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Background: Homecare is recovery, independence, fulfilling basic needs,choose the treatment nedded are called homecare, influences the success of health development. In overcoming health problems, health workers must be able to increase their professionalism in carrying out their duties to provide the best and highest quality services, so that patients and family members feel satisfied as measured by the factors. Purpose: This literature review research aims to find out how the quality of homecare service programs influences the level of patient satisfaction. Methods: There were 14 journals used in the literature review. Journal searches are carried out through Four databases : Google Scholar, Crossref, ProQuest, Emerald Insight.Results: Literature analysis shows that, there is a relationship between reliability, responsiveness, assurance, emphaty and tangible with the level of patient satisfaction.Conclusion: The quality of home services is influenced by several factors, the focus of quality measurement in Indonesia and several countries is similar. In other countries, quality seen in the nursing process, staff skills are called assurance. Quality is conceptualized as a continuous process, coordination of professional groups, prioritizing patient safety standards is called tangible, timeliness called responsiveness. In Indonesian quality is measured in five factors are tangible, responsiveness, reliability, assurance and empathy. These factors are most related to patient satisfaction in homecare services.

This study explores the pharmaceutical supply chain management of the National Formulary at RSUP Dr. Sitanala in Tangerang City, aiming to identify obstacles to drug availability and formulate effective and efficient solutions. Acknowledging quality healthcare as a fundamental human right and a critical investment for a nation's future, this research emphasizes the importance of high-quality healthcare services. These services encompass not only treatment but also health promotion and disease prevention through the adoption of clean and healthy living habits. Drug availability is a major pillar in the provision of quality healthcare services. Effective and efficient management of the pharmaceutical supply chain, particularly regarding National Formulary drugs, is crucial in ensuring the availability of medications at healthcare facilities. This research employs a comprehensive analysis of the supply chain processes at RSUP Dr. Sitanala, examining stages such as drug selection, demand planning, procurement, receipt, storage, distribution, drug control, therapy monitoring, prescription preparation, drug dispensation, and medication administration. The study's methodology involves a case study approach, integrating theoretical management principles and interdisciplinary pharmacy management with compliance to regulations, as outlined in Permenkes No. 76 of 2016. Findings from RSUP Dr. Sitanala indicate that the hospital's pharmaceutical management practices align with contemporary health and pharmacy management theories, emphasizing structured systems, stringent verification, and effective interprofessional communication to ensure medication safety and efficacy. The study identifies challenges in information technology and interdisciplinary coordination as areas needing improvement. Nonetheless, a commitment to continuous improvement and adherence to regulatory standards reflects RSUP Dr. Sitanala's dedication to enhancing the quality of pharmaceutical management and healthcare services. The implications of this research extend beyond RSUP Dr. Sitanala, offering valuable recommendations for improving drug supply chain management in other healthcare institutions in Indonesia. By enhancing access to and the quality of healthcare services, this study contributes to the broader goal of achieving the highest possible level of health for individuals, reflecting the perspective of human rights and investment in the nation's future health.    

Household sewage treatment in Surakarta City depends on the performance of the available domestic wastewater treatment plants (IPAL), including Pucangsawit IPAL, Semanggi IPAL, Mojosongo IPAL, and UNS IPAL. Each of these IPAL’s serves a specific area, such as the UNS IPAL which serves the UNS area and its surroundings, the Mojosongo IPAL which is in charge of the North Area of Surakarta, the Semanggi IPAL which takes care of the South Area of Surakarta, and the Pucangsawit IPAL which serves the Central Area of Surakarta City. This research aimed at the effectiveness of the performance and development plan of each IPAL in the next 20 years. This research used descriptive qualitative and quantitative analysis methods. Qualitative descriptive analysis was conducted by observing the existing condition of IPAL Komunal in the research location. Quantitative descriptive analysis in this study was carried out by testing samples at the inlet, aeration, and outlet points of the IPAL. Based on the quality standards of the Minister of Environment and Forestry Regulation number P 68 of 2016, each IPAL. UNS IPAL is 47.27% for BOD, 73.81% for COD, 76.36% for TSS. Mojosongo IPAL is 88.71% for BOD, 76.50% for COD, 78.57% for TSS. Pucangsawit IPAL was 91.88% for BOD, 83.20% for COD, 74.82% for TSS. Semanggi IPAL is 20.45% for BOD, 69.95% for COD, 69.05% for TSS. Alternative development at the IPAL that can be done to prepare for the next 20 years is to increase the volume in the initial settling basin, aerobic biofilter basin, and also the final settling basin.   

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.

Background: Diabetic foot ulcers are one of the most common complications in patients with diabetes mellitus. Patients with diabetic foot wounds have various degrees of anxiety. One of the anxiety measurement tools is HARS (Hamilton Anxiety Rating Scale). Progressive muscle relaxation is one of the non-pharmacological treatments to reduce anxiety. Objective: To describe the results of the implementation of progressive muscle relaxation on anxiety levels in patients with diabetic foot wounds. Methods: This study used a descriptive research design case study approach by observing the anxiety level of diabetic foot wound patients on 2 respondents, carried out in the morning and evening for 5 consecutive days with a frequency of 15 minutes. The instruments used were HARS (Hamilton Anxiety Rating Scale) scale sheet, SOP (Standard Operating Procedure) progressive muscle relaxation, anxiety level observation sheet, stopwatch. Results: Results: There were changes in anxiety levels before and after progressive muscle relaxation in Mrs. S from moderate (27) to mild (15). While in Mrs. I from moderate (26) to mild (15).  Conclusion: The application of progressive muscle relaxation can be useful for reducing anxiety levels in both diabetic foot wound patients.    

The aim of this research is to determine the influence of students' interest in learning using the demonstration method. The research hypothesis is: "There is a difference in students' interest in learning in class VIII SMP N 4 Siborongborong for the 2023/2024 academic year before and after learning using the demonstration method. The population is all class VIII of SMP Negeri 4 Siborongborong, North Tapanuli Regency for the 2023/2024 academic year with 206 Protestant Christians consisting of 7 classes. The research sample was determined using the Purposive Sampling technique, namely 35 students in class VIII 3 as the experimental class using the demonstration method and class VIII 5 totaling 35 students as the control class using ordinary treatment (conventional class). This research method is the Quasy Experimental Design method using a Nonequivalent Control Group Design. The instrument used in this research was a 30-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 0.7454 in the high category. And the average value for the control class is 0.1481, which is in the low category. Then carrying out an independent test using the t test obtained a value of t = 15.168 > t table (α = 0.05; df = 68) = 2,000. Thus, it can be concluded that the research hypothesis is accepted, namely that there is a difference in students' interest in learning in class VIII of SMP N 4 Siborongborong for the 2023/2024 academic year before and after learning using the demonstration method.

The research that has been conducted is entitled “The Effect of Falou Application in Improving Students’ Speaking Skill”, with the background being that the school want to implement English as the language in the school environment, but students’ speaking skill are still low. This research used quantitative methods with pre-test, treatment, and post-test design approaches in the experimental class and control class. The population in this study were students of class X Madrasah Aliyah Al – Washliyah Tebing Tinggi. This study used sample of two classes, namely experimental class as many as 30 students from X IPA-1 and control class as many as 30 students from X IPS-2. This study used a lottery method with random sampling style to select the sample. The validity processing tool used IBM Statistics Version 29. The result of this study revealed that there was a significant of using Falou Application in improving students’ speaking skill. This can be seen from the increase in the result of test, namely a Sig (2-tailed) value of 0.01 < 0.05 or t count (19.778) higher than t table (0.361). Based on the findings above, it can be concluded that the use of “Falou Application” has a significant effect on students’ speaking skill of Students in Madrasah Aliyah Al – Washliyah Tebing Tinggi.  

The research that has been conducted is entitled “The Effect of Falou Application in Improving Students’ Speaking Skill”, with the background being that the school want to implement English as the language in the school environment, but students’ speaking skill are still low. This research used quantitative methods with pre-test, treatment, and post-test design approaches in the experimental class and control class. The population in this study were students of class X Madrasah Aliyah Al – Washliyah Tebing Tinggi. This study used sample of two classes, namely experimental class as many as 30 students from X IPA-1 and control class as many as 30 students from X IPS-2. This study used a lottery method with random sampling style to select the sample. The validity processing tool used IBM Statistics Version 29. The result of this study revealed that there was a significant of using Falou Application in improving students’ speaking skill. This can be seen from the increase in the result of test, namely a Sig (2-tailed) value of 0.01 < 0.05 or t count (19.778) higher than t table (0.361). Based on the findings above, it can be concluded that the use of “Falou Application” has a significant effect on students’ speaking skill of Students in Madrasah Aliyah Al – Washliyah Tebing Tinggi.  

Urban sustainability presents considerable challenges, especially in the management of energy and wastewater treatment systems. Rapid urbanization intensifies the demand for water and energy, leading to increased pressure on existing infrastructure and resources. Wastewater management is essential for urban water sustainability, as untreated wastewater poses significant environmental and health risks. Moreover, wastewater treatment processes are energy-intensive, complicating the balance between environmental goals and energy consumption. To address these challenges, integrating decentralized renewable energy systems, such as solar, biogas, and wind, with wastewater treatment plants (WWTPs) offers a promising solution. This integration can reduce reliance on centralized power grids, enhance energy self-sufficiency, and promote sustainability. The application of Circular Economy principles, which emphasize resource recovery and system decentralization, is key to this integration. However, technological, economic, and regulatory barriers exist, limiting widespread adoption. This study explores the feasibility of coupling renewable energy with WWTPs, focusing on energy flow simulations, environmental impacts, and economic evaluations. The results indicate that integrating renewable energy can significantly reduce greenhouse gas emissions, lower operational costs, and improve the resilience of urban water systems, making it a viable option for sustainable urban development.

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Article 28 I of the Constitution of the Republic of Indonesia mandates that every citizen has the right and everyone has the right to be free from discriminatory treatment and entitled to protection thereof. Many people believe that only women can be victims of harassment. Women and men are both potential victims and the effects they get are the same. MS as a victim of sexual harassment in KPI wrote an open letter on social media about the sexual harassment that happened to her. The open letter then went viral and many social media users began to harass the personal lives of these perpetrators. From here, the perpetrators reported back to MS with allegations of defamation. The incident became the author's background in writing this research by applying normative juridical research methods, namely research that focuses on positive law or the practice of applying norms or rules in legislation. According to Article 310 paragraph (3) of the Criminal Code states that it cannot be punished if the accusation is carried out as a form of defending public interests or defending oneself. While what is known today, MS who tells her condition after being harassed on social media is an attempt to defend herself and reveal the truth.    

Hyperemesis gravidarum is a condition of excessive nausea and vomiting in pregnant women that is worse than morning sickness, the cause is unknown. Psychological factors can worsen this condition, causing dehydration, weight loss, electrolyte imbalance, and complications such as liver damage and retinal hemorrhage due to increased blood pressure during vomiting. Treatment is done by administering fluids, glucose, electrolytes, and vitamins through an IV. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum at the Pagar Merbau Health Center, Deli Serdang, in 2023. This study uses a descriptive correlational method with a cross-sectional design to analyze the relationship between independent and dependent variables simultaneously. Data were collected retrospectively from 36 respondents using a purposive sampling technique. The research instruments were questionnaires and observation sheets, while data analysis was carried out using the chi-square statistical test which showed a p value = 0.021. There is a significant relationship between age, knowledge, parity, and multiple pregnancies with the incidence of hyperemesis gravidarum in pregnant women at the Pagar Merbau Health Center, Deli Serdang.

Wounds are a condition where the integrity of the skin is disrupted, often requiring a fast and accurate healing process to prevent infection. Bitter melon (Momordica charantia L) is known to have chemical components that potentially accelerate the wound healing process. This study aims to test the effectiveness of bitter melon extract in accelerating wound healing in mice (Mus musculus). The research method used is an experimental method with a post-test only control group design. This study involved 30 mice divided into five treatment groups: negative control, positive control, and three treatment groups with different concentrations of bitter melon extract. The results showed that bitter melon extract could accelerate wound healing in mice, indicated by a significant decrease in wound length in the treatment groups compared to the control groups. Therefore, bitter melon extract has the potential to be used as an alternative treatment to accelerate the wound healing process.

Third trimester pregnancy begins at 28-42 weeks of gestation. Pregnant women tend to look worried and will experience anxiety. One of the treatments to help reduce anxiety in third trimester pregnant women is Al-Qur'an murottal therapy. The purpose of this study was to analyze the effect of Qur'anic murottal therapy on anxiety levels in third trimester pregnant women. The research method is experimental with pre-post test design. This study was conducted by assessing the anxiety level of third trimester pregnant women before and after the Qur'an mu'rotal therapy. The sample size in this study was 17 respondents determined by purposive sampling. The results of this study indicate that there is an effect of giving Al Qur'an murottal therapy in reducing anxiety in third trimester pregnant women with a p value of 0.000. The conclusion of this study shows that the provision of murottal therapy Al Qur'an can reduce the anxiety level of third trimester pregnant women.

Teaching writing is not easy. Teacher needs to think the appropriate and effective medium that will be able to attract the students’ interest. Due to this case, an animated video was chosen as a medium to facilitate students' learning process to be more interactive and attract students' interest for composing, particularly to write Descriptive Texts. The research explored the use animated videos to teach descriptive text in grade seventh academic year 2023/2024 at MTsN 6 Tulungagung. The type of experiment utilized is a Quantitative with Pre-Experiment Designs. The sample consisted of 31 students as control group. There are three steps conducting this research: pre-test, treatment, and post-test. The expert formed the validation of the questions. Based of the data analysis results, the pre-experimental class’s mean scores 76.35 and 86.32 in the post-test. Researchers found that the score of Sig. (2-Tailed) is 0.001 less than 0.05, therefore H0 is denied by acceptance of Ha. So in this case it was concluded that the differences in the analysis of the mean between the results of the pre and post-test meant that there were effects of using the animated video as the medium of learning in writing Descriptive Text in class VII in the 2023/2024 school year at MTsN 6 Tulungagung.

Teaching writing is not easy. Teacher needs to think the appropriate and effective medium that will be able to attract the students’ interest. Due to this case, an animated video was chosen as a medium to facilitate students' learning process to be more interactive and attract students' interest for composing, particularly to write Descriptive Texts. The research explored the use animated videos to teach descriptive text in grade seventh academic year 2023/2024 at MTsN 6 Tulungagung. The type of experiment utilized is a Quantitative with Pre-Experiment Designs. The sample consisted of 31 students as control group. There are three steps conducting this research: pre-test, treatment, and post-test. The expert formed the validation of the questions. Based of the data analysis results, the pre-experimental class’s mean scores 76.35 and 86.32 in the post-test. Researchers found that the score of Sig. (2-Tailed) is 0.001 less than 0.05, therefore H0 is denied by acceptance of Ha. So in this case it was concluded that the differences in the analysis of the mean between the results of the pre and post-test meant that there were effects of using the animated video as the medium of learning in writing Descriptive Text in class VII in the 2023/2024 school year at MTsN 6 Tulungagung.

Pear skin contains flavonoids which have potential as antioxidants. Considering the existence of humans as social creatures, interacting with each other requires self-confidence to be well accepted. For this reason, humans need self-care to appear charming, attractive and full of self-confidence. Masks are a type of cosmetic treatment that is well known and widely used. The mask works deeply to remove dead horn cells on the skin. This research aimed to determine the potential antioxidant activity of the ethanol extract of pear peel (Pyrus bretschneideri) which was formulated as a sheet mask preparation. Extraction was carried out by maceration using 96% ethanol to obtain pear peel extract. The antioxidant activity test method was carried out using the DPPH (2,2-diphenyl-1-picrylhydrazyl) method. The results obtained from the concentration of the sheet mask preparation of pear peel extract (Phyrus bretschneideri) were homogeneous and stable. The pH results obtained from F0 (5,1), F1 (5,4), F2 (5,5), F3 (5,6), are still within the safe range of facial skin pH. The results of the antioxidant activity test showed that the IC50 value for F1 was 84.58 ppm with intensity (Strong), F2 69.96 ppm with intensity (Strong), and F3 63.79 ppm with intensity (Strong).

Leader Justice refers to the principles and practices of justice implemented by a leader in carrying out their responsibilities. It encompasses various aspects, including fairness in decision-making, treatment of subordinates, allocation of resources, and organizational policies. A leader who practices justice is considered fair, transparent, and treats all members equally. This research proposes a comprehensive analysis of leader justice by focusing on the quality of hadith, the concept, and its implementation in the context of modern leadership. The study aims to understand how Islamic teachings, particularly those found in hadith, shape the concept of leader justice and how this concept can be effectively implemented in the context of modern leadership. The research methodology includes a review of relevant literature on hadith, justice theories, and modern leadership. The findings of this research are expected to provide profound insights into how the values of justice in Islamic teachings can serve as relevant guidance for modern leaders in carrying out their duties fairly and ethically. This research is anticipated to make a positive contribution to our understanding of the connection between religious teachings, justice, and leadership in the contemporary era.

The aquaculture sector is one source of food production whose development in Indonesia reached 6,979,750 tonnes or 95.80%. Therefore, it can contribute to the community's nutritional adequacy rate. Fisheries cultivation must be encouraged, because it plays an important role in improving the community's economy. Catfish production in Indonesia reached 1.06 million tons and 19,550 tons in Lampung. Catfish can be cultivated with various types of pools including tarpaulin, concrete, soil, biofloc and bucket pools. The aim of cultivating in buckets is as a form of updating appropriate technology through cultivating in buckets and creating nutritional gardens. The levels of ammonia, nitrite and nitrate in catfish ponds with plants will be lower than in conventional ponds without aquaponics. The experiment was conducted with a Completely Randomized Design (CRD) with four treatments and three replications (P1=1 head/liter, P2=2 head/liter, P3=3 head/liter and P4=4 head/liter). The best absolute weight growth rate was 3.1 grams, absolute length growth rate was 9.1 cm, and survival rate was 81%, accompanied by other water quality parameters such as temperature (26.5 - 28.4oC), pH (6.5- 6.8), DO (3-4 mg/L), TDS (135- 145 ppm).

This study aims to determine the energy and carbohydrate content of soybean hulls soaked with husk ash water filtrate (FAAS). The study used an experimental method with a randomized complete block design (RAL) Factorial, Factor I; the concentration of husk ash water filtrate consists of F1: 10%, F2: 20% and F3: 30%. The second factor is the length of soaking time consisting of W1: 24 hours, W2: 48 hours, and W3: 30 hours. Each treatment was repeated three times. Based on the results of statistical analysis showed that there was no interaction (P<0.05) between the concentration of FAAS and the length of soaking time on the Energy and Carbohydrate values of soybean hulls.