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Impaired cognitive function is still a serious health problem that can cause psychological and socio-economic impacts in the form of social isolation and financial difficulties, delayed mobility, and worsening of other symptoms as well as reducing quality of life. As a basis for elderly health services, it is hoped that healthy elderly people will remain healthy. by optimizing physical, mental, cognitive and spiritual functions, through promotive and preventive efforts, including elderly empowerment activities. This counseling aims to assess cognitive function using the Mini Mental State Examination (MMSE) in the elderly at Posyandu for the elderly RW 8 Tanjung Rejo, Malang City. The method given is an examination using the Mini Mental State Examination (MMSE) questionnaire. The counseling process went smoothly. The results of the examination showed that the majority of elderly people had normal cognitive conditions. A good lifestyle can reduce the risk of dementia.

Based on the 2018 Riskesdas results, the proportion of breastfeeding patterns for babies aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3% predominant breastfeeding. Predominant breastfeeding is breastfeeding the baby but giving a little water or a water-based drink, for example tea, as a prelacteal food/drink before the milk comes in. Meanwhile, partial breastfeeding is breastfeeding a baby and giving artificial food other than breast milk such as formula milk, porridge or other food before the baby is 6 months old, whether given continuously or as prelacteal food. North Sumatra Province Nutrition Program Data in 2018. The percentage of exclusive breastfeeding for babies 0-6 months in North Sumatra in 2018 was 65.57 percent, an increase compared to the percentage of exclusive breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial Health Service, 2017). 2018). In the breastfeeding process, problems sometimes arise that can prevent giving breast milk to babies. Problems that mothers often experience when breastfeeding include inverted nipples, swollen breasts, sore and painful nipples, blocked milk ducts, breast inflammation and insufficient milk production (Purwoastuti, 2015). There are many non-pharmacological methods that can help postpartum mothers increase breast milk production, ranging from marmet massage, oxytocin massage, Woolwich massage to areola and rolling massage. Currently, based on the results of related research, there are non-pharmacological methods that are cheaper, easier, non-invasive and acceptable to respondents and without side effects. Nursing interventions that can be applied to help increase lactation in post partum mothers are the SPEOS method (Endorphin, Oxytocin and Suggestive Massage Stimulation).

Indonesia, known for its diverse traditions and cultures, provides an interesting example of unity amidst diversity. This research explores the profound impact of culture on individual identity and societal development. By analyzing the evolution of Indonesian culture, from traditional practices to modern influences, we uncover the challenges faced due to globalization and the importance of cultural preservation. The research emphasizes the need for collaboration in protecting Indonesia's cultural heritage, highlighting the role of education, awareness, and government policy in keeping valuable traditions alive.

This research aims to explore effective communication in Physical Education, Health and Recreation learning, with a focus on the role of Indonesian as an essential language of instruction. The method used was a questionnaire distributed to several Medan State University students to collect data regarding their perceptions regarding the clarity of instructions, understanding of the material, and its impact on learning motivation. The questionnaire consists of 20 questions to measure students' level of agreement with various aspects of communication in learning. The results of data analysis showed that 96.5% of respondents felt that clear and effective communication from teachers greatly contributed to understanding the subject matter and significantly increased their motivation in attending class. These findings confirm that good and correct use of Indonesian is very important in creating a more interactive and effective learning environment in the fields of Physical Education, Health and Recreation. It is hoped that this research can provide insight for teachers and educators about the importance of communication strategies in improving the quality of learning.

This service, which has been carried out by real work course (KKN) students, explains the process of making Bio Herbal in Pembuang Hulu II Village, Hanau District, Seruyan Regency. This service aims to provide and foster new enthusiasm for the people of Pembuang Hulu II Village in carrying out entrepreneurial activities or MSMEs by providing training in making Bio Herbal by explaining the steps in marketing activities that can be carried out so that in the future it can become a provision for the community or that already in running their business optimally, apart from that, also to find out how Real Work Lecture (KKN) students have an influence on improving the standard of living and welfare of the people of Pembuang Hulu II Village, Hanau District, Seruyan Regency. The method used by KKN students as the implementing team is to use skills, knowledge and mentoring training methods for training participants who have an interest in continuing to develop the results of the training up to the marketing stage. The impact resulting from training in making Bio Herbal can be a new, sustainable opportunity and can become a characteristic of the Pembuang Hulu II Village community.

The purpose of this classroom action research is to use the problem-based learning paradigm to improve the skills of twenty-four fourth-grade students at SDN Pakis 1 Surabaya in producing transitive and intransitive sentences. Methods such as observation, testing, and documentation were used to collect data. Two phases formed this investigation. Students of class IV A improved their learning outcomes for the formation of transitive and intransitive sentences according to the classroom action research. In cycle I, the average score was 72, or 45%, or 11 students. In cycle II, it jumped to 80, or 83%, or 20 students. This study found that in the 2024-2025 academic year, students in class IV A at SDN Pakis 1 Surabaya were able to improve their capacity to create transitive and intransitive sentences by using the problem-based learning paradigm. Problem-Based Learning is known as a learning method that involves identifying a problem and then assigning students to solve it, thus making students more active and able to understand the material during the learning process. Transitive and Intransitive Sentences, Problem-Based Learning (PBL), Classroom Action Research, and Improving Student Learning Outcomes.

The research that has been done is entitled "Analysis of the Role of Librarianship to Improve Library Services at Pondok Pesantren Al-Yusriyah Sei Meran Pangkalan Susu Langkat Regency", which is motivated by the background that the Library is useful for improving the quality of education in schools, with the aim of supporting the general education curriculum and developing interest in reading. To achieve the goal of quality service, the library is required to meet the needs of its librarians. Not only the fulfillment of information sources, but it is also necessary to pay attention to physical facilities, service quality, and technology that can help the service process so as to achieve user satisfaction. A descriptive qualitative research method was used to conduct this research, providing a more thorough explanation of the research topic. Three data collection methods were used: documentation, interviews, and observation. Interviews in the form of guidelines with several questions were used as study aids. Data reduction, data presentation, and drawing conclusions were used in data analysis techniques, triangulation, including triangulation of sources and theories. The results of the study revealed that (1) The role of librarians at AlYusriyah Islamic Boarding School in improving the quality of library services is very good, it's just that it is necessary to compile a more detailed budget plan and submit it to the school or government, (2) Develop and implement appropriate strategies to attract students and increase visits to the library, (3) and face various significant obstacles, such as limited funds, lack of funds has an impact on inadequate facilities and infrastructure, such as narrow library space and lack of reading facilities. Based on the research findings above, improving the quality of library services is worth applying and implementing as a solution to improve the quality of a more disciplined library to create a quality educational environment.

Health in Islam is seen as an overall part of worship and faith, where taking care of the body is a trust that must be maintained. This research aims to examine the role of health as a form of worship in  Islamic teachings and highlight the importance of maintaining a healthy body as a form of devotion and faith in Allah. Using a literature review method, this research analyzes religious sources and relevant literature, and identifies a lack of attention to the relationship between physical and spiritual health in previous studies. The findings of this study show that maintaining health is not only beneficial medically but is also a spiritual obligation that is often overlooked. The results of this research emphasize that Muslims need to be more aware of the importance of physical health as part of their religious responsibilities. The implication of this research is the need to increase health education among Muslims, which emphasizes spiritual aspects as the main motivation for taking care of the body.

The importance of calculating weight and balance on an aircraft to support flight safety is something that must be done by service providers. Mistakes in calculating weight distribution can cause overloads that risk endangering the safety of passengers, crew, and the aircraft itself. This study was conducted at AirAsia Airlines with a focus on the Airbus A320 aircraft at Husein Sastranegara Airport, Bandung. The study used a quantitative method with primary and secondary data collection. Primary data was collected through direct observation in the field, while secondary data was obtained from documents, journals, and related literature. This study analyzed data related to aircraft weight, fuel, passengers, baggage, and cargo to calculate weight and balance on the loadsheet. The results of this study indicate that calculating weight and balance on loadsheets is an important process in ensuring flight safety. Steps involving calculating the weight of passengers, baggage, cargo, fuel, and the distribution of the aircraft's center of gravity ensure that the aircraft operates within the safe limits set by the manufacturer. Based on the analysis of passenger, baggage, cargo, and fuel data, the Zero Fuel Weight (ZFW) was 60,516 kg, Takeoff Weight (TOW) was 67,516 kg, and Landing Weight (LW) was 62,516 kg. All of these parameters are within the specified safe limits. Load management on an Air Asia A320 aircraft when overloading requires special attention to parameters such as Maximum Takeoff Weight (MTOW), Maximum Landing Weight (MLW), and Maximum Landing Weight (MZFW). If an overload occurs, as recorded on the fourth day in Hold 5, the solution that can be taken is to reduce the cargo load on that Hold. For the situation on the fifth day, where the Landing Weight (LW) exceeds the MTOW, the right step is to reduce the amount of fuel.

This journal analyzes the policies implemented by the Regional Border Management Agency (BPPD) regarding the problem of illegal fishing in the border area of the Riau Islands (KEPRI). Illegal fishing is a serious challenge faced by Indonesia and other archipelagic countries. The results of the analysis show that the BPPD has implemented various policies to address the problem of illegal fishing in the KEPRI border area. These policies include cooperation with related agencies, stricter law enforcement, and strengthening the capacity of local communities in managing marine resources. Based on the results of the analysis, this study recommends the need to strengthen inter-agency collaboration in law enforcement and maritime surveillance in the KEPRI border area. In addition, it is also important to increase public education and awareness about the importance of maintaining the sustainability of marine resources and involve them in the management of these resources.

Abstract, The research was conducted to determine: 1. To determine the effect of Auditor Integrity partially on the Quality of Audit Results at the Inspectorate Office of Gorontalo Regency. 2. To determine the effect of Auditor Independence partially on the Quality of Audit Results at the Inspectorate Office of Gorontalo Regency. 3. To determine the effect of Auditor Ethics partially on the Quality of Audit Results at the Inspectorate Office of Gorontalo Regency, 4. To determine the effect of Auditor Integrity, Auditor Independence, Auditor Ethics simultaneously on the Quality of Audit Results at the Inspectorate Office of Gorontalo Regency. The subjects of this study were auditors working at the Inspectorate Office of Gorontalo Regency. The data collection method in this study used a questionnaire. This test was carried out using SPSS 21 and using the Method of Successive Interval (MSI). The data analysis techniques used to test the hypothesis were simple regression analysis and multiple regression analysis. Based on the results of the study, it can be concluded that the variables of Integrity, Independence, and Auditor Ethics have a positive and significant influence on the quality of Internal Audit at the Inspectorate Office of Gorontalo Regency, both partially and simultaneously.

The infrastructure, utilities and transportation sectors play an important role in a country's economy. Profitability is a key indicator in assessing the performance of companies in this sector. However, achieving profitability is faced with various challenges, including large capital investments, high operating costs, strict government regulations, and changes in global economic conditions. This study uses a literature study method to analyze the factors that affect the profitability of companies in the infrastructure, utilities, and transportation sectors. The results of the analysis show that financial factors, operational efficiency, technology, regulations, and external conditions such as market demand and global energy prices play a significant role in determining the level of profitability. Companies that are able to manage their capital structure, utilize technology, and adapt to regulations and dynamic economic conditions have a great opportunity to improve their financial performance. This study provides in-depth insights into how companies can manage internal and external factors to achieve sustainable profitability.  

The decline in the marriage rate in Indonesia in the last decade is a complex phenomenon with many interrelated causes. The institution of marriage, once a strong tradition binding two individuals in a commitment to live together, has undergone significant changes in recent decades. The latest data from the Central Statistics Agency (BPS) shows a decreasing trend in the marriage rate nationally. In 2023, there will only be 1,577,255 marriages recorded in Indonesia, a decrease of 128,000 from the previous year. During the last decade, the marriage rate experienced a significant decline of 28.63 percent. In-depth research highlights the socio-economic factors, changes in mentality, and the influence of online mass media, especially social media, that play a role in this change. The influence of online mass media, particularly social media, is also a factor that cannot be ignored in understanding changing attitudes towards the institution of marriage. Social media has broadened access to information and facilitated communication between individuals in unprecedented ways. Not only does this change the way individuals interact and form relationships, but it also influences perceptions of traditional values such as marriage.

The aim of this research is to conduct a semiotic analysis of the artistic symbols and da'wah messages in the Jaranan Tril Turonggo Mudo Dance from Blitar, East Java. This study employs a qualitative research approach, with the subjects including dancers, cultural figures, and members of the community who appreciate the Jaranan Tril performance and possess in-depth knowledge about it. These subjects consist of one spiritual leader, one trainer, two dancers, and one resident of Gogodeso Village, Kanigoro District, Blitar Regency. Informants were selected using purposive sampling. Data collection techniques included interviews, observation, documentation, and literature review. The data were analyzed qualitatively using a descriptive method, with the analysis results presented in narrative form to explain the phenomena examined in this research. The findings reveal that the Jaranan Tril Dance performance is divided into three acts: the opening act (bukak kalangan), the main session, and the final session (kesurupan) and closure. Each session carries symbolic meaning. The opening act is intended to seek protection from the Creator and symbolizes the start of the Jaranan Tril Dance performance. This session includes an introductory sequence of five movement types that express the prowess of warriors or knights as heroes, embodying boldness and courage. The main session features three movement types symbolizing warfare. The kesurupan (trance) and closing session hold symbolic meaning related to beliefs in the existence of other, unseen life forms, or invisible spirits. During the kesurupan session, the possessed dancers (caplokan) perform unconscious actions and feats.  This study recommends that future researchers interested in similar topics explore other types of Jaranan dances found across Java, which may offer new and deeper perspectives on the cultural and symbolic richness of Jaranan dance in this region.

Impact of leadership style and teamwork on employee performance at Satuan Polisi Pamong Praja (Satpol PP) Subdistrit Cengkareng, West Jakarta. This is to find out about impact of the variabels for leadership style, teamwork and performance. The variables studied using questionnaire method from google form. Indirectly and the result managed by random sampling. The type of research used statistics test, data analysis test that using descriptive test, simple and multiple linear regression test, coefficient correlation and determination test. The next one, sample withdrawal technique that used is random sampling with 75 person of respondent. The results of this research showing that independence variabel have a positive impact and also significant for employees performance. Based on that, it shows us that leadership style (X1), teamwork (X2) and performance (Y) seems fcount 40,033 with  3,124 or 40,033 > 3,124 and the resulting of significant value is 0,000 < 0,05. It is conclude that leadrship style and teamwork having in employees performance at Satpol PP Subdistrit Cengkareng. Analysis result of multiple regression showing result value of coefficient determination in Adjusted Rsquare is 0,527 or 52,7%. It means leadership style and teamwork is simultaneously has an impact of 52,7% for performance, and 47,3% for the other factory which is not researched by this research.

This study aims to determine whether there is effect from the work environment and work stress partially and simultaneously on employee performance at PT Cakra Transport Utama. This study uses primary data by distributing questionnaires to employees. The population used in this study were 60 people. The sample used is Proportionate Random Sampling and obtained 52 people as respondents. This study used statistical tests and used several data analysis techniques, namely descriptive analysis, simple and multiple linear regression tests, correlation and determination coefficient tests, and hypothesis testing. Based on the research test simultaneously the results of the analysis of variables (XI) Work Environment, (X2) Work Stress and (Y) Performance seen from the fcount of 15.069 with a ftable of 3.187 or 15.069 > 3.187 and the resulting significant value is 0.000 <0.05. It can be stated that the variables of Work Environment and Work Stress have an effect on Employee Performance at PT  Cakra Transport Utama. And based on the results of the analysis of the coefficient of determination, the R Square value is 0.381 or 38.1%. So it can be concluded that the work environment and work stress together have an effect of 38.1% on employee performance, while the remaining 69.1% is influenced by other factors not examined in this study.

Background; The number of people with diabetes mellitus in the Sukoharjo Regency area is 17,184, while the number of people with diabetes mellitus in Kartasura District is 2142. Blood sugar levels are affected by diet, activity patterns, and medication adherence. Diabetic foot exercises are one of the efforts to lower blood sugar levels. When exercising, the muscles contract and relax. Sugar will be burned and converted into energy, so blood sugar will drop. The objectives of research; To find out the results of the implementation of diabetic foot exercises on the reduction of blood sugar levels in patients with diabetes mellitus. Method; This type of research is a case study that uses a descriptive research method. Foot exercises are done for 3 consecutive days, done once a day for 20 minutes. Result: The results of blood sugar levels before diabetic foot exercises were carried out in Mrs. F were 221 mg/dl and in Mrs. R were 158 mg/dl. The results of blood sugar levels after diabetic foot exercises were 175 mg/dl for Mrs. F and 138 mg/dl for Mrs. R. Summary: Foot exercises done for three days in a row can lower blood sugar levels.

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

This study aims to examine the relationship between workload and performance of medical support staff at PKU Muhammadiyah Sukoharjo Hospital. The healthcare system is constantly growing, and medical support staff play a vital role in ensuring quality care. However, an excessive workload can negatively impact employee performance. This quantitative research employs a cross-sectional approach and includes 76 medical support staff as respondents. The workload was measured using indicators such as job conditions, time usage, and target achievement, while performance was assessed based on work quality, quantity, collaboration, responsibility, and initiative. Data were collected through questionnaires and analyzed using the Kruskal-Wallis statistical test. The findings show that 6.6% of the staff experience a heavy workload, 48.7% a moderate workload, and 44.7% a light workload. In terms of performance, 1.3% have poor performance, 25% moderate, and 73.7% good. The statistical analysis reveals a significant relationship between workload and performance (p-value = 0.001), indicating that higher workloads lead to decreased performance. This study highlights the importance of managing workload effectively to maintain employee performance in medical support services.

The quality of health services is the degree of perfection of health services that are in accordance with professional standards and service standards by using the potential resources available in the hospital. The purpose of this study was to determine the Quality of Service in At-Tin Ward Reviewed from Quality Dimensions at PKU Muhammadiyah Hospital Sukoharjo.This research method is qualitative, namely a research procedure that produces descriptive data to determine the Quality of Service in At-Tin Ward Reviewed from Quality Dimensions at PKU Muhammadiyah Hospital Sukoharjo. The population in this study were the Head of PMKP, Head of Inpatient Room, Nursing Officer, IPSRS Officer, CS Officer and patients. The variables used in this study are Service Quality, with three dimensions of tangible quality, reliability, responsiveness. conducted in July 2024 to August 2024. The research instruments include observation guidelines, interview guidelines, Data Collection, Data Reduction, Data Display, Conclusion Drawing.The results of the study show Physical Evidence (Tangible) on the aspect of cleanliness. The cleaning staff carries out their duties well, the Aspect of the Availability of Medical Equipment is considered to be in accordance with the standards set for type C hospitals, the aspect of the condition of the ward room can be said to be not good enough, Reliability of officers has sufficient knowledge regarding the procedures and procedures for serving patients, Responsiveness is good quality of service in terms of communication, speed of service, and friendliness of staff.The conclusion of this study is that the Cleanliness Aspect still needs to be improved, Availability of medical devices for respiratory aids needs to be improved, Room conditions in the adult ward still need to be improved, Accurate and Reliable Service Medical personnel in the adult Inpatient ward have shown good competence in carrying out their duties, but there is no clear SOP regarding service times.