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In accordance with the formulation of the problem, this study aims to determine: 1) the implementation of tahfidz learning in developing cognitive in children aged 5-6 years at RA Al-Fajar Medan Denai. 2) Supporting and inhibiting factors in the implementation of tahfidz learning in developing cognitive in children aged 5-6 years at RA Al-Fajar Medan Denai This study uses a qualitative research method involving 2 teachers in group B and the principal, data collected through observation and interviews. The results of this study indicate that: 1) The implementation of tahfidz learning in improving the cognitive development of children aged 5-6 years at RA Al-Fajar Medan Denai is carried out by designing a clear learning curriculum and integrating tahfidz learning in it, introducing basic concepts of the Qur'an in a gradual and interesting manner, choosing the right learning method according to learning objectives, providing regular and structured memorization exercises, and providing positive feedback and reinforcement to children when they succeed in memorizing verses. 2) Supporting and inhibiting factors in the implementation of tahfidz learning in developing cognitive in children aged 5-6 years at RA Al-Fajar Medan Denai, namely the supporting factors are support from school management, teacher competence in learning, cooperation between teachers and parents, a conducive environment. While the inhibiting factors are the limited learning time available at school, the diverse initial abilities of children, lack of monitoring and evaluation of children's tahfidz learning.

To be able to reduce corporate tax payments, it is necessary to conduct an evaluation of tax management. Companies can exercise tax aggressiveness to minimize their tax burden without going against existing government policies. This study aims to examine the influence of capital intensity and leverage on tax aggressiveness. The population of this study is companies in the consumer goods industry sector listed on the Indonesia stock exchange for the 2020-2023 period. In collecting samples using the purposive sampling method, then there were 108 samples obtained. The research data used is secondary data in the form of annual financial reports from sample companies. The data analysis methods are classical assumption tests and hypothesis tests.   The results showed that the capital intensity variable had a significant influence on tax aggressiveness, while the leverage variabel has an influence but not significantly on tax aggressiveness.

Introduction: Diabetes mellitus is a degenerative disease with an increasing number of patients characterized by hyperglycemia due to impaired insulin secretion. Ineffective management in managing DM disease will result in complications such as peripheral artery disease (PAP). One of the examinations that can be done to find out the condition of the blood vessels of the lower extremities is by measuring the Ankle Brachial Index. One of the efforts to prevent the occurrence of PAP is by exercising diabetic feet. The purpose of this study is to analyze the picture of the Ankle Brachial Index in the Persadia Community who undergo diabetic foot exercises at Subang Hospital. Method: The method used in this study is quantitative descriptive. The sample in this study was 59 people taken using a simple random sampling technique. Data collection in this study used a sphygmomanometer and observation sheet, data analysis using frequency distribution. Results: The results of the study showed that the characteristics of respondents in the Persadia Community were 59 women (100.0%) with an average age of 50.03 years, IRT jobs as many as 28 people (47.5%) with the last high school education level of 35 people (59.3%). Meanwhile, the majority of ABI scores in the persadia community with an average score of 1.02. Conclusion: This study can be an input for DM patients to conduct routine ABI examinations to detect early vascular disorders in the extremities and as a prevention of the risk of leg ulcers.    

Low back pain is one of the diseases that contributes greatly to disability. The World Health Organization (WHO) states that the incidence of low back pain is 619 million people throughout the world and is expected to increase to 843 million cases in 2050. One of the interventions that supports this is Mc Kenzie Exercise therapy to treat lower back pain. The aim of this research was to determine the effect of the Mc Kenzie Exercise on the level of lower back pain in batik craftsmen. This research method is a type of Pre-Experimental research with a One-Group Pre Test-Post Test Design. Using a sampling technique in the form of non-probability sampling, namely the purposive sampling method. Sample of 15 batik craftsmen. Mc Kenzie Exercise is done 8x for 4 weeks. Data analysis used was the Wilcoxon sign rank test. The results of this research, before the intervention was carried out, most batik craftsmen experienced moderate pain with a percentage of 46.7%, after the intervention it decreased to mild pain with a percentage of 53.3%, and the Wilcoxon test results showed a p-value of 0.005 < 0.05, which means There is an effect of Mc Kenzie Exercise on reducing lower back pain. The conclusion of this research is that the Mc Kenzie Exercise has the effect of reducing lower back pain in batik craftsmen.

Data shows that motor development disorders are experienced by 5-10% of children in the world. Disrupted motor development can be an indirect cause of increased morbidity, poverty and in the long term can hamper the country's development. One effort to prevent gross motor delays in children is by stimulating them from infancy, for example by doing baby gym exercises. The aim of this research was to determine the effect of a baby gym on gross motor development in babies aged 3-4 months. The research design uses a quasi-experimental with control group design. The intervention group is the group that carries out the baby gym. Meanwhile, the control group did not do the baby gym. Data analysis used the Mann Whitney test. The population in this study were all babies aged 3-4 months at PMB Andina Palembang. The sampling technique used a total sampling of 24 respondents who were divided into 12 intervention group respondents and 12 control group respondents. The research results showed that the average gross motor development in the intervention group after baby gym training for 2 weeks showed faster gross motor development compared to babies in the control group who were not given intervention. Meanwhile, the p value obtained was 0.001, meaning that there was a difference in gross motor development in babies who were stimulated with baby gym exercises and babies in the control group who were not given any intervention. It is recommended for health workers to intensify education about stimulating gross motor development in babies, one of which is by doing a baby gym.

Introduction: Carpal Tunnel Syndrome is a stretch of the median nerve caused by pressure on the median nerve in the carpal tunnel when the nerve passes through the tunnel. So that pain, paraesthesia, and numbness appear in the area through which the median nerve passes. Purpose: This case report was aimed to determine the effect of physiotherapy interventions in the form of Ultrasound Therapy, Wrist Stretching, and Tendon Gliding exercise on a female patient aged 66 years. Method: A Case report was conducted 3 times over two weeks by evaluating pain using the Numeric Rating Scale (NRS), a wide range of motion using a goniometer, and the patient’s functional activity using the DASH questionnaire. Result: There was a decrease in motion pain from the value of the NRS scale 6 to the NRS scale 4, and tenderness from the value of the NRS scale 2 to the NRS scale 1. An increase in the range of motion of the joint in dorsiflexion and active palmar flexion movements from T1 (S: 40̊ - 0̊ - 45̊) to T3 (S: 40̊ - 0̊ - 45̊), in the active radial and ulnar deviation movements from T1 (F: 15̊ -  0̊ - 20̊) to T3 (F: 15̊ -  0̊ - 25̊). Functional improvement in patients with DASH results from 61 to 50. Conclusion: The effects of ultrasound therapy, wrist stretching, and tendon gliding exercises are that they can reduce pain, increase ROM, and increase functional activity in patients with carpal tunnel syndrome.

Government institutions have an important role in maintaining state stability, but often separatist conflicts arise due to dissatisfaction with a government system that is considered unfair. This research aims to examine the structure and dynamics of the government systems of Indonesia and Malaysia, which adhere to a presidential system, and Malaysia, which adhere to a constitutional monarchy system, so as to provide a comprehensive understanding of political dynamics in Southeast Asia. The research method uses a qualitative descriptive approach with literature study to understand the structure and dynamics of the Indonesian and Malaysian government systems. The research results show that Indonesia has a presidential system of government with strong executive power, while Malaysia has a constitutional-monarchical system with a complex division of power between the prime minister and the states. Although both share historical and cultural similarities, differences in their governmental structures lead to different strengths and weaknesses in the exercise of executive power and the relationship between heads of state and heads of government. In conclusion, although Indonesia and Malaysia have historical and cultural similarities, differences in their government systems result in different dynamics in the exercise of executive power and the relationship between the head of state and head of government. Understanding these differences helps clarify the challenges and opportunities faced by both countries in building and strengthening their governance systems in accordance with the needs and dynamics of their societies. Through this research, it is hoped that it can provide a deeper understanding of the structure and dynamics of the government systems of the two countries, as well as their implications.

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Introduction: Low back pain is one of the most common musculoskeletal disorders in the world. In general, this pain is caused by muscle stretching and increasing age which will cause the intensity of exercise and movement to decrease. This will cause the back and abdominal muscles to become weak. Objective: In this study, to analyze the effect of warm compresses of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District. Method: Using a one group pre test-post test design, this research design is included in the Pre-Experimental research type and the sample size is 56 fishermen using instruments in the form of SOPs and observation sheets. The analysis used is the Willcoxon test. Results: It was found that there was an effect of warm red lemongrass (Cymbopogon nardus) compresses on reducing the scale of lower back pain in fishermen (p-value = 0.000). Conclusion: There is an influence between the pain scale before and after being given a warm compress of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District.  

Bridging the gap between theoretical knowledge and practical application remains challenging in big data education. Our paper proposes a platform where students actively participate in a role-based learning (RBL) exercise designed to simulate real-world big data projects. This RBL exercise assigns each student participant to a business analyst role tasked with eliciting requirements or a customer role that provides those big data requirements. We conducted RBL sessions for postgraduate and undergraduate students learning big data analytics/data warehousing. Through role-playing in a collaborative environment, students face challenges such as unclear objectives, data privacy concerns, and evolving requirements. We evaluated the effectiveness of RBL simulations through brainstorming sessions, which verified that the students achieved the learning outcomes through RBL exercises. We also collected students’ feedback through a survey and found the RBL experience helped us understand the big data requirement elicitation skills, highlighting the significance of communication and collaboration skills. Further, we have evaluated students through a final exam question, and identified that students who participated in the RBL exercise outperformed in the big data requirement elicitation question. In summary, our research demonstrates that this RBL approach offers a valuable learning experience by enabling students to directly experience the complexities of big data requirement elicitation and identify the future requirements or challenges that encourage them to acquire the required skills.

Background: Hypertension is one of the factors that is the main cause of death for stroke sufferers and is also a factor that can aggravate heart attacks. Non-pharmacological treatment usually includes exercise, improving diet and relaxing. Autogenic relaxation is relaxation that comes from oneself by using a word or sentence that calms a person's mind and is proven to be able to control several body functions such as blood pressure and blood flow. Objective: To determine the application of autogenic relaxation to reduce blood pressure in hypertension patients in the lotus ward at RSUD dr. Soediran Mangun Sumarso Wonogiri. Method: Autogenic relaxation with patients suffering from hypertension was carried out on 2 respondents for 3 days with a duration of 15-20 minutes and blood pressure was measured before and after application. Results: It was found that there was an effect of autogenic relaxation on reducing blood pressure in the blood pressure of respondents Mrs. W 215/109 to 177/96 and Mrs. N 173/100 to 158/92. Conclusion: Based on research that has been conducted, auogenic relaxation has been proven to be significant in reducing blood pressure in hypertension patients.      

The dissolution of a marriage bond due to divorce is a situation that marks the end of the husband and wife relationship in a marriage. Divorce can only be carried out if it is based on strong reasons, as contained in Article 39 paragraph (2), one of which is adultery as in the case of Decision Number 3466/Pdt.G/2021/PA.Dpk. This study aims to analyze and obtain an overview of the implementation of the principle of making divorce difficult in this case and examine the legal protection for the wife of her rights. This research employs a normative juridical approach method with analytical descriptive research specifications, this research consists of two stages, which are library research and field research through literature study research data and interviews. This research employs a qualitative juridical data analysis method. Based on the results of the research, the term “principle of making divorce difficult” is a principle that is applied in the context of an effort to restore the household so that this principle emphasizes that the breakup of marriage due to divorce can only be done, if it has a valid reason, namely the legal reasons contained in the relevant regulations. The dissolution of a marriage due to divorce on the grounds of adultery will certainly have various impacts including negative impacts so that a legal protection is needed for him, in this case one of which is the Judge ex officio according to his position can exercise his rights and authority on matters that are not demanded or requested by the wife such as maintenance.

This research aims to reveal strategies for developing public speaking skills and describe the impact of public speaking skills on students' self-confidence at MAN 1 Banda Aceh and MAN 4 Aceh Besar. In this research, the methodology used is qualitative with a descriptive approach. The research results show that: (1) The strategy for developing students' public speaking skills at MAN 1 Banda Aceh and MAN 4 Aceh Besar goes through several stages including: planning, methods, implementation and evaluation. (2) The impact of students' public speaking skills at MAN 1 Banda Aceh and MAN 4 Aceh Besar has provided significant results for students. The aspects that include include: being confident in your own abilities, being able to make your own decisions, having a positive feeling about yourself and having the courage to express your opinion to other people. Through this, students succeed in improving their public speaking skills. They are able to organize thoughts clearly, regulate the flow of presentations, and use effective communication techniques. This is related to the application of interpersonal communication theory and effective presentation theory presented in the training. Apart from that, students also succeeded in managing nervousness and anxiety when communicating. They gain a better understanding of the sources of nervousness and techniques for dealing with anxiety. Breathing regulation exercises, muscle relaxation, and other self-control techniques based on communication anxiety theory help students overcome these challenges.

The mandate of Article 33 of the 1945 NRI Constitution states that the natural wealth contained therein must be managed sustainably for the greatest prosperity of the Indonesian people. It is important to understand that regional autonomy originates from the management of maritime areas, which is the result of the exercise of authority relating to various activities on land. One way to improve people's welfare is by utilizing natural land and sea resources, finance and public services. One of Indonesia's greatest natural riches is natural oil and gas resources (SDA MIGAS). Normative juridical research which aims to study authority, especially the management of OIL and Gas mines in offshore areas under Aceh's special autonomy. This research is based on the diversity of legal science, which results in a normative research approach. Research shows that the law limits BPMA from managing OIL and Gas in Aceh. It is interesting to note that Aceh's OIL and GAS mines, which have large deposits, are located between 12 and 200 nautical miles. One example is the oil and gas location in Simeulue, which is located 20.5 nautical miles. Therefore, BPMA does not have the authority to negotiate, especially in terms of ratifying and signing Cooperation Contract (KKS) agreements. Therefore, laws made by the governor with the approval of the DPRA or DPRK automatically do not apply and become mere rules without action.

Background: Diabetes mellitus is a chronic disease that can cause complications in the form of peripheral vascular disease. According to data from the World Health Organization (WHO) in 2022, around 422 million people in the world suffer from DM. The prevalence of DM sufferers in 2023 will reach 3,579 cases. Type 1 DM cases reached 2,541 cases, Type 2 DM cases reached 1,038 cases. One non-pharmacological therapy is the Buerger Allen Exercise (BAE). Objective: To describe the results of the comparison of Ankle Brachial Index (ABI) values ​​before and after implementing BAE in Type II Diabetes Mellitus. Method: This research design uses a case study method, a descriptive research method and observing events that have occurred by observing the ABI values ​​for 2 respondents. 1 time in 6 consecutive days for 15 minutes. The instruments used in this research were a 45° angle meter made of plywood, chairs, blankets, stopwatch, sphygmomanometer, SOP sheet, observation sheet to record developments. Conclusion: The application of BAE could potentially increase the ABI value in Diabetes Mellitus in both respondents.

Dysmenorrhea is a gynecological complaint resulting from an imbalance of the hormone progesterone in the blood, resulting in pain. The impact of menstrual pain is very diverse, including young women being unable to walk, having difficulty sleeping, being in a bad mood, losing concentration in doing something, and so on. Gymnastics is a relaxation technique for experiencing dysmenorrhea. To find out nursing care for adolescents with reproductive disorders, dysmenorrhea, the design used in this scientific report is a case study. This case study results from the application of Evidence Based Practice (EBP), client K experienced moderate dysmenorrhea pain on a scale of 4 after being given the intervention, decreasing to mild pain on a scale of 2, client R experienced mild dysmenorrhea pain with a pain scale of 3 after being given the intervention, decreasing to mild pain on a scale of 1 and client S experienced mild dysmenorrhea pain with a pain level of 3 after being given the intervention, decreasing to no pain on a scale of 0. Applying Evidence Based Practice (EBP) it can be concluded that dysmenorrhea exercises can reduce the dysmenorrhea pain experienced by young women during menstruation.

In old age, physiologically the body's cells can decline, resulting in decreased body function and endurance. One example is the urinary system which will affect changes or instability in the function of the urinary tract, so that the elderly will experience abnormal urination patterns. The management that can be carried out as an effort to restore the function of the urinary tract, especially the frequency of urination, is pelvic floor muscle exercise. Can analyze gerontic nursing care in the elderly to control decreased urinary tract function. This case study uses a descriptive method with a nursing process approach which was carried out on 3 patients using a one group pretest posttest research design. There was a change in the frequency of urination in the three respondents who had implemented pelvic floor muscle exercises. It is hoped that this nursing care report can become a reference in gerontic nursing care for the elderly with decreased urinary tract function.

Along with getting older, women will experience a developmental process so that there will be changes experienced by every woman. These changes can occur due to the aging process and of course every woman will experience a menopause phase. One of the Evidence Based Practices of Nursing that has been implemented and is popular among the community, especially women, is aerobic gymnastics. The aim of this application is to reduce menopausal symtoms in menopausal women. This method of application uses one group pretest and posttest on 3 menopausal female clients. The results of the application were obtained in clients 1 and 2 experienced a decrease in MRS scores but still remained in the interpretation of moderate symptoms and client 3 experienced a decrease in MRS scores from interpretation of severe symptoms to moderate symptoms. The application of aerobic gymnastics can reduce menopausal symptoms in 1 menopausal woman in RT 27 Sukarami Village because through gymnastics there are increased metabolic changes but physical activity will generally be more effective if done for 3 months to get more effective results. This application is expected to help menopausal women to reduce menopausal symptoms.

Background: Decreased kidney function which causes metabolic waste and fluids in the body to accumulate can disrupt the body's homeostatic balance and this is known as chronic kidney failure. One of the treatments that can be done is hemodialysis/dialysis. One of the side effects of hemodialysis is fatigue, this is because the kidneys cannot carry out their function of producing the hormone erythropoietin so the number of red blood cells is low. The physical exercises that can be done to overcome fatigue are range of motion exercises: Range of Motion (ROM). Objective: To analyze nursing care for CKD on HD patients by implementing Range of Motion (ROM) physical exercise interventions on fatigue levels. Method: The application of EBP is a case study using a pre-experimental method and a One group pretest-posttest design approach with a sample of 3 respondents, the instrument uses a questionnaire sheet. Range of Motion (ROM) intervention was carried out during the first 2 hours of intradialysis for 20 minutes. Results: After applying it for 3 times, there was a decrease in the level of fatigue in the three respondents can be concluded that there is a change in the level of fatigue before and after the Range of Motion (ROM) intervention. Suggestion: The results can provide motivation and a source of information for patients undergoing Hemodialysis who can apply Range of Motion (ROM) independently as an effort to reduce fatigue levels.

Introduction Osteoarthritis (OA) is the most common articular disease of the developed country and cause of chronic disability, and may cause joint failure.Currently, it is more prevalent than it used to be, and it is predicted that this tendency will continue as life expectancy and the prevalence of obesity increase.OA is related to age, but is associated with a variety of both modifiable and non-modifiable risk factors, including obesity, lack of exercise, genetic predisposition, bone density, occupational injury, trauma, and gender. It is a major cause of disability in elderly populations around the globe, especially in developed countries. the aim of study to identify Knowledge about osteoarthritis and its related risk factors in fourth grade students in nursing department of Alfarabi collage  and to assess Knowledge about osteoarthritis and its related risk factors in fourth grade students in nursing department of Alfarabi collage . methodology The methodology for studying the knowledge about osteoarthritis and its related risk factors in fourth-grade students in the nursing department of Alfarabi College can be utilize a cross-sectional research design to assess the knowledge of fourth-grade nursing students about osteoarthritis and its related risk factors. A convenience sampling method will be used to select participants from the fourth-grade nursing students at Alfarabi College. The sample size will be determined based on the total number of fourth-grade students in the nursing department. Results The sociodemographic characteristics of 256 students at Al-Farabi College were analyzed. The majority of respondents were male (73.8%), over 22 years old (35.3%), and engaged in manual labor (53.0%). The study found that students had higher knowledge about certain aspects of osteoarthritis, such as postmenopausal women being more at risk for osteoporosis than osteoarthritis (87.5%), while their knowledge about female gender as a risk factor was lower (39.4%). Students also had higher knowledge about joint pain as a symptom of osteoarthritis (82.8%) compared to redness in the joint (53.1%).Finally, while there was a high significance between having a first-degree relative with knee osteoarthritis and knowledge, there was no significance between being clinically diagnosed with osteoarthritis and knowledge among the students. Conclusion  the study of sociodemographic characteristics and knowledge of osteoarthritis among students at Al-Farabi College revealed that there were significant associations between gender, occupation, awareness of knee osteoarthritis as a disease entity, and having a first-degree relative with knee osteoarthritis with knowledge about the condition. However, there was no significant association between age, being clinically diagnosed with osteoarthritis, and knowledge.