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Hypertension, often called the "silent killer," is a leading non-communicable disease contributing to high mortality and morbidity, particularly in the elderly. As individuals age, peripheral blood vessel elasticity decreases, increasing vascular resistance and leading to systolic hypertension, commonly seen in older adults. Hypertension requires long-term treatment, which can result in non-compliance among elderly patients. Family support plays a crucial role in assisting and encouraging adherence to treatment regimens. This quantitative correlation study, with a cross-sectional approach, aimed to examine the relationship between emotional family support and treatment compliance in elderly hypertensive patients. The study was conducted at the Sei Agul Health Center, with a sample size of 65 elderly individuals selected using the Slovin formula and purposive sampling technique in October 2023. The Morisky Medication Adherence Scale (MMAS-8) was used to measure treatment compliance, while the emotional support instrument was developed by the researcher. Data were analyzed using the chi-square test, showing a significant relationship between emotional family support and treatment compliance (p-value < 0.05). The findings conclude that emotional support from family positively influences the compliance of elderly patients undergoing hypertension treatment at the Sei Agul Health Center. Health workers are encouraged to involve families in supporting hypertensive patients to enhance treatment outcomes.

When welding, you don't have to connect two metal materials, you can also weld the thickness of the component. Steel is a metal material that can be used in the engineering field to make alloys of other metals so that they can have better material properties than the original metal material. One thing that can be done to increase resistance to wear is to increase the surface hardness of the workpiece. This research carried out an analysis to increase the hardness of the surface of low carbon steel after heat treatment for 60 minutes with variations in quenching media resulting from hardfacing using SMAW welding (shield metal arc welding) with DC+ and DC- polarities. The data analysis technique used in this research is specimen testing. The results obtained later by the research show that DC+ polarity has higher hardness in all specimens tested with a value of 418.66 VHN water quenching, 402.8 VHN oil quenching, 348 VHN non-treatment when compared with DC- polarity with a value of 405, 92 VHN quenching water, 374.02 VHN quenching oil and 323.38 VHN non-treatment. Quenching media with water obtained the highest hardness results with a value of 405.92 VHN.

This research falls into the qualitative descriptive category using primary and secondary data in order to analyze the development of manufacturing industry in Indonesia which tends to deindustrialization, whereas the manufacturing industry has a big contribution to the Gross Domestic Product, the absorption of employment, the income tax and the foreign exchange, the creation Value added, and technology transfer. The results of the research show that in order to create a tough industry in 2035, a strong foundation is required, and an inclusive transformation of Indonesia's economy in the manufacturing industry through the use of added value natural resources, the readiness of human resources and the supply of energy from renewable sources. The industry structure that Indonesia needs is an industry that has strong and synergistic links between industrial sub-sectors and with various other economic sectors, has high local content, can grow sustainably, and has resistance to the world economic turmoil.

This study delves into implementing multicultural education within Madrasah Ibtidaiyah in Indonesia, employing a library research approach and descriptive analysis methods. The study investigates the influence of multicultural education on curriculum development, challenges, opportunities, and its impact on fostering tolerance and understanding among students. Through an extensive academic literature review, the study unveils multifaceted opportunities, including enhanced cultural understanding, promotion of tolerance, enriched educational experiences, and preparation for global citizenship. However, it also uncovers challenges such as resistance to change, resource constraints, and the need for continuous adaptation. The findings underscore the importance of embracing diversity and fostering inclusive learning environments within religious-based schooling. Overall, this study highlights the potential benefits of multicultural education in Madrasah Ibtidaiyah, emphasizing its role in nurturing culturally competent and globally-aware individuals.

This study delves into implementing multicultural education within Madrasah Ibtidaiyah in Indonesia, employing a library research approach and descriptive analysis methods. The study investigates the influence of multicultural education on curriculum development, challenges, opportunities, and its impact on fostering tolerance and understanding among students. Through an extensive academic literature review, the study unveils multifaceted opportunities, including enhanced cultural understanding, promotion of tolerance, enriched educational experiences, and preparation for global citizenship. However, it also uncovers challenges such as resistance to change, resource constraints, and the need for continuous adaptation. The findings underscore the importance of embracing diversity and fostering inclusive learning environments within religious-based schooling. Overall, this study highlights the potential benefits of multicultural education in Madrasah Ibtidaiyah, emphasizing its role in nurturing culturally competent and globally-aware individuals.

Joint pain is a disease that is familiar in everyday life. and mostly in elderly people who are close to joint pain disorders which is a degenerative disease. Apart from the age factor, there are many things that influence the rate at which joint pain occurs due to the fact that many elderly people do not control their lifestyle such as regular exercise, diet and so on. Pain often occurs in the hands or fingers, knees, hips and spine. This disease generally develops gradually and gets worse over time, disrupting the sufferer's ability to do physical activity. Methods of exercise therapy for osteoarthritis are therapy in the form of active movement exercises and in the form of exercises using resistance/weights which aim to train the muscles so that the muscles become relaxed, preventing limitations. movement, maintain muscle elasticity and increase muscle strength. Exercise therapy will minimize injury by strengthening the muscles supporting the joints, restoring strength and range of motion so that activities can be carried out as before. Activities that are beneficial for health should meet the FITT criteria (frequency, intensity, time, type). Frequency is how often the activity is done, intensity is how hard the activity is done, usually divided into low, medium and high intensity. Time refers to the duration of the activity and the type of physical activity carried out. Community service activities are aimed at all elderly people in order to increase knowledge and alternatives about non-pharmacological therapies that are relatively safe from side effects.  

This research discusses several educational problems at MAS PAB I Sampali and analyzes policies that can be implemented to improve the quality of education. The main focus of research includes curriculum, educational infrastructure, parental involvement, and policy implementation challenges. First, inappropriate curricula are a concern, requiring thorough evaluation and adjustments to include 21st century skills. Second, limited educational infrastructure requires evaluation and improvement to ensure the availability of facilities that are conducive to effective learning. Third, low parental involvement can be overcome through special programs such as regular meetings and parent training. Fourth, policy implementation challenges, such as resistance to change, require identification of barriers and effective implementation strategies. This solution can be the basis for improving the quality of education at MAS PAB I Sampali and making it more responsive to today's demands. This transformation is not only to meet current educational needs but also to face future challenges with confidence and readiness.

This examines the theme of woman domination in Taylor Jenkins Reid's novel, "The Seven Husbands of Evelyn Hugo." Employing feminist literary analysis, the study explores the depiction of female characters' reactions to oppression, clearing light on their ability to make choices, challenge stereotypes, and maintain their autonomy in a patriarchal society. The research utilizes qualitative content analysis, concentrating on the portrayal of each husband in Evelyn's life and how she guides societal expectations. The findings reveal examples of resistance, self-awareness, and unconventional choices made by Evelyn Hugo in her goal of personal freedom and happiness..

Technology-based learning has become a focal point in modern education, presenting both challenges and opportunities for educators. This study explores the dynamic landscape of planning pedagogy within the realm of technology-enhanced teaching. The research delves into the obstacles faced by educators when integrating technology into lesson planning, examining the associated opportunities for innovative pedagogical practices. Utilizing a qualitative approach, this study investigates the experiences of Aviva Hanum Siregar, Rahayu, and Safran, students in the PGMI program at the Faculty of Tarbiyah and Education Sciences, Universitas Islam Negeri Sumatera Utara. The findings highlight the diverse challenges encountered in adopting technology in lesson planning, such as technological barriers, resistance to change, and the need for continuous professional development. On the flip side, the study sheds light on the promising opportunities that arise from incorporating technology into teaching strategies. The authors discuss the potential for enhanced student engagement, personalized learning experiences, and the development of 21st-century skills. In conclusion, this research offers valuable insights into the multifaceted landscape of technology-based learning in the context of lesson planning. The identified challenges underscore the importance of strategic initiatives to address barriers, while the recognized opportunities point towards a transformative path for pedagogical innovation in higher education.   Keywords: ,, -,, 

Mother's milk (ASI) is rich in nutrients and is the key to baby's health. Breast milk is the best food that babies aged 0-6 months need for optimal growth and development, increasing body resistance, protecting against infection, forming a healthy digestive system and increasing intelligence. The aim of this research is to determine the relationship between family support and smooth breastfeeding for breastfeeding mothers in the Kuta Baro Aceh Besar Community Health Center working area. This research is quantitative with an analytical design using a cross-sectional study method. The population in this study were all breastfeeding mothers who had babies aged 0-6 months, totaling 139 people, using a sampling technique, namely proportional random sampling, of 58 people. Data analysis used chi square with the research results showing that there was a relationship between family support and smooth breastfeeding with a value of p = 0.011. It is hoped that respondents can use this as input to increase knowledge, understanding and information regarding family support which influences the smooth flow of breastfeeding.

Indonesia's Health Profile in 2022, there were 845,000 cases of pulmonary TB and in 2021 there were 420,994 cases. There were 563,879 new confirmed cases of pulmonary TB and relapses. If this is not adhered to, it will cause drug resistance. The aim of the research was to determine the factors that influence the compliance of pulmonary TB sufferers in taking medication at the Batang Beruh Health Center UPT, Sidikalang District, Dairi Regency. The research design uses an analytical survey research method with a cross sectional research design. The population in this study was all 126 pulmonary TB patients. The sample was 56 people with a purposive sampling method. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was an influence of knowledge p = 0.010, attitude p = 0.006, family support p = 0.000 and drug side effects p = 0.000, while the variable that had no influence was gender, p = 0.057, on the compliance of pulmonary TB sufferers in taking medication. at UPT Batang Beruh Community Health Center, Sidikalang District, Dairi Regency, while the dominant factor was family support, p = 0.006 < 0.025, 95% CI = 2.715-519.110 and OR = 37.543. The conclusion is that there is an influence of knowledge, attitude, family support and side effects of drugs, while the variable that has no influence is gender on the compliance of pulmonary TB sufferers in taking drugs at UPT Puskesmas Batang Beruh, Sidikalang District, Dairi Regency. Recommended to UPT. Batang Beruh Community Health Center, Sidikalang District, increases public knowledge about pulmonary TB among sufferers and visiting residents by providing outreach and providing information on the SITB application. Targets at risk of contracting pulmonary TB are the sufferer's family and health workers. And as a Medicine Taking Supervisor are the families of pulmonary TB sufferers.

This research investigates the phenomenon of "spoiled children" and its implications for child development with an emphasis on analyzing the stages of cognitive, emotional and social development that can be affected by over-pampering. Through an exploration of the characteristics of spoiled children, such as resistance to the word "no" and self-orientation, this study reveals that spoiling behaviors can contribute to immaturity, dependency, and difficulties in sharing. The results highlight the need for prevention and countermeasures, including setting healthy boundaries, reinforcing positive behaviors, and improving communication between parents and children. The implementation of these measures is expected to help reduce the negative impact of spoiling children on their development.

The aim of this research is to determine the level of service on Resident Abdul Rozak's roads in 2022 based on the 1997 Indonesian Road Capacity Manual by determining the volume of vehicles on Resident Abdul Rozak's roads, assessing the influence of side obstacles on the sections and determining the level of service on Resident Abdul Rozak's roads. This research is quantitative descriptive research. Data collection uses field observations and documentation. Data analysis uses the 1997 Indonesian Road Capacity Manual. The results of the data analysis are used to determine the traffic volume on the Resident Abdul Rozak road. The results show that the volume of traffic flow on the Resident Abdul Rozak road on Thursday, December 8 2022 in the north direction is an average of 1,426 pcu/hour and in the South direction an average of 1,640 pcu/hour, while on Saturday 24 December 2022 the North volume was an average of 1,562 pcu/hour and in the South direction an average of 1,350 pcu/hour. Side resistance is in the low category with an average value of 244, 925 where the condition of side resistance is not too influential. The level of service is in category E with a value of 0.901, where conditions on that day of the city's roads were unstable, at full capacity.

An investigation into the building is carried out to determine the suitability and safety of the building and the strength of the structure. The investigations to be carried out include field and laboratory investigations. This is done to determine the feasibility and safety of existing structures. Apart from that, it is also hoped that this investigation can provide recommendations regarding repair or strengthening methods if necessary, referring to the requirements for Structural Concrete for Buildings SNI 2847:2019 and Procedures for Earthquake Resistance Planning for Building and Non-Building Structures SNI 2847:2019. From the results of structural testing using UPV and Hammer Test, it was found that the structural system is an open frame consisting of plates, beams and columns using concrete material, while the joists use steel plinths. The reinforcing steel used uses plain iron U40 as flexible reinforcement with shear reinforcement with U24. The quality of concrete obtained respectively for column f'c 25 MPa, beam f'c 22 MPa and floor slab f'c 22 MPa. Based on the results of the floor leveling survey to record the potential for building subsidence or floor sagging using a water level, it was concluded that there was no slope found in the building as a whole. The deflection that occurs is local and relatively flat. To meet the requirements, strengthening was carried out by increasing the dimensions of the columns and beams, adding plates to the steel profiles on the flange and web.

Nasopharyngeal cancer is a cancer that occurs in the nasopharyngeal mucosa which shows squamous cell differentiation. The nasopharynx is a musculoskeletal and cuboid-shaped tube structure behind the nasal cavity. The cause of nasopharyngeal carcinoma is infection with the Epstein-Barr virus (EBV) and / or Human Papilloma Virus (HPV), with risk factors for smoking, consuming alcohol, genetics, exposure to radiation rays, and decreased body resistance Early detection in KNF cases, with physical examination and support, is expected to provide fast, appropriate and effective treatment as soon as possible, so as to improve cancer survival. A patient Mr.M, a 23-year-old male ca The lump is accompanied by pain and the color of the lump is not reddish. Complaints of swallowing pain and difficulty breathing are denied. Diagnosis of KNF is carried out by anamnesis of clinical symptoms and signs, physical examination, and supporting examinations. Endoscopy can assess abnormalities of the nasopharyngeal mucosa and support biopsy. A biopsy is the definitive way to establish the diagnosis of KNF. Imaging modalities, such as MRI and CT scans, look for tumors that are not visible to the endoscopy and assess tumor extension.

The findings and analysis of the research are, 1) The Principal's Performance in Fostering Teacher Professionalism at UPT SD Negeri 141 Gresik includes: peer tutor assistance, training and workshops, mentoring and collaboration, observation and feedback, curriculum development, research and innovation, use of technology, discussion and reflection, qualification improvement, and career plan development; 2) Forms of teacher professionalism include: continuous development, commitment to students, reflection and renewal, professional ethics, collaboration, involvement in decision-making, use of technology, effective classroom management, monitoring and evaluation of students, communication with parents, development of learning materials, career development, and involvement in school activities; 3) Supporting factors include: school management support, resources, school culture, effective communication, professional development programs, constructive performance appraisal, rewards and recognition, understanding of teachers' needs; and inhibiting factors include: limited resources, resistance to change, unclear vision and goals, internal conflicts, time pressure, curriculum incompatibility, high administrative demands, uncertainty of the school environment. In general, school principals must provide professional services in the field of education in order to organize the educational process effectively and efficiently.    

Solar energy is a potential solution to meet the electricity needs of TNI AD posts and bases in border areas. However, conventional solar energy systems have limited efficiency because they can only absorb sunlight from one direction. The efficiency of solar energy systems can be improved by using a dual-axis tracking system equipped with a LDR sensor. The LDR sensor is used to detect the direction of sunlight. The change in the LDR sensor resistance due to the change in the intensity of light that hits it is then processed by a microcontroller to move the solar panel in the appropriate direction. Based on the results of testing, the dual-axis tracking system with an LDR sensor significantly increases the power generated compared to conventional solar energy systems. At the peak of performance during dynamic testing at 12:00 pm, the total power reached 2,196 W, while the static test reached a total power of 1,311 W. Therefore, the dual-axis tracking system with an LDR sensor can be a more optimal choice to improve the performance and efficiency of solar energy systems in generating electricity at TNI AD posts and bases in border areas.

This study explores the use of natural dyes as an environmentally friendly alternative to synthetic dyes for coloring batik fabric. Specifically, the researchers focus on developing natural dyes from a combination of avocado leaves and soursop leaves. The study aims to determine the impact of extraction time and the ratio of avocado and soursop leaves on the color fastness of batik cloth. Experimental methods were employed, with two extraction times (120 and 240 minutes) and three ratios of raw materials (25%:25%, 15%:35%, and 35%:15%) tested. The results of the color fastness test, which assessed washing and rubbing, demonstrated that the mixture of avocado and soursop leaves exhibited good fastness and resistance to rubbing. These findings suggest that the extracted mixture could be used effectively as a natural dye for batik fabric. Overall, this study contributes to the development of eco-friendly alternatives for the dyeing process in batik production.

Diabetes mellitus is a serious problem in public health and one of the four priority non-communicable diseases that are of global concern (Dewi, 2022). The etiology of type 2 diabetes mellitus is insulin resistance, with higher than normal insulin concentrations required to maintain normoglycemia. When insulin production by pancreatic beta cells is inadequate to compensate for increased insulin resistance, blood glucose levels will increase. Secondly, pancreatic beta cell dysfunction occurs as a result of a combination of genetic and environmental factors. Lastly, environmental factors which also play an important role in the occurrence of DM are obesity, eating too much and lack of physical activity (Dewi, 2022). Diabetes mellitus was the direct cause of death for 1.6 million people in 2016. The latest data released by the International Diabetes Federation (FDA) shows that around 415 million people aged 20-79 years worldwide experienced diabetes mellitus in 2015. This figure is predicted will increase to 642 million people in 2040 with prevalence increasing from 8.8% to 10.4%. China, India and the United States are the three countries with the highest number of diabetes mellitus sufferers. According to the World Diabetes Foundation, from 2014 until now 382 million people in Indonesia suffer from diabetes mellitus. This number is predicted to increase to 592 million people in 2035 (Maria, 2021).

According to available data, colorectal cancer (CRC) is one of the most common malignant neoplasms. Depending on location, type of cancer, or gender, this disease ranks 2nd to 4th in terms of worldwide incidence. CRC from year to year shows an increasing trend both in terms of morbidity and mortality. Many factors may be responsible for the development of this disease, including genetic and environmental factors. Although CRC-related mortality is very high in high-income countries, CRC-related incidence and mortality is also increasing in developing countries. CRC that is detected early is completely curable with surgery and subsequent treatment. However, the recurrence rate is high, and cancer drug resistance increases the treatment failure rate. Access to early diagnosis and treatment of CRC for survival is somewhat possible in developed countries. However, these facilities are rarely available in developing countries.