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Penarukan Village, located in Tabanan Regency, is predominantly inhabited by communities engaged in freshwater fish farming, particularly Nile tilapia (Oreochromis niloticus). The high demand for Nile tilapia in Tabanan and surrounding areas poses a challenge for farmers to manage the growth and development of the fish to ensure optimal quality. During the cultivation process, various issues arise that require effective solutions to support the sustainability of this sector. One of the main problems faced by fish farmers is related to the quality of biofloc pond water, which is still monitored using conventional methods. Poor water quality that does not meet the optimal living standards for Nile tilapia can hinder growth, reduce fish health, and negatively impact production yield. Manual monitoring methods are also prone to inaccuracy and complicate the data analysis process needed for effective decision-making.To address this issue, a technology-based solution has been proposed in the form of a real-time monitoring system using the “SI-NILA” mobile application integrated with a microcontroller-based Internet of Things (IoT) system. This system allows for continuous monitoring of pond water quality and automated pH control to maintain suitable conditions for fish growth. This innovation is expected to improve efficiency and effectiveness in fish farming practices, minimize the risk of crop failure, and promote the digital transformation of aquaculture in Penarukan Village, contributing to the sustainable development of the freshwater aquaculture sector.

Sport is a physical activity that is needed by everyone in order to meet health and physical needs that are carried out systematically. Football is a sport that has the highest number of enthusiasts in the world from various circles. Achievements can be achieved through internal factors including athletes, coaches, administrators and external factors, including parental support. This research was motivated because there has been no research on Persepam Achievement Development based on SWOT analysis. The research was conducted to present the results of the analysis related to Persepam Pamekasan achievement development in order to improve the quality of the club, maximize existing support and minimize deficiencies and sources of threats that can hinder the Persepam Pamekasan achievement development program. This research is a qualitative descriptive study with a research target of 3 informants, namely administrators, coaches, and athletes. Data was obtained through interviews and documentation. This research produced several findings, including: (1) The most prominent strengths include: having quality coaches and potential athletes, and having effective and efficient governance. (2) The most influential weaknesses include minimal financial needs and inadequate facilities and infrastructure. (3) The most important opportunities include having many sources of support, such as athlete families, community enthusiasm and support from supporters, and developments that can be maximized. (4) The most feared threats include: not having a sponsor yet and the rapid development of other clubs. Alternative strategies that can be applied include: (1) immediately submitting a proposal to the company, (2) managing expenses and utilizing developments as best as possible, (3) optimizing available facilities, (4) increasing player potential, and (5) maintaining communication.

In the era of digital transformation, the healthcare sector is required to adapt to technological developments, especially in terms of recording and managing patient medical data. Electronic Medical Records (RME) is a strategic solution that can improve efficiency, accuracy, and integration of health services. The implementation of RME in health facilities faces a number of challenges. Infrastructure readiness, limited human resources (HR), and resistance to change are factors that affect the adoption of this technology.  to analyze the extent to which Perceived Usefulness, Subjective Norm and Perceived Ease of Use affect Usage Behaviour through Behavioural Intention as an intervening variable. this research method is quantitative explanatory research. The sample in this study were care givers (PPA) at the Mayjend H.M. Ryacudu Hospital, North Lampung, totaling 140 respondents. Data collection using questionnaires and descriptive analysis techniques using the SEM-PLS method. the results showed Perceived Usefulness, Subjective Norm and Perceived Ease of Use influence directly and indirectly on Usage Behaviour through Behavioural Intention as an intervening variable on the acceptance of RME at Mayjend H.M. Ryacudu Hospital. These results in theoretical implications support the theory and previous research. Managerially, it is expected to provide input for the management of RSUD Mayjend H.M. Ryacudu to understand the factors that influence the acceptance of RME by medical personnel, so that technology adoption strategies can be more effective, in improving and improving the quality of technology and systems that support the use of RME.

Pharmaceutical products play a crucial role in supporting medical interventions to prevent, treat, and cure diseases, making their availability and quality key factors in healthcare services. Therefore, the pharmaceutical supply chain must ensure the availability of medicines in adequate quantities and meet quality standards. Supplier qualification is a critical step in supply chain management aimed at ensuring quality, sustainability, and compliance with regulations. This article analyzes the main risks in the supplier qualification process, such as quality risks, compliance risks, and supply disruptions. Risk mitigation strategies, such as regular audits, source diversification, and the implementation of digital technologies, play an important role in enhancing the efficiency, flexibility, and sustainability of the pharmaceutical supply chain, thereby supporting the competitiveness of the industry in consistently meeting market demands and complying with stringent regulatory standards. Through this research, it is hoped that strategic guidelines can be produced to improve the efficiency of pharmaceutical supply chain risk management, resulting in a positive impact on the overall healthcare system.

Health service management has an important role in managing resources effectively and efficiently, dealing with the dynamics of community needs, and ensuring quality health services through a systematic and humanistic approach. However, there are still shortcomings in the availability of adequate resources and managerial skills of implementing officers in service units that do not meet the standards. This study aims to analyze the direct impact of health management on accessibility, quality, effectiveness, and policy-making in health services.This study uses a literature review method with data sources obtained from Google Scholar, National Library e-Resources, and Garuda Portal. The research data was taken from 2015-2025. Based on the literature review, effective health management includes strategic planning, strengthening internal management, managing human resources, community involvement, and utilizing technology. The implementation of health management is proven to improve the competence of health workers, accelerate service processes, and increase patient satisfaction. In addition, good health management also encourages the expansion of health facility distribution, maintains the availability of drugs and medical devices, and improves the quality of infrastructure. However, there are challenges that need to be overcome, such as limited human resources and challenges in implementing Electronic Medical Records (EMR) in various healthcare facilities. The review shows that health management positively impacts accessibility, service quality, effectiveness, and evidence-based policymaking. Effective strategies include strategic planning, internal managemen human resource management, technology use, and community involvement, although challenges like limited human resources and Electronic Medical Record implementation remain

This study is based on problems that often occur in patients at NU Mangir Hospital with the aim of this study as an effort to detect several possibilities that occur so that it becomes a solution to minimize existing symptoms. This study uses quantitative research with the type of data collection taken based on random sampling techniques from existing patients and then analyzed using statistics with the help of SPSS version 20.00. Infection in patients with Water Seal Drainage (WSD) is a serious problem that increases morbidity and mortality. This study aims to identify demographic and clinical factors that influence the incidence of infection in WSD patients at NU Mangir Hospital, Banyuwangi. The method used is a cross-sectional approach with purposive sampling of 24 respondents. The results showed that systemic infections occurred most often (45.8%), and age factors, length of WSD installation, leukocyte levels, and comorbidities were significantly related to the incidence of infection. Improvement in the quality of care is needed to reduce the risk of infection.

Inclusive education is a strategic approach in the national education system that aims to provide equal opportunities for all children, including children with special needs, to obtain quality education without discrimination. This study aimed to identify and analyse teachers' strategies in creating a pleasant learning environment for children with disabilities at Gamaliel Kindergarten in Palu, a private Christian value-based school that implements inclusive education. Through a descriptive qualitative approach, data was collected through observation, in-depth interviews and documentation. The results showed that teachers play a central role as facilitators, mentors and creators of an adaptive, contextualised and characterised learning atmosphere. The strategies used include adjusting learning methods, applying the values of love and acceptance, and utilising learning media that are interesting and friendly to children with disabilities. Despite facing challenges such as limited training and facilities, teachers at Gamaliel Kindergarten continue to create a conducive and inclusive learning space. The findings are expected to contribute to the development of inclusive education practices in Indonesia, especially in building child-friendly schools that uphold the values of justice and equality in learning.

Integrated public services in a one-stop service system, such as the one implemented at the Mal Pelayanan Publik (MPP) Badung, serve as an answer to the public's demand for efficient, fast, and transparent bureaucracy. However, in its implementation, MPP still faces various strategic challenges, such as fragmentation between agencies, limited human resources, and suboptimal digital system integration that supports cross-sector services. This study aims to analyze adaptive and collaborative managerial strategies to address these challenges and explore digital innovation opportunities to improve service quality. By using a literature review method from various journals, policy reports, and supporting documents, this study shows that the success of the one-stop service system greatly depends on visionary leadership, synergy between agencies, and adequate technological support. The discussion concludes that flexible, responsive managerial strategies that emphasize cross-agency collaboration can enhance efficiency and user satisfaction. Therefore, updating digital systems, involving the community, and improving human resource capacity are crucial steps in realizing modern and sustainable public services. Another key factor for success is the adoption of innovative digital technologies. By investing in digital infrastructure, MPP can automate many of its processes, reducing paperwork, speeding up response times, and ensuring better coordination between departments. The development of user-friendly platforms and mobile applications will also allow citizens to access services more easily, improving their satisfaction. Additionally, involving the community in the decision-making process through feedback and engagement mechanisms can help identify areas for improvement and tailor services to better meet the public's needs. To ensure long-term success, continuous capacity building for human resources is essential. Well-trained staff, equipped with the skills and knowledge to operate advanced systems, will be able to provide higher-quality services.

The transformation of Indonesia’s educational evaluation system from the National Examination (UN) to the National Assessment (AN) is intended to improve education quality through a more comprehensive approach. This study examines the implementation of the National Assessment at SMA Negeri 21 Medan, with a focus on the disparity between the theoretical framework of formative assessment and its practical execution in the field. The research utilizes the discrepancy evaluation model with a qualitative methodology. Data were gathered through in-depth interviews, focus group discussions (FGD), participatory observations, and document analysis.The findings reveal that although the National Assessment is designed as a formative evaluation, in practice, it is still regarded as a summative assessment disconnected from the learning process. The execution of the Minimum Competency Assessment (AKM) continues to be dominated by multiple-choice questions, restricting the comprehensive evaluation of competencies. Moreover, the use of assessment results for educational enhancement remains suboptimal due to reporting delays and the insufficiently diagnostic format of the reports. Key supporting factors for implementation include strong school leadership, adequate infrastructure, and collaboration among schools. However, several obstacles persist, such as a limited conceptual grasp, inadequate teacher training, and administrative and curricular constraints. This study suggests reinforcing teachers’ conceptual understanding, enhancing the feedback system for assessment outcomes, and fostering deeper integration of formative assessment principles into school learning strategies. By doing so, the National Assessment can be more effectively leveraged to improve the quality of education in Indonesia.

Scientific writing is an important competency that must be mastered by students, especially in writing a thesis as a requirement for graduation at the undergraduate level. One of the problems often encountered is the weak ability of students to manage references and compile citations in accordance with academic rules. This condition has the potential to reduce the quality of scientific work and violate the principle of academic integrity. Therefore, this community service activity aims to improve students' understanding and skills in reference management through socialization of the use of the Zotero application. This activity was carried out at the Syekh Al-Hasan Ahmad Addary State Islamic University in Padangsidimpuan, involving 45 students as participants. The methods used were socialization and training, which included the delivery of conceptual material on scientific writing and citations, as well as practical assistance in using the Zotero application. The results of the activity showed that students gained a better understanding of the importance of reference management and were able to recognize the use of Zotero as a tool to systematically compile citations and bibliographies. The output of the activity was a Zotero usage guide document that can be used as a supporting reference in writing scientific papers. This activity contributes to improving students' academic and digital literacy and supports efforts to prevent plagiarism in the university environment.

This study aims to determine the effect of financial management (X1), application of accounting information systems (X2), quality of human resources (X3), utilization of e-commerce (X4) on financial performance (Y) Culinary UMKM in Solo City. The samples taken were 100 respondents, using the slovin formula. The method used in this data analysis technique uses instrument data testing, classical assumption testing, multiple linear regression and hypothesis testing. The method of collecting data is by distributing questionnaires to the heads of culinary UMKM actors in the city of Solo. The results showed that the variables of financial management (X1), application of accounting information systems (X2), quality of human resources (X3), utilization of e-commerce (X4) had a positive effect on the financial performance (Y) of culinary UMKM  in Solo.

This study aims to systematically examine the influence of transformational leadership and organizational culture on nurses' performance in hospitals. The method used is a Systematic Literature Review (SLR) with a qualitative approach. The findings indicate that transformational leadership has a significant impact on improving nurses’ performance, particularly through enhanced work motivation, job satisfaction, loyalty, and team effectiveness. Transformational leaders inspire nurses by providing a vision, encouraging innovation, and fostering a supportive environment that aligns with their values and goals. As a result, nurses exhibit increased commitment to their work, higher engagement levels, and a proactive attitude toward their tasks, leading to better overall performance. Organizational culture also plays a crucial role, especially values such as collaboration, human orientation, and integrity, which have been shown to support a positive work environment and nurse productivity. A culture that prioritizes teamwork, shared responsibility, and mutual respect enables nurses to work more cohesively and efficiently. Hospitals with a supportive and inclusive culture experience reduced turnover rates and higher job satisfaction, as nurses feel valued and respected within the organization. Additionally, when the culture encourages continuous learning and professional development, nurses are more likely to stay updated on best practices and provide high-quality care to patients. However, differences in findings across studies suggest the need for contextual understanding and consistent internalization of cultural values. Factors such as geographical location, hospital size, and leadership styles may influence the degree of impact that transformational leadership and organizational culture have on nurse performance. Therefore, it is essential to adapt leadership strategies and cultural initiatives to the unique needs and challenges of each healthcare setting.

Informed consent is a fundamental legal document in medical practice, ensuring that patients provide informed approval before undergoing medical procedures. The completeness of this document is crucial for legal compliance and patient safety, as incomplete or improperly filled out consent forms can lead to legal disputes and compromise patient well-being. This study aims to evaluate the completeness of informed consent forms for general surgery patients, employing the 5M method (Man, Money, Method, Material, and Machine) to identify the factors contributing to form deficiencies. A quantitative descriptive approach was employed, with a sample of 265 forms selected using Slovin’s formula from a total of 711 forms collected between June and August 2023 at a hospital in Indonesia. The findings indicate that incomplete forms are primarily caused by human factors, such as a lack of medical personnel’s understanding of the informed consent process, procedural issues, including unclear standard operating procedures, and system limitations, such as partial integration of electronic medical records. The analysis of these factors reveals the significant impact of human error and procedural gaps on the completeness of informed consent documentation. To enhance the quality of documentation and ensure better compliance with medical regulations, this study recommends a series of improvements, including medical staff training, revision of standard operating procedures, and optimization of electronic medical record systems. Implementing these improvements is expected to strengthen compliance with medical regulations, enhance the documentation process, and contribute to better patient safety and legal protections in the healthcare setting.

Employee performance is a crucial aspect that plays a crucial role in maintaining the sustainability, productivity, and competitiveness of a company, including in the micro, small, and medium enterprises (MSMEs) sector. Optimal performance levels not only impact the achievement of company targets but also influence customer satisfaction and business churn. One factor believed to be able to improve employee performance is the provision of rewards and motivation. Rewards can be financial or non-financial, which serve as a form of company appreciation for employee contributions. Meanwhile, motivation functions as an internal driver that raises work enthusiasm to achieve the best results. This study aims to analyze the effect of rewards and motivation on employee performance at the Nasi Kulit Syuurga MSME. The study used a quantitative descriptive approach with a saturated sampling technique, where the entire population of 32 employees were used as respondents. The research instrument was a structured questionnaire, and the data obtained were analyzed using multiple linear regression methods using SPSS version 25 software. The results showed that rewards have a significant influence on employee performance. This indicates that appropriate recognition can improve work quality and productivity. However, motivation partially did not have a significant effect on employee performance, which is likely caused by other factors such as working conditions, organizational culture, or suboptimal job satisfaction. Nevertheless, rewards and motivation have been shown to simultaneously contribute to improved employee performance. This finding underscores the importance of designing an effective reward system, coupled with more targeted motivation strategies, to enable MSMEs to retain high-performing employees and increase their competitiveness.

The authors of the article have chosen a company acting as an agent for a container shipping line because the company seeks to decrease its service failures and reduce the chaotic nature of its activities by systematizing them from a scientific point of view and refining its operations at the managerial level. Employees of the company are responsible for activities such as a search for customers, price offers, contacting clients, the conclusion of contracts, coordination of cargo transportation, document control, invoicing and payment control. Proper execution of these operations ensures the quality of services provided by the container line agent. The learning organization concept, situational management theory and total quality management theory are applicable to the management of the personnel activity process in the line. In terms of management functions, planning is more suitable for activities such as searching for customers, price offers, conclusion of contracts and invoicing; organizing is more required when searching for customers, contacting them and concluding contracts; leading is more suitable for activities such as contact with clients, conclusion of contracts and payment control; control is more required when contacting customers, coordinating cargo transportation, invoicing and controlling payment. A conceptual approach that theoretically reveals the principles and possibilities of the company’s activities in the container shipping line can serve as the basis for future empirical research to identify problems in its personnel activity management.

In an era of increasingly advanced technology, seabed mapping is very important in various fields, such as ship navigation, underwater infrastructure development, and marine environmental research. The use of a seabed sounding system at PT PAL has improved the quality of seabed mapping. The purpose of this study is to analyze the seabed at the PT PAL Surabaya pier in order to find out through seabed mapping using a bathymetric survey system and to find out the level of shallowing at each pier and which area is safe for ships to dock. This study uses a quantitative descriptive method. Pier sounding data using an echosounder tool at the PT. PAL Surabaya pier. The sounding data obtained starting from 2023 contains information about the depth of the pier, and will later be used to calculate Tool Correction, Fluctuation Correction, LWS (Low Water Spring) Correction, and Real Depth (actual depth). The results of the study show that based on the results of a bathymetric survey at PT. PAL in September 2023, the depth data at the West Peninsula pier is at a shallowest depth of 4 meters and the deepest is 6 meters. While the shallowest depth at the West Bandar pier is 3 meters and the deepest is 6 meters. At the North Peninsula pier the deepest depth is 8 meters marked with a solid green color. From these results it can be seen what ships can enter each particular pier area, namely ships that have a minimum draft of 2.65 m.

The quality of National Health Insurance (NHI) services is one of the important aspects of the health system in Indonesia. So that in an effort to improve the quality of health services, every health service facility is required to improve the quality of health services both internally and externally and continuously and sustainably. The purpose of this study is to determine the quality of service to the satisfaction of national health insurance (NHI) users. The method in this article uses a literature study, namely a method of collecting data by understanding and studying theories from various literatures related to a study that is being conducted. There are four stages of making a literature study in research, namely preparing the necessary literature sources, managing literature, organizing time and reading or recording research materials and by compiling articles. The results of this study show that the quality of service to the satisfaction of National Health Insurance (NHI) users is very important because it has a direct impact on the quality of life of the community with the quality of service, service waiting time, ease of access, affordable costs, good communication, availability of facilities, ability to overcome problems and satisfaction with the service process. It can be concluded that the quality of health services is very important because it has a direct impact on the quality of life of the community and patient safety. Good service quality can increase the satisfaction of NHI users and improve the quality of life of the community. For the government, it is necessary to improve evaluation and monitoring. Improve evaluation and monitoring of the quality of NHI services. Improve accessibility of information on NHI evaluation and monitoring.

This study aims to enhance the quality of operational performance by implementing the Holonic Manufacturing System (HMS). The system involves dividing manufacturing processes into autonomous, collaborative, and participatory holons, including the Order Holon, Product Holon, Resource Holon, and Staff Holon. The primary objective is to optimize production efficiency by reducing costs, minimizing processing time, and increasing flexibility while improving overall organizational productivity. The research problem centers on evaluating the impact of holonic manufacturing on operational performance improvement. This study is significant as it addresses a critical issue for firms striving to enhance their efficiency and deliver value to customers. The adoption of HMS is not only a practical approach but also a widely recognized business strategy that has garnered interest from researchers and industry professionals alike.To achieve the study’s objectives, a structured questionnaire comprising 36 items was developed and distributed to participants. Two primary hypotheses were formulated to examine the relationship between HMS implementation and operational performance quality. Various statistical analyses were conducted using SPSS (version 24) and AMOS (version 24) to test the hypotheses and validate the findings. The results indicate a significant correlation and causal relationship between the Holonic Manufacturing System and operational performance quality. The findings suggest that implementing HMS effectively enhances organizational performance by improving production processes, increasing efficiency, and reducing operational constraints. Therefore, adopting this system can lead to a more agile, cost-effective, and productive manufacturing environment, making it a valuable strategy for modern organizations.

This study analyzes the management of facilities and infrastructure at SMP Negeri 35 Medan in an effort to improve education quality. The research employs a qualitative descriptive approach, with data collected through observations and interviews conducted at the school. Observations focus on assessing the condition of classrooms, laboratories, libraries, and supporting infrastructure, while interviews with key informants, including a science teacher and the vice principal for facilities, provide deeper insights into the management and challenges of school infrastructure. The findings indicate that although the school meets the minimum facility standards as stipulated in Government Regulation No. 19 of 2005, several challenges remain, including budget constraints, lack of facility maintenance by students, and limited human resources. To optimize facility usage, the school needs to implement strategies such as regular maintenance, budget optimization through external collaborations, enhancement of the digital inventory system, and strengthening Standard Operating Procedures (SOPs). Additionally, integrating technology in learning and increasing student awareness of facility maintenance are crucial solutions. By implementing these recommendations, facility and infrastructure management is expected to become more effective, creating a more comfortable and supportive learning environment for both students and educators.

This study aims to improve the singing skills of sixth grade students at State Elementary School 173632 through the national song "Indonesia Raya". application of vocal techniques. This study uses a quantitative descriptive approach with a classroom action research (CAR) method approach which is carried out in several cycles, including the stages of planning, implementation of actions, observation, and reflection. The results of the study indicate that the systematic application of vocal techniques can improve the quality of students' singing. Diaphragm breathing exercises help students control their voices more stably, articulation techniques make song lyrics clearer, intonation exercises improve pitch accuracy, and expression techniques help students convey emotions in songs better. Data analysis shows an increase in the average singing skills of students from the category of sufficient to good after being given action. In addition, the results of observations show that the majority of students feel more confident and enjoy learning to sing with a vocal technique approach. Thus, this study can help improve students' vocal skills as well as knowledge for students and teachers as well as for readers.