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Mothers in Bingkat Village have daily activities as housewives and participate with their husbands as farmers and raise livestock, as well as social activities of village organizations and religion, not to the point of increasing family economy. Making warming cream from natural ingredients, such as nutmeg, lemongrass, and torch ginger or other plants around the house is very easy, simple tools, low cost, and has economic value. The target of the activity is to provide assistance in making body warming cream and relieving aches and pains. Based on this, it is deemed necessary to provide assistance in making body warming cream and aches and pains. Assistance is not only in making, but also in good product packaging and counseling on marketing direction of products made by the people of Bingkat Village. This natural cream product has a selling value, so it is hoped that it can increase family income and welfare.

One of the causes of the high Maternal Mortality Rate (AKI) is long childbirth. If the delivery process lasts a long time, it can cause the mother to be exhausted because she runs out of energy. This results in inadequate uterine contractions (his) so that it can cause failure in the progress of labor. In addition to the inadequacy of uterine contractions (his), psychological conditions are also one of the factors that affect the length of labor progress. The psychological condition in question is the mother's perception of anxiety and pain during the childbirth process. One of the non-pharmacological therapies is self-healing , which is one of the methods used to manage emotions in order to avoid things that cause stress. This study aims to analyze the Effectiveness of Self-Healing to Reduce the Intensity of Pain in Maternal Mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. This research method uses a quantitative research approach with a quasi-experimental design research method in one group (one group prestest posttest). The research will be conducted in May 2024-July 2024. The sample size was 16 people with nonprobability sampling techniques. The data analysis used was using the Pairet t Test with an error value of α 0.05. The results of the study based on the output test statistics obtained a significance value of 0.000 which is smaller than the significance level of 5% (p-value = 0.000 < 0.05). The conclusion of the study is that Ha is accepted, which means that there is an effect of self-healing on the reduction of Period I labor pain in Primigravida mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. It is hoped that health workers can improve the quality of service, self-healing can be an intervention as one of the non-pharmacological therapies for maternal mothers.

The need for an efficient system to manage academic works in digital format is growing in universities, including at Universitas Islam Negeri Sumatera Utara (UINSU). Despite previous developments in digital repository systems, many academic institutions, including UINSU, still face challenges related to data management, security, and accessibility. This study aims to develop a web-based repository system for UINSU using the Waterfall method, to improve the storage, management, and accessibility of academic resources. A structured quantitative approach was adopted, focusing on the development and implementation of the repository system. The Waterfall methodology was chosen due to its step-by-step approach, ensuring a thorough and organized development process. The implementation of the system resulted in an organized, user-friendly platform where students, faculty, and staff can upload, manage, and access academic documents efficiently. The system features a clear interface for searching, uploading, and managing documents, with administrative controls for approving and maintaining submissions. The repository system significantly improves data management at UINSU, providing a long-term solution for archiving academic work. Continuous evaluation and system upgrades are essential to ensure it adapts to future needs and technological advancements.

Poverty is a crucial issue for a country. Overcoming poverty requires a comprehensive and sustainable approach that encompasses various sectors.  This study aims to determine the effect of the Open Unemployment Rate (TPT), Gross Regional Domestic Product (PDRB), and Labor Force Participation Rate (TPAK) on the number of poor residents.  The data analysis technique used in this research is OLS (Ordinary Least Squares), utilizing time series data on the Open Unemployment Rate (TPT), Regional Gross Domestic Product (PDRB), Labor Force Participation Rate (TPAK), and poverty from 2002-2023 in North Sumatra Province.  The results of this study indicate that the Open Unemployment Rate (IPT) does not affect poverty, whereas the Gross Regional Domestic Product (PDRB) and the Labor Force Participation Rate (TPAK) have a negative and significant impact on poverty.  Meanwhile, simultaneously, the Open Unemployment Rate (TPT), Regional Gross Domestic Product (PDRB), and Labor Force Participation Rate (TPAK) affect poverty in North Sumatra Province from 2002 to 2023.

One of the socioeconomic problems faced by every region is poverty. Poverty is a social issue that takes place in the long term, so that until now it is still difficult to overcome. The purpose of this study was to determine the effect of Population, Open Unemployment Rate (TPT), and Human Development Index on Poverty Level in North Sumatra Province. This study uses secondary data analysis in the form of time series data which is quantitative in nature, namely data in the form of numbers. The secondary data used in this study are poverty data, population data, open unemployment rate data and human development index data from 2001 to 2021. These data were obtained from the North Sumatra in Figures (SUDA) document from 2001 to 2021. The results of this study prove that population has a significant effect on the poverty rate of North Sumatra Province, the open unemployment rate variable has no significant effect on the poverty rate of North Sumatra Province, the human development index variable has no significant effect on the poverty rate of North Sumatra Province. Simultaneously, population, open unemployment rate (TPT), and human development index have a significant effect on the poverty rate in North Sumatra province.

This study aims to analyze the effect of government spending, unemployment, and inflation on the number of poor people in North Sumatra Province during the period 2001-2023. The data used is secondary data obtained from the Central Bureau of Statistics (BPS) and Bank Indonesia. The analysis method used is multiple linear regression with EViews 13 software. The classical assumption tests used include normality, multicollinearity, heteroscedasticity, and autocorrelation tests. The results show that government spending has a negative and significant effect on poverty, while unemployment and inflation have no significant effect. Simultaneously, the three variables have a significant influence on the number of poor people in North Sumatra. It is recommended that the government increase the effectiveness of spending on strategic sectors for poverty alleviation and maintain economic stability with integrated policies.

The purpose of this study was to determine the rhetorical techniques used by mahasantri (students) in improving their da'wah (preaching) abilities at Ma'had Al-Jami'ah, UIN Sumatera Utara (UINSU). This research employs a qualitative approach, using data collection techniques such as interviews and direct observations conducted in the field. The study focuses on how rhetorical techniques influence the development of da'wah skills among mahasantri, with particular attention to their speaking abilities. During the research, various rhetorical techniques were identified, including the use of persuasive language, storytelling, metaphors, and repetition, which are commonly employed by mahasantri in their da'wah activities. These techniques are believed to enhance the clarity and effectiveness of the message being delivered, allowing mahasantri to connect more effectively with their audience. The results indicate that the mahasantri at Ma'had Al-Jami'ah have shown significant improvements in their speaking abilities due to the application of these rhetorical strategies. Moreover, these techniques help them in presenting religious teachings in a more engaging and impactful manner. The study also highlights the importance of developing communication skills through rhetorical techniques as a means to enhance the overall quality of da'wah. In conclusion, the research demonstrates that the use of rhetorical techniques plays a crucial role in strengthening the ability of mahasantri in delivering da'wah and improving their public speaking skills. The study recommends further development of such techniques in religious education to foster better communication between the preacher and the community.

Inclusive education in North Sumatra faces various challenges in efforts to achieve educational equality for all children, including children with special needs. This study aims to analyze the challenges and solutions applied in the implementation of inclusive education in the region. The results of the study indicate that the main challenges in inclusive education include limited facilities that support the needs of children with disabilities, the lack of teachers with special competencies, and minimal public understanding of the importance of inclusive education. Additionally, the limitations in resources and the lack of training for educators are also significant barriers to providing quality education for all children. However, several solutions have been implemented to address these issues. These solutions include improving teacher training to ensure educators have sufficient skills and knowledge in handling children with special needs, providing more supportive facilities and infrastructure such as disability-friendly classrooms, and efforts to socialize the importance of inclusive education to the community to reduce stigma against children with special needs. This study emphasizes that collaboration between the government, schools, and the community is essential to strengthen the implementation of inclusive education, in order to create a more inclusive and equitable learning environment for all children in North Sumatra.

This study analyzes the human development index, regional minimum wage, and labor force participation rate on poverty in North Sumatra in 2001-2023. The data used is secondary data in the form of time series obtained from the publication of the Central Bureau of Statistics. The analysis method used is multiple regression with E-Views software. The results showed that the human development index has no effect, the regional minimum wage has a negative effect and the labor force participation rate has a negative and significant effect on poverty, which indicates that an increase in the human development index tends to not affect poverty because it has a positive value. In contrast, the regional minimum wage and labor force participation rate show a negative and significant effect on poverty. Simultaneously, the human development index, regional minimum wage and labor force participation rate have a significant effect on poverty.

Inclusive education in North Sumatra faces various challenges in efforts to achieve educational equality for all children, including children with special needs. This study aims to analyze the challenges and solutions applied in the implementation of inclusive education in the region. The results of the study indicate that the main challenges in inclusive education include limited facilities that support the needs of children with disabilities, the lack of teachers with special competencies, and minimal public understanding of the importance of inclusive education. Additionally, the limitations in resources and the lack of training for educators are also significant barriers to providing quality education for all children. However, several solutions have been implemented to address these issues. These solutions include improving teacher training to ensure educators have sufficient skills and knowledge in handling children with special needs, providing more supportive facilities and infrastructure such as disability-friendly classrooms, and efforts to socialize the importance of inclusive education to the community to reduce stigma against children with special needs. This study emphasizes that collaboration between the government, schools, and the community is essential to strengthen the implementation of inclusive education, in order to create a more inclusive and equitable learning environment for all children in North Sumatra.

OSCE is an exam with an assessment based on the skills (performance) observed when performing various clinical skills. The OSCE procedure is more emphasized on clinical skills that must be mastered by students to take action on their patients. However, unfortunately OSCE is a high enough stressor in causing anxiety. The OSCE has more stressors than other types of exams. This happens because of the large amount of material that must be mastered and the limited duration of the exam. In addition, the atmosphere during the exam, such as the examiner observing the students directly, causes anxiety. Anxiety that arose during the OSCE exam in medical students turned out to have a significant effect. However, there are not many studies that delve deeply into what causes it. So that the solution related to the problem of anxiety cannot be carried out optimally. The objective of this study was to explore the causes and ways to overcome anxiety in students of the Faculty of Medicine, Universitas Muhammadiyah Sumatra Utara during the OSCE. This research was conducted from January-July 2022. It was quantitative research with cross-sectional data collection. The research sample was students of the Faculty of Medicine, Universitas Muhammadiyah Sumatra Utara, Class of 2019 (n = 200). Anxiety assessment was determined using the Hamilton Rating Scale For Anxiety (HARS) questionnaire, and researchers develop a questionnaire to evaluate the factors that influence students’ anxiety and coping mechanism. A total of 197 out of 200 respondents (98.5%) had anxiety while attending the OSCE. Anxiety was dominated by a mild level of anxiety, about 86 people (43.0%). External factors affect 118 people (59%) and are the factors that dominate the causes of anxiety for students that took part in OSCE. The biggest etiology of anxiety for students who took part in OSCE is the processing time as many as 42 people (21%), too many materials 41 people (20.5%), not focusing/forgetting as many as 39 people (19.5%). OSCE merupakan ujian dengan penilaian berdasarkan keterampilan (performa) yang diobservasi saat melakukan berbagai keterampilan klinik. Prosedur OSCE lebih ditekankan pada keterampilan klinis yang harus dikuasai oleh mahasiswa untuk melakukan tindakan terhadap pasiennya. Namun, sayangnya OSCE merupakan stressor yang cukup tinggi dalam menimbulkan kecemasan. OSCE memiliki stressor yang lebih dibandingkan dengan jenis ujian lainnya. Hal tersebut terjadi karena banyaknya materi yang harus dikuasai serta sempitnya durasi waktu ujian. Selain itu suasana saat ujian, seperti adanya penguji yang mengamati mahasiswa secara langsung, menyebabkan timbulnya kecemasan. Kecemasan yang muncul saat ujian OSCE pada mahasiswa kedokteran ternyata menimbulkan efek yang signifikan. Namun tidak banyak penelitian yang menggali secara mendalam mengenai apa penyebabnya, sehingga solusi terkait permasalahan kecemasan tersebut tidak dapat dilakukan secara maksimal. Tujuan penelitian ini adalah untuk mengetahui faktor penyebab dan cara mengatasi kecemasan pada mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara pada saat OSCE. Penelitian ini dilaksanakan pada bulan Januari-Juli 2022 dan merupakan penelitian kuantitatif dengan pengambilan data secara cross-sectional. Sampel penelitian adalah mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara Angkatan 2019 (n = 200). Penilaian kecemasan ditentukan dengan menggunakan kuesioner Hamilton Rating Scale For Anxiety (HARS) dan kuesioner yang disusun utnuk menilai faktor penyebab dan cara mengatasi kecemasan. Sebanyak 197 dari 200 responden (98,5%) memiliki kecemasan saat mengikuti OSCE. Kecemasan didominasi dengan tingkat kecemasan ringan yaitu 86 orang (43,0%). Faktor eksternal mempengaruhi 118 orang (59%) dan merupakan faktor yang mendominasi penyebab kecemasan mahasiswa yang mengikuti OSCE. Penyebab terbanyak kecemasan mahasiswa yang mengikuti OSCE adalah waktu pengerjaan sebanyak 42 orang (21%), materi ujian terlalu banyak 41 orang (20,5%), tidak ocus/lupa sebanyak 39 orang (19,5%).  

Tobacco is one of the economic crops that has an important role in the global and national economy. In the production and selling price of tobacco is not only influenced by internal factors, such as cultivation methods and agricultural techniques and also external factors, In an effort to overcome this challenge One promising approach is the use of statistical methods and machine learning to combine data on these diverse factors. Autoregressive Integrated Moving Average (Arima) method. In 2010-2021, North Sumatra Province had 12 regencies that had the potential for tobacco production consisting of 12 years with 5 regencies in North Sumatra that had the potential to produce tobacco. Based on the forecast results, there was a significant increase in the amount of higher tobacco production in even years or it can be said to be an increase in the following 2 years. This can be a reference for producers to increase productivity in odd years to meet stable market needs.

This Community Service Program aims to improve the quality of education in Pasar Melintang Village, Lubuk Pakam, North Sumatra, through the establishment of a Learning House. This initiative is designed to provide additional educational access for children and teenagers who face limitations in obtaining quality formal education. The program focuses on enhancing literacy and numeracy skills while providing academic support to help students better understand their school subjects. The methods used include an initial survey to identify educational needs, the implementation of structured learning activities, and the evaluation of the program's impact on student development. The results of the program show a significant improvement in reading and writing skills, as well as in understanding basic numeracy concepts. Additionally, this program contributes to raising community awareness about the importance of education. The presence of the Learning House is expected to have a long-term positive impact, preparing the younger generation in the village to face academic and social challenges in the future. Thus, this program not only provides direct benefits to the students but also creates a positive shift in the collective awareness of the community regarding the importance of education.

This study aims to classify employees at the North Sumatra Provincial Human Resources Development Agency (BPSDM) based on age, education level, and rank using the K-Means Clustering method. Age, education level (converted to numeric), and rank (converted to numeric) data were processed through preprocessing, cluster number determination, K-Means implementation, and evaluation stages. The results showed that employees were grouped into three clusters: 1) dominated by ages 54-64 years, S2 education, rank IV/d; 2) dominated by ages 43-53 years, S2 education, rank III/d; 3) dominated by ages 32-42 years, SLTA education, rank III/b. This classification provides employee characteristic information to support human resource management.

In order to improve the welfare of the community, it is expected that the government will also participate in improving health standards, especially for mothers. This is because healthy mothers will produce superior generations. The best food for babies is breast milk, therefore it is expected that mothers can give their babies exclusive breast milk so that the baby's growth and development are optimal and grow into a healthy, intelligent and productive adult generation. Breastfeeding itself also has obstacles including sore nipples, babies who often cry. Oxytocin massage aims to increase breast milk production in mothers in labor. The implementation of this community service is aimed at prospective breastfeeding mothers and breastfeeding mothers. This activity took place at the Afisya Clinic, Deli Serdang Regency, North Sumatra Province. The method of implementing assistance and application of oxytocin massage consists of refreshing the knowledge and skills of midwives in implementing oxytocin massage. The results of this community service can improve the knowledge and skills of midwives in implementing oxytocin massage. There was an increase in midwives' knowledge by 53% and skills by 100% and all mothers in labor gave breast milk to their mothers. It is hoped that the implementation of oxytocin massage will be applied to all mothers giving birth so that mothers can provide exclusive breastfeeding.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

This study aims to design and develop a web-based meeting scheduling system at the North Sumatra Provincial Transportation Office using the First Come First Served (FCFS) algorithm method. This system is expected to optimize the meeting scheduling process by considering various factors, such as the availability of time and meeting room, as well as the needs of meeting participants. The Waterfall method is applied in the development of this system, which includes the stages of determining needs, system design, implementation, testing, and maintenance. First Come First Served (FCFS) in the meeting scheduling system at the North Sumatra Provincial Transportation Office can be applied to organize the queue of requests for the use of meeting rooms or meeting schedules based on the order of arrival of requests. The results of this study indicate that the implementation of a web-based meeting scheduling system can increase efficiency and reduce schedule conflicts at the North Sumatra Provincial Transportation Office. This system can facilitate the process of managing meetings and increase work productivity.

The purpose of this community service is to provide a better understanding of Ulos weaving business actors in Sigaol in order to make regular business financial administration and to provide knowledge to Ulos weaving business actors in order to make business financial planning effectively. The method used is to introduce and socialize community service programs to ulos weavers to convey the background and objectives of the activity, introduction and training in making business plans, making profit and loss statements, balance sheets and financial reports and conducting evaluations to determine the success of the training that has been given to Ulos weavers. The ulos weavers in Sigaol Timur Village are still in the stage of starting their business and are currently included in the MSME group.  Currently there are around 20 weavers who are members of the Bintang Maratur Ulos Weaving Group.  This community service activity was carried out well and is expected to provide an outcome where the ulos business owners in Porsea and their employees get motivation and are expected to increase their competence, especially in terms of financial management so that they can have a higher competitive advantage.

Tourism is one of the largest sources of income in many developed and developing countries, especially in Indonesia. Tarabunga Village, which is in Toba Regency, North Sumatra, currently does not seem to receive optimal attention. This research was conducted to analyze the tourism potential of the Tarabunga Tourism Village using qualitative research methods with parameters that can be measured from the 6A theory (attractions, activities, accessibility, amenities, additional services and available tour packages), then using observation, interviews, and other techniques. and questionnaires, as well as using SWOT analysis techniques to answer the strategy for developing the tourism potential of Tarabunga Tourism Village.

Asphyxia is a condition in which a baby fails to breathe spontaneously and regularly immediately after birth, preventing oxygen intake and carbonic acid removal (Dewi, 2011). It is a pathological change caused by insufficient oxygen in the respiratory air, leading to hypoxia and hypercapnia (Ridha, 2014). Asphyxia can occur at birth (primary asphyxia) or develop later (secondary asphyxia). This study aims to identify factors influencing neonatal asphyxia at the Pagar Merbau Health Center, Deli Serdang Regency, in 2023. The research employs an analytical method with a cross-sectional approach. Data analysis utilized the chi-square statistical test and Fisher’s Exact Test in SPSS to determine the relationship between independent and dependent variables. Results from bivariate analysis using Fisher's Exact Test revealed a p-value of 0.344, indicating no statistically significant relationship between maternal age and neonatal asphyxia at the Pagar Merbau Health Center in 2023. To reduce neonatal asphyxia risk, pregnant women should undergo regular antenatal care using available health facilities to detect complications such as premature birth (<37 weeks), postmature birth (>42 weeks), low birth weight, or premature rupture of membranes. Early detection and appropriate medical intervention can minimize neonatal asphyxia incidence. Healthcare providers must enhance prenatal education and monitoring programs to ensure better maternal and neonatal health outcomes. Strengthening healthcare services and raising awareness among pregnant women about risk factors can contribute significantly to reducing neonatal asphyxia cases.