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This research is a development research (R&D) using the ADDIE development model which consists of: 1.) Analysis; 2.) Design; 3.) Development; 4.) Implementation; and 5.) Evaluation. Data collection was carried out by interviews, questionnaires and tests. The results of the interviews were analyzed descriptively qualitatively, while questionnaires and tests were analyzed quantitatively. Validation was carried out by questionnaire instrument experts, material experts, media experts and practitioner experts by class IV educators. The results of the analysis show that cartoon film learning media is included in the "very feasible" category to be used as a learning medium in class IV SDN 9 Sampurtoba. Based on Validation: 1.) Questionnaire Instrument Expert with an average percentage of 90%; 2.) Learning material experts get an average percentage of 95%; 3.) Learning media experts with an average percentage of 95%; 4.) Expert Practitioner with an average percentage of 93%. And continued with the distribution of Pre-Test and Post-Test questions to class IV with a lot of 15 students, obtained an average Pre-Test score of 42 increased with an average post-test result of 80. From the data acquisition it can be concluded that the developed cartoon film learning media is effective in improving learning outcomes.

Nowadays, in health care facilities, whether in hospitals, health centres, or clinics, there is often a large number of patient visits that can cause delays in operational activities. Delays are caused by a lot of waste in patient flow activities in health facilities. Therefore, the application of Lean six sigma in improving patient flow is needed to overcome this. This research uses the Literature Review method where data collection and processing by referring to previously existing research in the last 5 years, namely 2019-2023. The literature was obtained through Google Scholar and journal databases using the keywords Lean Six Sigma, patient flow, and health service facilities. The number of journals used as a reference for previous related research in compiling this research is 6 journals. The results obtained from the six articles state that the application of lean six sigma in healthcare facilities has proven effective in improving patient flow. And this way is very effective of course to do.

The low ability of students in identifying life values ​​in short story texts is the background of this research. One of the causes of this is the lack of use of appropriate learning models by educators. In addition, as a result of the lack of utilization of appropriate learning models, namely the low level of students' critical thinking skills. The purpose of this study was to examine the effectiveness of the Discovery Learning model in learning to identify life values ​​in short story texts. This study also aims to examine the effectiveness of the Discovery Learning model in improving students' critical thinking skills. As well as examining differences in students' abilities in identifying life values ​​in short story texts and differences in students' critical thinking abilities in the experimental class using the Discovery Learning model and the control class using the discussion method. The method used in this research is a quasi-experimental method with nonequivalent control group design. The results of the research are based on the Wilcoxon test of the Asymp value. Sig. (2-tailed) of 0.000 < 0.05. That is, it can be concluded that there are differences in the learning outcomes of students identifying life values ​​in short story texts between the experimental class using the Discovery Learning model and the control class using the discussion method. As for the results of the Mann-Whitney test, the Asymp value. Sig. (2-tailed) of 0.000 < 0.05. That is, the Discovery Learning model is effectively used in learning to identify life values ​​in short story texts. Then the results of calculating the average value of students' critical thinking skills in the experimental class using the Discovery Learning model are 3.7 and in the control class using the discussion method namely 3.4. That is, it can be concluded that there are differences in students' critical thinking abilities. This shows that the Discovery Learning model is effective in improving students' critical thinking skills.

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.

This research is motivated by the low ability of students to identify complications in short stories. The lack of variety of learning models used by educators is one of the causes. The selection of various learning models will greatly influence the process of learning activities so that they become active, creative and innovative in order to improve the quality of students. One learning model that is effectively used is Discovery Learning. In addition, the low ability to collaborate is also due to the lack of assignments given in groups by educators to students. The purpose of this study was to examine the effectiveness of the Discovery Learning model used in increasing the ability to identify complications in short stories and to improve students' collaboration skills. In addition, this study aims to examine differences in the ability to identify complications in short stories and the ability to collaborate between the experimental class using the Discovery Learning model and the control class using the discussion method. The method used is a quasi-experimental method with nonequivalent control group design. The results obtained based on the Wilcoxon test are the Asymp values. Sig. (2-tailed) <.001 or 0.001 <0.05, it can be concluded that there is a difference between students' learning outcomes in identifying complications in short stories between the experimental class using the Discovery Learning model and the control class using the discussion method. The results obtained based on the Mann Whitney-U test are the Asymp values. Sig. (2-tailed) of 0.010 <0.05, meaning that the Discovery Learning model is effectively used in learning. The value of collaborating in the experimental class has an average (mean) of 3.61 and the control class has an average (mean) of 3.47, meaning Discovery Learning model that it is very effective in improving collaboration skills.

This study aims to analyze the efficiency of sharia operations in the hotel industry by using sharia operational management approach in the check-in and check-out process. Operational efficiency is a key factor in the success of a hospitality business, and with the Islamic operational management approach, aspects of sharia are also integrated into operational processes.The research method used in this study is descriptive analysis by collecting data from various sources, including literature studies, field observations, and interviews with hotel managers who apply Islamic operational principles. The collected data was analyzed using a qualitative approach to gain deep insight into the operational efficiency of Sharia. The results of the analysis show that the application of sharia operational management in the check-in and check-out process can improve operational efficiency in the hotel industry. Some of the measures taken include the use of technology to speed up the check-in process, staff training in terms of friendly and efficient service in accordance with sharia principles, and the implementation of policies that promote integrity and transparency.In conclusion, the Islamic operational management approach can provide great benefits for the hotel industry in achieving operational efficiency. By paying attention to sharia aspects in the check-in and check-out process, the hotel can meet the needs of guests who want services that are in accordance with sharia values. In addition, the use of technology and proper staff training also play an important role in improving overall operational efficiency.

MSMEs play a very important role for the progress of the Indonesian economy. With the involvement of MSMEs as a driver of improving the economy in Indonesia, it is certainly hoped that MSMEs can continue to develop in the long term. In the current era, MSME actors are expected to be able to make the best use of technology. One of them is the world of digital marketing, because digital marketing has an extraordinary influence so that MSMEs can continue to develop in the long term. This prompted the East Java MBKM Thematic KKN UPN Veterans Group 74 to hold counseling with the theme "Utilization of Digital Marketing in Improving MSME Marketing" this is also because the results of surveys and observations that have been conducted by KKN-T MBKM Group 74 Surabaya showed a lack of knowledge and the use of digital technology in marketing. Therefore, by holding this counseling, it is hoped that MSME actors can develop more quickly by expanding the market.

PeduliLindungi is an application from the Government of Indonesia that was made in response to the COVID-19 pandemic. Since its initial release in 2020, this application has received many updates with the goal of improving its overall performance. One of the basics of updating applications is to process the reviews given by users at the Google Play Store using sentiment analysis. The methods used this time are Naive Bayes Classifier (NBC) and Support Vector Machine (SVM). The sample data used were 300 reviews with positive feedback and 300 reviews with negative feedback, for a total of 600 user reviews. The results of the NBC algorithm calculations produce an accuracy of 76%, a precision of 76%, a recall of 82%, and an f1-score of 79%. As for the SVM algorithm, it produces an accuracy rate of 80%, a precision of 83%, a recall of 80%, and an f1-score of 81%.

Honey is a natural liquid that contains a lot of sugar produced by bees (genus Apis) from flower nectar and has a sweet taste. Honey contains a multitude of benefits that are good for the body, including being a source of nutrients, improving body metabolism, anti-bacterial, and others. The purpose of designing the Honey Harvest Monitoring System with ARDUINO-based IOT is to help breeders maximize honey harvesting results. This study aims to design an intelligent system for controlling the temperature in bee hives, humidity in bee hives, and monitoring honey yields, measuring the temperature and humidity of the storage room using DHT 11 sensors, and monitoring honey harvest time using Load Cell sensors. The temperature and humidity controller in the cage uses a blower/fan. Sensor data will be processed using the Wemos D1 R1 microcontroller and then sent to an Android application via the internet network using a real-time Firebase database so that it can be accessed anywhere and anytime. The way this system works is that if the room temperature is >38 degrees Celsius, the blower/fan will turn on, and will turn off if the temperature is 40%, the artificial window will open and will close if the humidity is

This research was conducted with the aim of producing digital learning media using the Smart Apps Creator through a Realistic Mathematics Education approach that is valid, effective, and able to improve students' mathematical problem solving abilities in the matter of a system of two-variable linear equations. This type of research is Research and Development (R&D) with the ADDIE model. From the research results, it was obtained that the media and material validity values were 93.6% and 93% with very valid categories. The practicality of the media through the results of the teacher's response questionnaire obtained a practicality value of 97.3% in the very practical category and the results of the student response questionnaire for the small group test and large group test obtained values of 90.9% and 91.4% in the very practical category. Then the value of effectiveness is seen through the mastery of classical learning and the results of the student response questionnaire obtained percentages of 87.5% and 94.05% with very effective categories. Improving problem solving abilities in students, the results obtained are that the level of students' problem solving abilities is at a percentage of 92% with a very high category, while based on the N-Gain test the average value obtained by students is 0.6473 which means there is an increase in problem solving abilities in students medium category. So based on the results obtained it can be concluded that the learning media developed in this study are valid, practical, effective, and able to improve students' mathematical problem solving abilities.

Micro, Small and Medium Enterprises (MSMEs) have an important role in improving the regional economy and the economy of a country. Because the increase in MSMEs is considered to be a solution to overcome the economy. Data collection method in this study using Quantitative.Therefore, this study will examine the impact of economic improvement policies and industrial development on MSMEs in Aceh Province. The results of the study show that the policy of increasing the economy has a very large influence on the progress of UMKM in Aceh Province. Likewise, industrial development also has a very large influence on the development of MSMEs in Aceh Province. So it can be concluded that the existence of policies to increase the economy and industrial development have enormous influence and benefits on the economic progress of Aceh Province..

Colorectal carcinoma, a malignant neoplasm originating from the epithelial cells of the large intestine or rectum, poses a significant health problem worldwide. The estimated global incidence of colorectal cancer was 2.17 million cases in 2019. Meanwhile, in Indonesia, colorectal cancer ranks fifth among the most common cancer cases with a mortality rate of 9.5%. Demographic characteristics, including age, gender, ethnicity, and geographic location, have been extensively studied in relation to colorectal carcinoma. Understanding the patterns of differentiation and demographic characteristics associated with this disease is crucial for the diagnosis, treatment, and overall prognosis of patients. This study is a descriptive observational study that examines the demographic characteristics and differentiation of colorectal carcinoma patients. The study sample consists of a subset of the research population at Ciawi Regional General Hospital who underwent surgery from June 2021 to May 2023. A total of 21 respondents met the inclusion criteria, with a mean age of 54 years, and were predominantly female (57.1%). The results of this study indicate that poorly differentiated colorectal carcinoma generally occurs at a younger age compared to well and moderately differentiated cases. In terms of gender, females are more likely to experience colorectal carcinoma compared to males. Further research is needed to uncover the interactions between tumor biology, demographics, and clinical outcomes, with the ultimate goal of improving the prognosis and survival rates for individuals with colorectal carcinoma.    

aboratorium memainkan peran penting dalam dunia kesehatan dengan memberikan informasi diagnostik yang akurat dan tepat waktu. Mutu pelayanan laboratorium secara langsung mempengaruhi perawatan pasien dan keputusan pengobatan. Dalam beberapa tahun terakhir, implementasi Sistem Informasi Laboratorium (LIS) telah secara signifikan berkontribusi dalam meningkatkan efisiensi dan efektivitas operasional laboratorium. Penelitian ini bertujuan untuk mengeksplorasi peran LIS dalam meningkatkan mutu pelayanan laboratorium.Studi ini difokuskan pada tinjauan literatur yang terkait dengan dampak LIS pada operasional laboratorium dan pengaruhnya terhadap berbagai aspek mutu pelayanan. Temuan menunjukkan bahwa LIS memiliki peran penting dalam meningkatkan efisiensi proses laboratorium melalui otomatisasi, pengelolaan alur kerja yang terstruktur, dan pengelolaan sumber daya yang lebih baik. Sistem ini juga berkontribusi secara signifikan terhadap akurasi hasil pengujian melalui pencatatan data elektronik dan mekanisme validasi otomatis.   Selain itu, LIS memungkinkan pengelolaan data terintegrasi, memfasilitasi akses cepat ke informasi pasien, hasil pengujian, dan data terkait laboratorium lainnya, sehingga meningkatkan analisis data dan proses pengambilan keputusan.Selain itu, LIS memfasilitasi pengelolaan alur kerja yang efisien, mengurangi waktu respons, dan memastikan pengiriman hasil pengujian tepat waktu. Sistem ini juga meningkatkan praktik pengendalian kualitas dengan menyediakan alat untuk pemantauan kualitas rutin, analisis tren, dan identifikasi penyimpangan dari standar mutu secara tepat waktu. Implementasi LIS membutuhkan pelatihan dan dukungan yang tepat untuk memaksimalkan potensinya dalam meningkatkan mutu pelayanan laboratorium.Sebagai kesimpulan, integrasi Sistem Informasi Laboratorium dalam pengaturan laboratorium memiliki peran krusial dalam meningkatkan mutu pelayanan laboratorium. LIS meningkatkan efisiensi operasional, akurasi hasil pengujian, pengelolaan data, alur kerja, dan praktik pengendalian kualitas. Disarankan agar laboratorium mempertimbangkan adopsi dan optimalisasi LIS untuk memaksimalkan manfaatnya dan memberikan pelayanan laboratorium berkualitas tinggi.  

Development in the current era of globalization is highly dependent on the economic sector. The role of communities in economic development lies in the advancement of Micro, Small, and Medium Enterprises (MSMEs). MSMEs can also absorb labor, thereby improving the welfare of the community. Medokan Semampir Subdistrict has an active MSMEs activity.but MSMEs in Medokan Semampir Subdistrict also face challenges in managing their businesses, especially regarding technological mastery and the lack of product branding implementation. In response to these issues, an intervention was implemented through educational sessions, training programs, and mentoring sessions focused on Digital Branding, specifically encompassing copywriting and product photography  

PT. Narasumber Teknologi Indonesia is a company that focuses on cooperative computerized accounting training, technical guidance for the implementation of technology for small and medium-sized enterprises (SMEs), national cooperative software training, sharia supervisory board for cooperatives, computerized management training for cooperatives and SMEs, as well as the digitalization of Micro, Small, and Medium Enterprises (MSMEs). Additionally, PT. Narasumber Teknologi Indonesia serves as a platform for the younger generation to develop their potential as agents of business digitization through the final project of the program activities. This involves providing training and mentoring to local MSMEs as an effort to digitize their businesses and help solve the problems that hinder or constrain the development of local MSMEs. This research provides insights for local business practitioners to implement digitization in their businesses in order to achieve sustainable growth and success for MSMEs in the ever-evolving digital era. The implementation of training and mentoring for local MSMEs is expected to help them Go Digital, improving efficiency and productivity, enhancing product quality and services, and increasing market access for local MSMEs.

Mentoring has become one of the important factors in improving the quality of knowledge and marketing for swallow farmers. The research aims to explore the assistance of swallow farmers through the application of Brand and Communication Marketing by the Swallow Headquarters in increasing the knowledge and marketing of swallow farmers. In the context of sales, brand assistance and communication marketing help swallow farmers in increasing sales of their swallow products. With the right communication strategy, they can communicate the benefits, value, and uniqueness of swallow products to potential consumers, which in turn drives consumer interest and influences purchasing decisions. In addition, this assistance also expands the market reach of swallow farmers and helps them in building stronger relationships with consumers through relevant communication channels.

Effective leadership from a school principal is the key to improving the quality and performance of teachers as learning agents in madrasas. This study aims to find out and analyze in depth the leadership behavior of school principals in improving teacher performance at public elementary schools (MIN) 15 Bintaro. This study uses a descriptive qualitative research method. The research subject is the head of the school. Sources of data obtained through observation, interviews and taken from various literature relevant to the research material. The results of the study show that: (1) The principal's leadership behavior in improving teacher performance at MIN 15 Binatro, namely: the principal has influenced and mobilized subordinates, the principal determines the tasks of the teachers and provides training so that teacher performance increases, the principal is able to communicate effectively with teachers, principals involve all interested parties in making decisions; (2) Policies that can be implemented by school principals to improve teacher performance, namely: establishing cooperative relationships with teachers, measuring teacher performance by looking at the abilities of their students, and paying attention to the methods teachers use to teach; (3) In improving teacher performance the principal of the MIN 15 Bintaro school seeks to improve the discipline and responsibility of teachers.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

Websites have an important role in academic management and enhance the reputation of a company or institution. Website service quality is an important factor in education. On university web ranking sites such as webometrics, Indonesia's ranking is relatively low, including universities in Central Java which are ranked in the 1000's. Therefore, this study aims to find the causative factors and analyze the current quality of academic websites. The Webqual 4.0 method was used in this study to evaluate the quality of websites based on indicators of usability, reliability, novelty and user satisfaction. Importance-Performance Analysis (IPA) is also used to determine indicators that need to be repaired, updated, and maintained based on user perceptions and expectations. This research involved 144 respondents, namely students and staff at STIKOM Yos Sudarso. The results of the study show several indicators that need to be improved on the STIKOM Yos Sudarso website, especially in terms of appearance and quality of information such as novelty and clarity of content. Recommendations from this study include improving the appearance by developing designs and simplifying features. In addition, it is necessary to improve the quality of information by updating information in a timely, accurate and regular manner. Interaction with users also needs to be improved by adding a live chat feature and improving all indicators to build a good website reputation

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City