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Patient safety is a system that makes care safer, including risk assessment, identification and management of patient risks, reporting, incident analysis, the ability to learn from incidents and follow up, implementation of solutions to minimize risks and prevent injuries caused by errors resulting from carry out an action or take action that should be taken. This study aims to determine the factors that influence the implementation of patient safety by nurses at Hospital X in Medan. The type of research used is quantitative research with a cross sectional approach. The population in this study were 85 inpatient nurses at Hospital X in Medan. The number of samples in the study was 75 respondents according to the criteria, using the total sampling technique. The statistical test used is the Chi Square Test. The results of the research show that there is a relationship between nurses' knowledge (p-value=0.004), Hospital Organization/Management (p- value=0.030) and the implementation of patient safety by nurses at Hospital in Medan. Increasing the knowledge and skills of nurses' performance by holding training regularly and continuously, Create organizational policies by implementing a punish and reward system for nurses according to their performance.    

Pregnancy is the process of growth and development of an intrauterine fetus starting from conception and ending until the start of labor. The length of pregnancy from ovulation to parturition is around 280 days (40 weeks), and no more than 300 days (43 weeks). This 40 week pregnancy is also called a mature (term) pregnancy. If the pregnancy is more than 43 weeks, it is called postmature pregnancy. Pregnancy between 28 and 36 weeks is called premature pregnancy. The aim of this research is to implement pregnancy midwifery care for Mrs "W" at Pustu Marindik Kec. West Bajo. The care provided uses Varney's 7 Step Midwifery Care Management approach and forms of documentation through SOAP. Case study conducted on Mrs "W". The form of physiologic midwifery care given to Mrs "W" is taking anamnesis on pregnant women, carrying out physical examinations, and providing counseling to pregnant women, regarding personal hygiene, nutrition for pregnant women, adequate rest, and carrying out follow-up. This case study uses a descriptive observational method with a continuity of care approach. The subject is pregnant mother Mrs "W" How to collect anamnesis data, observation, examination and documentation. Next, compare the data obtained with existing theory.

Public service is a real contribution to strengthening the local economic foundation, the conventional industry sector. "Besides, it's still unclear how consumer behaviour varies. CRM can minimize abstract behaviour based on the data obtained. CRMs can provide consumer behaviour information based on data obtained such as purchasing behaviour. Such data can be enabled in UMKM bank data and build decisions such as discounts, product innovations and product sales. Increasing CRM in the context of society is crucial to strengthening the bond between the convenience industry and its consumers. The proposed community enhancement involves a series of holistic activities that are not aimed at improving employee understanding and integrating such methods into everyday practice

Bugel Village is one of the villages in Polokarto Sub-district that is often affected by natural disasters in the form of floods because of its location in the lowlands close to the Bengawan Solo River tributaries, namely the Langsur  and Samin River. When there is high rainfall, the Bengawan Solo River experiences an increase in water discharge so that water from tributaries cannot enter the Bengawan Solo River and damage the embankment and river siltation caused by garbage. to determine the description of residents' knowledge and attitudes about pre-disaster flood management in Bugel Village, Polokarto Subdistrict. This type of research uses descriptive methods with a quantitative approach, with a population of 477 people sampling 83 respondents. The research instrument used a questionnaire with data analysis using univariate analysis. The results of the majority of knowledge research in the good category as many as 79 (95.2%) respondents and 4 (4.8%) respondents in the sufficient category. Then the results of attitude research in the moderate category were 46 (55,4%) respondents and 37 (44,6%) in the good category. The knowledge of residents in RW 6 Bugel Village, Polokarto Subdistrict is in the good category, while the attitudes of residents are in the moderate category.

Family Planning program is very important because it can suppress the birth rate and minimize the number of people , but in the era of reform and implemented regional autonomy, family planning programs can not run smoothly, it is because not all local government district / city committed to the program of population and family plans. The purpose of the study was to analyze the decentralization family planning program in the Era of Regional Autonomy in District / City .The research method uses       Qualitative and descriptive method, and also using secondary data. Research results the existence  that family planning is not a priority in developing regions, and the materialistic  perspective will only make this program further drown. Efforts to revive the program can be done through advocacy approaches and instensif again. We recommend that all elements of policy makers, especially (regent / Mayor) had the foresight and understanding that family planning is a long term investment remains conserved.The management of the Family Planning program in the Regency/City in the era of regional autonomy is no longer carried out by the agency that handles the Family Planning Program, but has been combined with other programs, from the organizational structure there has been a change, previously responsible to the province, now entirely to the respective regents/mayors. The position and function of the Provincial Population and Family Planning Agency are less advantageous because this institution is still a vertical institution (centralization), but also  this institution must deal with regional institutions that already have their own paradigms in the organization.

The Online Regional Investment Information System (SI INVEST OKE) is an innovation in licensing services in Demak Regency that aims to accelerate and simplify the licensing application process. This system replaces the previous offline application, SIMPPT, and provides technology-based services that can be accessed from anywhere. This study uses a descriptive analytical method with a qualitative approach to evaluate the implementation of SI INVEST OKE using Leavitt's Model (1965), which examines the relationship between four main components: tasks, human resources, technology, and organizational structure. Data were collected through in-depth interviews with DINPMPTSP employees and service users, direct observation at the DINPMPTSP office, and analysis of related documents. The findings show that the implementation of SI INVEST OKE has succeeded in reducing service time, increasing public satisfaction, and providing efficiency in licensing management. However, challenges such as limited technological infrastructure in remote areas and human resource skills are still obstacles that need to be overcome. The main recommendations from this study include increasing human resource capacity, expanding technological infrastructure, and developing more supportive regulations.

Based on the Regulation of the Minister of Public Works and Public Housing of the Republic of Indonesia Number 14/PRT/M/2015 concerning Criteria and Determination of Irrigation Area Status, Tanah Datar Regency has 635 regency Irrigation Area authorities with a total Irrigation Area of ​​29,437 Ha. Over the last 5 years, the Tanah Datar Regency Government, especially the PUPR and Land Services Department, has allocated funds both from the APBN (DAK) and from the APBD (DAU) for the construction and rehabilitation of irrigation networks as well as improving irrigation networks, with the result that the irrigation conditions in Tanah Datar Regency are in good condition. good by 56.69%, in other words as many as 379 irrigation areas which were only in good condition were maintained in poor condition. The aim of this research is to determine the factors of irrigation maintenance and upkeep operations in Tanah Datar Regency by looking at six aspects of irrigation network maintenance and rehabilitation. The method used in this research is a qualitative descriptive method. Primary data was taken through interviews with informants from the Public Works and Spatial Planning and Land Service of Tanah Datar Regency, Tanah Datar Regency in the Water Resources sector, namely the Sub-coordinator of the Tanah Datar Regency irrigation Maintenance Operations. The research results show that there are 2 (two) factors that influence Irrigation Operations and Maintenance, namely (1) Condition factors of physical infrastructure and supporting facilities, (2) Personnel and institutional organizational factors of P3A.

Urban drainage systems face mounting pressure due to the combined impacts of rapid urbanization and climate change. The expansion of impervious surfaces and altered precipitation patterns contribute to increased stormwater runoff, exacerbating flood risks and water quality issues in cities. Traditional drainage systems, focused primarily on controlling water volume, are insufficient to address the growing complexity of urban drainage challenges. This study proposes Sustainable Urban Drainage Systems (SUDS) that integrate flood management, water quality improvement, and climate resilience. By incorporating nature-based solutions such as permeable pavements, green roofs, and rain gardens, these systems aim to reduce runoff, enhance groundwater recharge, and mitigate the negative effects of urbanization. Through a Multi-Criteria Decision Making (MCDM) framework, this research evaluates various drainage solutions based on technical, socio-economic, and environmental criteria. The findings indicate that SUDS outperforms traditional systems in flood mitigation, water quality control, and climate resilience, highlighting their importance in adapting to changing climatic conditions. This paper emphasizes the need for sustainable drainage solutions to ensure long-term urban resilience and improve the overall quality of urban environments.

Quality risk management is one of the important things in quality control in a pharmaceutical industry. One of the risky activities in the pharmaceutical industry is in storage and distribution. Every activity carried out in the inventory warehouse can potentially cause risks that affect quality including the flow of the storage and distribution process of goods. Based on this, a study was conducted in the form of a risk assessment on the flow of the storage and distribution process of release goods in the inventory warehouse of a pharmaceutical industry in Bandung which aims to determine the level of risk that has the potential for failure. The FMEA (Failure Modes and Effects Analysis) method is a method that can be used to assess the risks that can occur in the flow of the storage and delivery process of goods in the warehouse. This risk assessment is carried out with the stages of risk identification, risk analysis, and risk evaluation using categorization based on the Risk Priority Number (RPN). In this study, 15 risks were obtained with details of 1 low category risk, 7 medium category risks, 6 high category risks, and 1 very high category risk. Therefore, the pharmaceutical industry can immediately determine mitigation steps and take control measures against risks in the high and very high categories to reduce the risk of failure with the hope that the quality, safety and efficacy of the product can be maintained properly

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

The research entitled Juridical Analysis of the Sale and Purchase of Plots of Land That Have Not Been Certified in Kampung Tengah Nongsa, Batam City, the problem is How is the Legal Regulation of the Sale and Purchase of Land Plots that have not been certified, How is the Implementation of the Sale and Purchase of Plots of Land that have not been certified and What are the factors that become obstacles to the practice of buying and selling land plots that have not been certified in Kampung Tengah Nongsa, Batam City. This research method uses empirical legal research methods using qualitative techniques and the approach used in this research is a statutory approach and a conceptual approach. To obtain primary data, this was done by means of in-depth interviews (depth interviews). From the research results, it is known that the legal regulations governing the practice of buying and selling land that has not been certified are contained in the Civil Code in articles 1457 and 1458. Apart from that, there are also regulations for buying and selling land according to Customary Law, Government Regulation Number 24 of 1997 concerning Registration Land, Land Management Rights by the Batam Authority as regulated in Presidential Decree Number 41 of 1973 concerning the Batam Island Industrial Area and Arrangements for Transfer of Land Rights and Permits for Transfer of Land Rights as regulated in the Regulation of the Head of the Batam Free Trade Zone and Free Port Concession Agency Number 27 of 2017 concerning Implementation of Land Allocation. The factor that is an obstacle in the practice of buying and selling plots of land that have not been certified in Kampung Tengah Nongsa, Batam City is that the community believes that the Plot Certificate and Land Sale and Purchase Agreement in the form of a Grant Letter are proof of legal ownership and are guaranteed by law, so that sometim

Gerardus Mayella Kalembu Weri High School is a school that operates in the field of educational institutions which currently still has problems with the process of admitting new students requiring quite a long time in filling out paper forms and student data still using the main book as a medium for storing student data. Then the committee will input or copy student data on the computer, which is a problem regarding new student registration which is still manual, which of course keeps the committee busy in terms of new student registration. And the data could be lost because it is still in the form of sheets of paper. System This can be more efficient in terms of costs, energy and time, so that it is effective in achieving goals. In accessing the current system, we sometimes experience obstacles in implementing information, such as accepting new students. For this reason, a special information system is needed to overcome this problem, namely an online registration information system. This system was developed using web engineering methods. The method is used to create a web-based application system using engineering science, management principles and a systematic approach so that high quality web systems and applications can be obtained.

Caddie performance in golf is an important aspect that can influence a golfer's overall satisfaction. This analysis was conducted to answer the question of how Caddie performance impacts golfers' satisfaction in their golf experience. An inductive quantitative approach was carried out using the SPSS analysis tool through a questionnaire distributed to 171 respondents. The research results show that Caddie Performance has a positive and significant effect on Golfer Satisfaction. This was opened with a regression test which produced a t-count > t-table value of 4,493 > 1,654, so that H0 was rejected and H1 was accepted. The significance value also shows a value smaller than the research alpha (α) or 0.000 < 0.05, so it can be concluded that Caddie Performance has a positive and significant effect on Golfer Satisfaction (Y) at Rainbow Hills Golf Club Bogor in terms of the playing experience they gain. The coefficient of determination or R Square value obtained is 0.800 which is interpreted as the influence of the independent variable namely Caddy Performance (X) which is 0.800 or 80% of the dependent variable Golfer Satisfaction (Y) at Rainbow Hills Sentul Bogor, while the remainder is 0.200 or 20% influenced by other variables not included in this research. This can be a consideration for the management of Rainbow Hills Golf Club Bogor to always pay attention to Caddie performance in order to increase the satisfaction of golf players who are members of the club as well as improve the image of the golf club.

Surabaya, a city with high population density in East Java, faces challenges in managing land for reforestation. To address this issue, the Surabaya Green and Clean (SGC) Program was introduced, focusing on greening and waste management. One of the proposed solutions is hydroponics, a soilless farming method that can be applied on limited land. On July 28, 2024, community service activities were carried out in Kalijudan Village, Mulyorejo District, Surabaya City, to introduce and increase public knowledge about hydroponics. This activity involved socialization and practical hydroponic planting with the participation of 25 residents. The program consisted of preparation stages, socialization, planting practices, and report preparation. Socialization included exposure to hydroponic theory and practical demonstrations, while each participant received tools and materials for home experiments. The planting method with rockwool has proven effective in supporting plant growth, while the distributed eco-enzyme provided dual benefits by increasing plant growth and reducing household waste. This program successfully introduced hydroponic technology and increased awareness of sustainable urban agriculture. Hopefully, this activity will be the first step in developing hydroponics and creating a greener environment in Surabaya.

The increasing use of conventional medical supplies has led to significant environmental challenges due to waste accumulation and the chemical exposure risks faced by healthcare workers. Despite ongoing efforts to adopt environmentally friendly materials, there is a lack of comprehensive studies that combine Life-Cycle Assessment (LCA) with direct monitoring of worker exposure. This study aims to compare the environmental and health impacts of biodegradable versus conventional medical supplies by assessing their life-cycle stages, energy consumption, carbon footprint, and hazardous exposure risks. A novel comparative approach was adopted, integrating LCA to evaluate raw material extraction, production, usage, and disposal processes, alongside monitoring the occupational exposure to chemical residues from medical supplies. The results indicate that biodegradable medical supplies reduce environmental footprint by approximately 40%, lower energy consumption, and generate less waste compared to conventional plastics. Additionally, the study shows that biodegradable materials pose a significantly reduced risk of chemical exposure to healthcare workers, offering a safer alternative. However, biodegradable materials present limitations, such as availability, durability, and higher initial costs, which need to be addressed for widespread implementation. The findings emphasize the importance of integrating sustainable practices in healthcare settings, offering actionable insights for hospital management and regulatory bodies. Future research is recommended to further explore the cost-effectiveness of biodegradable materials, conduct large-scale trials, and investigate alternative material types. This study contributes to the growing body of knowledge on environmental sustainability and occupational safety in healthcare, providing a valuable framework for future policy and operational decisions.

Environmental education is important to preserve, one of which is through the Adiwiyata program. The reality in the field is that implementing the Adiwiyata program is not easy, strategies are needed to preserve and overcome existing problems. This research aims to describe the strategy for implementing the Adiwiyata program, and the efforts made by schools to preserve the environment. The method used is descriptive qualitative.  The data collection techniques used were interviews, observation, documentation, and literature study. The results of this research are that to implement the Adiwiyata program some steps are continuously being taken (1) creating environmentally friendly policies, (2) environmentally based curriculum, integrated through subjects and extra-school, (3) participatory based environmental activities, carried out through familiarization and creation School Policy Letter, and (4) management of environmentally friendly supporting facilities. Students' environmentally caring character can be formed through habits. Efforts made to preserve the environment include making habits, utilizing plastic waste, and making picket schedules for caring for plants. In essence, environmental education is an important milestone in forming a character who cares about the environment. Therefore, this research has an important role as a reference in developing environmentally caring character in students.  

Patient safety encompasses a system of services designed to ensure that patients feel secure. This includes proper identification, learning from incidents, injury prevention due to errors, follow-up actions, risk analysis, patient incident assessment, and risk management related to reporting. Implementing solutions to minimize risks also involves preventing injuries caused by employee negligence in performing incorrect actions. The objective of this research is to determine the impact of nurses' knowledge, attitudes, and practices regarding patient safety on the risk of patient falls. The study design is quasi-experimental (Pre and Post Test Without Control). Data analysis utilized univariate and bivariate methods. In this study, 50 respondents participated in an intervention. The average pre-test and post-test scores were analyzed to evaluate the influence of nurses' knowledge, attitudes, and practices on patient safety concerning the incidence of fall risk. The results indicated that there was no significant influence of knowledge and application of patient safety on fall risk (p-Value 0.230 > 0.05). However, there was a significant influence of nurses' attitudes on fall risk events (p-Value 0.000 < 0.05).

Early financial education outreach activities are designed to educate young people about the correct use of money, wise financial management, the importance of saving for the future and entrepreneurship from an early age. Activities carried out at SDN 096135 Rambung Merah  Siantar. The educational method used includes delivering material through direct teaching. Focus group discussions to provide input and evaluation of services. The results of the activity show that children have a low level of education and entrepreneurship, understand money only as a tool to buy the things they want, and do not actively save. They also reported that their parents encouraged them to save and gave pocket money only for snacks or buying toys but still did not teach their children enough to be entrepreneurs. Even though there were challenges, all participants were very enthusiastic about participating in the activity, asking lots of questions and following directions from the service team.

This review aims to investigate the role of forecast dispersion and accuracy in explaining cross-sectional return anomalies in financial markets. By synthesizing recent theoretical and empirical research, the study examines how differences in information precision among investors lead to heterogeneous beliefs, which in turn affect asset prices and returns. The methodology involves a comprehensive literature review to identify key findings and theoretical frameworks that link forecast dispersion to market dynamics. Results indicate that higher forecast dispersion, associated with greater uncertainty and risk, correlates with higher expected returns as compensation. Conversely, accurate forecasts enhance market efficiency by reducing information asymmetry, thereby mitigating anomalies. The study also highlights theoretical models that explain anomalies like returns to skewness and disagreement through the lens of forecast dispersion. Empirical evidence supports these models, demonstrating the significant impact of forecast dynamics on asset pricing anomalies. The review concludes by emphasizing the need for further research to refine models capturing forecast dynamics and exploring the behavioral biases influencing forecast accuracy and dispersion. Understanding these factors is crucial for improving investment strategies, market efficiency, and risk management practices.

This research aims to analyze how Debt Policy, Dividend Policy, and Profitability affect to firm valuation. The population comprises finance sector companies from the Indonesia Stock Exchange from 2018 to 2022. Utilizing a purposive sampling method, a sample of 28 companies was selected from a  total population of 106 that met the specified criteria. The data were analyzed using multiple linear regression with SPSS 25 to investigate the relationships between Debt Policy, Dividend Policy, Profitability and Firm Value. The results indicate that Debt Policy, Dividend Policy and Profitability significantly impacts on firm value. These findings underscore the importance of strategic financial policies in shaping firm valuation and provide insights into optimizing financial management strategies in the finance sector.