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Hypertension is a strong and important risk factor for cardiovascular diseases and kidney diseases, such as coronary heart disease, heart failure, and kidney failure. High blood pressure can be influenced by genetic factors, environmental factors and the interaction between the two factors.This study aims to determine the relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.The research design used in this study uses an analytical survey method with a cross-sectional approach. This study was conducted at the Heart Polyclinic of Wulan Windy Marelan General Hospital, Medan in 2024. The population in this study were coronary heart patients totaling 4676 respondents from December 2023-February 2024. The sampling technique used was purposive sampling with reference to the Slovin formula, namely 100 respondents. The data collection instrument used univariate and bivariate analysis. The test used was the Chi-Square test. Research results Based on statistical tests using the chi-square test, the p-value = (0.038) (α = <0.05) is obtained, which is less than or not more than α = 0.05, which means that Ho is rejected, Ha is accepted, which means that there is a significant relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.The conclusion in this study shows that statistically there is a relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.

Stroke is the world's second biggest cause of death after heart attacks. Ischemic stroke is caused by a blockage of blood vessels in the brain, resulting in a lack of oxygenated blood flow and the degeneration and death of brain tissue. This study aimed to determine the relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Tanjung Mulia Medan. This is analytical survey research with cross sectional approach. The population of study was 126 respondents and the sample was determined using SPSS application obtained 56 respondents. The measurement of sleep quality used PSQI questionnaire and functional status using the Barthel index. Data analysis used pre-analysis, univariate and bivariate. The result of chi-square statistical test obtained that the P value was 0.009. Where the value was smaller than the α value of <0.05, then there was a relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Medan. The results showed that 77.1% of respondents had poor sleep quality. 14.4% of respondents were in the category of moderate dependence functional status. The results of the analysis obtained a p value = 0.000 (<α=0.05) with a degree of relationship of 0.009. The study concluded that there is a significant relationship between sleep quality and functional status in post-stroke patients at Mitra Medika Hospital. It is suggested that the nursing profession increase sleep quality in post-stroke patients in order to accelerate functional status recovery.

This research aims to evaluate the grand parenting approach and its influence on the character development of elementary school children. Grand parenting, which involves grandparents in the caregiving process, plays a crucial role in shaping children's values and attitudes. The methodology employed in this study is a qualitative approach, utilizing in-depth interviews and observations to assess the interactions between grandparents and their grandchildren. The findings reveal that the parenting styles implemented by grandparents significantly contribute to the character development of children, which includes aspects such as moral values, discipline, responsibility, and social skills. Furthermore, the strong emotional bonds between grandparents and grandchildren provide a sense of security and support essential for character development. This indicates the vital role of older generations in supporting children's character education and the need for increased attention to intergenerational relationships within families. This study recommends enhancing the involvement of grandparents in the educational processes of children, as well as the necessity for programs that foster intergenerational collaboration.

This research aims to identify and evaluate learning strategies at SDN Cibanjaran. Using a descriptive qualitative approach, the study relied on in-depth interviews, observations and group discussions to explore criticisms and suggestions for learning methods. The findings show that effective learning strategies involve a differentiated approach, where materials and methods are tailored to students’ individual needs. Problem-based learning (PBL) and project-based learning (PJBL) models are considered to increase student relevance and motivation. However, the different characteristics of today’s students compared to those of the past pose new challenges, especially in the application of discipline, which must now be more humane. In addition, adjusting to the Merdeka Curriculum is crucial, where teachers are encouraged to continue learning through platforms such as PMM. This study concludes that learning strategies need to adapt to changing times, environments and student needs to create a meaningful learning process. The implications of this study emphasize the importance of inclusive and dynamic learning, and the role of teachers as innovative facilitators.  

The Influence Of Work Stress And Work Discipline On Employee Performance At The Faculty Of Animal Husbandry, Hasanuddin University. Study Of Human Resource Management Program Stim-Lpi Makassar. Supervised By Supervisors Azhary Ismail And Rahmi Usman. This Study Aims To Analyze The Effect Of Work Stress And Work Discipline On Employee Performance At The Faculty Of Animal Husbandry, Hasanuddin University. The Number Of Respondents In This Study Was 38 People, With The Implementation Of The Study Taking Place FromNovember 9, 2024 Until Completion. The Approaches Used Include Quantitative And Qualitative Approaches, With Data Analysis Techniques In The Form Of Multiple Linear Regression. The Results Of The Study Indicate That There Is A Significant Influence Between Work Discipline And Employee Performance At The Faculty Of Animal Husbandry, Hasanuddin University. The Results Show That T Count Is 2.010, T Table Is 2.898, And The Significant Number Is 0.050 ≤ 0.05, Which Indicates That H0 Is Rejected And Ha Is Accepted.

Islam Nusantara is an Islamic concept that integrates Islamic teachings with the local wisdom of the archipelago, offering a moderate, tolerant, and contextual approach. This concept is rooted in the long history of Islamic acculturation with local culture through peaceful channels, arts, and traditions. As a model of thought, Islam Nusantara emphasises the universality of Islam applied according to the local socio-cultural context, prioritising the values of moderation (wasathiyah), interfaith tolerance, and respect for tradition. In religious praxis, Islam Nusantara includes traditions such as tahlilan, slametan, and the Prophet's maulid, which serve as a means of da'wah and strengthening social solidarity. However, challenges such as globalisation and misunderstanding of the concept require a strategic response to keep Islam Nusantara relevant. As a model of thought and practice, Islam Nusantara reflects the flexibility of Islam in dealing with modern dynamics without losing its principles of universality. With an inclusive approach, Islam Nusantara has the potential to inspire Muslim communities around the world to integrate Islamic teachings with local culture in harmony.

The holistic learning model in the Muhammadiyah subject at SMK Muhammadiyah Ngawen was developed to answer the challenges of education that tends to prioritize cognitive aspects without paying attention to the integration of spiritual, emotional, and social values. This study uses a literature study method with a qualitative approach to analyze the concept, stages, and implementation of the holistic learning model. The results of the study indicate that this model is able to integrate cognitive, affective, and psychomotor dimensions through contextual, experiential, and reflective approaches that are relevant to students' needs. The learning stages include self-understanding, relationship development, contextual learning, direct experience, reflection, implementation, and continuous development. This model also emphasizes collaboration with the Muhammadiyah community, utilization of technology, and strengthening the role of teachers as learning facilitators. Through a holistic approach, students not only understand Muhammadiyah values ​​theoretically but are also able to apply them in everyday life, form an Islamic character with integrity, and become agents of positive change in society. This study makes an important contribution to the development of holistic education in Islamic-based schools.  

The learning process serves as a pathway to achieving basic competencies within curriculum implementation. This study aims to describe the implementation of teaching and its evaluation on the topic of thaharah, specifically in the chapter on wudu. The research approach employed is qualitative, with a case study methodology. The researcher collected data through interviews with teachers and students, documentation, and observation during the learning process. The findings indicate that the teaching implementation was carried out optimally, including opening activities such as greetings and providing motivation, core activities such as explaining and demonstrating lessons, and closing activities such as reflection and question-and-answer sessions. The assessment conducted by the teacher aligns with the demands of the Kurikulum Merdeka, which requires evaluation from cognitive, psychomotor, and affective aspects as part of an authentic assessment approach.  

This study aims to evaluate the effectiveness of Islamic educational content on social media platforms and how Generation Z receives the content. The problem raised is the low understanding and interest of Generation Z in Islamic values, even though they are active in using social media. The research method applied is a qualitative approach using interviews and surveys involving 150 respondents from Generation Z. The results of the study indicate that Islamic educational content presented in an interesting and interactive way can have a positive impact on the understanding and interest of Generation Z. Respondents stated that attractive visual elements, the use of simple language, and the relevance of the content to everyday life increased their interest in the material. However, there are still challenges in creating consistent and high-quality content. Based on these findings, it is recommended that further research dig deeper into the strategy for developing more innovative Islamic educational content that is in accordance with changes in the behavior of social media users, and conduct longitudinal research to monitor changes in attitudes and understanding of Generation Z over time. This study is expected to contribute to the development of da'wah through social media with a more effective and attractive approach for the younger generation.  

This research aims to explore more deeply the phenomenon of slang use among UINSU Public Health students and its impact on social dynamics and the development of their identity. Through a qualitative approach involving in-depth interviews and participant observation, this research seeks to understand how slang plays a role in forming social bonds, creating a sense of belonging to a group, and influencing the way students interact with each other. Preliminary findings show that slang not only functions as a communication tool, but also as a symbol of identity and a means of expressing oneself. However, on the other hand, the use of slang that is too intense can blur the boundaries between formality and informality, thus potentially hampering the learning process and effective academic communication. Therefore, this research highlights the importance of balancing the use of slang with good and correct language rules, so that students can communicate effectively in various contexts without sacrificing their group identity.

The Merdeka Curriculum is a new innovation in the Indonesian education system which aims to give students the freedom to learn and emphasizes the importance of building character and moral values. This study investigates how a free curriculum contributes to the moral formation of students in elementary schools. Relevant sources, such as books, scientific articles and educational policy documents, were collected and analyzed through the literature study method in this research. This research found that a free curriculum, with a more contextual learning approach and involving students' active participation in real activities such as collaborative projects and extracurricular activities, helps students understand moral values ​​and apply them in everyday life. It is proven that parental and community involvement is also an important component in building student character. This research found that the free curriculum not only focuses on improving students' academic achievement but also strengthens moral and ethical values. Therefore, continuous development of this curriculum is necessary to achieve broad educational goals. It is hoped that this research will help educators, policy makers and other researchers improve the quality of education in Indonesia by providing guidance for maximizing the curriculum to achieve more comprehensive educational goals.

The purpose of this article is to understand the importance of transformational leadership in improving teaching staff productivity. This research uses a systematic approach to literature review by analyzing individual articles from national and international journals. The results of the literature review show that the school's transformational leadership in improving teaching staff performance includes: 1) creating a collaborative and inspiring environment, 2) providing intellectual and innovative stimulation, 3) involving students, and 4) providing constructive feedback.  

This study examines the application of mini-game-based pocket books as a learning medium to improve elementary school (SD) students' mathematics learning outcomes. The background of this study is based on the challenges faced by students in understanding mathematical concepts effectively, so an innovative and fun approach is needed. Mini-game pocket books offer an interactive and motivating learning method, combining educational games with academic concepts. This study uses the systematic literature review (SLR) method by analyzing scientific articles published in the last five years from national journals and books. The analysis process is carried out descriptively to identify research patterns, the effectiveness of learning media, and their impact on student learning outcomes. The results of the study are expected to show that mini-game pocket books are able to improve students' conceptual understanding, learning motivation, and critical thinking skills. These findings also provide insight for teachers and researchers in developing more effective and interesting learning strategies at the elementary school level.

MMR (WHO) in 2022 will reach 91.46/100,000 live births. MMR in Indonesia (2021) 7,389/100,000 KH. Brebes MMR in (2021) is 105 cases and IMR is 259 cases in 2022. Data from the Kaliwadas Health Center in (2022) is 1 case and IMR (2022) is 0 cases. In WHO (2021), there are (73.2%) pregnant women with CED. And in Bebes there will be 64 cases of pregnant women with Chronic Energy Deficiency (KEK) in 2022. Objective: To provide comprehensive care for pregnant women, giving birth, newborns, postpartum and family planning. Research method: Qualitative descriptive research method with a case study approach. Results: Midwifery care during Mrs. N from the results of Mrs. N experienced chronic energy deficiency KEK and was given treatment and care according to his needs. Furthermore, on the third visit, the results of Mrs. N no longer experiences chronic energy deficiencies. Birth of Mrs. N was assisted in accordance with the standards for midwifery services for childbirth (APN). Neonatal Visits and Newborn Visits I to III Baby Mrs. N experienced no complications and neither did postpartum visits I to IV. Family planning midwifery care Mrs. N is a 3-month injectable contraceptive. Conclusion: Comprehensive midwifery care has been provided to Mrs. N with KEK is in accordance with obstetric services and there are no complications.

Teacher ethics serves as a crucial moral foundation for educators in establishing a conducive educational environment. It encompasses relationships between teachers and students, colleagues, parents, and the broader community. This article aims to examine the role of teacher ethics in building student trust, which is an essential aspect of successful teaching and learning processes. Employing a qualitative approach through literature studies, this research identifies key dimensions of teacher ethics, including justice, honesty, responsibility, and empathy, which underpin the development of student trust. The findings reveal that consistent application of teacher ethics can enhance students’ respect for their teachers, encourage active student engagement in the learning process, and foster a positive learning atmosphere. Furthermore, the trust developed strengthens the emotional connection between teachers and students, ultimately improving student learning outcomes. This study recommends the importance of teacher ethics training for educators to ensure integrity and professionalism in every educational interaction.

Uric acid is the end product of purine metabolism which can cause hyperuricemia if levels increase. Hyperuricemia, if left untreated, can cause joint inflammation, pain, and various other health problems. This study aims to evaluate Halu Oleo University students' understanding of gout and its impact on health. Using a quantitative approach and analytical descriptive design, this research involved 50 randomly selected respondents. Examination of uric acid levels is carried out by taking blood samples using the Nesco Multi Check device. The results showed that 70% of respondents had uric acid levels within normal limits, while 30% experienced hyperuricemia, which indicates a potential risk of developing gout. These findings suggest that unbalanced eating patterns, lack of physical activity, and inadequate fluid intake contribute to increased uric acid levels among college students. This research emphasizes the importance of education about healthy eating patterns and an active lifestyle to prevent health problems related to gout.

Oil production from a reservoir will naturally decrease or even not be able to produce at all. This condition does not necessarily indicate that the oil reserves in the reservoir have run out. If we only rely on primary production methods (primary recovery), it is likely that there is still a lot of oil left in the reservoir, so advanced production methods are needed to be able to drain the oil that is still left in the reservoir. Advanced oil recovery technology or Enhanced Oil Recovery (EOR) continues to develop to overcome the challenges in increasing oil production from reservoirs that have entered the secondary or tertiary production stage. One method that has attracted attention is Miscible Gas Flooding (MGF), which involves injecting certain gases into the reservoir. This method allows the creation of perfect mixing conditions (miscible) between the injected gas and the oil in the reservoir, thereby increasing the efficiency of oil transfer and maximizing recovery results. This technology is a solution to maximize the potential of oil wells that have experienced decreased productivity. The main principle of Miscible Gas Flooding is to reduce the interfacial tension between oil and gas, and reduce the viscosity of the oil, so that the oil can flow more easily to the production well. Commonly used gases include carbon dioxide (CO₂), nitrogen (N₂), or light hydrocarbons such as methane and ethane. With the right pressure and temperature, these gases can mix homogeneously with oil, resulting in higher displacement efficiency compared to water or immiscible gas injection methods. These advantages make MGF one of the most effective approaches to increase oil well productivity in complex reservoirs. Although promising, the implementation of Miscible Gas Flooding requires careful planning and a comprehensive evaluation of reservoir conditions. Factors such as the minimum pressure to achieve miscibility, the type of gas used, and potential disturbances such as fingering or channeling must be carefully considered. In addition, operational costs and the infrastructure required are also aspects that need to be taken into account.

This research compares the techniques used in the file system structures of Windows and Linux. Each operating system employs distinct approaches to data organization, access, and management, as reflected in their respective file systems: NTFS for Windows and ext4 for Linux. The study explores the strengths, weaknesses, and applications of these systems under various conditions. By analyzing both theoretical documentation and empirical experiments, this research highlights the technical and philosophical aspects influencing the design and performance of file systems in Windows and Linux. The findings provide insights for selecting an appropriate file system based on specific requirements, emphasizing performance, reliability, and usability.

Fraud in digital transactions has become a serious issue threatening the security and integrity of the fintech and e-commerce sectors. To address this problem, machine learning technology has emerged as an effective solution for automatically detecting anomalies and fraudulent transactions. This study aims to analyze the application of machine learning algorithms, specifically Support Vector Machine (SVM), Random Forest, and Ensemble Learning, in detecting fraud in digital transactions. The research adopts a quantitative approach with experimentation, testing the effectiveness of the three algorithms using a digital transaction dataset consisting of both fraudulent and non-fraudulent transactions. The results show that the Random Forest algorithm performs the best in terms of accuracy and recall, followed by Ensemble Learning, which enhances fraud detection performance by combining multiple prediction models. Meanwhile, SVM demonstrates satisfactory performance but is prone to overfitting issues when handling large and complex datasets. The study also finds that the problem of imbalanced data can affect model accuracy, and data balancing techniques such as oversampling are required to improve fraud detection performance. Overall, the findings suggest that machine learning, particularly Random Forest and Ensemble Learning algorithms, can be relied upon to improve fraud detection in digital transactions. However, challenges such as model interpretability and the need for periodic algorithm updates still need to be addressed to enhance the effectiveness of fraud prevention systems in countering the ever-evolving nature of fraud.

Aroun d 5 to 25% of children under the age of five experience motor development disorders and as many as 30% of babies show signs of motor delays. Stimulation can be given as a form of exercise therapy, which aims to improve and optimize body condition through continuous stimulation. One of the stimulations that can be done is baby gym. This study aims to analyze mothers' knowledge about baby gym in depth. This study uses a qualitative approach with an in-depth interview method. The subjects of the study or informants were mothers who had babies aged 0-12 months. The results of the study obtained knowledge Mother about baby gym part big nature general and not detailed. Only part small mothers who implement baby gym active For stimulate development motor baby. More education​ structured and access more information​ wide required For push mother to be able practicing baby gym with Correct.