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Work motivation, work environment and leadership are factors that affect employee performance. This study aims to analyze and test how work motivation and work environment affect employee performance as an interference variable. Quantitative method is the method used in this research using descriptive analysis. Then using purposive random sampling method to collect data is done. The Slovin formula is used to calculate how many samples are taken in this study using a sample with 110 employees. The research will use an outer model that uses discriminant validity, composite reliability, Cronbach's alpha and an inner model that calculates r-square, f-square and path coefficient. The results of this study indicate that motivation at work, work environment conditions, and leadership have a positive and significant impact on employee performance. 

CRS occurs when there is irritation to the cervical nerve roots due to the vertebral disc bulging out. In diagnosing CRS, supporting tools such as MRI are needed. The purpose of this study was to determine how the cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital and why the cervical MRI examination with a diagnosis did not use the T2*GRE and Proton Density sequences. This study used a qualitative method with a case study approach conducted from June-July 2023 with the object of research as many as five patients diagnosed with CRS. The respondents consisted of three radiographers, three radiology specialists, and one sending doctor. The cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital has no special preparation, the patient only releases metal objects in the patient's body before entering the examination room. The sequences used are Coronal T1 FSE, Coronal STIR, Sagittal T2 FRFSE, Sagittal T1 FSE, Sagittal STIR, Axial T2 FRFSE, Axial T1 FSE, and Myelography. Based on the results of the study, using T2*GRE in CRS diagnosis will produce a poor picture. While Proton Density is good for bone but because of the use of a long time and CRS diagnosis is more focused on nerve fibers and soft tissue, it does not need to be used.

The duodenum is one of the three main parts of the small intestine and is shaped like the letter C which connects the stomach to other parts of the small intestine. Anatomically, the duodenum is located in the epigastric and umbilical regions (Corwin, 2009)

one of the factors that can influence job satisfaction. There is a lack of awareness in several clinics in Indonesia, especially at Kimia Farma Clinic in Pasar Minggu, South Jakarta, regarding K3 implementation standards and suboptimal health services. This research aims to find out how the implementation of K3 in clinics meets standards and to analyze problems related to the implementation of K3 at Kimia Farma clinic, Pasar Minggu. South Jakarta. The method used is a descriptive method by collecting retrospective and concurrent data. The research results obtained are that the Kimia Farma Pasar Minggu Clinic, South Jakarta is a health service place that already has an K3 commitment as evidenced by the availability of a Decree from the Owner of the Clinic Facilities regarding the implementation of K3 as well as a Decree from the K3 Implementation Team, the availability of competent human resources and supported by training and allocation of funds, available SOPs for Standard Precautions Compliance Levels, available B3 waste management carried out by third parties, available SOPs and PPE related to waste management, available SOPs for reporting work accidents, reporting work-related illnesses and available Emergency Response Teams or Red Code Teams.

Exclusive breastfeeding is giving breast milk without other additional food and drinks to babies aged 0-6 months. Coverage of babies receiving exclusive breast milk in 2021 in Indonesia is 56.9%. At the Andongsari Jember Community Health Center in 2021 the coverage of exclusive breastfeeding was 9.2%. This coverage has decreased compared to 2020, amounting to 48.9%. The aim of this research is to determine the determinant factors for exclusive breastfeeding at the Andongsari Community Health Center. The research design used is descriptive. The population used by mothers breastfeeding babies aged 6-24 months was 100 people, the sample was 80 people. The technique used was simple random sampling with a questionnaire measuring instrument. The research results showed that knowledge was good 83.8%, fair 11.2%, less 5%, favorable attitude 55% unfavorable 45%, positive perception 50%, negative 50%, family income below UMK 82.5%, above UMK 17.5%, moderate husband support 68.8% high 31.2%, and the role of health workers supports 68.8%, does not support 31.2%. Almost all mothers have good knowledge about exclusive breastfeeding, most have a favorable attitude, half have positive perceptions, almost all have family incomes below the UMK, most have moderate husband support and most of the health workers' roles are supportive. It is recommended that breastfeeding mothers be able to increase and apply their knowledge in exclusive breastfeeding.

This research is entitled "Observation of Civics Learning Methods at SMP Negeri 35 Medan". This research was carried out with the aim of finding out how and what methods, strategies and innovations can be used to overcome problems in conducting Civics Learning as well as examining the problems faced by teachers in SMP 35 Medan in conducting PPKn learning. This research is useful as a developer of scientific insight regarding teaching and learning strategies implemented by citizenship education teachers at SMP Negeri 35 Medan Jl. William Iskandar New Memories, District. Percut Sei Tuan, Deli Serdang Regency, North Sumatra.  

Micro, Small and Medium Enterprises (MSMEs) are the biggest supporter of the creative economy for the Indonesian economy. MSME players must be able to develop their business to be able to carry out this. The digital era has the potential to create opportunities and risks for business people and organizations. In every business, risks will always be faced by business actors because of uncertainty which results in losses. Internal and external events that have an impact on achieving the goals of MSMEs must be identified, and risks and opportunities must be differentiated. In the business world, knowledge about risk management is an important element in business management. With good management, a business organization will be able to avoid losses and even bankruptcy. Likewise, small, micro and medium enterprises that do not have sufficient capital and whose operations are not optimal are very vulnerable to changes in risk. Events that cause losses, which are usually called peril, can occur unexpectedly and can arise from various sources. The problem is how to overcome these risks so that business operations are not disrupted. Risks are analyzed by considering likelihood and impact as a basis for determining how they can be managed. Therefore, by providing an understanding of risk management, it is hoped that MSMEs will be able to know how to implement risk management in business to avoid losses. PM activities are held offline or face to face on holidays so as not to disturb the work time of the Teluk Pucung MSMEs, while the output of PM activities is in the form of press releases in online print media and also publications in community service journals  

Snacks are food and drinks prepared or sold by street vendors on the streets and in public places that are eaten or consumed immediately without further processing or further preparation. However, according to the KLB from 2019-2022, food poisoning reached 23.36%. BPOM also found that 42 times (14.4%) of food poisoning came from snacks. Objective: to determine the effect of booklet media on increasing children's knowledge and attitudes in choosing Healthy Snacks for students at SDN 104244 Jati Sari Lubuk Pakam.Method: Pre- Experimental research type with a One Group Pre- Post Test research design which only used the Experimental group without a control/comparison group. The population in this research was students in grades IV and V, namely 53 people. Data collection was carried out by interviews. using a questionnaire sheet and analysis using the T-dependent test.Results: Research results showed that at the beginning of the research the knowledge score before the intervention was given in the form of counseling was 10.51 and after the intervention was given it increased to 20.06, while the attitude score before the intervention was given in the form of counseling was 17.79 and after the intervention increased to 21.06. The results of the T-test concluded that the media The booklet can increase knowledge and attitudes in choosing healthy snacks at SD Negeri 104244 Jati Sari Lubuk Pakam. Conclusion: There is effect on the knowledge and attitudes of elementary school children after being given counseling using booklet media. (p=0.000).

Children's syrup medicine risks containing Ethylene Glycol (EG) and Diethylene Glycol (DEG) contaminants, which are the solvents for syrup medicine. The syrup contains the risk of acute kidney failure. It may be poisoned because it has diethylene glycol. This condition may influence the parents' perception as the person who allowed the children to consume that medicine, which may affect their health. This research aimed to analyze the students' perception toward the use of syrup medication with the incidence of acute kidney failure among children in Gampong Jawa of Banda Aceh. This quantitative research used a correlative descriptive method using a cross-sectional design. The sample in this research was 86 parents who have children aged 0-6 years old which was chosen using total sampling. This research was conducted from July 8th to 13th, 2023. The result of the statistic test using the chi-square test obtained that the p-value was 0.042. It was concluded that Ho was rejected and Ha was accepted, which means there was a correlation between parents' perception and the use of syrup medication.

Babies with Low Birth Weight is a health problem that contributes to infant mortality. Low birth weight babies are not only at risk of death in the early months of life, but also at risk for other health problems. The purpose of the study was to determine the demographic survey of BBLR events. This research method was carried out with quantitative descriptiveness. The sample amounted to 28 BBLR events at Pangeran Jaya Sumitra Hospital from June to November 2022 analyzed univariately. The results of the univariate analysis are the highest maternal age in the range of 20-35 years (92.9%), the most maternal education at the secondary level (78.6%), the variable location of residence which almost entirely comes from Kotabaru Regency which is 96.4%, based on the area where the most lives are obtained from urban areas which is 57.1%, and the most parity variable at number 1 which is 39.3%. The implication of the study is that the results of demographic surveys about the incidence of low birth weight in hospitals can be used to screen the potential occurrence of low birth weight in mothers who are preparing for pregnancy or are pregnant.    

The problem of this research is the lack of understanding of the material and student involvement and learning outcomes that have not yet reached the KKM. This study aims to increase student learning activities and outcomes in civic education learning in class V SDN Antasan Kecil Timur 3 Banjarmasin. This study used a qualitative research approach with the type of Classroom Action Research (CAR), which was conducted in three meetings. The research setting was fifth grade students at SDN Antasan Kecil Timur 3 Banjarmasin for the 2022/2023 academic year, with a total of 23 students consisting of 12 male students and 11 female students. The results showed that teacher activity at meetings 1 to 3 increased from a score of 19 to 28. Student activity at meetings 1 to 3 increased from 43.4% to 82.6% (classical). Cognitive aspect learning outcomes at meetings 1 to 3 increased from 60.8% to 86.9% (classical). The learning outcomes of the affective domain of discipline at meetings 1 to 3 increased from 69.5% to 91.3% (classical), the affective domain of confidence at meetings 1 to 3 increased from 69.5% to 86.9% (classical) and learning the affective domain of the area of ​​responsibility at meetings 1 to 3 increased from 73.9% to 82.6% (classical). The results of learning the psychomotor aspects at meetings 1 to 3 increased from 47.8% to 82.6% (classical).

The problem raised in this study is the low activity and student learning outcomes. Effort to overcome this problem is to apply learning with a combination of Problem Based Learning, Simultaneous Roundtable, and Course Review Horay models. The aim of the research is to describe teacher activities, analyze student activities, and student learning outcomes. The study used classroom action research which was carried out in 4 meetings. The subjects of this research were fourth grade students at SDN Antasan Kecil Timur 3 Banjarmasin, with 24 students consisting of 12 male students and 12 female students in the 2022/2023 school year. This research uses a qualitative approach. The results showed that teacher activitie scored 97 in the very good category. Student activities get a score 96 with very active category. Cognitive learning outcomes achieve 96% completeness and affective and psychomotor learning outcomes achieve 100% completeness.

This research aims to examine the influence of institutional ownership and independent commissioners on the integrity of financial reports with audit quality as a moderator. The population in this study are manufacturing companies in the basic industry and chemical sub-sectors listed on the IDX for the 2019-2022 period. The sampling method uses sampling with a total sample of 46 companies. The data analysis technique uses the SPSS version 25 program. The data analysis technique in this research uses descriptive statistics, classical assumption tests, multiple regression analysis, moderated regression analysis and hypothesis testing using the t test and coefficient of determination test. The test results show that institutional ownership has no effect on the integrity of financial reports, while independent commissioners have a negative and significant effect on the integrity of financial reports. Then audit quality as a moderator is unable to moderate the influence of institutional ownership on the integrity of financial reports. Meanwhile, audit quality is able to moderate the influence of independent commissioners on the integrity of financial reports

Managing and maintaining office facilities is very important for the company's operational processes because it ensures that the facilities continue to function properly and are carried out regularly. Because it is a support unit, General Affairs (GA) plays the most important role for a company's success; it cannot operate well or achieve its best results without maintenance. General Affairs carries out many complex tasks, which if not properly organized can cause many problems. This activity carried out by General Affairs (GA) can prevent functional failure of facilities. Well-maintained facilities can improve employee performance. With comfortable and well-functioning facilities, employees will find it easy to do their work. Some companies suffer from productivity problems due to negligence in maintaining facilities. One of the characteristics of GA's tasks is the wide range of tasks, each of which require .. Routine maintenance or continuous maintenance is maintenance that is carried out over a certain period of time, for example daily, weekly, monthly and quarterly or even annually. Examples of routine maintenance are cleaning glass, floors, tables, chairs and toilets, cleaning rooms from rubbish and painting buildings and equipment. Routine maintenance aims to keep facilities and infrastructure in a comfortable condition and last a long time.  Primary data in this research was obtained by conducting observations, interviews and documentation, while secondary data was obtained through books, previous research and articles related to the research..  

Vocational high schools which produce students ready to enter the world of work require the learning system used to be oriented towards developing students' skill competencies. Through independent learning, SMKN 1 Cilegon implements a block system through teaching factory learning to improve the quality of learning. Teaching Factory is a production-oriented learning that has been adapted to relevant field expertise competencies and is focused on project creation. The method used in this research is a qualitative descriptive method with data collection techniques in the form of literature study, observation and documentation. The findings from this research show that the skills possessed by these students are average, no one is left behind in understanding and adapting all forms of theory and practice so that the involvement of Teaching Factory learning in this block system is very effective.

This study aims to analyze and describe students' perspectives on E-learning and the difficulties faced by students during online learning. Researcher use qualitative methods. Data collection techniques used in this study were observation, interviews by distributing questionnaires. From the results of an analysis of students' perspectives on online learning during the Covid-19 period, it was found that students felt that online learning made them quite bored and reduced interaction between teachers and students. Online learning also makes students less understanding of the material provided, so that it has an impact on the level of student focus. The difficulties faced by students in e-learning-based online learning are network access that is not power full, internet quota and facilities such as mobile phones do not yet exist. Based on the explanation above, the researcher concluded that students' perspectives on e-learning can reduce student learning levels and the ability to understand learning.

Employee well-being is an important factor in the productivity and success of an organization. Conflict can cause stress, and job dissatisfaction and affect employee welfare. Protracted conflicts or damaging relationships between employees can hinder operational efficiency. There has been much study of the effects of conflict and stress, but not much has been studied about the effect of conflict and stress and organizational change on employee productivity. The purpose of this study is to study the effect of conflict, stress, and organizational change on employee productivity. This research is a survey research with data collection of 300 respondents through questionnaires and interviews. Questions in the survey include the level of conflict experienced, its impact on productivity, and the factors that influence it. There are 3 independent variables, namely conflict, stress, and organizational change.  Its dependent variable is productivity. Linear regression or multiple regression is used to identify the extent to which conflict, stress, and organizational change predict productivity. Also used analysis with SEM. The results showed that the level of conflict in the workplace had a significant negative impact on employee productivity. The level of stress experienced by employees is also related to productivity. High stress leads to a decrease in productivity. Organizational change contributes to higher levels of conflict and stress among employees. However, managing change with good communication and management support can reduce the negative impact of change on productivity. This study concludes that good conflict management, stress management, and effective change management can help increase employee productivity in the work environment. The conclusion of this study provides a foundation for actions and policies that support increased employee productivity in the work environment.

Writing is significantly essential for English as a foreign language and English as a second language. Students’ language learning has constantly been regarded as essential ability contributing to English learning. The purpose of this study was analyze factors contributing to students’ difficulties in paragraph writing course based on the students’ perceptions. This study used a descriptive qualitative method. The instruments used were interview and documentation. This study, the participants’ answers were purposive sampling and analyzed descriptively. The participants were 60 students who were taking paragraph writing course in second semester academic year 2022/2023 in English Language Education Program  at IAIN Palangka Raya. The data analysis procedure of the research analysis were data condensation, demonstration, and verifying conclusion. The overall result based on the questionnaire, students found difficulties to use grammar. Based on the findings, there were two factors that caused students’ difficulties in writing. The two factors were internal and external. Internal factors consisted of self-motivation, self-confidence, lack of knowledge and feeling of under pressure External factors consisted of the teacher’s teaching style, classroom atmosphere, materials, and writing aspects. This research hopefully can help lecture in developing appropriate teaching techniques in writing and minimize students' difficulties in paragraph writing course.

This research aims to explore the influence of two types of text, namely academic and non-academic, on student understanding in the learning context. Involving Medan State University (UNIMED) students, this research used a Google Form questionnaire as a data collection tool. The research results show that the use of non-academic texts can increase student interest and involvement, while the combination of academic and non-academic texts is considered effective for broadening insight and understanding of learning material. The conclusions of this study highlight the importance of flexibility in learning approaches, emphasizing that a diversity of text types is key to achieving effective education.

The research method was carried out using literature studies from secondary data, data is the result of searches through media such as the internet, books, and other articles that are appropriate to the case to be discussed. In this research, a case study of PT Tiga Pilar Sejahtera Food Tbk was carried out. In the case of financial reports audited by KAP Amir Abadi Jusuf, Aryanto, Mawar & Partners, the engagement period between the company and KAP has been in place for a long time. It is suspected that PT Tiga Pilar Sejahtera Food Tbk (AISA) overstated the 2017 financial report. The main point of this problem was discovered after the new management at PT Tiga Pilar Sejahtera Food Tbk asked for further investigation into the 2017 financial report. Based on the results of investigations carried out by CNCB journalists, it was found that the engagement period had been since 2004. Based on Government Regulation Number 20 of 2015 concerning Public Accounting Practices, it was clear that it had exceeded 5 years. Audit tenure is questioned in this case, how independent an auditor is in completing his duties to carry out an audit of financial statements if the engagement period exceeds the applicable provisions. The independence of an auditor must be emphasized further so that audit quality can be trusted more by stakeholders.