing clean water, toilet and bathroom facilities, waste water management facilities and waste disposal facilities. This type of research is descriptive research, namely the research method carried out with the aim of making a description or descriptive of an objective situation. which was carried out in Kairatu Village, Pakarena Coastal Area in 2021. Provision of clean water facilities in Pakarena hamlet, there are 11 existing families, own property, odorless, colorless, tasteless while there are 4 existing families, but not their own, odorless, colorless and tasteless. On average, Pakarena hamlet residents have a latrine, the type of latrine used is goose neck and has a saptic tank of 14 families and 1 family who does not use a goose neck latrine. Waste water management facilities have not met the requirements. A total of 14 families of waste water are channeled into open sewers and 1 family has SPAL that does not pollute the water. Garbage disposal facilities do not meet the requirements, garbage boxes are not available at all and residents only throw garbage in rivers near settlements while some residents manage waste by burning so that it can pollute the environment.

One effort that can be done to control breast cancer is to carry out primary prevention such as controlling risk factors and increasing communication, information and education. Secondary prevention is carried out through early detection of breast cancer, namely breast self-examination (BSE). This study aims to determine the level of knowledge and attitudes of young women about early detection of breast cancer through self-examination (breast self-examination) in the working area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. This study used a collaborative research design with a cross-sectional approach. With a total population of all young women in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency, namely 130 pure women with a sample of 58 using the simple random sampling method. Data collection in March-June 2022. This analysis was carried out to test the hypothesis using the Chi Square test at significant and if the p-value < 0.05. Based on the results of the study between knowledge and BSE actions, the Chi Square statistical test obtained a p value = 0.010 so that p <0.05. And the attitude with the BSE action that the Chi Square statistical test obtained a p value = 0.038 so that p <0.05 then H0 is rejected and Ha is accepted. There is a Relationship between Knowledge and Attitudes of Young Women About Early Detection of Breast Cancer Through Self-Examination (Breast Self-Examination) in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. It is hoped that this can be one of the therapies given to young women to prevent breast cancer from being carried out as early as possible.    

The decrease in blood donors at UTD PMI occurred during the pandemic by 30% while the need for people who needed blood increased.  Youth is a group of potential donors.  Based on the results of a preliminary study, 90.3% of youth in Terong Dlingo Village Bantul have never donated blood.  Knowledge is closely related to the awareness of donating blood.  The purpose of the study was to determine the relationship between knowledge and interest in blood donation among youth in Sendangsari Hamlet during a pandemic.  The type of research used is an analytic survey with a cross sectional design.  The sample technique chosen is total sampling.  The results of the correlation test using the Kendall's tau-b test with a significance level of 5% there is a significant relationship between knowledge and interest in donating blood (p-value 0.006) and the correlation coefficient value of 0.314 which means it has a fairly strong close relationship.  There is a significant relationship between knowledge and interest in donating blood during the pandemic in youth in Sendangsari Hamlet, Terong Kapanewon Village, Dlingo, Bantul in 2021.  

 Islamic education at the Elementary School (SD) level significantly impacts the formation of character and morality in children. This research focuses on the role of the family in supporting Islamic education at the SD level, identifying parents' perceptions, the family's role in reinforcing Islamic values in children, and the challenges faced by families in supporting Islamic education in the modern era. The research method used is a qualitative-literature approach.. The conclusion of this research provides a profound understanding of the dynamics of the relationship between the family and Islamic education at the SD level. These findings can contribute to educators, parents, and policymakers in creating an educational environment that supports the holistic development of children, especially in understanding the vital role of the family in supporting Islamic education at the SD level.

This study aims to determine and analyze the influence of tourism promotion, tourist attractions, tourist facilities, accessibility, service quality, accommodation, tourist age, and tourist income in Batu Katak Tourism Object, Batujonjong Village, Bahorok District, Langkat Regency. This study used primary data collected to see the classification of tourist visit levels using a sample of 90 visitors to tourist attractions, using the Confirmatory Factor Analysis (CFA) analysis method and then using Multiple Linear Regression. The results of the study showed that of the 8 variables analyzed using a factor analysis model that affects the level of tourist visits to Batu Katak, only 3 factors affect the level of tourist visits, namely tourism promotion, service quality, and tourist income. Based on the results of multiple linear regression analysis, it shows that tourism promotion and service quality have an effect and are signed on the factors of Batu Katak tourism visitation rates, while tourist income has an effect and is not significant on the level of tourist visits to Batu Katak Batujongjong Village, Bahorok District, Langkat Regency.    

More than 1 million sexually transmitted diseases (STDs) occur every day. In one year there are an estimated 357 million new sexually transmitted infections (STIs) worldwide. Sexually Transmitted Diseases are a type of reproductive tract infection (ISR) that is transmitted through sexual contact. This writing aims to determine the relationship between mothers' knowledge and attitudes in preventing sexually transmitted diseases and gonorrhea in Lau Lugur Village, Salapian District, Langkat Regency in 2022. The independent variable is mothers' knowledge and attitudes in preventing sexually transmitted diseases and the dependent variable is Gonorrhea. The type of writing used is analytical observational with a cross sectional approach method. The population was 210 mothers and the sampling method used in this writing was Quota Sampling, taking the number of samples determined by the author, namely 33 mothers. The data used in this writing are primary data through questionnaires and checklists and secondary data obtained from the village head. The statistical test used is the chi-square statistical test α=0.000. The results of the analysis showed that of the 33 respondents there were 3 people (9.1%) who had good knowledge, 7 people (21.2%) who had sufficient knowledge. And 23 people (69.7%) had less knowledge. The chi-square statistical results showed that the knowledge value was p=0.000 and the attitude value was p=0.000< α=0.05, which means there is a relationship between mother's knowledge and attitude in preventing sexually transmitted diseases and gonorrhea. It is hoped that mothers in Lau Lugur Village, Salapian District, Regency Steps to increase knowledge about gonorrhea and attitudes towards preventing gonorrhea.

Hypertension or high blood pressure is a non-communicable disease that is one of the main causes of premature death worldwide. Generally, hypertension is found in people with old age, but in its development, hypertension also affects people of reproductive age, such as women of childbearing age. This study aimed to analyze the risk factors for hypertension in WUS in the working area of ​​the Naibonat Health Center. The type of research used is quantitative, with a case-control study approach. The case population in this study was 511 WUS, then 55 case samples were taken using a simple random sampling technique, and 55 control samples were taken from the respondent's closest neighbors. The data obtained were analyzed using the chi-square statistical test. The dependent variable in this study was hypertension, while the independent variables were age, family history, use of hormonal contraception, obesity, and stress. The results showed that three variables had a relationship with hypertension in women of childbearing age, namely age (p=0.000, OR=7.111), family history (p=0.002, OR=3.710), and physical activity (p=0.000, OR=4.495). in comparison, the use of hormonal contraception, obesity and stress did not have a relationship with the incidence of hypertension in women of childbearing age. The Puskesmas is expected to increase efforts to prevent hypertension by optimally improving services, especially in increasing public knowledge about hypertension so that people can maintain normal blood pressure and can avoid risk factors that can cause hypertension.

The research intends to describe true happiness education in organizing Hajj in the midst of a pandemic. The article is the result of qualitative research from literature data, the results of the research show: that happiness is a concept that refers to the positive emotions felt by individuals and the positive activities they like. Even though the Covid-19 pandemic has overshadowed the implementation of the Hajj, everyone in the pilgrimage must develop positive feelings. That way he can feel true happiness. True happiness can be achieved when a person knows himself, knows God, knows the world, and knows the hereafter. It is not something that comes suddenly, but through continuous effort. At least five aspects of the source of true happiness, namely: 1) establishing positive relationships with other people, 2) focusing on something that is done, 3) finding meaning in everyday life, 4) positive emotions, 5) resilience. The implications of research on the need to think positively in response to all circumstances, being the core of the continuity of happiness requires more focused research. Research suggests that Hajj organizers refresh congregations about true happiness.

This classroom action research aims to improve the critical thinking skills of Palangka Raya 1 Public High School students. Critical thinking skills are one of the skills developed in the 21st century. Critical thinking skills are honed so that students can practice rational reasoning, with an emphasis on making decisions about what to believe or do. This type of research is classroom action research. The research was carried out at SMA Negeri 1 Palangka Raya on the subject of Catholic Religion with material on the Church as Open Communion. The research subjects were class X students for the 2021/2022 academic year. The research instrument used a critical thinking skills questionnaire and observation of critical thinking skills in discussions. The data analysis technique uses a percentage formula. The results of this research are that in cycle I, of the 5 indicators of critical thinking skills, 3 indicators fall into the poor criteria and 2 indicators fall into the fairly good criteria. From the results of observations by colleagues who assessed the group's performance, 3 indicators fell into the fairly good criteria and 2 indicators fell into the not so good criteria. The score range comes in at a percentage of 55%-67%. In cycle II, of the 5 indicators of critical thinking skills, all indicators fall into very good criteria. From the results of peer observations, 5 indicators of critical thinking skills fall into very good criteria, namely in the range of 88% -92%.

Packaging has multiple roles that greatly affect the target audience and even the target market. Not only does it play a role in protecting or facilitating distribution, far from that, packaging can communicate many aspects at the same time even in the absence of sales. Packaging deserves special attention and is done optimally as an effective communication medium. This study tries to describe the visual strategy on instant noodle packaging which is the market leader in Indonesia, namely Indomie. Indomie As the only brand that is able to dominate 70% of the market compared to its closest competitor, only 16%. Although not the only major factor, there are many interesting things that we can describe from the visual strategy that has been implemented by Indomie producers in competing with similar products. This research was conducted using descriptive qualitative methods to determine the visual strategy by outlining the graphic elements of the packaging. The results of this study indicate that a strong visual identity is able to influence consumers to more quickly recognize their products and at the same time conduct persuasion to choose their products in the ranks of other similar products.

The research seeks to reveal the perspective of the truth about God, is library research with a philosophical inquiry approach. Primary data sources are from the Al-Qur'an and hadith, strengthened by secondary data from other literature, then analyzed for interpretation, comparison and reflection. The research resulted in the conclusion: Proving the truth of God is not only a topic of discussion for Western philosophers, but also Muslim philosophers and theologians, such as Muslim philosophers and theologians who were followers of the Mu'tazilah and al-Ash'ariyah. This proof is divided into two propositions, First, Argument a novitate mundi (dalil al-huduts), which emphasizes the temporality of the universe, and has actually been used popularly by Muslim theologians with a general procedure, proving the temporality of the universe, second, the postulate of possibility (dalil al-imkan), focuses on arguments from contingency. These two proofs confirm that God is real. In this way, the thoughts of Muslim philosophers increasingly strengthen the existence of the reality of God. After the formula for the nature of salbiyah is applied to all Gods, it can be seen that all Gods are void Gods, except Allah SWT who is true.  

The intelligence of students in the contemporary era is no longer traditionally measured from cognitive achievement alone. The development of research on children's intelligence states that the ability to multi-intelligence is currently needed in the era of Society 5.0. Because at this time one's intelligence is required to be able to balance the development of an increasingly fast era and changing situations that are uncertain. In Islamic education, human intelligence is based on divine values ​​contained in the Qur'an as the core principle of intelligence. Because the core of Islamic teachings is aimed at developing one's potential as well as leading to an optimal direction. This study is a library research, data is collected from various literatures, then the data is processed by synthesizing various relationships between existing data and analyzed by descriptive analysis. The results of the study indicate that in order to increase the intelligence of students in the 5.0 era, it is necessary to strengthen contemporary learning models that are relevant in Islamic education. This learning model increases critical-religious reasoning which becomes the capital for students not only to think rationally but also to strengthen the awareness of divinity.    

Study table is one of the supporting learning activities but the current study table design is not in accordance with consumer needs, especially for children. The development of this study table product is expected to answer the needs of custumers or consumers and produce an ergonomic study table. This multifunctional learning folding table product uses the parameter measurement of the Quality Function Deployment (QFD). The result obtained based on the customer show that there are 7 attributes (customer requitment) and 4 technical parameters ( technical response). In this regard, the product development of a multifuntional folding study table uses the Quality Function Deployment (QFD) method using teak wood. This table also has several features, namely a reading light feature, a glass holder, a storange feature, equipped with a simple design, attaractive practical colors and ideal dimensions so as to increase comfort inusing the folding study table product.

The activity of cadres is very important in posyandu activities because if the cadres are not active, the provision of health services and posyandu activity programs cannot run properly. The purpose of this study was to determine the factors related to the activeness of cadres in posyandu activities in the working area of ​​the Kenarilang Health Center, Alor Regency. This type of quantitative research uses a cross sectional study approach. The study population consisted of 210 cadres, with a total sample of 68 cadres using convenience sampling/accidental sampling. Data were analyzed using chi-square statistical test. The results showed that the variables of knowledge (ρ = 0.023), occupation (ρ = 0.022), incentives (ρ = 0.002), and support from community leaders (ρ = 0.043) had a relationship with the activeness of cadres in posyandu activities. Meanwhile, the attitude variable (ρ=0.492) had no relationship with the activeness of cadres in posyandu activities. Puskesmas Kenarilang should improve training on promotive efforts when providing cadres in increasing knowledge about the duties and functions of posyandu. Village and sub-district governments should always provide appropriate incentives as motivation in increasing the activity of cadres in posyandu activities, and it is hoped that community involvement will always support cadres in posyandu activities.

Combining culture and technology is one solution to digitizing an area's local wisdom. Technology is expected to be an educational medium for the younger generation to know the history and meaning of a historical story. The island of Bali has a lot of the previous history, one of which is about the Puputan Klungkung war. Based on the results of questionnaires to 40 respondents by simple random sampling, 77.5% of respondents did not know the history of the Klungkung puputan and its meaning. To maintain the history of the puputan war, it is necessary to introduce the next generation but keep abreast of technological developments so that the research aims to design a media in the form of a mobile game. This mobile game media was chosen because of its popularity in Indonesian society, both among children to adults, thus creating interest in playing media games. The game design adapts to the scheme of the design pattern by using simple, cultured, and informative concepts. This development resulted in the design of the character of the king of Klungkung and the Dutch army and the layout design of the game Puputan Klungkung.