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Intravenous access on a patient requires skilled skills. These skills must be based on knowledge of anatomy and the level of difficulty that will be faced in the process of the action. Using the DIVA scale is a way that can be used to assess whether the installation has a high level of difficulty or not.The application of the DIVA Scale at the Awal Bros Group Hospital was carried out to provide education and reference for all nurses in doing this to detect the level of difficulty before access is installed.Application of scale DIVA is useful for reducing the number of attempts required to install intravenous access. The training was carried out on January 19 2024, which was attended by 136 nurses from 9 hospitals.

The solar system is one of the materials from natural science lessons taught in elementary school. However, many students have difficulty understanding and memorizing material about the solar system because of the many different characteristics of each planet. This happens because of the limited learning media provided by the teacher when introducing parts of the solar system.  The delivery of material to students must be with a fun method so that students are not easily bored and easy to understand every side of learning. games have great potential in educating children about the solar system, of course, using games that are fun and fun will be more effective for children to absorb all the information contained in the games they play. The design of this game uses the Design Thimgking method, so it can be concluded that this design is a problem originating from a sense of empathy, the need for a solution to an existing problem, then continue to test for improvement. Then the game is created as the main media, then accompanied by other supporting media such as Posters, X-Banners, Game Cards, Stickers, Keychain, and Pins.

The purpose of this study is to describe the poetry writing ability of grade VIII MTs students of Sorong City. The low ability to write poetry is caused by learning to write poetry that has not been carried out properly so that grade VIII students have difficulty when asked to write poetry.Therefore, the necessary learning strategies and instructional media fun and appropriate. To overcome these problems ARCS Metode and media images of events contained in the newspaper in teaching poetry writing class VIII MTs Sorong  Affairs. The research was conducted in two cycles. Each cycle consists of planning, action, observation and reflection. The results of this study indicate the existence of a process of learning, improvement, and change behavior in a positive direction.

This research was motivated by students' lack of understanding of concepts in science learning taught in grade V SDN Kedai Runding, South Kluet District, South Aceh. The purpose of this study is to provide an overview of students' understanding of improving concepts in science through the Problem Based Learning Model. The difficulty of students in understanding concepts is indicated by the inability to understand concepts, give examples, explain and conclude the subject matter. The research method used is the method proposed by Kemmis and McTaggart, namely Classroom Action Research. The study was conducted in two cycles with 9 students consisting of 3 male students and 6 female students. The average evaluation test score of students in understanding concepts in cycle I is 60% and increases in cycle II to 88%.Based on the results of the study, it can be concluded that the application of the Problem Based Learning model is effective in increasing students' understanding of the concepts in science taught to grade V students of SDN Kedai Runding.

Background: Type 2 diabetes mellitus is a metabolic disorder characterized by an increase in blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. Difficulty controlling blood sugar levels is a problem experienced by every person with type 2 diabetes mellitus. Several reasons cause uncontrolled blood sugar levels, such as the patient not wanting to exercise, poor diet and negligence in treatment. Management of diabetes mellitus can be done with non-pharmacological therapy in the form of physical exercise. Physical activity will make the body's metabolism work more optimally which will result in blood glucose levels being controlled so that holistic treatment is needed. One of the non-pharmacological physical exercise therapies that can be given to diabetes mellitus sufferers is progressive muscle relaxation techniques. Research method: Implementing Progressive Muscle Relaxation Therapy in Type II Diabetes Mellitus patients to reduce Blood Glucose Levels. Research results: The results of implementation and evaluation for 3 days with Progressive Muscle Relaxation Therapy intervention showed objective and subjective changes in Type II Diabetes Mellitus patients as well as changes in blood glucose levels before and after being given Progressive Muscle Relaxation Therapy. Conclusion: There is a decrease in Blood Glucose Levels after Progressive Muscle Relaxation Therapy.

Students have difficulty designing or writing manuscripts that will be published in accredited national journals. The purpose of this service is to provide solutions with training and mentoring activities for female students who will or are writing accredited scientific journal manuscripts by utilizing Chat GPT management both theoretically and practically. The action learning method, which consists of several stages starting with preparation, implementation, and evaluation, is the method used in this service, which is carried out face-to-face. The results of this service have a very significant impact on female students in making national journal manuscripts, starting from making titles to pamphlets with Chat GPT management. This can be seen from the test results before and after the training

The inability to learn to read is a problem that results in a student being unable to follow the learning process properly and unable to achieve the expected learning goals. The four basic skills that students must have when studying in elementary schools in Indonesia are listening, speaking, reading and writing. The purpose of writing this paper is to determine and analyze the difficulties of learning to read students in learning Indonesian in class V SD 5 Kaarangbener. This article is the result of an analysis of literature related to the topic of discussion. The model used is a literature survey or literature review. The results of this research show that most students still do not understand when the teacher provides Indonesian language material. There are several factors that cause students to have difficulty learning Indonesian. Based on these results, it can be concluded that class V students at SD 5 Karangbener still have difficulty reading when learning Indonesian.

The Bogor city population and civil registration service program application is the Population Administration Information system (SIAK) application. This includes e-ID services, family cards and birth certificates. The functioning of the Online KTP Registration application not only makes things easier for Bogor City residents. This application is also an additional public facility that supports efforts to make Bogor City a Smart City. In an effort to utilize information technology in providing population document services to the community with the aim of making it easier, simplifying the system and ensuring transparency, the Bogor City Population and Civil Registration Department is collaborating with all SKPD as a basis for development planning by utilizing a population database. The problem with the new system is that the e-KTP service in the city of Bogor is not yet optimal. Because there are still many people who have difficulty using this application and not all people know the procedures. Apart from that, there are also system response problems caused by slow internet networks, slow responses and lack of availability of blanks. The method in this research is a qualitative approach and uses a literature study or literature review method. The literature study method is a series of activities related to methods of collecting library data, reading and taking notes, and managing research materials (Kartiningrum 2015). To find out the quality of service in this research, theoretical indicators according to Zaithhanl are used, such as Tangible, Reliability, Responsiveness, Assurance, and Empathy.

 Problem solving skills are one of the skills that a student really needs to survive in the 21st century. In order to have problem solving skills, of course a child must be taught and accustomed to practicing them from an early age starting from school. This research aims to determine the characteristics of the test instruments used to measure students' problem solving abilities based on item response theory analysis. This research uses a mix method with a sequential exploratory research design. This research used instruments that had been prepared by researchers which were then validated by experts and then tested on 130 students who had studied material on pressure in substances. The data obtained were analyzed using item response theory analysis, the GRM model (Graded Response Model). This research shows that the instrument prepared by the researcher is suitable for measuring students' problem solving abilities by having a validity value (0.89) and a b value or difficulty level in the range -2 to 2 which means good and can be used.

Adolescence is an important transition period in a person's life, where they experience significant physical, psychological and social changes. During this period, teenagers often face various pressures and challenges, including the problem that teenagers often face is loneliness. Prolonged loneliness can cause teenagers to feel isolated, hopeless, and have difficulty dealing with negative emotions. In this situation, teens may look for ways to ease the pain and achieve a temporary sense of relief. One response that may arise is self-harm behavior or self-injury. And to minimize the occurrence of self-harm, social support is very necessary. This research aims to gain a deeper understanding of how important social support is for self-harm behavior in teenagers who feel lonely. This research uses a qualitative approach and the method used is literature study. Meanwhile, the data collection technique in this research is a documentary study. The research results show that social support has an important role in self-harm behavior because social support can act as a protective factor in reducing the risk of self-harm behavior in lonely adolescents. The higher the level of social support received by adolescents, the lower the level of self-harm behavior they engage in.

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.

This research is specifically to find out how the principal's leadership in improving teacher performance at SD Islam Integral Luqman Al Hakim 02 Batam, the factors that can influence and factors that can improve teacher performance, are expected. By knowing all that, some suggestions can be given that can be taken into consideration for school principals, especially in improving the performance of teachers in their schools. The essence of the principal's leadership is aimed at guiding and fostering teachers to become professional teachers and have achievements and performance and teaching skills. The teacher is the most decisive component in the education system as a whole, which must receive central attention. This figure will always be a strategic spotlight when talking about education issues, because teachers are always associated with any component in the education system, especially in relation to the teaching and learning process. With a professional teacher, a further goal, namely improving student learning outcomes will be achieved. It is the principal's duty as a leader to assist teachers in improving teacher professionalism and performance. While there are still many teachers who in carrying out learning activities have not met expectations. Therefore, the author needs to examine the pattern of Principal Leadership in an effort to improve teacher performance at SD Islam Integral Luqman Al Hakim 02 Batam. From the results of the study it was stated that the principal's leadership was considered good, but had not had a positive impact on improving teacher performance at SD Islam Integral Luqman Al Hakim 02 Batam While the performance of teachers at SD Islam Integral Luqman Al Hakim 02 Batam is considered good, but has not run optimally as expected, this is due to the lack of teacher ability in preparing learning tools, especially Learning Implementation Plans, inadequate school facilities and infrastructure, and also the difficulties of teachers in creating educational interactions between students and teachers, as well as the difficulty of creating a conducive classroom. However, at the level of evaluation/assessment of learning outcomes, the average teacher has implemented it well and added remedial and enrichment programs

Productivity is an indicator of a company's performance. In 2021 to 2023, a precast concrete construction and manufacturing company had difficulty achieving its spun pile production target of 3,480 tons/month. This condition causes the company's productivity to fluctuate and tend to decrease overall. This study aims to evaluate the decline in productivity by measuring the value of productivity based on 3 criteria, namely material, labor and machine criteria. The method used is Objective Matrix (OMAX). The productivity value in the production years 2021 to 2023 fluctuates with a downward average value. The highest productivity value in the 2021 production year occurred in period 8 with a value of 748 while the lowest productivity value occurred in period 6 with a value of 170. The highest productivity value in the 2022 production year occurred in period 21 with a value of 638 while the lowest productivity value occurred in period 14 with a value of 166. The highest productivity value in production year 2023 occurs in period 26 with a value of 966 while the lowest productivity value occurs in period 27 with a value of 0. Criteria that contribute less to productivity and need to be improved are labor criteria that show values below the average. While the material and machinery criteria show values that tend to be below average. While the material and machine criteria show values that tend to be good, with the application of OMAX, PT XYZ can improve partial productivity and total productivity in the future and identify factors that cause a decrease in productivity.

This research aims to determine the application of the Cooperative Integrated Reading and Composition (CIRC) model in learning to write personal letters for class VII students at SMPN 1 Gunungwungkal Pati. Based on the results of observations, there is a problem with class VII students at SMPN 1 Gunungwungkal Pati, namely that students still have difficulty using the right words and writing a message on personal letter writing material, because the learning model used by the teacher is not appropriate. This research uses mixed methods. Data collection was carried out using test and non-test techniques. The test technique is in the form of working on personal letter writing test questions, and the non-test technique is in the form of observation and questionnaires. Based on the research results, before implementing the Cooperative Integrated Reading and Composition (CIRC) model in learning to write personal letters, teachers still used Discovery Based Learning techniques for the learning process of writing personal letters and only used Indonesian language textbooks as learning support materials. The application of the Cooperative Integrated Reading and Composition (CIRC) model has proven that students are more active during learning. The (CIRC) model also makes students more enthusiastic and makes it easier for students to understand the material for writing personal letters.  

PT. Kalonika Bara Kusuma is a company operating in the mining sector located in the city of Samarinda, East Kalimantan province. To achieve maximum profits, PT. Kalonika Bara Kusuma adds or subtracts units according to the amount of turnover obtained in the previous month. However, after being evaluated, it turned out that this method was not effective. Because you only see at a glance the fluctuations in historical data. Sometimes when you have reduced units, it turns out that demand in the following month actually increases. This results in less than optimal profits because they cannot serve existing customer requests. Vice versa. This is what causes PT. Kalonika Bara Kusuma experienced difficulty in making a decision to add or subtract units. From this problem, the author created an application that can predict the amount of turnover in the next month and provide recommendations for deciding which camera units should be increased or decreased in number. To predict the amount of turnover using the Multiple Linear Regression method. After obtaining the predicted results for the amount of turnover, a test was carried out using the Mean Absolute Percentage (MAPE) with a result of 200%, which means that the Multiple Linear Regression method is not suitable to be used to predict the amount of turnover in the next period. Production forecasting is a form of decision making that is used as a basis in many manufacturing and service industries. Therefore, companies that are able to produce products on time and in the right quantities are companies that are able to survive the competition. This demand forecasting is used to forecast demand for products that are independent (not dependent), such as forecasting finished products. The multiple linear regression method is an analytical technique that tries to explain the relationship between two or more variables, especially between variables that contain cause and effect, called regression analysis. So in relation to the description above, this research aims to determine production forecasting using the multiple linear regression method at PT. Kalonica Bara Kusuma.The mining industry is a series of activities that have a long period of time and costs a lot of money, a series of industrial activities, namely mining activities which include digging, loading and hauling to obtain optimal profits from activities. One of the mining industries needs to be a study of operational costs for transportation equipment

The development of technology is currently increasingly rapidly providing convenience and benefits for humans, one example of technology that provides entertainment benefits is online games. However, online game addiction is one of several forms of addiction caused by technological developments, one of which is the internet or better known as internet addictive disorder. The objectives of this research are: 1) Analyzing online game addiction experienced by students IAIN Sheikh Nurjati Cirebon. 2) Analyze the learning achievements experienced by IAIN Syekh Nurjati Cirebon students. 3) Analyzing the influence of online games on the learning achievement of IAIN Syekh Nurjati Ciebon students. This research uses descriptive qualitative methods. The data collection technique applied in the research was interviewing 5 students and distributing questionnaires which were filled in by 15 students. The results of this study show 1) Most respondents (50%) had difficulty stopping playing online games, while 33.3% admitted that they had fairly good control but still felt interested in continuing to play. 2) Effective learning can help pupils and students to achieve learning goals. 3) It can be concluded that 37.5% stated that they do not like playing online games, because they have a very bad effect on learning. In the same percentage, 37.5% stated that they did not agree with online games, but did not provide clear reasons. It can be concluded that the research shows that the majority of respondents have difficulty stopping playing online games, while effective learning can help achieve learning goals, and around 37.5% of respondents stated that they do not like or disagree with online games because they have a bad effect on learning, although some of them they didn't give a clear reason.    

The development of technology is currently increasingly rapidly providing convenience and benefits for humans, one example of technology that provides entertainment benefits is online games. However, online game addiction is one of several forms of addiction caused by technological developments, one of which is the internet or better known as internet addictive disorder. The objectives of this research are: 1) Analyzing online game addiction experienced by students IAIN Sheikh Nurjati Cirebon. 2) Analyze the learning achievements experienced by IAIN Syekh Nurjati Cirebon students. 3) Analyzing the influence of online games on the learning achievement of IAIN Syekh Nurjati Ciebon students. This research uses descriptive qualitative methods. The data collection technique applied in the research was interviewing 5 students and distributing questionnaires which were filled in by 15 students. The results of this study show 1) Most respondents (50%) had difficulty stopping playing online games, while 33.3% admitted that they had fairly good control but still felt interested in continuing to play. 2) Effective learning can help pupils and students to achieve learning goals. 3) It can be concluded that 37.5% stated that they do not like playing online games, because they have a very bad effect on learning. In the same percentage, 37.5% stated that they did not agree with online games, but did not provide clear reasons. It can be concluded that the research shows that the majority of respondents have difficulty stopping playing online games, while effective learning can help achieve learning goals, and around 37.5% of respondents stated that they do not like or disagree with online games because they have a bad effect on learning, although some of them they didn't give a clear reason.    

Researchers conducted research at SDN 04 Birugo based on the difficulty of slow learner students in understanding the lessons being taught. Slow learner children have difficulty reading so the tasks given by teachers to slow learner children cannot answer the tasks given by PAI teachers. This research aims to determine the problems of learning Islamic Religious Education among Slow Learner students at SDN 04 Birugo. This problem is researched using descriptive qualitative research methods which aim to describe and analyze phenomena and events, social activities, attitudes, beliefs, thoughts of people individually and in groups using field research. Data collection was carried out using observation, interviews and documentation techniques. The key informants in this research were the class IV Islamic Religious Education teacher at SDN 04 Birugo and the supporting informants for class IV slow learner students. To analyze the data, researchers grouped it based on existing problems. Based on the results of research conducted by researchers, the results show that slow learner students tend to feel inferior and consider themselves to be an obstacle to the learning process for other friends. Feelings of inferiority are seen in slow learner students at the stage of understanding lessons and completing assignments. There are two factors that cause difficulties in reading, writing and memorizing, namely the classroom environment and outside the classroom. Boredom occurs because they are not really serious about learning, but from the problems that occurred there were 3 slow learner students whose problems were slightly more resolved.

Students’ ability to communicate their mathematical ideas in various ways is not as expected. It is difficult for teachers to improve students’ mathematical communication skills by improving learning styles, improving the learning atmosphere, and using appropriate learning models. Therefore, it is important to know the factors that influence students’ mathematical communication abilities. The aim of this research is to describe the factors that influence students’ mathematical communication skills. The subjects of this research were four children aged approximately 11 years who live in Hamparan Perak District. The data collection techniques used were observation and interviews. Data were analyzed using a qualitative approach. The results of the research show that the factors that influence students’ oral communication skills are study partners, self-confidence, shyness, nervousness, group learning atmosphere, learning time, and gender. Factors that influence students’ written communication skills include the inability to write down known information and be asked about it, lack of concentration in studying and inability to understand the content, as well as question difficulty, which includes the level of composure and composure in solving questions.

In the context of debate, another issue that occurs is the limited skills of students in identifying and formulating appropriate illocutionary speech acts. In a debate, it is important to communicate arguments clearly and convincingly. However, learners who do not understand the pragmatic aspects of language may have difficulty in formulating strong arguments. This study was conducted to determine the illocutionary speech acts contained in the debate text of Indonesian language book class X curriculum 2013. The purpose of this research is to examine the application of illocutionary speech acts in debate texts. The method used in this research is descriptive qualitative analysis, pragmatics theoretical approach, and data collection techniques with observational studies on Indonesian language book documents grade X curriculum 2013. The analysis technique used in the research uses agic analyzing technique. This research makes a significant contribution to understanding and improving the application of illocutionary speech acts in debate texts. The results of this research, there is some data that covers the aspects of illocutionary speech acts in debate texts. The data contains expressive, directive, assertive, declarative, and commissive illocutionary speech act categories totaling 34 data. It is concluded that the application of illocutionary speech acts can be identified and classified in speech acts that are adjusted to the category. The benefit of this research is as a source of knowledge to deepen the science of pragmatics in illocutionary speech acts.