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Indonesia has many types of junk food that have a strong taste, but are generally not nutritionally balanced, namely high in fat, salt, or sugar and low in fiber. One of the most popular is nuggets which are generally made from meat. As a healthier alternative, nuggets are made using oyster mushrooms which are low in fat and higher in fiber, and combined with gluten-free and high-fiber corn and tapioca flour to replace wheat flour which contains gluten. This study aims to determine the effect of the combination of corn and tapioca flour on the physicochemical characteristics of oyster mushroom nuggets. This study used a Completely Randomized Design (RAL) with 5 treatments in duplicate. The formulation was used with a combination of corn and tapioca flour, namely 60: 0 (P1), 45: 15 (P2), 30: 30 (P3), 15: 45 (P4), and 0: 60 (P5). The results of the analysis have an effect (P <0.05) on chemical characteristics with a range (db%) of ash content of 3.9% -4.71%; fat content 1.37% - 7.76%; protein content 6.79% - 18.79%; carbohydrate content 71.46% - 77.43%; crude fiber 3.9% - 8.27%, and on physical characteristics with a textured range of 1.1N-2.69 N; color L 50.55- 53.73; color a 2.78- 4.64; color b 10.89-13.71. The implications of this study indicate that online substitution into mushrooms with a combination of corn flour and tapioca can affect the nutritional value and quality of nuggets.

Type 2 Diabetes Mellitus (T2DM) is a chronic condition that requires optimal adherence to pharmacological treatment to prevent disease progression and complications. This study aims to analyze the level of adherence to anti-diabetic medication among T2DM patients and to explore the association between the experience of medication side effects and adherence levels. A descriptive-analytic cross-sectional design was employed, involving 97 T2DM patients in Bandung Regency and Bandung City, Indonesia. Data were collected through structured questionnaires and analyzed using descriptive statistics and the Chi-Square test. The results revealed that 53.6% of respondents exhibited low medication adherence. The majority reported having diabetes-related complications (88.7%) and experiencing medication side effects (57.7%). A significant positive association was found between medication side effects and adherence level (p = 0.039), indicating that patients who experienced side effects tended to be more adherent. Demographic factors such as place of residence, gender, and age showed no significant association with adherence. The findings suggest that side effects may hinder adherence; however, awareness of the body’s response to medication, including side effects, may also serve as a motivator for adherence.

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy

The development of digital technology has had a significant impact on the health sector, including eye examination services. This study discusses the development and implementation of a Digital Optoscope-based Eye Diagnostic application designed using a web platform (HTML). This application provides two main features: visual acuity testing and astigmatism testing, which can be accessed independently by users through digital devices such as laptops, tablets, or mobile phones. Users only need to follow the visual instructions presented interactively on the screen, then perform the test according to the procedure. The testing method is carried out by displaying font size settings according to the Snellen chart standard and radial astigmatism patterns. The results of each test session are automatically recorded and can be saved for further analysis. In addition, users can perform repeated tests to improve the accuracy of self-diagnosis, and the system will provide lens type recommendations based on the measurement results obtained. The trial results show that this application is able to provide convenience, efficiency, and initial accuracy in the process of examining vision disorders. This is very useful, especially for people in remote areas or with limited access to professional eye health services. Thus, the Digital Optoscope-based Eye Diagnostic application has the potential to be an innovative solution for the early digital detection of vision disorders. This study recommends further development, particularly in clinical validation, testing on a wider sample size, and integration with electronic medical record systems to enhance its benefits in comprehensive public health services. Furthermore, collaboration with medical professionals is crucial to ensure diagnostic accuracy. With this approach, the app is expected to become a reliable tool for continuous eye health monitoring.

Purple sweet potato yogurt is a form of local food innovation made from milk fermented by lactic acid bacteria (LAB), with the addition of purple sweet potato paste to enhance flavor and color, thereby increasing consumer appeal. During fermentation, LAB require carbon derived from carbohydrates as an energy source for their metabolism and growth. Differences in carbon sources are expected to influence and produce distinct yogurt characteristics. Therefore, this study aimed to investigate the effect of various carbon sources on the characteristics of purple sweet potato yogurt. The experiment was conducted using a Randomized Block Design (RBD) with a single treatment factor: the type of carbon source. Six treatments were tested, namely: no sugar (control), granulated sugar, palm sugar, sugarcane juice, coconut sugar, and honey. The results indicated that different carbon sources caused variations in total dissolved solids, total lactic acid bacteria, total titratable acidity, and total reducing sugars. Carbon sources significantly affected titratable acidity, reducing sugar content, total dissolved solids, color, taste, and the overall sensory evaluation of purple sweet potato yogurt. The yogurt produced exhibited titratable acidity values ranging from 1.69% to 1.86%, reducing sugar content from 1.11% to 1.46%, total LAB counts from 0.28 to 89.50 × 10¹0 CFU/g, and total dissolved solids from 10.25 to 17.75 °Brix. Sensory evaluation scores ranged as follows: color preference 2.83–4.26 (dislike to like), texture 3.43–3.76 (like), aroma 3.53–3.70 (like), taste 2.67–3.70 (dislike to like), and overall acceptability 3.43–3.90 (like).

This study aims to determine the effect of work environment and work discipline on employee performance. The type of research used is quantitative research. The study was conducted at the Official Honda Tridjaya Motor Subang Motorcycle Dealer. The number of respondents was 35 people. This study distributed questionnaires to employees. Data processing and analysis techniques used SPSS version 25. The results of the study stated that the Work Environment and Work Discipline had a significant effect individually and a significant effect together on the Performance of Employees at the Official Honda Tridjaya Motor Subang Motorcycle Dealer.A comfortable work environment and a high level of discipline will improve employee performance.

This research was conducted on fourth-grade students of SD Negeri 01 Dagen Karanganyar with the aim of identifying the improvement of critical thinking skills in IPAS learning by applying the Cooperative Learning Model of the Teams Games Tournament (TGT) type during the 2024/2025 academic year. The study involved 25 students, consisting of 16 male students and 9 female students. This research belongs to quantitative research with a One-Group Pre-Test Post-Test Design. The research procedure began with administering a tryout test to determine the number of valid items to be used. The validity test results showed that 20 items met the validity criteria during the tryout. Data analysis was conducted using the One-Sample Shapiro-Wilk test for normality and the Paired Sample T-Test for hypothesis testing. Based on the analysis, the results showed a significance value of < 0.000 with a significance probability of < 0.05. Therefore, the findings are consistent with the hypothesis, namely: “There is an effect of using the Teams Games Tournament (TGT) Learning Model in IPAS learning on the critical thinking skills of fourth-grade students at SD Negeri 01 Dagen Karanganyar in the 2024/2025 academic year.” This indicates that the TGT model can enhance students’ ability to think critically, helping them develop essential skills in problem-solving, analysis, and decision-making, which are crucial for their academic success and future learning processes.

This research aims to find out how much influence work motivation and work discipline have on employee performance with job satisfaction as an intervening variable at the West Sumatra Population and Civil Registration Service. Documentation methods and types of primary data.. Research results obtained based on partial tests (T tests) obtained: There is a significant positive influence between work motivation and job satisfaction at the West Sumatra Population and Civil Registration Service. With an influence of 0.007. There is an insignificant positive influence between Work Discipline on Job Satisfaction at the West Sumatra Population and Civil Registration Service. With an influence of 0.612. There is an insignificant positive influence between work motivation on employee performance at the West Sumatra Population and Civil Registration Service. With an influence of 0.188. There is an insignificant negative influence between Work Discipline on Employee Performance at the West Sumatra Population and Civil Registration Service. With an influence of 0.101. There is a significant positive influence between Job Satisfaction on Employee Performance at the West Sumatra Population and Civil Registration Service. With an influence of 0,000. There is an insignificant positive influence on Job Satisfaction mediating Work Motivation on Employee Performance at the West Sumatra Population and Civil Registration Service. With an influence of 0.040. There is an insignificant positive influence on Job Satisfaction mediating Work Discipline on Employee Performance at the West Sumatra Population and Civil Registration Service. With an influence of 0.587.    

This research aims to determine and analyze the influence of work motivation and work discipline on employee work performance in Bojong Rawalumbu Subdistrict. This type of research is quantitative. The sample used was 56 respondents from Bojong Rawalumbu Village employees. To test and prove the research hypothesis using the SPSS version 26 application. The results of the research that has been carried out are that the independent variables have a positive and significant effect on the dependent variable. Based on the test results and data analysis for the Work Motivation variable, it was obtained that the t-value was 2.677 > 1.674 (t-table) with a sig of 0.010 < 0.05, meaning that Work Motivation (X1) had a positive and significant effect on Work Performance (Y). Then the Work Discipline variable obtained a t-count value of 5.873 > 1.674 (t-table) with a sig of 0.000 < 0.05, which means that Work Discipline (X2) has a positive and significant effect on Work Performance (Y) and it is known that the f-count is 33.151 > 3.172 (Ftable) with a sig value of 0.000 < 0.05 that simultaneously Work Motivation (X1) and Work Discipline (X2) have a positive and significant effect on Work Performance (Y).

Premature rupture of membranes (KPD) is the rupture of the membranes before there are signs of labor, and after waiting for an hour the signs of labor have not yet begun. The time from when the membranes rupture until uterine contractions occur is called premature rupture of membranes. Factors that are closely related to PROM include infection, socio-economic factors, blood type factors, smoking behavior, history of PROM, incompetent cervix and intrauterine enhancement that is high or excessively high, fetal disproportion, multigravidity, multiple pregnancies, previous history of PROM , polyhydramnios, trauma, age and parity. The danger of premature rupture of membranes is the possibility of infection in the uterus and premature birth which can increase morbidity and mortality for mother and baby. Premature rupture of membranes causes a direct connection between the outside world and the space in the uterus, making it easier for infection to occur. The aim of this study is to determine the relationship between age and parity with the incidence of premature rupture of membranes in women giving birth at Harapan Bunda Hospital, Batam City in 2023. This research design uses analytical observational with a cross sectional approach, where data is taken using secondary data with a sample size of 65 people. The processing technique uses the chi-square test. The data obtained from the results of statistical tests is with p-value for age = 0.028 and for parity p-value = 0.039. The conclusion of this research is that the majority of mothers give birth at a non-risk age (20-35) and at a parity that is not at risk (2-3). There is a relationship between the age and parity of mothers giving birth and the incidence of KPD at Harapan Bunda Hospital, Batam City in 2023. With the p-value is 0.028 for age and the p-value is 0.039 for parity so that the p-value < α (0.05).

The purpose of this study is to describe the quality of service and menu variations on customer satisfaction in relation to visits and to know the influence of these three variables. This study used quantitative and causal approaches. This study used purposive sampling techniques of non-probability sampling type for sampling. This research instrument uses Google forms arranged based on Likert scales, first tested for validity and reliability. This data was analyzed using SPSS version 26.00. The survey results show that service quality is included in the fairly good category with the appropriate achievement level of 56.2%, menu variations with the appropriate achievement level of 59.8% are included in the fairly good category, and customer satisfaction. the level of achievement of respondents. 54% were in the appropriate category. The effect of service quality (X1) and menu selection (X2) on customer satisfaction (Y) was 28.2%, while the remaining 71.8% was influenced by other factors.

The increasingly rapid economic development has given rise to intense competition in the business world, a type of culinary business that offers food products that use goat meat as the main ingredient. This research was carried out with the aim of finding out how much influence product quality and price have on purchasing decisions. Researchers use quantitative research, survey research methods, descriptive analysis. The results of testing the validity of variable data using SPSS are as follows. The Sig0 value of the KMO and Bartlet's numbers is 224,576 with a significance value of 0.000. N100 based on the output it is known that the significance value of Asymp. Product quality and price simultaneously influence purchasing decisions for Sate Kambing Muda Mba Ita in Sukoharjo.

This study aims to examine the practice of kesah as an effort to control oneself in the Persaudaraan Setia Hati Terate (PSHT) Branch of Pulau Panggung Regency, Tanggamus and to examine it from the perspective of moral Sufism. Kesah in the context of PSHT is not only a form of physical or spiritual exercise, but also a manifestation of the process of tazkiyatun nafs (purification of the soul) to achieve noble morals. This study uses a qualitative approach with a descriptive qualitative type. Data collection techniques are carried out through observation, in-depth interviews, and documentation. and documentation. The results of the study indicate that the practice of kesah is a means to train patience, reduce anger, and strengthen self-control of PSHT members in facing life's challenges. From the perspective of moral Sufism, kesah reflects the process of internalizing values ​​such as patience, humility, and sincerity which contribute to the formation of a balanced spiritual personality. Thus, kesah is not only part of self-defense training, but also a method of developing the soul towards a person with noble morals in accordance with the teachings of moral Sufism.  

Lead apron is a type of personal protective equipment in the form of an apron and made of lead which is designed to protect the body from the dangers of radiation. Menurut Keputusan Menteri Kesehatan Republik Indonesia Nomor 1250/MENKES/SK/XII/2009 regarding Quality Control Guidelines to protect the density and physical condition of the lead apron, testing is required once a year and may be carried out before one year if necessary. To maintain the quality of the lead apron, it needs to be stored in a good manner and avoid stacking and folding it. Because it can cause damage which will reduce its function as radiation protection equipment. Lead apron storage should be stored flat without folds or on a special shelf. The aim of this research is to test lead aprons in the Radiology Installation of Regional Hospitals Mangusada Badung to determine the feasibility of the lead apron. The type of research used is descriptive quantitative research with a survey approach, observation, namely by carrying out testing, measurement and documentation. This research was conducted in July. The results of this study indicate that lead apron testing in the Radiology Installation of Regional Hospitals Mangusada Badung What has been done is that the four lead aprons are still in good condition and still suitable for use.

Pregnancy is a unique natural condition because although it is not a disease, it often causes complications due to various anatomical and physiological changes in the mother's body. Pregnant women who suffer from anemia can have an impact on the fetus, such as premature birth, the risk of low birth weight (LBW), fetal abnormalities, and increased risk of fetal distress. In general, the causes of anemia in pregnancy are iron deficiency and acute bleeding or even the interaction of both. The purpose of this study was to determine the difference in the effectiveness of giving red spinach juice and Ambon bananas on Hb levels in pregnant women in the third trimester. The design used in this study was a quantitative inferential study including the pre-experimental type with two group pretest-posttest. Based on the time of data collection, it included the cross-sectional type, sourced from primary and secondary data. An assessment of the difference in increasing HB levels was carried out before and after treatment (Pretest and Postest two Group Design). Data analysis consisted of univariate and bivariate analysis. The results of the analysis showed an effect in giving red spinach juice and Ambon bananas. It is hoped that the Health Center will facilitate health workers (midwives) in providing information on providing guava juice with red spinach leaf juice as an alternative for preventing and managing anemia during pregnancy in the Health Center's work area.    

This research motivation is the researchers' observations regarding turnover intention at the Yuan Garden Hotel, Pasar Baru. Job insecurity and job stress are factors that influence turnover intention at the Yuan Garden Pasar Baru Hotel. The research purpose is to reveal and describe the job insecurity impact and job stress on turnover intention at the Yuan Garden Pasar Baru hotel. This type of research is quantitative descriptive with a sampling technique using purposive sampling and a sample size of 60 respondents based on a saturated sampling formula. The technique for data collection in this research uses a questionnaire with a Likert scale which has been tested for validity and reliability. The collection for is analyzed using multiple linear regression analysis with the support by SPSS (Statistics Product and Service Solution) calculation tool version 27.00. Based on the analysis results, conclusions shown on the t-test results, for the variable job insecurity (X1) with a level of significant is 0.001 < 0 .05, meaning there is a significant influence of job insecurity on turnover intention. Meanwhile, the t-test results for the job stress variable (X2) have a level of significance is 0.393 < 0.05, meaning that job stress has no significant effect on turnover intention. Based on the f-test with a level of significance is 0.000 < 0.05, this means that simultaneously job insecurity (X1) and job stress (X2) have a significant effect on turnover intention. The job insecurity (X1) and job stress (X2) variables influence the turnover intention (Y) variable by 37.6% while the remaining 62.4% is influenced by other variables.  

The general purpose of this study is to analyze the influence of Brand Trust on the decision to stay at The Axana Hotel Padang. The type of research used in this study is a quantitative approach and causal associations. Guests who have stayed at Axana Hotel Padang participated in the study. The sample consisted of 204 guests who followed a nonvoluntary review strategy. The data collection strategy uses Likert scale surveys that attempt to explore speculation. Data for this study were processed using SPSS 26.00. The results of this study prove that Brand Trust is in the appropriate category (80%). In addition, the decision to stay on the category is enough ie. (75%). Brand Trust had a significant effect on overnight decisions with an R-squared value of 0.397 and a significance of 0.000 < 0.05. This means that there are 0.603 that are influenced by other factors.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

Urban public issues are highly complex and involve various actors with different interests and resources. As a large city, Bandung faces a variety of public issues that require a collaborative policy approach. This study aims to analyze the policy network structure in handling public issues in Bandung. This study uses a qualitative approach with a descriptive-analytical research type. Data were collected through in-depth interviews, observations, and documentation studies, then analyzed using a policy network structure perspective. The results show that the policy network structure in Bandung is still dominated by government actors and tends to be hierarchical and fragmented. Inter-actor connectivity is not yet optimal, the participation of non-government actors is still limited, and the distribution of roles in the policy network is not yet balanced. This condition has an impact on weak cross-sector coordination, low community participation, and ineffective handling of public issues. This study concludes that the structuring of an inclusive, connected, and trust-based policy network is key to improving the effectiveness of public issue handling in Bandung City.

Lobster is one of Indonesia's marine resources that has high economic value and is very important for the country's economy, but excessive lobster fishing and smuggling of lobster seeds have caused a decrease in the productivity of marine resources and significant state losses, so effective law enforcement efforts are needed to protect Indonesia's marine resources from these illegal acts. The problem in this study is how the law enforcement by the West Tanjung Jabung Police against the crime of smuggling lobster seeds (Study of Case Register Decision Number: 144 / Pid.Sus / 2023 / Pn Klt), and what factors are the causes. The research method used is normative juridical, a type of legal research that focuses on the analysis and interpretation of legal norms that apply in a legal system. The study shows that the three defendants in the crime of smuggling lobster seeds were sentenced to 2 years in prison and a fine of IDR 5,000,000 based on Article 27 number 26 Article 92 of Law Number 6 of 2023 concerning Job Creation. The factors causing this crime include internal factors (economic and education) and external factors (politics, environment, and lack of security). Suggestions from the study are: Reviewing the lobster seed export policy. Improving coordination between law enforcement officers and community participation. Improving the capacity and competence of law enforcement personnel.