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Quality is not easy to define but easy to feel, its form is the service of unfriendly officers, queues of visitors at the counter, long waiting times for service. This will be complained of as a service that is not in accordance with expectations, services that are of less quality so that patients feel less satisfied after getting the services provided. The formulation of the problem in this study is how is the relationship between the quality of nursing services and satisfaction of inpatients at the hospital. Mitra Sejati Medan in 2024? This research uses quantitative research using analytic survey and cross sectional approach. The population in this study were all hemodialysis outpatients, the sample of this study used accidental sampling as many as 64 people. The results of this study using the chi square statistical test, the results obtained are Responsiveness (pvalue = 0.021), Reliability (pvalue = 0.018), Assurance (pvalue = 0.030), Empathy (pvalue = 0.025), direct evidence (pvalue = 0.004), which shows that there is a relationship between The significant variables are responsiveness, reliability, assurance, empathy and direct evidence with satisfaction of inpatients at Mitra Sejati Medan hospital, and by using logistic regression test, the most dominant variable is responsiveness. This can be seen from the EXP(B) value of 4.766 times, which means that direct evidence has a relationship of 4.7 times with inpatients at Mitra Sejati Medan hospital. With suggestions to create a conducive atmosphere to improve the quality of professional health services so that patient satisfaction can be maintained as expected.

Empowering the community using one of the cooking spices to become something which has high selling power because of its effectiveness will increase people's enthusiasm for using it. Tamarind fruit has bioactive compounds which often used as natural antioxidants and will be made into phytosome system gel preparations which can improve better penetration of drugs into the skin. The aim of this service was that the community is expected to provide education about tamarind fruit in Klambir V Village, Medan, Indonesia. This community service method was carried out using leaflets, modules, power points and presentations to the community. The result of this service was an increase in public knowledge of tamarind fruit as an antioxidant by 87%.

This study aims to determine the description of the incoming mail management procedure in the General and Personnel section at the post office. The type of research used is descriptive qualitative, namely the author describes the results of observations, interviews, documentation and analyzes data obtained in the field. The results of the study indicate that the process of managing incoming mail in the general and personnel section, namely incoming mail starts from receiving letters, directing letters, delivering incoming letters, processing letters, storing letters. The letter management procedure at the post office runs optimally.

This study aims to determine the description of the incoming mail management procedure in the General and Personnel section at the post office. The type of research used is descriptive qualitative, namely the author describes the results of observations, interviews, documentation and analyzes data obtained in the field. The results of the study indicate that the process of managing incoming mail in the general and personnel section, namely incoming mail starts from receiving letters, directing letters, delivering incoming letters, processing letters, storing letters. The letter management procedure at the post office runs optimally.

This study aims to determine whether there is an influence of the Power of Two method on the learning outcomes of fourth grade students of SD Negeri 067240 Medan in the academic year 2024/2025. This study is a quantitative study with a Quasi Experimental Design research type in the form of Nonequivalent Control Group Design. The sample of this study was 13 students of class IV A and 13 students of class IV B. The instrument used was a multiple choice test. This research technique uses the t-test statistical method. The results of data analysis show that the average learning outcomes using The Power of Two method in the experimental class is 82.69, while the average learning outcomes not using The Power of Two method in the control class is 70. In the normality test with the provision that if sig > 0.050 it is known that the results of the pre-test and post-test of the experimental class and the control class are normally distributed with the acquisition of values ​​in the experimental class pre-test, test results = 0.433 > 0.050 and in the post-test results, test results = 0.227 > 0.050 while in the control class pre-test, test results = 0.155 > 0.050 and in the post-test results, test results = 0.487 > 0.050. The results of the homogeneity test of the research data, it is known that the research data comes from homogeneous samples with the acquisition of homogeneity test values ​​in the pre-test and post-test obtaining significant values, namely 0.758 and 0.325, which means more than 0.050 (Sig.> 0.050), then it can be concluded that both data are said to be homogeneous. Data analysis with hypothesis testing using the independent sample t-test with a significance level of α = 0.05 and degree of freedom (df) = 24. From the results of the hypothesis test, tcount> ttable (5.500> 2.308) or H0 is rejected and H1 is accepted. So it can be stated that there is a significant influence between the application of the Power of Two method on the learning outcomes of grade IV students of SD Negeri 067240 Medan Academic Year 2024/2025

Writing fiction stories is one of the important language skills in learning Indonesian. However, students' interest in writing fiction stories is still low, especially in Class V of SD S Alwashliyah 31 Medan Labuhan. One of the main causes is the lack of learning methods that attract and motivate students. Therefore, this research aims to increase interest and skills in writing fiction stories using image media. The research method used is descriptive analytical, namely a study that aims to collect data, describe, process, analyze, conclude and interpret data in order to obtain a systematic picture. The subjects of this research were 30 class V-A students in semester 1 of the 2024-2025 academic year. The data collection instruments used include competency tests and observation sheets. Competency tests are used to measure student learning outcomes after learning takes place using image media, while observation sheets are used to assess the implementation of class actions, class conditions, and student activity in the learning process. The research results show that image media can increase creativity, motivation, and help students compose more structured stories. This research is expected to provide insight for teachers in implementing more effective learning methods to improve students' writing skills.

Hypertension in pregnancy is one of the leading causes of maternal mortality, with a global prevalence of 5–10% (Khedagi & Bello, 2021). This study aims to analyze the effect of reproductive status—maternal age, gravidity, and parity—on the incidence of hypertension in pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan. A case-control design was employed with 96 respondents, consisting of 48 cases and 48 controls. Bivariate analysis revealed that pregnant women aged ≥35 years have a 2.839-fold higher risk of developing hypertension compared to those aged <35 years (OR=2.839; 95% CI: 1.123–7.177; p=0.027). First pregnancy (primigravida) increases the risk by 2.742 times compared to multigravida (OR=2.742; 95% CI: 1.047–7.178; p=0.040), while nulliparous women have a 2.714-fold higher risk compared to those who have given birth (OR=2.714; 95% CI: 1.101–6.693; p=0.030). Multivariate analysis identified maternal age ≥35 years and nulliparity as the most significant predictors (p=0.005). These findings align with studies by Wiranto & Putriningtyas (2021), Hinkosa et al. (2020), and Luo et al. (2020), which confirmed that advanced maternal age and nulliparity increase the risk of pregnancy complications. The novelty of this research lies in integrating all three reproductive status factors as simultaneous predictors of hypertension risk, providing a new perspective compared to previous studies focused on single variables. Based on these findings, early detection and targeted health education for high-risk mothers are strongly recommended.

Self-confidence is built by knowledge obtained through an accessible educational process, one of which is through tele-education. The treatment given was in the form of education using the whatsapps (WA) application in group forums for classical education and private lines for personal counseling sessions. The research population is all pregnant women in Indonesia. The sample was selected using a convenience sampling technique. A total of 53 subjects were obtained through online media based on inclusion criteria, including: 28-39 weeks of gestation, declared their ability to participate in the tele-education program using the WhatsApps application, and had an active WhatsApps account. The self-efficacy of pregnant women was measured using the Chilbirth Self-Efficacy Inventory (CBSEI) questionnaire presented before and after the intervention. Data were analyzed using Paired T-Test. Most of the respondents were aged 31-35 years, housewives, had high school and university education, and were pregnant for the first time. Analysis test to get sig. (2-tailed) of 0.004 <0.05, and the value of tcount is greater than ttable (3.067> 2.098). Tele education affects the self-efficacy of pregnant women in facing childbirth.

Consumer dispute resolution in Indonesia is an increasingly relevant issue, considering the high dynamics of transactions that occur in the goods and services sector, including in the property sector. Consumers, as the weaker party in business transactions, often face problems related to the quality of goods/services received, delays, unilateral cancellations, or even failure in property development. Therefore, resolving consumer disputes is very important and requires adequate legal protection. This type of research is normative juridical research. Normative research is literature research by examining theoretical approaches and concepts that examine consumer disputes. Normative juridical research is legal research that places law as a building system of norms. Problems arise when consumers in good faith have paid all Down Payment obligations, but the business actor actually takes a unilateral decision to cancel the apartment construction project. Consumers who have invested funds amounting to IDR 307,530,900 are trying to get a refund, but the business actor does not show responsiveness and good faith in the refund process. This situation finally forced consumers to take legal action by filing a lawsuit with BPSK Medan City on December 5 2022. This case is a clear example of the application of consumer protection and the importance of BPSK as an alternative for resolving disputes outside of court. This decision also reflects the principles of justice and legal certainty in consumer disputes, where agreed consumers can obtain their rights through an arbitration mechanism.

The research that has been carried out is entitled "Development of Character-Based Reading Books to Improve Reading Ability". The development of reading books as a medium to support learning has a wide relationship between writing, pictures, and others. This character-based reading book contains a brief text narrative that is connected to colored pictures and vocabulary that can be conveyed through illustrations and text. This research is a type of RND research using the ADDIE model. This research model is the ADDIE development model, namely (1) Analyze (2) Design (3) Develop (4) Implement (5) Evaluate. The results of the study show that (1) character-based reading books to improve the reading ability developed, data were obtained from media expert validators with a percentage of 80% in the valid category, material expert validators with a percentage of 80% in the valid category and linguist validators with a percentage of 80% in the valid category, (2) The results of the student response questionnaire obtained data on the percentage of responses from students of the limited test in grade III of SD Muhammadiyah 18 Medan,  with a percentage of 88% in the very practical category and a large group test of 91.4. Thus, the illustrated storybook developed is practical (3) The effectiveness of the reading book is seen from the test results and data obtained from the results of the field test in grade III of SD Muhammadiyah 18 Medan, with an average percentage of N Gain students of 84% in the Effective.

This study focuses on the importance of the role of monthly religious studies in shaping students’ religious attitudes at SMAS Budi Agung Medan, considering that religious studies are one of the effective means to teach religious values, strengthen faith, and shape students’ character and morals in everyday life. The method used is a qualitative method with a descriptive approach. Data collection was carried out through documentation, observation and interviews. The subjects of the study were the principal, vice principal for student affairs, Islamic Religious Education teachers, and students. Data analysis was carried out by data reduction, data presentation, and drawing conclusions. The results of the study showed that (1) Monthly religious studies activities at SMAS Budi Agung Medan are carried out once a month on the first week starting at 08.00 to 11.00 WIB at the Al-Huda Marelan Mosque. The three activities carried out in this monthly religious study are the opening, core and closing. (2) The materials discussed include faith, jurisprudence, morals, as well as the Qur’an and Hadith of the Prophet. (3) The role of monthly religious studies in forming the religious attitudes of SMAS Budi Agung Medan students includes spiritual, moral, social and educational roles. (4) The monthly religious study program held at SMAS Budi Agung Medan is considered to have a positive impact on SMAS Budi Agung Medan students, because the religious studies are able to gradually improve the students’ religious attitudes.

In Christianity there are various sects with diverse dogmas. When Christianity entered the Pematangsiantar area, various churches with different sect backgrounds grew and developed, such as the Catholic Church, Huria Kristen Batak Protestan (HKBP), Simalungun Protestant Christian Church (GKPS), Indonesian Christian Church (GKI), Indonesian Bethel Church (GBI), Indonesian Pentecostal Church (GPI), and others (Aritonang, 2008)

Guidance is one of the duties of the Community Guidance Officer which aims to make correctional clients, both adult clients and child clients, become better people, can be accepted in the midst of family and society. Since the enactment of Law Number 22 of 2022 concerning Corrections, the role of Community Guidance Officers is very important because Community Guidance Officers are tasked with accompanying clients while they are in and outside the criminal justice process to prepare clients for the social reintegration process. The research method used in this study is empirical juridical. The data used in this study uses a descriptive analytical approach, namely research that describes and analyzes data obtained from interviews, documents, and field notes. Guidance carried out by Community Counselors for adult clients begins at the pre-adjudication, adjudication, post-adjudication and follow-up guidance stages with the understanding that after the reintegration program has been successfully proposed, the client will receive a Decree (SK) and will be handed over by officers from the Correctional Institution or State Detention Center to the Correctional Center, then that is the beginning of the guidance stages carried out by Community Counselors. Community Guidance at the Medan Class I Correctional Center also faces obstacles in implementing guidance for adult clients, but several efforts have been made to reduce obstacles with the aim of preventing adult clients from repeating criminal acts that cause client reintegration guidance to be terminated and must be revoked.

Children's da'wah at LPKA Class I Medan has an important role in building children's character with noble morals. Through creative and innovative preaching dynamics, children are taught religious values ​​that can be applied in everyday life. This research aims to analyze the dynamics of da'wah in building children's character in LPKA Class I Medan. This research uses a qualitative method with a descriptive approach. Data was collected through observation and interviews. The research results show that the dynamics of da'wah in LPKA Class I Medan is carried out using various methods, such as lectures, group discussions, educational games, and simulations. The preaching material taught includes the definition and types of uncleanliness, sources and examples of uncleanness, laws and procedures for purification, the role of cleanliness in faith, and application in daily life. Da'wah at LPKA Class I Medan has a significant influence on the formation of children's character. Religious values ​​conveyed through da'wah help children develop good personalities and noble morals. By implementing appropriate and consistent strategies, it is hoped that LPKA Class I Medan can become an effective educational institution in building the character of children who have noble character and faith in Allah SWT.

Shipping agency services PT Pelayaran Semesta Sejahtera Lestari Belawan Medan is one of the shipping companies operating in the agency sector (Shipping Agency) in Indonesia. This company deals in quite a lot of ships, both Indonesian flag ships and foreign flag ships. Crew change is an important part of shipping operations that affects the safety, efficiency and performance of the ship. This research aims to analyze procedures and challenges in handling crew changes on ships, as well as identifying best practices to ensure crew changes run smoothly. The research methodology uses qualitative methods such as interviews with crew managers and analysis of crew change documentation data. The research results show that the main challenges in crew change include administrative obstacles, logistics and strict regulations. In addition, it was found that good implementation of Standard Operating Procedures (SOP), use of communication technology, and cross-departmental coordination are key factors for success in managing crew change.  This research concludes the importance of collaboration between stakeholders, regulatory adjustments, and technological innovation to increase efficiency and safety in crew changes on ships.

This training aims to enhance the skills of students at SMA Budi Agung Medan in journalistic writing and becoming skilled news presenters. The method employed includes a participatory approach through intensive training, group discussions, and hands-on practice. The program provides an in-depth understanding of journalistic writing techniques, mastery of news language, as well as confidence and techniques for on-camera presentations. The training results show a significant improvement in participants' abilities, both in writing news articles according to journalistic standards and delivering news professionally. This training has a positive impact on students' communication skills while preparing them to face the challenges of the mass media industry.

MSME entrepreneurship is one aspect of local economic development while contributing to the employment network in Medan city.  With the existence of MSMEs, they are able to contribute to regional economic development and reduce unemployment.  However, in the process of running a business, there are obstacles for entrepreneurs, namely the lack of entrepreneurial skills and lack of motivation in entrepreneurship which can affect the success of MSMEs. This study aims to determine the effect of entrepreneurial skills and entrepreneurial motivation on business success in MSMEs in Medan city. The form of research used is quantitative with an associative approach. The population in this study were MSMEs in Medan City. With a sample of 100 respondents, the sample approach used in this study was non-probability sampling in the form of purposive sampling. Primary data obtained through direct distribution of questionnaires and secondary data obtained through literature studies. The results of this study indicate that entrepreneurial skills have a significant positive effect on business success, obtained a tcount value of 4.420> 1.984 with a sig value of 0.001 <0.05 and has a regression coefficient value of 0.325. Entrepreneurial motivation also has a significant positive effect on business success, obtained a tcount value of 2.680> 1.984 with a sig value of 0.009 <0.05 and has a regression coefficient value of 0.235. In simultaneous testing of entrepreneurial skills and entrepreneurial motivation variables simultaneously affect the level of influence of 49.7% while the remaining 50.3% is influenced by factors outside this study.

This study aims to examine the impact of implementing the Think-Pair-Share (TPS) cooperative learning model on improving academic motivation and learning achievement in Indonesian language lessons at SD Pangeran Antasari Medan. The TPS model was chosen because it encourages students to actively engage in discussions and collaborate, which can enhance their involvement in learning. The research method used is a quantitative approach with an experimental design, where data is collected through pre-tests and post-tests to measure changes in students' motivation and academic performance. In addition, a questionnaire was used to assess students' academic motivation. The results of the study show a significant improvement in both academic motivation and learning achievement after the implementation of the TPS model. Normality and statistical tests were conducted to ensure the validity of the data. This study provides benefits for the development of Indonesian language teaching at the elementary level by introducing a method that can effectively improve students' motivation and academic performance.

The purpose of this research is to determine the influence of employee roles (Attitude, Attention and Action) on achieving customer loyalty at PT. North Sumatra Bank Medan Karya Sharia Branch Office. The influence of employee roles (Attitude, Attention and Action) has a positive effect on achieving customer loyalty at PT. North Sumatra Bank Medan Karya Sharia Branch Office. Quantitative research is research that uses data in the form of numbers. This shows that (Attitude, Attention and Action) have a positive effect on achieving customer loyalty at PT. North Sumatra Bank Medan Karya Sharia Branch Office. (Attitude, Attention and Action) has an influence of 98.4% on achieving customer loyalty at PT. North Sumatra Bank Medan Karya Sharia Branch Office. Meanwhile, 1.6% is influenced by other factors not included in the regression model. The significance of the variables (Attitude, Attention and Action) is 0.000, which is less than the significant value level used, namely 0.05. The attitude variable is 26.116, the value is above the research value, namely 1.984. The Attention variable is 7.708, the value is above the research value, namely 1.984. The Action variable is 8.256, the value is above the research value, namely 1.984.

This research aims to analyze the gold investment mechanism through gold savings products at PT. Sharia Pawnshop Cab AR. Medan Judge and To determine the suitability of the gold investment mechanism through gold savings products, the mechanism is in accordance with MUI Fatwa No. 77/DSN-MUI/V/2010 or not.This research uses descriptive qualitative methods, with data collection techniques through in-depth interviews with employees and Nadabah PT. Sharia Pawnshop Cab AR. Medan Judge as well as observations, documentation and literature studies. The research results show that the gold investment mechanism in gold savings products has been running well, providing easy access for customers, and is assessed in accordance with sharia principles, namely DSN-MUI Fatwa No.77/V/2010 with a combination of wadiah (deposit) and murabahah (sale) contracts. buy) which provides flexibility and certainty for customers in managing gold savings. However, in the mechanism, various challenges arise. Such as customer understanding of the benefits and mechanisms as well as compliance with sharia principles (National Sharia Council Fatwa). The benefit of this research is to provide clear information to customers (the public) regarding the benefits and mechanisms of investing in gold through gold savings, so that it can serve as a guide in making investment decisions. Apart from that, the results of this research can be input for PT. Pegadaian Syariah always provides outreach and education to customers regarding the benefits and mechanisms as well as compliance with sharia. For the University, it can provide useful input and provide references in the field of sharia investment, especially regarding gold savings. This research concludes that gold investment through gold savings products at PT. Sharia pawnshops are a safe and sharia-compliant investment alternative, and have the potential to increase financial inclusion in Indonesia