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Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

Web-based information systems are in high demand in various circles of society, including in the world of non-computer education, where the written examination system commonly used in education often has many obstacles. Factors must also be considered when evaluating written tests, as many participants may avoid writing notes on cards and waste paper and ink to ask and repeat questions, including negative factors in written tests, so this study aims to do so. a database-based online exam system that educational institutions can use to convert existing written exams into an online exam system. Therefore, with the rapid development of information technology, it is necessary to design and build an online examination system based on Data Warehouse to replace the manual written examination system and facilitate the work of the teacher in SMP Negeri 5 Medan. Primary schools enter question data into the system and can minimize the operational costs of passing exams, and the system can also store data more securely in its data warehouse, i.e. teacher information, basic information, student information. subject information, value information and question information. The method is Data Warehouse, software procedures and Waterfall model. The survey respondents were 150 students from SMP Negeri 5 Medan, a total of 150 students. This online exam system was created using PHP programming language, MySQL database and XAMPP web server

Insulin plays an important role in metabolism. miR-Let-7b-5p has an important role in the regulation of genes that play a role in the insulin signaling pathway. This study aims to look at the role of hsa-miR-Let-7b-5p in the insulin signaling pathway and the genes related. This research method is an in silico study using DIANA MiRPath v3.0. Pathway analysis was performed using DIANA MiRPath v3.0 web-based software to analyze miRNA regulation. This research uses data on the regulatory pathways of the Homo sapiens species. The results showed that there were 10 target genes from hsa-miR-Let-7b-5p in the insulin signaling pathway. The metabolic processes involved in the insulin signaling pathway are related to glucose uptake, lipogenesis, glycolysis, glycogenensis, antiapoptosis, protein synthesis, proliferation and differentiation. The NRAS, MAP2K2 and KRAS genes affect the process of proliferation, differentiation and protein synthesis. The CRKL gene influences the process of glucose uptake. The ACACA gene influences the process of lipogenesis. The GYS1 gene influences the process of glycogenesis. The PRKAR2A gene influences the antilipolysis process. The INPPL1 gene influences the inhibition of the PI3K gene into aPKC, PDKI2 and mTOR in various pathways in the insulin signaling pathway. Other pathway processes related to the insulin signaling pathway are the phosphatidyl signaling system and the MAPK signaling pathway. So that miR-Let-7b-5p as an indicator of examination or can be a target of therapy related to the role of insulin.

This study aims to analyze the effect of independence, professionalism, and time budget pressure on the quality of audits of local government financial reports (LKPD) at the Indonesian Supreme Audit Agency (BPK) DIY Representative. This research is included in the quantitative research. The statistical method used to find the hypothesis is multiple linear regression analysis. Collecting data in this study by distributing research questionnaires to auditors who work at the BPK RI DIY Representative by using the total sampling formula. Later on, the results from hypothesis testing show that independence has no significant effect on the quality of LKPD examination, the independent variable of professionalism shows a significant positive effect on the quality of LKPD examination, and the dependent variable has no significant effect on the quality of LKPD examination.

This article analyzes the importance of data collection and measurement of progress in the English education curriculum. Accurate data collection and effective measurement methods play an important role in evaluating the effectiveness of the English education curriculum. Some of the relevant data collection methods include tests and examinations, use of portfolios, and class observations. Meanwhile, progress measurement methods include grades, performance scales, formative tests, project assessments, and self-evaluations. By using these methods, teachers can get comprehensive information about students' progress in English, which can then be used to design appropriate teaching strategies. Accurate data collection and effective measurement of progress will provide significant benefits in improving students' English learning

Maintaining a balance of calcium levels at a young age is proportional to the high or low risk of developing bone mass loss disease. More than 30% of menopausal women over the age of 50 are at risk of developing osteoporosis due to low calcium levels. Decreased bone mass due to low calcium levels can affect anyone, including women of childbearing age. In fertile women who are still producing the hormone estrogen when entering the menstrual phase, especially before menstruation, calcium levels can decrease. Although it is still in the normal range, calcium itself can have an effect, one of which brings symptoms that lead to a calcium deficiency condition. This activity aims to determine blood calcium levels in women of childbearing age and in menopausal women so that osteoporosis can be prevented in Kemantren Village, Cirebon Regency. The method of this activity is by conducting observations, interviews and blood calcium examinations. The results of the activity were carried out on 30 samples of women of childbearing age and 30 samples of menopausal women from Kemantren Village, Cirebon Regency. The average value of blood calcium levels in women of childbearing age was 8.83 mg/dL with the highest and lowest blood calcium levels of 10.80 mg/dL and 6.67 mg/dL, respectively. The conclusion of this activity is that fertile and menopausal women are known to have normal calcium levels.

Anemia is one of the conditions in which the body lacks enough red blood cells or hemoglobin to meet its physiological needs depending on the person's age, gender, age, pregnancy stage and breastfeeding stage because at the breastfeeding stage, the mother is susceptible to experiencing anemia due to iron depletion during breastfeeding and the occurrence of postpartum blood loss. Beetroot (Beta Vulgaris) is a fruit that contains quite high iron and has many nutrients. Beetroot can be used as an alternative to anemia treatment and can also be used as a prevention of anemia. The purpose of this community service activity is to give beets to breastfeeding mothers, namely to increase the knowledge of breastfeeding mothers about the benefits of beets in preventing and treating anemia. The method used in this activity is counseling by means of socialization first then followed by observation using questionnaires and blood sampling for hemoglobin examination. This activity took place at the Posyandu Sukasari Kaler Village, Majalengka Regency on April 14 – 21, 2023. Based on the results of community service activities, we can know that consuming beets for 7 days can prevent anemia and increase hemoglobin levels in breastfeeding mothers.

Research aims to explore the comparison between Indonesian and Thai languages, focusing on structure, phonology, and grammar rules. The methodology involves historical and cultural analysis to understand their influences. Phonetic examination compares pronunciation of phonemes. The study also investigates morphological aspects like word formation, inflection, and affixation. Syntactic analysis examines sentence structures, grammar, and phrase roles. The findings provide a comprehensive overview of linguistic differences, alongside cultural and historical impacts. Implications include contributions to interlanguage understanding, development of teaching methods, and cross-cultural translation. This research serves as a foundation for linguistic practitioners, translators, and language instructors to comprehend and leverage the differences and similarities between both languages.

Background One of the health problems that still exist in Indonesia is the death of children under five years of age (toddlers). malnutrition status is still be the big cause. The condition of providing nutrition to children in Indonesia is very bad compared to the nutrition of children in the world. Therefore, this is a very important to children get good and balanced nutritional intake to support the child's growth in the future and permanently and at high risk, namely stunting. The purpose of this community service is to provide counseling on nutrition fulfillment in preventing stunting in toddlers. The method of implementing community service is directly using counseling methods, and physical examination of toddlers at posyandu in Rawang Itek Village, Panton Labu District, North Aceh Regency. The results of counseling and physical examinations at the posyandu indicated that the nutrition of toddlers in Rawang Itek village was in a good category, only mothers who had toddlers were still not doing frequent and routine health checks up for toddlers by bringing their children to the posyandu. Conclusion of community service it can be concluded that the role of the mother is very important in the development of toddlers. Toddlers must be routinely brought to the posyandu and carry out physical examinations and checks for nutritional status.

Patient An A was brought by her parents to the Children's polyclinic at the Lhoksukon Health Center with complaints of itching all over her body since the past 2 weeks. Complaints mainly in the area between the fingers, toes and in the groin area. The patient's mother said that her child complained of itching which felt worse at night. The patient's mother said that this complaint first appeared when her first child came home from the dayah during the school holidays. 3 weeks ago the patient brought his first child to the puskesmas with the same complaint before he returned to the dayah. And now the patient has just brought An A for treatment with the same complaint. From the examination results, HR: 87 x/I, RR: 18 x/I, temperature: 36.5 C. Primary data were obtained through alloanamnesa and physical examination by making home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Interventions carried out include education about the causes of scabies to their families, education on environmental sanitation and hygiene and management of the disease and explaining complications that may arise from the patient's disease so that the patient's family maintains personal hygiene and environmental cleanliness.

Rheumatoid arthritis is an autoimmune disease that occurs when the body's immune system mistakenly attacks healthy joints. The disease can start at any age, but the likelihood of onset is highest in older adults. In Rheumatoid Arthritis the tissue lining the joints becomes thickened resulting in swelling and pain. Elderly is an age that has a greater possibility of having an autoimmune this is based on the statement that the older you are, the greater the chance of having an autoimmune. Early diagnosis and treatment isthe key to successful treatment of Rheumatoid Arthritis because joint damage cannot be restored once it occurs. Rhematoid Factor examination is largely used to help diagnose rheumatoid arthritis. Community service activities aim to determine the description of RF levels in the elderly with supply disorders, descriptive research type with a cross sectional approach. The sampling technique used purposive sampling as many as 62 elderly people in the Social Service of NTT Province. The results of RF examination in all elderly samples 6.45% have positive results and 93.55% negative results.

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.

Pesticides are toxic substances that have a negative impact on human health problems. Anemia is one of the chronic effects of pesticide. The effect of pesticides to the farmer’s health, decreasing production or increasing destruction of red blood cells. The purpose of this study was to analyze the relationship of pesticide exposure with anemia in the blood of pesticide spraying workers at PT. X. The research method used is Cross Sectional at PT. X with a total sample of 61 workers was obtained by Simple Random Sampling. Information was obtained through interviews with questionnaire and examination of hemoglobin levels using a portable hemoglobin meter. Based on the results of the analysis using chi square data, it was found that pesticide exposure were associated with anemia (p = 0.011). It is expected that sprayers pay more attention to the impact of using pesticides with health.    

Aviation Security officers play an important role in carrying out inspections to maintain the security and safety of prospective passengers. This study aims to determine the application of inspection procedures in the new adaptation era and to analyze the performance of Aviation Security (AVSEC) officers in the new normal adaptation era at Lede Kalumbang Airport. This study uses a qualitative approach with data collection techniques using participant observation, structured interviews, and documentation collected from relevant informants when the writer went into the field. The results of this study indicate that the inspection procedure in the new normal adaptation era is the same as the previous examination but there are additional checks or rules such as passengers must wear masks, maintain a minimum distance of 1 meter and examine health documents for passengers who will travel. And the performance of Aviation Security personnel at Lede Kalumbang Airport is in accordance with the SOP set at Lede Kalumbang Airport.

In uncovering the insights contained in the stories of the Koran, the researcher conducted a top-down examination of the background of the verses of the Koran, focusing on the structure of the story, the personality of the characters, and the ethical messages contained therein. They also use Islamic learning standards, such as tawhid (belief in one God), profound qualities (ethical qualities), and morals, as reasons for finding shrewdness suggested. This exploration makes a significant commitment to increasing our understanding of possible interpretations of the Qur'an and understanding how researchers differentiate the stories in it and trace the asceticism in it. By knowing these tips, Muslims can apply them in their regular routines and determine the otherworldly and moral advantages of studying the Koran.

The large number of people who use sharia contracts has a strong correlation with the number of sharia economic conflicts. Either party may breach the contract or engage in illegal acts giving rise to law. If a lawsuit occurs, the aggrieved party can file a lawsuit against the lawsuit, but the judge turns out that during the examination of the case, it determines that the contract in question is not in accordance with sharia law, even though neither party owns it. filed a lawsuit to be terminated. To examine sharia economic dispute cases, judges are required to follow certain provisions from the Supreme Court. In this study, the authors also used a conceptual approach to examine. Islamic legal concepts related to improper contracts. govern Islam. The authors of this study draw the conclusion that there are still many legal discussions governing sharia economics; existing laws only regulate in general and globally, and sometimes even conflict with each other. Due to loopholes in the law, the Supreme Court established guidelines for reviewing sharia economic cases. The guidelines contain several provisions that are inconsistent or even contradict one another, so that ijtihad is required from the judge's side to uphold the principle of divinity. so that the choice is only based on the rules stipulated by Islamic law. then the Supreme Court sets guidelines for reviewing sharia economic cases. The guidelines contain several provisions that are inconsistent or even contradict one another, so that ijtihad is required from the judge's side to uphold the principle of divinity. so that the choice is only based on the rules stipulated by Islamic law.. then the Supreme Court sets guidelines for reviewing sharia economic cases. The guidelines contain several provisions that are inconsistent or even contradict one another, so that ijtihad is required from the judge's side to uphold the principle of divinity. so that the choice is only based on the rules stipulated by Islamic law.

ABSTRACT This research specifically aims to examine the impact of assessment changes through educational supervision practices. The assessment changes include the National Final Examination, National Examination, Computer-Based National Examination, and Minimum Competency Assessment. There are various issues and positive impacts on education that occur as a result of national assessment changes. Supervision practices are implemented in educational institutions to facilitate changes in national assessment and provide guidance and support to educators. The research method used in this study is qualitative descriptive with a literature research approach. The research data were obtained from 250 national and international journals indexed in SINTA and Scopus related to the research theme. The data were then filtered, and 55 journals closely related to the theme were selected as primary and secondary sources. The results of this research indicate that national assessment changes through educational supervision practices have significant potential to advance education in Indonesia. ABSTRAK Penelitian ini secara khususmenelaah dampak perubahan asesmen melalui praktik supervisi pendidikan. Perubahan asesmen dari Ujian Akhir Nasional, Ujian Nasional, Ujian Nasional Berbasis Komputer, dan Asesmen Kompetensi Minimum. Terdapat berbagai macam permasalah dan dampak positif terhadap pendidikan yang terjadi akibat perubahan asesmen nasional. Praktik Supervisi dipraktikan pada lembaga pendidikan agar mampu memfasilitasi perubahan dalam asesmen nasional dan memberikan panduan serta dukungan kepada para pendidik.Metode yang digunakan dalam penelitian ini adalah dekriptif kualitatif dengan jenis penelitian kepustakaan, dimana Data penelitian diperoleh dari 250 jurnal nasional dan internasional terindek sinta dan scopus yang berkaitan dengan tema penelitian ini, kemudian disaring dan diambil yang berkaitan erat dengan tema ini dan merupakan sumber primer dan sekunder sebanyak 55 jurnal. Hasil penelitian ini menunjukkan bahwaperubahan asesmen nasional melalui praktik supervisi pendidikan memiliki potensi yang signifikan dalam memajukan pendidikan di Indonesia.

Educational activities and physical examinations regarding ear canal hygiene and tympanic membrane health have the aim of increasing public knowledge about the importance of maintaining ear hygiene and maintaining the integrity of the tympanic membrane. In this activity, counseling is given to the public to provide a correct understanding of cerumen, proper ear care, and signs of damage to the tympanic membrane. This community service activity was carried out on June 9, 2023 by involving 52 respondents. All respondents attended community counseling and physical examinations. On the results of the physical examination it was found that 3 (5.8%) respondents had a perforated tympanic membrane, and 6 (11.5%) respondents had prop cerumen. The results of this educational activity and physical examination are expected to increase public understanding of the importance of maintaining ear hygiene and maintaining the health of the tympanic membrane. With the right knowledge, it is hoped that people will be able to adopt healthy habits in caring for their own ears and take the necessary precautions to maintain optimal ear health.

Urinary tract infection (UTI) in women occurs when bacteria or other microorganisms infect parts of the urinary tract, such as the urethra, bladder, ureters, or kidneys. UTIs are more common in women due to the shorter anatomy of the female urethra and closer to the anal area, which allows bacteria to enter the urinary tract more easily. Community education and detection of urinary tract infections in female workers are important activities to increase awareness, prevention and early detection of this condition. Extension activities provide appropriate knowledge about the causes, symptoms, and steps to prevent UTIs. In addition, early detection through urine examination helps in finding UTI cases early and taking appropriate treatment measures. This activity brings long-term benefits, such as reducing work absenteeism and increasing productivity. By raising awareness and providing good understanding, women workers can take effective prevention measures. Community education and detection of UTIs in female workers is important for improving their health and quality of life, as well as reducing the burden that UTIs place on individuals and society as a whole.