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The culture medium functions to provide nutrition and as a place for microorganisms to grow optimally. The price of agar media is expensive and quite difficult to reach, making examination of microorganisms in the laboratory expensive. This can be overcome by using alternative media that are easy to obtain. One example of a natural ingredient that can be used as an alternative medium is jackfruit seeds which are then processed into flour. Jackfruit seeds can be used as an alternative ingredient because they contain nutrients, namely carbohydrates. The aim of this research was to see the effectiveness of jackfruit seed flour for the growth of the Aspergillus niger fungus. The type of research used is descriptive by describing the growth of the Aspergillus niger fungus on alternative agar media, namely jackfruit seed flour. . After data collection, the data is then processed using a tabulating stage which is presented in table form by showing the growth of the Aspergillus niger fungus macroscopically and microscopically using 10x and 40x magnification which is then grouped based on positive and negative categories.

Background: In clients post Sectio Caesaria (SC), many problems arise, including anxiety. The reason for anxiety in mothers post Sectio Caesaria (SC) is because they don't know how to care for post partum including post Sectio Caesaria (SC) wound care, breast care, exclusive breastfeeding, giving nutrition to babies, caring for newborns and anxiety because they are afraid of the stitches coming out. , afraid of infection in the wound. From this problem, activity intolerance nursing problems will arise where the client is unable to carry out daily activities independently and abnormal vital signs are found during or after activities. Early mobilization exercises are useful for improving blood circulation, preventing thromboembolism, surgical muscle stiffness, stimulates gastrointestinal function and reduces pain. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The data collection method used in this case study is descriptive, namely interviews, observation and physical examination, documentation studies and collecting results from diagnostic examinations. The results of this nursing care show that after implementing ambulation support for 3 days, the patient began to improve from being previously still lying in bed to now being able to move and be active again, the ease of carrying out daily activities increased. Walking distance increases, lower body strength increases, dyspnea during activity decreases, dyspnea after activity decreases, oxygen saturation improves, respiratory frequency improves. It was concluded that from the results of this case study over 3 visits, the problem could be resolved by teaching clients to carry out physical mobilization techniques aimed at increasing their ability to do activities. Advice for clients is that clients can maintain their physical condition.    

Hypertension is an increasing global health problem. By 2025, it is estimated that 1.5 billion people will suffer from hypertension, with 10.44 million deaths annually caused by hypertension and its complications. Most cases are idiopathic, related to genetic factors, diet and lifestyle. Uncontrolled hypertension significantly increases the risk of cardiovascular disease, kidney failure, and stroke. This activity uses the PDCA (Plan-Do-Check-Act) method for blood pressure screening and counseling in adults at PT. Narindo, North Jakarta. The results of blood pressure examination showed that 4 people (3.08%) had grade 3 hypertension, 7 people (5.38%) had grade 2 hypertension, 20 people (15.38%) had grade 1 hypertension. Monitor blood pressure regularly and increasing public health knowledge can increase awareness and encourage healthy lifestyle changes, reducing the prevalence and complications of hypertension.

Helping the government to solve TB disease, the community service team organized community service activities by providing material about TBC Toss. The activity was carried out on May 27, 2024 in Grogolan Hamlet, Jatimulya Village, Suradadi District, Tegal Regency. This activity provides education to the public related to the Toss TBC program from the government so that people avoid TB disease. The activity is to expose TBC Toss material, lung examination, and correct cough Ethics. The enthusiasm of the community was very pronounced, shown by the many people who asked the dedication team. With this education, it is expected that the incidence of tuberculosis in Tegal Regency can decrease.

One of the efforts made to reduce MMR is the Antenatal Care (ANC) examination program which is mandatory for pregnant women. Antenatal care (ANC) is a planned program in the form of observation, education and medical treatment for pregnant women, to achieve a safe and satisfactory pregnancy process and preparation for childbirth. The aim of this research is to determine the factors that influence the behavior of pregnant women in the use of Antenatal Care (K4) services in the Pancur Batu Community Health Center Work Area in 2023. This research uses a descriptive analytical design using quantitative methods with a cross sectional research design approach. The number of samples in this study was 62 respondents. The conclusion of this study is that there is a relationship between maternal knowledge of integrated antenatal care, p = 0.010 (p < a or 0.010 < 0.05). There is a relationship between the Role of the Family in Integrated Antenatal Care, p= 0.001 (p < a or 0.001 < 0.05). It is recommended that pregnant women pay more attention to their pregnancy, namely by making regular integrated antenatal care visits so that the mother's pregnancy can be monitored by health workers.

The problem with this study is that many schoolchildren still complain about having trouble writing essays, texts, or stories. The issue with writing skills is that for students to write well, they also need a lot of extensive knowledge. The objective is to determine the effect of the problem-based learning model on the ability of class X students at SMA Negeri 1 Kutalimbaru to write negotiation text material for the 2023–2024 academic year. This will be done by measuring students' ability to write negotiation text material using class problem-based learning. This exploration technique is trial research. A scoring system for evaluating a person's capacity to write negotiation texts serves as the data collection method. The examination area is at SMA Negeri 1 Kutalimbaru. The information examination methods in this exploration are homogeneity test, ordinariness test and t test. Based on the calculations, this study came to the conclusion that, at the 95% significance level, or  = 0.05, tcount is 38.39 and ttable is 1.66. The research alternative hypothesis (Ha) is accepted because tcount is greater than ttable (38.39 is greater than 1.66). Therefore, the ability of class X students at SMA Negeri 1 Kutalimbaru to write negotiation texts is influenced by the problem-based learning model.    

The problem with this study is that many schoolchildren still complain about having trouble writing essays, texts, or stories. The issue with writing skills is that for students to write well, they also need a lot of extensive knowledge. The objective is to determine the effect of the problem-based learning model on the ability of class X students at SMA Negeri 1 Kutalimbaru to write negotiation text material for the 2023–2024 academic year. This will be done by measuring students' ability to write negotiation text material using class problem-based learning. This exploration technique is trial research. A scoring system for evaluating a person's capacity to write negotiation texts serves as the data collection method. The examination area is at SMA Negeri 1 Kutalimbaru. The information examination methods in this exploration are homogeneity test, ordinariness test and t test. Based on the calculations, this study came to the conclusion that, at the 95% significance level, or  = 0.05, tcount is 38.39 and ttable is 1.66. The research alternative hypothesis (Ha) is accepted because tcount is greater than ttable (38.39 is greater than 1.66). Therefore, the ability of class X students at SMA Negeri 1 Kutalimbaru to write negotiation texts is influenced by the problem-based learning model.    

The location where the research was carried out was SMA Negeri 8 Medan, which is on Jl. Pandau Hulu II, Sampali No. 23 Medan City District, Medan Area, North Sumatra, 20233 This study was carried out in June 2024. Through descriptive research, this study examines students' writing abilities in procedure text material. 34 SMA Negeri 8 Medan class XI students participated in this research. According to the findings of this study, the procedure text's content received an average score of 26.32 out of 100, placing it in the Good category at 75.21 percent. The number then was 825 for the procedural text structure aspect, with an excellent percentage of 80.88 percent and an average score of 24.26. The number is 1001 for the semantic part of procedural texts with a typical score of 29.44 and an excellent level of 84.12%. 2. According to KKM 75, the ability to write procedural texts is demonstrated by the fact that 27 students (79.41 percent) have completed the Indonesian Language KKM and 7 students (20.59 percent) have not completed the Indonesian Language KKM. 3. In view of the examination of achievement rates, the capacity to compose methodology texts of 16 understudies (47.06%) was in the excellent class, trailed by 15 understudies (44.12%) in the great class, 3 individuals (8.82%) in the great class. moderate, 0 understudies (0%), and 0 understudies (0%) in the unfortunate class.

Body composition refers to the various components that make up a person's body weight, such as lean mass (muscle, water, bones, ligaments, and tendons) and fat mass. As we age, significant changes occur in body composition, including increased fat mass and decreased muscle and bone mass, which often leads to sarcopenic obesity. This condition, which is common in older adults, is associated with frailty, disability, metabolic syndrome, reduced survival rates in certain cancers, and osteopenia/osteoporosis. This activity uses the PDCA (Plan-Do-Check-Act) method to measure the body composition of elderly participants at Hana Nursing Home, South Tangerang. A total of 40 participants underwent body composition examinations. The examination results showed that the average total body fat, visceral fat, subcutaneous fat, and skeletal muscle mass were 36.7% each; 8%; 27.6%; and 20.7%. We need to carry out routine body composition checks for early detection to provide timely management, ultimately improving long-term public health. Keywords: Body Composition, Early Detection, Elderly, Obesity, Sarcopenia

A few of the most prominent forms of taxation in Indonesian law are the Value Added Tax (VAT) and the Sales Tax on Luxury Goods (PPnBM). The supply of taxable products and services is subject to value-added tax, while the sale of luxury items is subject to sales tax. The practical applications of VAT and PPnBM are investigated in this study via the use of qualitative research methodologies. Based on the data, it seems that VAT and PPnBM change annually, with VAT generally going up and PPnBM generally going down. Important societal and economic consequences of VAT and PPnBM were also discovered by this study. State income may be increased by VAT, while societal tax expenses can be reduced through PPnBM. Observation, interviews, and the examination of relevant data are the means of data collection used in this descriptive analytic study. We anticipate that this study's findings will add to our understanding of VAT and PPnBM, as well as the ways in which these policies might affect our country's economy and way of life.

This research aims to maximize the role of digital forensics in the discovery of electronic evidence and to understand the forms of accountability for online gambling offenders in Demak Regency. The method used in this research is normative juridical and descriptive-analytical. The findings from this research include the following: First, online gambling is a criminal act committed using electronic devices, thus requiring electronic data for its investigation. In this context, the role of digital forensics is essential to find and collect evidence to uncover online gambling cases in Demak Regency. The use of digital forensics in discovering electronic evidence in online gambling cases in Demak Regency can be conducted using the Integrated Digital Forensics Investigation Framework (IDFIF). This method consists of four stages: preparation, crime scene investigation, laboratory examination, and reporting. Second, the form of accountability for online gambling offenders is outlined in Article 27 paragraph (2) of Law No. 19/2016 on Amendments to Law No. 11/2008 on Electronic Information and Transactions. This article stipulates that any person who intentionally and without authority distributes or transmits electronic documents containing gambling content. The criminal penalties for violations of Article 27 paragraph (2) are specified in Article 45 paragraph (2) of Law No. 19/2016, which is a maximum imprisonment of 6 years and/or a maximum fine of Rp. 1,000,000,000.00.

Generalized exfoliative dermatitis, also known as erythroderma, is a skin disease with dermatological features in the form of diffuse erythema and scaling that affects more than 90% of the skin surface. This report describes the case of a 65 year old man who came with the main complaint, the skin all over his body felt itchy and peeling since approximately 2 years ago. The itching experienced by the patient worsens during hot weather/temperature, usually occurring during the day and night, but the itching experienced is more severe at night. The patient's complaints began with the appearance of redness on the skin in the left and right hand area, then spread to the chest area, groin/genital area, both legs, and throughout the body up to the head. Dermatological status examination revealed diffuse erythema macules accompanied by rough scales all over the body. The patient was diagnosed with generalized exfoliative dermatitis. In management, patients are given education to maintain skin moisture, avoid scratching the skin, and consume foods high in protein such as red meat. The pharmacological management given is in the form of corticosteroid drugs, antibiotics, proton pump inhibitors, antihistamines, and several topical drugs to reduce complaints of itching and peeling skin in patients.

By considering the role of intervening variables, such as ownership structure, financial performance, and company characteristics, this study aims to analyze the impact of macro fundamentals, capital structure, and on firm value in manufacturing companies listed on the Indonesia Stock Exchange (IDX) for the 2019-2023 period. The analytical tool used is Smart-PLS and descriptive quantitative methodology. This study states that ownership structure, macro fundamentals, and capital structure insignificantly affect firm value. In addition, an examination of intervening variables reveals that, in contrast to business characteristics, ownership structure and financial performance moderate the relationship between macro fundamentals, capital structure, and firm value. These results imply that macro fundamentals, capital structure, ownership structure, and financial performance should be considered in evaluating firm value. These results highlight the importance of maintaining an ideal capital structure and improving financial performance for firms to increase firm value.    

A novel compound called 3-chloro-4-(4-(dimethylamino)phenyl)-1-(6-methoxybenzo[d]thiazol-2-yl)azetidin-2-one (3-CDBA), derived from beta-lactams, was investigated for its effects on human leukemia (HL-60) cells, pancreatic cancer (TCP-1026) cells, and healthy cells (WRL68) for comparison. The compound showed an inhibitory concentration (IC50) of 91.55 µg/ml on the leukemia cells, 141.3 µg/ml on the pancreatic cancer cells, and 353.8 µg/ml on the healthy cells. This indicates that the compound selectively kills cancer cells while having minimal effect on healthy cells, as higher concentrations are required to kill half of the healthy cells. These findings suggest that the compound has the potential to inhibit the growth of cancer cells. In comparison to conventional antioxidants like ascorbic acid (vitamin C), the beta-lactam derivative (3-CDBA) exhibited a higher percentage of inhibition at the highest concentration, with a value of 72.95% and an IC50 of 42.67 µg/ml. Furthermore, the compound's effects were studied on two types of pathogenic bacteria, specifically Staphylococcus aureus (positive) and Escherichia coli (negative), as well as various Penicillium species. The compound showed the greatest inhibitory effect at a concentration of 1000 µg/ml. In a theoretical examination, molecular docking was employed to design and synthesize a drug using the beta-lactam derivative and a target associated with cancer cells from a protein database. The compound demonstrated a strong and close interaction with amino acids and different sites within the active pocket, resulting in a higher binding energy. This indicates that the compound has the potential to inhibit the growth of cancer cells by disrupting their metabolic processes.  To determine the lethal dose (LD50), the beta-lactam derivative (3-CDBA) was administered to half of the animals in the study.

The aim of this research is to identify and explain the role of internal audit in the allocation of BOS funds. This research uses a qualitative approach with library or library research. Audit is an operational process carried out by a qualified and independent auditor, whose aim is to ensure compliance with the conditions relating to the operation of an economic entity and its standards. Auditors carry out examinations by collecting and presenting evidence systematically, analytically, critically and accurately to provide opinions or conclusions and recommendations to stakeholders. BOS Fund Management Audits are carried out in accordance with the provisions of the audit standards of the Ministry of State Apparatus Empowerment (PER/05/M.PAN-03/2008 APIP-AUDIT-STANDARDS). Several requirements must be met before an audit can be performed.(Comparative et al., 2023). This research aims to understand the accounting information system for cash receipts and cash disbursements in school operational assistance funds (BOS). The variables used in this research are Accounting Information Systems, Cash Receipts and Cash Disbursements. The method used in this research is a qualitative method by utilizing data collection techniques then carrying out observations, interviews, documentation, triangulation and literature study. The data used in this research is primary data using observations and interviews with the Nurul Ikhwan Selabintana Sukabumi Islamic Vocational School.(Asep & Wr, 2021)    

This research aims to provide a comprehensive analysis of the structure of child criminal liability in Indonesia and the Philippines, as well as to ascertain the specific nature of child criminal liability in both countries. This study is a prescriptive normative legal research. The research methodologies employed include the legal approach, the comparison approach, and the conceptual approach. The legal resources used can be classified into primary and secondary sources. To ensure the acquisition of precise primary and secondary data for this paper, data gathering is conducted through a thorough examination of relevant literature pertaining to the principles and regulations governing the child criminal justice system. This research focuses on comparing the legislation of child criminal culpability in Indonesia and the Philippines. The child criminal justice system is governed by specific legislation. In the State of Indonesia, it is managed by the Child Criminal Justice System Act, while in the Philippines, it is regulated by Republic Act No. 9344, with revisions made by Republic Act No. 10630. In Indonesia, the age at which a kid can be held criminally liable is between 12 and less than 18 years old. In the Philippines, children can be held criminally liable starting at the age of at least 15 years old and up to less than 18 years old. In the Philippines, there is a kind of criminal culpability that results in automatic suspension, removal from position, probation, and the application of vicarious liability for parents. Child criminal culpability in Indonesia is determined based on individual responsibility, as stated in Article 71 of the Child Criminal Justice System Law. This law specifies the application of criminal sanctions. Additionally, Article 82 of the same law outlines the imposition of action punishments.    

Dacryocystography examination is the examination of the radiologist to show the nasolacrimal duct by using a positive contrast medium. The purpose of this examination is to describe the system of tear duct blockage and the level of blockage. This research method is descriptive with aproachcase study conducted in RSUP. Dr. WahidinSudirohusodo Makassar on Juni 2019. The inspection technique is done by using the projection Antero Posterior (AP), which contrast material is inserted throught the tear duct in the lacrimal punctum which empties into the concha nasalis inferior. From the result of the examination has been done, it can be concluded that the contrast as much as 1 cc inserted throught the superior lacrimal punctum, contrast restrained and spilled out. Contrast as much as 1 cc inserted throught the inferior lacrimal punctum, the contrast seems to fill out the inferior palpebra area. From the research,  lacrimal duct obstruction impression superior and inferior.

The hospital business is the main subject in carrying out medical tourism. For this reason, the hospital business has the potential to support the development of medical tourism. This research is about the potential of the hospital business in medical tourism with the problem of what is meant by medical tourism? and How is the potential of the hospital business in Indonesia in contributing to medical tourism? This research is normative juridical research using secondary data collected by library research and document study techniques which were analyzed qualitatively. Medical tourism or medical tourism is a trip out of town or from abroad to obtain examinations, medical procedures, and/or other medical examinations at a hospital. Based on the juridical understanding of medical tourism, hospitals are the main component in medical tourism. The development of medical tourism provides great potential for the hospital business in Indonesia to contribute to the economy in the form of state financial income. This is because Indonesia is a country with quite rapid tourism development with adequate quality hospitals in providing health services. For this reason, the government issued Permenkes No. 76 of 2015 concerning Medical Tourism Services in developing the hospital business so that it can contribute to medical tourism. The development of medical tourism provides great potential for the hospital business in Indonesia to contribute to the economy in the form of state financial income. This is because Indonesia is a country with quite rapid tourism development with adequate quality hospitals in providing health services. For this reason, the government issued Permenkes No. 76 of 2015 concerning Medical Tourism Services in developing the hospital business so that it can contribute to medical tourism. The development of medical tourism provides great potential for the hospital business in Indonesia to contribute to the economy in the form of state financial income. This is because Indonesia is a country with quite rapid tourism development with adequate quality hospitals in providing health services. For this reason, the government issued Permenkes No. 76 of 2015 concerning Medical Tourism Services in developing the hospital business so that it can contribute to medical tourism.

Thorax radiology examination in children is one of the most frequently performed examinations in hospitals. However, the radiation used in this examination can potentially disrupt the growth and function of the child's imperfect organs. Therefore, patient radiation protection is very important to optimize the radiation dose received. The Nuclear Energy Regulatory Agency (BAPETEN) has set reference level values ​​in the form of IDRL (Indonesia Reference Level) for Diagnostic Radiology, including CT-Scan, Mammography and Fluorescence, as well as DRL (Diagnostic Reference Level) values ​​for children's thorax. The radiation dose received by the patient must be considered to avoid negative effects on the child's growth. This study aims to determine the measurement of radiation dose on chest radiography examinations of children. In this study, we will compare the radiation dose received by pediatric thorax patients based on the radiation dose standards set by UNSCEAR in 2000. Apart from that, we will also compare the radiation dose received by pediatric thorax patients with other studies. It is hoped that the results of this research will provide useful information and input for hospital diagnostic services in optimizing the radiation dose received by pediatric patients.

Optimal health services require supporting examinations in diagnosing a disease. On lumbosacral examination, radiograph quality is often less than optimal. Digital radiography is a new system on x-ray machines that has features for better image processing, one of which is flexible noise control (FNC). This study aims to determine the effect of digital radiography processing settings on image quality on lateral position lumbosacral examination. In this study using a qualitative descriptive method with an experimental or experimental research approach. The results showed that there was an effect of digital radiography processing settings on image quality with the FNC feature. This was shown by using the Image J application, there was a change in the standard deviation value before and after processing with the FNC feature. It is known that the FNC feature suppresses the noise value in the radiograph images.