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The aim of this research is to determine the differences in student learning motivation in PAK learning before and after it is taught using the Collaborative Learning learning model for class VII students at SMP Negeri 1 Sipoholon for the 2023/2024 academic year. The research hypothesis is: "There is a difference in students' learning motivation in PAK learning before and after learning with the Collaborative Learning learning model for Class VII Students of SMP Negeri 1 Sipoholon for the 2023/2024 Learning Year." The population is all class VII students of SMP Negeri 1 Sipoholon, totaling 163 people. The research sample was determined using the Purposive Sampling technique, namely 32 students in class VII-3 as the experimental class which used a collaborative learning model and 32 students in class VII-4 as the control class which used normal treatment (conventional class). This research method is the Quasi Experimental Design method using a Nonequivalent Control Group Design. The instrument used in this research was a 22 item questionnaire. Research data for the questionnaire was analyzed using the average difference test formula (N-Gain Score). It was found that the average value for the experimental class was 0.7283 in the high category. And the average value for the control class is 0.1548, which is in the low category. Then carrying out an independent test using the t test obtained a value of t = 11.648 > t table (α = 0.05; df = 62) = 2,000. Based on the research results, it is stated that Ha is accepted and H0 is rejected. Thus, it can be concluded that there are differences in students' learning motivation in PAK learning before and after being taught using the Collaborative Learning learning model.

Background: Osteoarthritis often occurs in the elderly aged more than 60 years which is characterized by pain in the joints when moved. In Indonesia, 65% of elderly people aged 60 years and over experience osteoarthritis. Red ginger compress is an alternative nonpharmacological treatment to reduce joint pain in the elderly with osteoarthritis. Objectives: Knowing changes in pain scale in the elderly before and after doing red ginger compresses. Method: This application uses descriptive methods on 2 respondents, with pretest and posttest in the observation sheet of pain scale measuring instruments in the form of NRS (Numeric Rating Scale). Red ginger compress is given 2x a day in the morning and evening for 14 consecutive days within 20 minutes Result: There was a change in the intensity of the pain scale in both respondents. Mrs. P from moderate scale to mild scale and Mrs. E from moderate scale to painless scale. Conclusion: The application shows that there are changes in the pain scale before and after the red ginger compress, both in the first respondent and the second respondent. Red ginger compress can reduce osteoarthritis joint pain in the elderly.    

The catfish (Pangasius sp.) is a popular freshwater fish among consumers, both in Indonesia and internationally. One of the main challenges in catfish farming is the suboptimal use of feed. The commonly used feed consists of natural and artificial types. Natural feed is divided into two categories: animal-based and plant-based. The animal-based natural feed frequently used by farmers is tubifex worms. However, tubifex worms have a drawback, as their availability in the market is limited. Therefore, a study was conducted to explore the use of Azolla as an alternative feed for catfish. This study used a Completely Randomized Design (CRD) with one treatment and two levels, namely 100% Azolla and 100% tubifex worms. The study was conducted over a period of 14 days. The observed parameters included fish growth (length and weight), survival rate (SR), Feed Conversion Ratio (FCR), and water quality (temperature, pH, and dissolved oxygen). The data from the study were analyzed using a mean value test. The results showed that the use of Azolla as feed had a positive impact on catfish growth, although it was not yet effective in fully replacing 100% tubifex worms. There was an increase in biomass of 13.8 grams and an average length increase of 0.56 cm during the 14-day maintenance period.

Vulvodynia is a chronic pain condition affecting the vulva that significantly impacts women’s quality of life. Accurate and early diagnosis poses a challenge due to the often-overlapping symptoms with other conditions and the lack of definitive diagnostic tests. This paper proposes the use of expert system methods as a diagnostic tool for vulvodynia in women. The expert system, integrating medical knowledge with inference algorithms, is designed to analyze symptoms, medical history, and test results to provide accurate diagnoses and treatment recommendations. The study involves the development and evaluation of a computer-based expert system prototype that uses clinical data and medical decision-making to enhance the accuracy of vulvodynia diagnosis. Preliminary results indicate that the expert system can improve diagnostic rates and reduce the time required for identifying this condition, offering a potentially valuable tool for medical professionals in clinical practice.  

When all parties work together, especially the role of elementary school teachers, a pleasant transition from ECCE to Elementry School is still their dream. This movement is expected not only to change policies. However, it can be achieved with the government's goal of making a pleasant transition for ECCE children entering elementary school. The goal of this initiative is to realize a pleasant transition from ECCE to Elementry School with multicultural education. The KKM 65 group did this work at Ambak Baya Elementary School and produced good results. Before the socialization, teachers tended to think that all early elementary school children should be able to read, write and write and were given the same treatment to each student without considering the readiness of each student, which would cause differences. After the socialization and final test, the KKM 65 group did this work. Teachers who are more

Hypertension is a widespread health problem and is often called a "silent killer" because it often has no warning signs or symptoms, and many people don't realize they have it. The purpose of this study is to determine the effectiveness of alkahil  point cupping therapy and acupuncture therapy on blood pressure in hypertensive patients in Karangbong Village, Pajarakan District, Probolinggo Regency. The method in this study is Pre-Experiment, with  a Two-group pre-post test design, the sample in this study is patients with hypertension totaling 36 patients who were taken using the  purposive sampling instrument technique which was used were cupping devices, acupuncture tools, tension meters and observation sheets. Furthermore, it was analyzed using the Paired t-test,  the Wilxocon test, the Independent t-test, and  the Mann-Whitney test. The results of the study showed that before the alkahil point cupping therapy  was carried out, an average value of 149/102 mmHg was obtained, and the average value before acupuncture therapy was 149/99 mmHg. After alkahil point cupping therapy  , an average value of 139/92 mmHg was obtained and after acupuncture therapy was 134/90 mmHg. It is known that the average value  of the pre-post sistole difference of alkahil  point cupping therapy is 10.33, and the average value of the pre-post difference of  acupuncture therapy is 15.00 with a pV of 0.000 which means < 0.05. Meanwhile, the average value  of the pre-post diastole difference in alkahil  point cupping therapy was 19.61 and acupuncture therapy was 17.39 with a pV > 0.05. It can be concluded that the average value  of the difference in pre-post sistole of acupuncture therapy is more effective than alkalil  point cupping therapy in reducing blood pressure in hypertensive patients Alkahil point cupping therapy and acupuncture therapy can be traditional alternative treatments that can be done routinely for the hypertension healing process by doing acupuncture therapy.  

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, namely acid-fast bacteria. Successful treatment of patients with tuberculosis (TB) is a problem in today's society. One of the reasons for the increase in pulmonary TB cases is the low level of education of sufferers. One of the causes of failure of tuberculosis treatment therapy is the side effects of anti-tuberculosis drugs (OAT) which can affect the adherence to medication in tuberculosis patients. The success of TB treatment is compliance in taking anti-tuberculosis medication at the prescribed dose. The aim of this research was to determine the relationship between clients' knowledge of pulmonary tuberculosis and compliance with taking anti-pulmonary tuberculosis medication at Harapan Pematang Siantar Hospital. This research was conducted at Harapan Pematangsiantar Hospital in May 2023. This type of research is descriptive quantitative correlational with a cross-sectional approach. Data collection was carried out using a questionnaire with the Gutman scale. The population of this study was all outpatient clinic patients at Harapan Pematang Siantar Hospital in October-December 2022. The sampling technique was accidental sampling, namely 58 respondents who came in May 2023. Statistical test results used the chi square test with a confidence level of 95% (α = 0.05) shows the p value = 0.001, meaning that there is a relationship between the level of knowledge of tuberculosis clients and compliance with taking anti-tuberculosis medication at Harapan Pematang Siantar Hospital in 2023

The high mortality in crayfish shipping transportation activities is due to the high level of stress during transportation. The handling that needs to be considered is when harvesting and transporting the fry. Poor seed transportation can result in stress to high mortality. Transportation of live crayfish can be done in two ways, namely with a wet system using water and a dry system without using water media. Research to maintain mortality begins with packing procedures starting from placing ice cubes in plastic that has been wrapped in newspaper in each 500ml seteroafoam and then inserting 22 crayfish in each box and then allowed to stand with a predetermined deadline. The first treatment survival rate reached 97% of 66 mortalities of 2 tails, in the second treatment 94% of 66 mortalities of 4 tails, the third treatment 80%, of 66 mortalities of 9 tails. Based on the results of the study, the addition of ice cubes to the packing media for crayfish with living conditions resulted in an average survival rate of 90.3% with the shortest deadline of 30 hours and the longest of 40 hours, thus it can be said that the packing media with the addition of ice cubes has an impact on the survival rate of crayfish.

Post-Caesarean Section (CS) nausea and vomiting are common complications arising from the effects of anesthesia and hormonal changes, which can significantly affect patient comfort and hinder recovery. The administration of antiemetic drugs, while effective, often results in side effects, necessitating the need for alternative non-pharmacological treatments that are both safe and effective. This study aims to assess the effectiveness of ginger inhalation therapy in reducing nausea and vomiting in post-CS patients at PKU Muhammadiyah Surakarta Hospital. A participatory approach was used involving 15 patients, who were divided into two groups: an experimental group receiving ginger inhalation therapy and a control group. Nausea levels were measured using the Numeric Rating Scale (NRS) both before and after the intervention. The results indicated that the group receiving ginger inhalation therapy experienced a significant reduction in nausea, with the average NRS score decreasing from 7.2 to 3.8. In contrast, the control group’s NRS score decreased from 7.2 to 6.5. These findings suggest that ginger inhalation therapy is an effective, easy-to-implement, and low-risk alternative to pharmacological treatments for managing postoperative nausea and vomiting. This method could serve as a valuable non-pharmacological option in the postoperative care of CS patients, offering a safe and accessible approach to improving patient outcomes.

Steps to optimize treatment adherence and care are implemented through health education for patients. Health education is crucial because Diabetes Mellitus is a lifestyle-related disease, necessitating increased knowledge. In the research location, it was found that pre-elderly individuals diagnosed with Diabetes Mellitus were routinely undergoing treatment, but their blood sugar levels remained unstable. Additionally, they rarely engaged in physical activity, their Diabetes Mellitus diet was uncontrolled, and they often did not regularly take diabetes medication. If left unaddressed, this could lead to complications. The objective of this study is to analyze the effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Method: This study used a Pre-Experimental design with a one-group pre- and post-test approach. The sampling technique was purposive sampling, with 60 respondents. Results: Based on the Wilcoxon test results, a p-value of 0.000 was obtained, indicating a significance level of p < 0.05, meaning Ha was accepted. This shows that there is an effect of health education on the knowledge of pre-elderly individuals regarding Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Conclusion: There is an effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications. This study can be used as a source of information and to establish a counseling corner for providing health education on a weekly basis.

Hypertension is a condition where blood pressure increases above normal, caused by various factors. The prevalence of hypertension in Indonesia among the population aged 18 years is 34.1%. Hypertensive patients must understand the importance of medication compliance so that effective communication between health care providers is needed.so that patients are able to self-efficacy MethodDescriptive research with cross sectional study subjects were hypertension patients with a sample of 43 people using a purposive sampling technique in accordance with inclusion criteria as secondary data and primary data in the form of a self-efficacy management questionnaire. Resultsafter health education was obtained, the Negative Ranks data showed that respondents' scores from pre-post 5 respondents experienced a decrease in self-efficacy management after health education, while the positive ranks data showed that 22 respondents' scores from pre-post experienced an increase in self-efficacy management after health education was carried out, and the data ties showed that 16 respondents got a fixed score from pre-post after health education, the Wilcoxon statistical test obtained a p value = (0.001) <α (0.05), then the alternative hypothesis (Ha) was accepted .Conclusion: There is an influence of health education on improving the self-efficacy management of hypertension sufferers at Dr. Chalid General Hospital Makassar. Suggestions for patients to be more active in seeking information in increasing self-efficacy in the treatment of hypertension.

The research aimed to Emphasise the significance of the statement of cash flows developed by the International Accounting Standards Committee (IASC) and the International Accounting Standards Board (IASB) and Understand the concept of documented accounting information and Highlighting financial fraud and how to minimize it. The research problem was as follows from the fact that the financial statements, which do not contain the basic characteristics of accounting information, including reliability, will reduce the degree of reliance on them, which affects those lists prepared by financial institutions (banks) operating in Iraq that not taking into account the preparation of the cash flow statement will inevitably reduce the reliability of accounting information, resulting in misleading accounting outputs that will be a door to financial fraud in its various forms. Hence, the main research problem is the following question: Does enhancing the reliability of accounting information according to the preparation of the cash flow statement reduce financial fraud? The research reached many conclusions, the most important of which are International accounting standards can be said to be a written statement issued by an authorized body aimed at unifying and coordinating accounting treatments and policies to reach unified results for a set of financial transactions for ease of comparisons and understanding by the relevant parties. The statement of cash flows works to provide historical changes in financial institutions and others through and for a specific period of time and these flows are either operational, investment or financing for their various activities. The research reached many recommendations, the most important of which are: Emphasis on the different economic units to prepare a statement of cash flows because of the information it provides on historical changes in the different economic units and their quality, whether operational, investment or financing.

Education is an independent nursing intervention designed to help individuals, groups, or communities, including hypertension patients, address their health issues through learning activities, with nurses acting as educators. Hypertension is a chronic disease often referred to as the "silent killer." Family support is crucial for hypertension patients in dealing with problems that arise during long-term treatment. Based on interviews with 10 elderly hypertension patients, it was found that when they went for health check-ups and monitoring at healthcare facilities, they were not accompanied by their families. This study aims to analyze the Effect of Education on Family Support in Hypertension Management for the Elderly at UPTD Jekan Raya Health Center, Palangka Raya. Method: This study used a Pre-Experimental Design with a One-Group Pretest-Posttest approach. The sampling technique was Purposive Sampling, with 49 respondents. Results: Based on the results of the Paired Sample Test, a p-value of 0.00 was obtained, which indicates a significance level of p < 0.05. Therefore, it can be concluded that the alternative hypothesis (Ha) is accepted, meaning that education significantly influences family support in managing hypertension in the elderly at UPTD Jekan Raya Health Center, Palangka Raya. Conclusion: There is a significant effect of education on family support in managing hypertension for the elderly at UPTD Jekan Raya Health Center, Palangka Raya.

The lungs as the only pump for the respiratory system are very important organs for the continuation of life. Diagnosing or checking lung symptoms early can help people recognize the possibility that they are suffering from lung disease, so that treatment or care can be done earlier to prevent the severity of the disease. The method used in this study is the Naïve Bayes method. Naive Bayes is a simple probabilistic classifier that calculates a set of probabilities by adding up the frequencies and combinations of values ​​from the given dataset. An expert system is a computer application that can help decision making in more specific fields with methods that have been analyzed in advance by experts or specialists. This study used variables, namely types of lung disease including Pulmonary Tuberculosis (TB), Chronic Obstructive Pulmonary Disease (COPD), Bronchial Asthma and Lung Cancer. The results of this study are that lung disease or types of lungs can be diagnosed using the web-based Naïve Bayes method, and make it easier for sufferers to consult without seeing a doctor by selecting symptoms of lung disease.

Dyspepsia is a gastroduodenal disorder that is often characterized by symptoms such as epigastric pain, burning, bloating, and a feeling of fullness after eating. Treatment of dyspepsia often requires examination by a specialist doctor, which may not always be easily accessible due to distance, cost, or time constraints. Therefore, this study aims to diagnose dyspepsia using the Dempster-Shafer method to identify possible dyspeptic diseases such as GERD, gastritis, dyspepsia, and gastric ulcers based on 16 detected symptoms and 4 different treatments. to make it easier for patients to consult and get an initial diagnosis without having to see a specialist doctor directly. From this study, it is expected to help patients get information on the initial diagnosis of the patient.

Neck pain is a medical symptom or condition that is generally caused by pressure on the soft tissues, bones, or joints of the cervical spine and or other adjacent structures. In some cases, neck pain may also be caused by diseases of the neck or other underlying parts of the body. Risk factors for neck pain include poor posture, accidents, injuries and degenerative diseases may be the cause of neck pain in a person. Other causes such as infections in the lining (membranes) of the brain (meningitis), osteoarthritis, and fibromyalgia can be considered. Neck pain caused by muscle tension usually goes away on its own within a few days and only requires conservative treatment in the form of exercise, stretching, physical therapy, massage. Some forms of neck pain require professional medical care, including prescribing medications, physical therapy and other treatments. In severe cases, surgery may be necessary to manage neck pain. On May 19, 2022, we carried out Independent Community Service in Krobyongan Village, Gawanan, Colomadu District, Karanganyar Regency, Central Java (Sanggar Prima) with the theme of simple ways to overcome neck stiffness while working. Starting the counseling activity with neck pain material, how to overcome neck stiffness while working and exemplifying the movements, a question and answer session and ending by distributing snacks and questionnaires. The purpose of this activity is to increase knowledge on how to prevent neck pain and how to overcome neck stiffness while working at the prima colomadu studio. The method of implementing community service by: lectures, discussions, and providing simple tips and exercises.

Indonesia is a country with a high level of earthquake vulnerability, thus demanding innovation in building structural engineering that is not only safe but also environmentally friendly. In the context of sustainable development, bamboo as an abundant local material is starting to gain attention as an alternative to conventional materials. Bamboo, when processed into composites in the form of fibers or in combination with thermoplastic and thermoset polymers, has been proven to have superior mechanical properties, including tensile strength, stiffness, and resistance to chemical degradation. In addition, the characteristics of water absorption that are controlled through certain treatments make bamboo composites more competitive compared to synthetic materials. The application of bamboo composites in construction is not only limited to new materials in structural elements, but also effective in retrofitting methods. For example, recent research shows the potential of bamboo composites in strengthening reinforced concrete beams and improving the performance of frame systems in earthquake-resistant structures. In line with this, seismic design regulations and standards such as the comparison between SNI 1726:2012 and SNI 1726:2019 demonstrate the importance of adapting structural designs to local seismic conditions. The integration of bamboo composite materials with structural capacity analysis, numerical simulation, and pushover analysis methods has yielded promising results for improving building resilience to dynamic loads. Beyond technical aspects, this approach also supports environmental objectives. Several studies have even developed eco-friendly home prototypes utilizing innovative material combinations, including geopolymer blocks and natural fibers. Thus, the use of bamboo composites not only provides a technical solution to earthquake challenges but also contributes to global efforts to reduce the carbon footprint of the construction sector.

Diarrhea is the second leading cause of death in children under five years of age. According to WHO (2017) worldwide there are approximately 1.7 billion cases of diarrhea in children each year. In Indonesia, the incidence of diarrhea in toddlers is 23.8%, down from the previous year of 28.9%, still not in accordance with the maximum target set at 20%. The incidence of diarrhea in Karanganyar Regency is 15.30%. Children with diarrhea are prone to diaper rash. One of the treatments for the diaper room is using non-pharmacological therapy by administering virgin coconut oil to maintain the moisture of the child's skin. The effectiveness of administering VCO oil in reducing the incidence of diaper rash in children with diarrhea. Pre-experimental design with one group pre-test post-test design, Sampling technique with total sampling and Data analysis using the Wilcoxon test. Obtaining a p value of 0.000 <0.05, the test decision is Ho is rejected, so it is concluded that there is an effect of administering VCO in reducing the incidence of diaper rash in children with diarrhea at the PKU Muhammadiyah Karanganyar Hospital. diaper rash levels after VCO administration decreased compared to diaper rash levels before VCO administration.

Occupational skin disease is a skin disorder that occurs due to a person's work and is commonly found in industrial, agricultural, and plantation areas. This disease is caused by materials/substances and processes carried out in the workplace generally and is known as dermatitis. Atopic dermatitis has dry skin and often has itching, allergic rhinitis, nasal obstruction, conjunctiva and pharynx itching, lacrimation, and seasonality when associated with pollen. This study uses a descriptive case study method where the researcher will describe the case experienced by a client with dermatitis. Respondents in this case study were Mr. N who has been experiencing dermatitis for ± 2 weeks in the pandan kasturi village RT / RW: 01/01 which was carried out for 3 days (November 27, 2023-30 November 2023). The results showed that during the 3 days of implementing dermatitis treatment with siri leaf decoction water, there were changes from Mr. N's complaints. Mr. N said the itching on his feet and hands and between his fingers decreased, did not feel itchy at night after treatment with siri leaf decoction water, redness and wounds due to frequent scratching seemed to decrease. It can be concluded that betel leaf cooking water is effective for the treatment of itching in dermatitis.

Land and water sources are important in cultivation activities. Efforts to overcome the problem of limited land and water for cultivation include technology development. One of the technologies being developed is vertiqua. The Vertiqua that has been developed, both with and without biophysical filters, still has weaknesses, namely high levels of ammonia. Therefore, a biofical modification was carried out, namely using a biofical top filter to increase the effectiveness of reducing ammonia levels to support fish growth in the vertiqua. The aim of this research was to test the effectiveness of the biofical top filter on the rate of reduction in ammonia levels in the vertiqua. The research design was carried out using a Completely Randomized Design (CRD) for one treatment with three repetitions, in this study with an upper biophysical filter as treatment and three vertiquas as repetitions. The data analysis carried out in this research was an experimental method. The results of the research are presented in the form of graphs, tables and narratives using Microsoft Word and Excel. As for testing, the research sample was tested with the middle value using Microsoft Excel and Minitab 21 by comparing the test results with the standard. According to the research results, the use of an upper biophysical filter can have an effect on maintaining physical and chemical water quality parameters (P<0.05) so that they comply with quality standards. However, there are several water quality parameters that do not comply with quality standards, such as pH and nitrite. The use of the upper biophysical filter type in the vertiqua koi fish cultivation system has an effect on reducing ammonia and maintaining water quality so that it meets quality standards. However, the nitrite value at the beginning was high, but after two weeks of testing the value began to decrease, indicating that the upper biofical filter was running optimally.