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This research was conducted with the aim of producing digital learning media using the Smart Apps Creator through a Realistic Mathematics Education approach that is valid, effective, and able to improve students' mathematical problem solving abilities in the matter of a system of two-variable linear equations. This type of research is Research and Development (R&D) with the ADDIE model. From the research results, it was obtained that the media and material validity values were 93.6% and 93% with very valid categories. The practicality of the media through the results of the teacher's response questionnaire obtained a practicality value of 97.3% in the very practical category and the results of the student response questionnaire for the small group test and large group test obtained values of 90.9% and 91.4% in the very practical category. Then the value of effectiveness is seen through the mastery of classical learning and the results of the student response questionnaire obtained percentages of 87.5% and 94.05% with very effective categories. Improving problem solving abilities in students, the results obtained are that the level of students' problem solving abilities is at a percentage of 92% with a very high category, while based on the N-Gain test the average value obtained by students is 0.6473 which means there is an increase in problem solving abilities in students medium category. So based on the results obtained it can be concluded that the learning media developed in this study are valid, practical, effective, and able to improve students' mathematical problem solving abilities.

Penelitian ini menjelaskan mengenai bagaimana penggunaan media yang tepat dalam pembelajaran di sekolah dasar hal ini di lakukan adar lebih efisiensi pembelajaran yang di lakukan. penelitian ini menggunakan metode system literature riview (SLR) dengan menggunakan mengumpulkan sumber dari  beberapa artikel yang di temukan sebanyak 13 artikel , dan kemudian di ambil 3 sample dan kemudian  di analisis dan di identifikasi  hasil penelitian  yang kemudian di jadikan satu artikel terbaru. dengan hasil penelitian bahwasanya Peran media pembelajaran dalam proses belajar mengajar. Dalam dunia pendidikan, media pembelajaran memiliki peran penting sebagai penunjang proses belajar mengajar. Terdapat dua jenis media pembelajaran yang umum digunakan, yaitu media pembelajaran interaktif dan media pembelajaran konvensional, penggunaan media pembelajaran di sesuaikan dengan penggunaan mata peljaran yang ada di sekolah dasar, dengan adanya temuan ini di harapkan mampu untuk membantu pendidik untuk mempermudah pembelajaran

This study aims to determine the feasibility of SETS (Science, Environment, Technology, And Society) based modules on colloidal system, determine student learning outcomes after using SETS-based modules in learning and student responses to the modules. This study uses a 4-D development model consisting of define, design, development, and dissemination. This research was conducted at SMA Negeri 11 Medan which was carried out for 7 months. The feasibility of module was seen through a feasibility questionnaire for media and material experts based on the BSNP standard with a Likert scale of 1 to 5. Validation data obtained from media and material experts on SETS-based modules obtained an average percentage of 83.58% with the category valid/worthy. Student learning outcomes were obtained through the calculation of N-Gain test, which was equal to 0.74 in the high category and the average posttest score of students was 84.67. Student responses to the SETS-based module obtained an average percentage of 91.24% with a very high questionnaire interpretation. Based on the results obtained by the researcher, it can be concluded that this SETS-based module is appropriate for use in colloidal learning with a high student learning success rate and student responses that fall into very good criteria.

The health services between urban and rural areas are quite interesting because they have many differences that can be seen, especially the gap between the two areas. One of the characteristics of urban and rural areas is accessibility development, urban areas tend to develop faster than rural areas. This article was created with the aim of knowing the condition of health service facilities in rural areas in Indonesia and their access, especially for the elderly. The search strategy used in this research is a systematic literature review. The disparity in the elderly's use of health facilities are impacted by their education level, socioeconomic status, ownership of insurance, distance traveled, and cost of transportation. In conclusion, access to healthcare is crucial in Indonesia, particularly for elderly people living in rural areas. The Indonesian government must evenly distribute medical facilities in rural areas and guarantee universal coverage with National Health Insurance. To improve elderly health care, the government needs to develop sufficient expertise with health and social care workers with the necessary training in integrated care services.

Flooding is a problem that still requires special attention from a number of parties, including the community and the government. Flooding is not a light matter. Flooding can occur due to rising water levels due to above-average rainfall, temperature changes, levees or dams bursting, or obstruction of water flow elsewhere. The lack of community management and preparedness for disasters is one of the causes of the high impact of post-disaster damage or loss, so disaster mitigation is needed as an effort to reduce disaster risk. The research aims to analyze public knowledge about flood mitigation and preparedness. This study used qualitative research methods with the sampling technique used was simple random sampling. It was found that among several questions in the interview that the author asked about flood management knowledge and preparedness in flood disaster mitigation, all informants responded and acted very well. From the research conducted, all informants expect attention from the government to make improvements to the drainage system again and make new drainage. And the author hopes that the arrangement of residential areas on the banks of the river will be carried out to overcome floods that often hit the Kampung Baru area, Medan Maimun District.  

Ketoprofen is a non-steroidal anti-inflammatory drug that is used to reduce pain due to inflammation in various rheumatic conditions and degenerative disorders of the skeletal muscle system. In the manufacture of drugs, the examination of the levels of active substances is a requirement that must be met to ensure the quality of the drug. One of the quality requirements is that the content contained must meet the level requirements listed in the Indonesian Pharmacopoeia. The purpose of this study was to determine whether the levels of generic and trade name ketoprofen tablets on the market meet the requirements of the Indonesian Pharmacopoeia levels.This research is descriptive using UV-spectrophotometric method, with 0.1NN NaOH as solvent. The samples used in this study were 4 generic ketoprofen tablets and trade names. The test parameters of this research include Preparation of Standard Parent Solution I (LIB I), Preparation of Solution (LIB II). Determination of maximum wavelength, Determination of linearity of the Calibration Curve and Determination of Ketoprofen levels in tablet preparations. From the test results on samples obtained generic ketoprofen tablets (PT. Hexpharm jaya) of 103.70% ± 0.4280%, ketoprofen tablets with the trade name Kaltropen (PT. Kalbe Farma) of 106.38% ± 0.4879%, tablets Generic ketoprofen (PT. Bernofarm) 102.10%±1.9450%, and generic ketoprofen tablets (PT.Novell) 100.22%±0.8754%. All tablets found met the requirements for the general content, namely the content of the active substance was not less than 99% and not more than 110% of the amount stated on the label.

Cervical cancer is the most common health problem in women, where special attention is needed to prevent this health problem. One effort that can be done to recognize pre-cancerous lesions early is by conducting an Acetic Acid Visual Inspection (IVA) examination which can reduce the incidence of morbidity and maternal mortality caused by cervical cancer. This IVA examination is very easy and practical to be carried out either by midwives or professional health workers (doctors) who can be obtained at health facilities such as clinics, health centers and hospitals. This study aims to determine the effect of health education on maternal adherence to visual inspection of acetic acid at the Suli Health Center. This research method is analytic with design Quasi Experiment (experiments pseudo), with design one group pretest posttest . The population in this study were all women of childbearing age (WUS) who were in the work area of the Suli Health Center as many as 78 people and the sample in this study were all WUS who were in the work area of the Suli Health Center who had certain characteristics, namely women of childbearing age who had active sexual relations. with the number of samples in this study amounted to 30 people. Sampling was carried out using purposive sampling method. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used was statistical test analysis with the Wilcoxon signed ranks test to determine the effect of health education on WUS compliance by conducting an IVA examination where if obtained The p value of this test or p 0.000 <0.05, can be interpreted as significant. Therefore, it is recognized that health education has an impact on WUS adherence to carrying out IVA examinations.  

Installing a sign system as a boundary marker between hamlets is one of the development efforts undertaken to improve the existing infrastructure in Sambirejo Village. It aims to direct visitors and provide information about the areas they enter, where each hamlet has its own tours and even MSME. The method of implementing the community service activity program carried out in the KKN-T MBKM UPN "Veteran" East Java activities is to use a qualitative descriptive approach because it describes the phenomena that occur in depth, and describes the responses without testing the hypothesis. This activity starts from conducting a field survey by looking for a location where the sign system will be installed. Followed by the planning and design, manufacture, and installation of sign systems. The government is expected to continue its commitment to improve infrastructure development, as having reliable infrastructure is essential to support infrastructure development and business growth.

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.    

aboratorium memainkan peran penting dalam dunia kesehatan dengan memberikan informasi diagnostik yang akurat dan tepat waktu. Mutu pelayanan laboratorium secara langsung mempengaruhi perawatan pasien dan keputusan pengobatan. Dalam beberapa tahun terakhir, implementasi Sistem Informasi Laboratorium (LIS) telah secara signifikan berkontribusi dalam meningkatkan efisiensi dan efektivitas operasional laboratorium. Penelitian ini bertujuan untuk mengeksplorasi peran LIS dalam meningkatkan mutu pelayanan laboratorium.Studi ini difokuskan pada tinjauan literatur yang terkait dengan dampak LIS pada operasional laboratorium dan pengaruhnya terhadap berbagai aspek mutu pelayanan. Temuan menunjukkan bahwa LIS memiliki peran penting dalam meningkatkan efisiensi proses laboratorium melalui otomatisasi, pengelolaan alur kerja yang terstruktur, dan pengelolaan sumber daya yang lebih baik. Sistem ini juga berkontribusi secara signifikan terhadap akurasi hasil pengujian melalui pencatatan data elektronik dan mekanisme validasi otomatis.   Selain itu, LIS memungkinkan pengelolaan data terintegrasi, memfasilitasi akses cepat ke informasi pasien, hasil pengujian, dan data terkait laboratorium lainnya, sehingga meningkatkan analisis data dan proses pengambilan keputusan.Selain itu, LIS memfasilitasi pengelolaan alur kerja yang efisien, mengurangi waktu respons, dan memastikan pengiriman hasil pengujian tepat waktu. Sistem ini juga meningkatkan praktik pengendalian kualitas dengan menyediakan alat untuk pemantauan kualitas rutin, analisis tren, dan identifikasi penyimpangan dari standar mutu secara tepat waktu. Implementasi LIS membutuhkan pelatihan dan dukungan yang tepat untuk memaksimalkan potensinya dalam meningkatkan mutu pelayanan laboratorium.Sebagai kesimpulan, integrasi Sistem Informasi Laboratorium dalam pengaturan laboratorium memiliki peran krusial dalam meningkatkan mutu pelayanan laboratorium. LIS meningkatkan efisiensi operasional, akurasi hasil pengujian, pengelolaan data, alur kerja, dan praktik pengendalian kualitas. Disarankan agar laboratorium mempertimbangkan adopsi dan optimalisasi LIS untuk memaksimalkan manfaatnya dan memberikan pelayanan laboratorium berkualitas tinggi.  

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Introduction : Central Line Associated Blood Stream Infection (CLABSI) or phlebitis is defined by the CDC as a bloodstream infection confirmed by laboratory results that occurs within 48 hours before developing into bacteremia, and is not associated with infection in other parts. Some research results conclude that several factors influence the occurrence of phlebitis, one of which is the selection of the insertion site. Purpose: to determine the effect of the insertion location of the infusion on the incidence of phlebitis. Design: Literature review method using Google Scholar and the Portal Garuda as database  (2018-2022). Method : keywords "location of infusion and phlebitis incident". Results: From 14 reviewed articles, it was found that the incidence of phlebitis due to insertion site factors was influenced by the selection of the vein, the distance between the infusion site and the joint and the selection of the dominant extremity (which is often used for activities). Conclusion: Infusion is done by selecting a good vein, choose a vein that is far from the joint (minimum > 3.5 cm distance from the joint), Avoid choosing a vein in the location or extremity dominant to minimize the movement of the intravenous catheter when the patient moves.

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

In various countries the use of information technology in fields that present aspects of goodness in everyday life. This is to improve the quality of the performance of health workers to streamline their time, skills and abilities. In addition, technology can also be accessed via computers or other modern tools that support health services. Leverage technology as the ability to create increased value with a stable or shrinking amount of resources, while at the same time enhancing the ability to grow more rapidly. The purpose of this theoretical literature review is to find out how leveraging technology can improve the quality of the performance of health workers. The research method used by the author, namely theoretical review, is a theoretical approach used by researchers to explain research problems. This method is to review or review various literature that has been published by academics or other researchers. The results of this theoretical literature review are leveraging technology to improve the quality of performance of health workers, namely by increasing understanding, using technology effectiveness and increasing targets. It can be concluded that the more a person can develop and improve their abilities in the field of technology, the more technologies are created which will have an impact on the quality of performance that a person gets. So, nothing is impossible to present and use the advanced information technology of the future. For health workers the use of technology as a system based on smart technology. It is hoped that health workers will always hone their skills, learn new things, and have the ability to apply modern technology. This can make the performance assessment of health workers to improve the reputation of the institution.

This study aims to find about: (1) fintech service in the mobile banking-based non-cash payment system (Muamalat-DIN) at Bank Muamalat KCP Lamongan: (2) implementation of fintech in the mobile banking-based non-cash payment system (Muamalat-DIN) at Bank Muamalat KCP Lamongan. This study uses a descriptive qualitative research method. The results of this study are: (1) fintech services in the non-cash payment system in Muamalat-DIN are transfers, QRIS, credit top-ups, internet credit top-ups, electronic money top-ups, google play voucher codes, spotify premium, postpaid credit payments, PLN electricity, Telkom, cable TV, PDAM, IPB campus education payments, airplane tickets, ZISWAF, family takaful, BPJS employment, BPJS health, SAMSAT/SIGNAL, BPJPH, virtual accounts, multi payments, and hijrah pensions (DPLK); (2) the implementation of fintech at Bank Muamalat varies, there are Muamalat-DIN, phone banking, internet banking, MADINA, online share-e debit, and ATMs. The most popular Fintech at Bank Muamalat KCP Lamongan is Muamalat-DIN. In Muamalat-DIN, customers of Bank Muamalat KCP Lamongan often use services in the form of transfer, QRIS, credit top-ups and internet credit top-ups, electronic money top-ups, payment services such as PLN electricity, Telkom, PDAM, ZISWAF, BPJS for employment, BPJS for health, virtual accounts, and hijrah pension (DPLK). This fintech implementation has benefits for banks and customers, the benefit for Bank Muamalat KCP Lamongan is that it will have a wider reach, operational and marketing costs are more economical. And the benefits felt by customers are that transactions are easier, faster, accessible 24 hours because access is via a smartphone, and customers don't need to carry a lot of cash everywhere.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

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

The traditional market is a reflection of the application of a very basic populist economy. Where buying and selling transactions are carried out by the community mostly independently by managing available resources, which include the livestock sector, agriculture, crafts, food, services, and so on. At the Liluwo traditional market there are many sellers of various kinds of needs, ranging from basic household needs, clothing, prepared food and raw materials such as fish and vegetables, to hair cutting services. The facilities at the Liluwo traditional  market are toilets, parking lots, prayer rooms. From the results of observations of researchers in the field, there has not been found a good sign system that helps make it easier for visitors. Some visitors, especially new prospective buyers, experience problems in finding a way/place to sell certain materials. From the problems mentioned above, the researchers plan to design a good sign system for the Liluwo traditional market to make it easier for buyers and sellers to carry out buying and selling activities. Apart from that, with a good sign system, the identity of the Liluwo traditional market will increase and can become an attraction in the eyes of the public.

This study aims to design and produce Student Worksheets (LKPD) based on the Student Teams Achievement Division (STAD) on class XI human respiratory system material. This type of research is Research and Development (Reasearch & Development) with the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). The subjects of this study were 2 material expert validator lecturers and 2 learning expert validator lecturers, the assessment of 1 biology teacher, and the responses of class XI MIPA-3 students of SMAN 1 Labuhan Deli T.A. 2022/2023. Data analysis used quantitative and qualitative descriptive analysis. The results showed that the development of STAD-based LKPD obtained validation results by material experts of 96.88% in the "very feasible" category, validation by learning experts of 90.13% in the "very feasible" category, assessment by biology teachers of 93.42 % in the "very feasible" category, the student response was 94.96% in the "very feasible" category, and the results of the effectiveness test obtained an N-gain score of 0.72 which was included in the "high" category and was considered effective in being used in the learning process biology in the material of the human respiratory system.

The database or what is commonly referred to as a database is a collection of data that is stored neatly, structured on a computer and is very important in an information system. The database functions as a provider of information for its consumers. The database has many benefits, some of which are facilitating data management, data accuracy, increasing productivity, cost savings, as a material for making better decisions and helping to maintain data security. The purpose of thisresearch is to understand what are thebenefits of databases and how to implement databases for organizations or companies. By knowing the benefits of a database, an organization or company can make good decisions or policies in managing andutilizing their data. The method in this study uses a qualitative method by conducting a survey to find out the benefits of the database at the UIN North Sumatra Library and what facilities are obtained by implementing the database in managingits information system. The results obtained from this study are that the North Sumatra Uin Library utilizes databases in improving services by carrying out several developments such as an online library, an application called OPAC, an application that makes it easy to check library collections and a web called repository which is a collection application. the work of students. Libraries that previously only used the recording method but have switched to using online by utilizing databases.