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Fluorus albus (vaginal discharge) is white fluid that comes out of the sexual canal in excess. Fluorus albus is a vaginal fluid, not blood. During pregnancy, vaginal discharge increases in quantity. According to the World Health Organization (WHO), recommendations in America that reproductive health problems include 31.6% of pregnant women experiencing vaginal discharge (fluor albus) caused by the fungus Candida albican. In Indonesia, the problem of vaginal discharge is increasing, with more than 75% of women experiencing vaginal discharge due to the humid temperature in Indonesia, making them easily infected. candida albicans fungus, parasites such as pinworms or germs (trichomonas vaginalis) (WHO, 2019). According to data from the 2019 North Sumatra Province Health Profile, there were 648,829 pregnant women in 2019, 1,566 cases of pregnant women experiencing vaginal discharge, in the city of Medan in 2019 there were 855,281 people and 45% had experienced vaginal discharge (North Sumatra Health Profile, 2020) . Method: This activity begins with the preparation, implementation and evaluation stages. Results: 15 participants in this activity were pregnant women who visited PMB Shinta in Medan Polonia, Medan City. In its implementation, it was explained that the genital organ problem that pregnant women often experience, especially in the third trimester, is fluoride albus (vaginal discharge). The types of vaginal discharge also need to be understood as well as the treatment and therapy that needs to be given to pregnant women in preventing and treating cases of Fluor Albus. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was an increase of 15% for the good level of knowledge, and 27% for the sufficient level, and at the level of poor knowledge it decreased by 40%. With this change in the level of knowledge and strengthening understanding of Fluor Albus, it is hoped that pregnant women will be more aware of the conditions of their pregnancy, especially in maintaining personal hygiene which will result in disruption of fetal growth and development. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was 15% increased for the good level of knowledge, and 27% for the sufficient level, and for the poor knowledge level it decreased by 40%.

The aim of this research is to find out the port service process and what obstacles occur during the port service process. There are several obstacles experienced by service users in ship service activities via Inaportnet. The first is that PNBP payments (VTS, signs and dangerous goods) are still manual, the reason being that service users don't understand Inaportnet. Apart from that, updates to computer devices. When using Inaportnet, system errors often occur. Efforts that can be made are to carry out updates so that PNBP payments can also be made online, carry out training and socialization about Inaportnet filling, update computer equipment and evaluate and upgrade the Inaportnet application.

JNE is the largest logistics company in Indonesia, this company is a freight forwarding company both domestically and abroad. In its business process JNE has an Outbound unit which is responsible for receiving goods from Sales Counter Official (SCO) agents and branch offices, processing, checking, packaging, and transporting goods to the appropriate destination. The purpose of this study is to determine the effect of Standard Operating Procedures (SOP), supervision, and Information Technology on Employee Performance in the operational management of the JNE Main Branch Medan Outbound unit. This research uses Descriptive Qualitative method in identifying problems. The results in this study state that SOP has a significant effect on Employee Performance because it is an important part of the smooth work process for employees, Supervision and Information Technology also have a significant effect on Employee Performance. Supervision ensures employees work in accordance with SOPs and achieve previously set work targets, and the use of Information Technology in the work process will increase the efficiency and effectiveness of employee work.

Contraception is all kinds of tools or methods used by one party or both parties to avoid or prevent pregnancy (Sety, 2014). Contraceptive methods have developed with all the advantages and disadvantages of each method. Contraceptive methods can be divided into two, namely long-term contraceptive methods (Longterm Contraceptive Method), which include these methods are lUD (Intra Uterine Device) or IUD (Intrauterine Contraceptive Device), Implants, Vasectomy and Tubectomy. Meanwhile, non-long-term methods (Non-Long Contraceptive Method) include injections, pills, vaginal contraception and condoms. Apart from that, there are also natural birth control methods that follow the pregnancy cycle (Susilowati and Prasetyo, 2015). A side effect of hormonal contraception is menstrual disorders. The main side effects of DMPA (Depot Medroxyprogesteron Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in the cycle, frequency, length of menstruation and the amount of blood lost. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision regarding the continued use of a contraceptive method (Hartanto, 2013). There were 12 respondents (70.6%) of women of childbearing age who used implant-type hormonal contraceptives who experienced menstrual disorders, the average complaint of which was the absence of menstruation for > 3 months (amenorrhea) and 5 respondents (29.4%) who not experiencing menstrual disorders. There were no 1-month injection type hormonal contraceptives who experienced menstrual disorders, while there were 4 people who were disturbed (100%). There were 13 respondents (76.5%) of the 3-month injectable type of hormonal contraception, while 4 respondents (23.5%) did not experience menstrual disorders. Of the 38 respondents who used hormonal contraception who met the requirements, they were analyzed statistically using the Chi Square test which has been carried out, the result was a p value of 0.013 (p<0.05) which indicates that there is a relationship between the type of hormonal contraception and menstrual disorders.

Di era perkembangan dunia yang cepat dan tantangan revolusi industri 4.0, mendorong perubahan dalam kualitas pendidikan di Indonesia. Sekolah masa depan adalah bentuk konsep yang selaras dengan kerangka pendidikan 4.0 dengan mengadaptasi perubahan dalam konten pembelajaran, mengembangkan fasilitas infrastruktur yang mengacu pada perkembangan dan teknologi masa depan. Sekolah Menengah Kejuruan atau SMK, sebagai salah satu tempat untuk menghasilkan pekerja yang siap bekerja dan kompeten sesuai dengan jenis industri atau kejuruan, menjadi model simulasi untuk menerapkan konsep sekolah masa depan. Oleh karena itu, perlu untuk mengeksplorasi pengembangan infrastruktur dan model pengembangan desain untuk fasilitas infrastruktur SMK masa depan sehingga simulasi pengembangan SMK masa depan dapat diterapkan dan mencapai tujuan optimal. Dari hasil penelitian ini, prinsip desain SMK masa depan melibatkan desain ruang pembelajaran yang mendukung model pembelajaran, kolaborasi, dan desain ruang pembelajaran harus seimbang antara fleksibilitas ruang dan teknologi pembelajaran. Ruang pembelajaran yang ideal diharapkan, desain harus mempertimbangkan praktik aksesibilitas, dan desain bangunan harus dapat dengan mudah diubah, disesuaikan, dan disesuaikan dengan masa depan. Oleh karena itu, perlu untuk mengeksplorasi pengembangan infrastruktur dan model pengembangan desain untuk fasilitas infrastruktur SMK masa depan sehingga simulasi pengembangan SMK masa depan dapat diterapkan dan mencapai tujuan optimal

Background: Breastfeeding is the first, most important and best food in the early life and natural life of a baby. Coverage of exclusive breastfeeding  is still low. Exclusive breastfeeding is influenced by several factors, including the mother's  knowledge and about exclusive breastfeeding.Objective: to find out the mother's relationship with the  mother's knowledge and exclusive breastfeeding.Design: This type of study is an analytical study that uses a cross-sectional design. The main population of this study was mothers with children aged 7-12 months in the working area of ​​Muara Badak Health Center, a total of 120 people, a sample of 92 people. The sampling technique uses purposive sampling. Chi-square is used to analyze the data.Result: The characteristics of the respondents were mainly 21-30 years old, a total of 64 people (69.6%), 41 people with a high school diploma (44.6%) and a total of 47 people (51.1%) with professions such . like IRT. 64 subjects (69.6%) had poor maternal knowledge of exclusive breastfeeding, while 28 subjects (30.4%) had good knowledge of exclusive breastfeeding. 51 mothers did not exclusively breastfeed (55.4%) and 41 mothers (44.6%). In, the association of mother and knowledge with exclusive breastfeeding, p-value: 0.006 andlt;α: 0.05, so Ho is rejected and Ha is accepted.Conclusion: The relationship of mother and knowledge to exclusive breastfeeding.Proposal: Counseling is needed on the importance of exclusive breastfeeding and proper storage of breast milk workplace.

The movement of the Sumatran fault is triggered by plate activity in the western subduction zone of Sumatra, namely the Indo-Australian plate which moves down the Eurasian plate, causing pressure to push the Sumatra region towards the north. The purpose of this study is for the results of Ascending and Descending data on the impact of faults that occur on the Semangko Segment Sianok fault from 2020-2023 and to map the Land Displacement of the Semangko Segment Sianok fault from 2020-2023. Based on the results of data processing in this study, it can be concluded that in this study using ascending and descending direction data that experienced land movement (Land Displacement) due to this movement the impact of faults that occurred due to seismic activity along the segment resulted in the impact of natural disasters such as landslides, and earthquakes. This impact was triggered due to land movement because the effects of surface faults and ground shaking did cause most of the damage in several events. The ascending data explains the annual uplift of 15.28 mm marked in dark blue and the red color on the map shows the subsidence of -30.55 mm per year, while the light bitu color dominates in urban areas or areas inhabited by many people. While in the descending data, changes in land movement show an annual uplift of 6.74 mm and the red color shows subsidence of -13.47 mm per year. From the color change of each data shows ascending and descending data experiencing land subsidence uplift and subsidence.

This research aims to produce an LKPD product with a realistic mathematical approach that is valid, practical and effective for improving students' mathematical communication skills. This research and development is based on the stages of the 4D development model by Thiagarajan which was adapted to 3D including the definition, design and development stages. The subjects in this research were the X-Mipa 1 class of SMAN 2 Kabanjahe, totaling 30 people. Based on the research conducted, the validity of the LKPD obtained an average assessment of 89.47% by material experts and 88.15% by media experts with very valid qualifications. Through a questionnaire on the practicality of LKPD by teachers and students, an average of 90.27% was obtained by teachers and 92.12% by students with very practical qualifications. The implementation of learning by applying LKPD with RME was carried out to see the effectiveness of LKPD in obtaining results, namely achieving classical learning completeness. 86.67%, achievement of learning objectives was achieved in questions 1,2,3,4 and 5 and achievement of efficient learning time, from the effectiveness assessment reference, the LKPD developed was classified as effective. The increase in mathematical communication skills that occurred was an increase in the moderate category with an average gain score of 0.632. Based on the data obtained, it was concluded that the LKPD with RME that was developed met the qualifications of being valid, practical and effective.

Elderly individuals constitute a demographic group vulnerable to various degenerative diseases due to the aging process. Enhancing the importance of adopting healthy lifestyles among the elderly has become a primary focus in efforts to improve their quality of life. Education on healthy living plays a crucial role in aiding the elderly in understanding and implementing healthy behaviors. Through directed educational approaches, seniors can acquire knowledge regarding the significance of aspects such as balanced nutrition, regular physical activity, stress management, as well as adherence to medication and routine health check-ups. With an increased awareness of the importance of healthy lifestyles, the elderly can reduce the risk of various chronic diseases such as diabetes, heart disease, osteoporosis, and cancer. Furthermore, adopting healthy lifestyles can also enhance independence and overall quality of life in the elderly. Therefore, sustained educational efforts by healthcare professionals and families are essential to provide a profound understanding of the importance of healthy living among the elderly, enabling them to lead their later years with optimal quality of life.

The focus of this research is to find the usage of the transitivity processes in SIA’s selected song lyrics. This research is descriptive qualitative research. This study attempts to identify and investigate transitivity mechanisms that are employed in the SIA’s selected song lyrics. The source data of this research are the five selected song lyrics of SIA. Meanwhile, the data of this research are the clauses that used transitivity processes in SIA’s selected song lyrics. The interactive model is used to analyze the research's data. The results show that five of SIA’s song lyrics contain all six categories of transitivity processes, which include mental, relational, material, verbal, behavioral, and existential processes. From the six types of transitivity processes that are found, the material process is dominantly used in SIA’s selected song lyrics. It suggests a connection between the physical activity that occurs in the social phenomenon and the lyrics of the songs chosen by SIA. In order to fully comprehend the song's meaning, readers should be aware of transitivity processes. Along with that, it also benefits the songwriter by giving them more freedom to craft lyrics with a variety of language.

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.

Based on the results of the needs analysis in the learning process, a development of learning media is needed. This research aims to create this product to be more valid, practical and effective in improving students' mathematical understanding. This research and development uses the ADDIE (Analyze, Design, Development, Implementation, and Evaluate) development model. The subjects of this research were 30 students of class X Science 1 at SMA Methodist 7 Medan. The research results show that the Android-based learning media developed has obtained a very high level of validity, with an average percentage of 90.38% according to material experts, 87.77% according to media experts, then 90.90% according to lesson plan validators and results. Validation from experts on pre-test and post-test questions showed a percentage of 92.70% and 91.67%, respectively included in the "very valid" criteria. Positive responses were also found from teachers and students during small group and large group trials, with an average score of 96% from teachers, 94.4% from small groups, and 90.2% from large groups. This shows that this media is very practical to use in the learning process. Apart from that, the results of implementing this interactive learning media also show its effectiveness with the average percentage of responses to the effectiveness of learning media by students obtained at 92.23%. The classical learning completion level reached 96.67%, and the effectiveness questionnaire obtained an average percentage of 86.67%. The increase in students' mathematical understanding can be categorized as moderate improvement. Based on this research data, it can be concluded that the Android-based learning media that we have developed has met the criteria of being valid, practical and effective in improving students' mathematical understanding.

The SIAP application (Presence Activation Information System) has been implemented at the Personnel and Human Resources Development Agency since 2022. Although good attendance has been the first step, it also requires optimal bureaucratic performance as an effort to achieve institutional goals. The purpose of this study is to evaluate whether the use of the SIAP Application (Presence Activation Information System) has an influence on employee performance at the Personnel and Human Resources Development Agency (BKPSDM). This study used quantitative methods and involved the entire population, namely 38 employees of the Civil Service and Human Resources Development Agency. Data collection was carried out through distributing questionnaires to all BKPSDM employees as respondents, documentation and observation. The results of the analysis using the T test show that the significant value (0.002) is smaller than the probability of 0.05. Therefore, it can be concluded that the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted, which means "The use of the SIAP application has an influence on employee performance (Y)." Although the SIAP Application Usage Variable (X) and the Employee Performance Variable (Y) are related, respondents' responses show some shortcomings related to the use of the SIAP Application (Presence Activation Information System), such as unstable network access constraints. Nevertheless, good attendance still has a positive effect on improving employee performance. Employee Performance Evaluation shows deficiencies in the indicators of Quality, Quantity, Timeliness, and Independence.

Contraceptive use is one of the variables that influences fertility. Contraception can be interpreted as an action that helps married couples to avoid unwanted pregnancies, get the birth they really want, regulate the interval between pregnancies, control the timing of pregnancy and relate to the age of husband and wife and determine the number of children in the family (Hasliana, 2020) Program targets KB is a couple of childbearing age (PUS) which is more focused on the group of women of childbearing age (WUS) who are in the age range of 20-35 years. Family planning services are carried out through the use or use of contraception (Ministry of Health of the Republic of Indonesia, 2015). Based on the comparison of the Chi-Square Calculation with the Chi-Square table, the results of the analysis obtained a Chi-Square Calculation of 47.0 while it is known that the Chi-Square Table value for α = 5% (0.05), db = 1 is 3,481. Because the Chi-Square Square Count > Chi-Square Table then Ho is rejected. From the analysis results, it is known that the Asymp.Sig value is 0.005, where this value is smaller than the value of α = 5% (0.05). Thus it was decided to reject Ho. This means that the conclusion is that there is a relationship between the use of implant contraception and weight gain in family planning acceptors at the Pardamean Community Health Center, Siantar Marihat District, Pematangsiantar City in 2023. Based on the initial survey conducted at the Pera clinic, there were 10 mothers who used contraceptive implants, of these 10 people, 6 people experienced weight gain and 4 people did not experience weight gain, so from here the researchers were interested in taking the title "Relationship with Use "Contraceptive Implant with Weight Gain in Women of Childbearing Age at the Pardamean Health Center, Siantar Marihat District, Pematangsiantar City in 2023."

Contraception is all kinds of tools or methods used by one party or both parties to avoid or prevent pregnancy (Sety, 2014). Contraceptive methods have developed with all the advantages and disadvantages of each method. Contraceptive methods can be divided into two, namely long-term contraceptive methods (Longterm Contraceptive Method), which include these methods are lUD (Intra Uterine Device) or IUD (Intrauterine Contraceptive Device), Implants, Vasectomy and Tubectomy. Meanwhile, non-long-term methods (Non-Long Contraceptive Method) include injections, pills, vaginal contraception and condoms. Apart from that, there are also natural birth control methods that follow the pregnancy cycle (Susilowati and Prasetyo, 2015). A side effect of hormonal contraception is menstrual disorders. The main side effects of DMPA (Depot Medroxyprogesteron Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in the cycle, frequency, length of menstruation and the amount of blood lost. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision regarding the continued use of a contraceptive method (Hartanto, 2013). There were 12 respondents (70.6%) of women of childbearing age who used implant-type hormonal contraceptives who experienced menstrual disorders, the average complaint of which was the absence of menstruation for > 3 months (amenorrhea) and 5 respondents (29.4%) who not experiencing menstrual disorders. There were no 1-month injection type hormonal contraceptives who experienced menstrual disorders, while there were 4 people who were disturbed (100%). There were 13 respondents (76.5%) of the 3-month injectable type of hormonal contraception, while 4 respondents (23.5%) did not experience menstrual disorders. Of the 38 respondents who used hormonal contraception who met the requirements, they were analyzed statistically using the Chi Square test which has been carried out, the result was a p value of 0.013 (p<0.05) which indicates that there is a relationship between the type of hormonal contraception and menstrual disorders

According to Law Number 23 of 2006 which was later revised into Law Number 24 of 2013 concerning Population Administration, the definition of a population administration information system (SIAK) is an information system that utilizes information and communication technology to facilitate the management of population administration information at the Operator level. /Executing Agency as one unit. This research aims to; To find out and describe the effectiveness of the population administration information system centered on the East Lombok Population and Civil Registration Service, this type of research is descriptive qualitative. The informants in this research were 7 people, key informants, main informants and additional informants were 5 people. The data collection techniques used were interviews, observation and documentation. The data analysis method uses descriptive analysis. The results of this research are that the effectiveness of SIAK has been optimally implemented in the East Lombok Regency Population and Civil Registration Service, this can be seen from the ease with which employees can carry out their work, such as when making community population administration, they now don't have to wait a long time for completion. You can now wait for the creation of the Adminduk and it will be ready immediately. The existence of SIAK also speeds up services for the community.

CThe role of code switching in society is very important, in relation to the use of language variations by a person or group of people, especially in language use in bilingual or multilingual communities, for example in traditional shopping centers or markets. The market, in this case the MMTC market, can be said to have its own uniqueness in relation to the use of code switching. This research is a qualitative descriptive research, while the research strategy uses a fixed case study approach, because the problems and focus of the research have been determined in the proposal before the researcher goes into the field. During the conversation, it was discovered that there was temporary code switching from Indonesian to Javanese to Indonesian carried out by traders. The incident of temporary code switching during the conversation was marked by the Javanese expression 'nek waton mbukak, lunga tak kon nlipet' 'if you just open it, go away I tell you to fold it' which was said by the trader in the middle of the speech to insinuate the buyer, then the trader returned to using Indonesian to serve buyers. Based on the results of research and discussion about code switching in the interaction of traders and buyers in the Medan MMTC market, several conclusions can be drawn. There are two types of code switching that occur in the interaction of traders and buyers in the Medan city MMTC market, namely (1) code switching based on its nature and ( 2) code switching based on the direction of switching.

Karo is a district in the province of North Sumatra, Indonesia. The capital of this district is located in Kabanjahe sub-district. Karo Regency is located on the Karo plateau, in the Bukit Barisan mountains. The purpose of writing this journal is to find out the strategies used to develop the attractiveness of the Berastagi fruit market for tourists. The research method in this journal is quantitative research. The quantitative research used is survey research. This research collects data obtained from the Karo community. The result of this research is that the government is participating in developing the attraction for tourist attractions in Berastagi, namely the fruit market.  

Development communication is a scientific discipline and communication practice in the context of developing countries, especially communication activities for planned social change. The priority of developments is activities to educate and motivate the community. In a board sense, development communication includes  the role and function of communication between all parties involved in development efforts. In this case, researchers got results from The Asam Beetle Crocodile Park in Medan. Not only that, the park has received official permission from the tourism office and currently its existence is very well known to the wider community, even to people outside Sumatera.

The role of the local government of North Sumatra province in the development of Tortor Toba dance and gordang sambilan dance as performing arts that are expressions of traditional culture. EBT (traditional cultural expression) is a form of traditional intellectual property. Tortor is a dance, but the meaning more than the movements states that Tortor is a medium of communication, where through the movements displayed there will be interaction between participation in ceremonies, weddings, and also welcome. On the other hand, the lack of attention of the Indonesian government makes the Tortor dance has no copyright protection, therefore the author is interested in conducting further research on legal protection of the Tortor dance, the important role of the local government of North Sumatra province and the solution that can be provided by the government to the problem of claiming tortor and gordang sambilan dances by neighboring countries. This research uses qualitative descriptive research methods, with normative-empirical legal research types. Data collection techniques are interviews, documentation and data sources from the North Sumatra Provincial Culture and Tourism Office and the owner of the Sihoda dance studio. The finding in this study is that legal protection for Tortor's dance has not provided legal certainty specifically for Tortor's own dance, but the law recognizes the existence of regional arts.