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Background: Adolescent development includes physical, social, emotional, cognitive and psychosocial. Adolescents are easily emotional, enjoy challenging things, act impulsively, pay little attention to personal safety so there is a risk of physical injury and falls, which can result in fractures. Fracture treatment is surgery. The impact of surgery is pain, pain management can be done by playing fidget spinner therapy. A fidget spinner is a toy that rotates between two fingers, in the shape of a propeller with a ball bearing in the middle, creating a stunning rotating pattern, unique design, attracting children and reducing pain. Objective: Fidget spinner play therapy is applied to reduce pain intensity in children aged 13-18 years. Method: The research method is a case study with 3 respondents who experienced post-operative fractures using a fidget spinner and the Wong Baker pain scale. Results: The results for respondents 1, 2 and 3 showed a decrease in pain intensity, the average pre test for respondent 1 had pain 4 and the average post test pain was 3. Respondent 2 had an average pre test pain scale of 4 and post test pain scale 2. For respondent 3, the average pre test pain scale was 5 and post test 3. Conclusion: The application of fidget spinner play therapy is effective in reducing pain in children with post-operative fractures. Suggestion: This application is expected to be used in nursing care for children with post-operative fractures on the second day.

Clinical education is an important aspect in health education, where students learn clinical skills in hospitals. The support of clinical educators and a conducive environment play a role in reducing stress. This study aims to analyze the relationship between the role of clinical educators and the implementation of clinical education with the level of stress of students during practice at RSI Sultan Agung Semarang. Using a quantitative method with a cross-sectional design, the population and sample in this study were 87 respondents with a total sampling technique. The results of the Spearman test showed a significant relationship with weak strength (p value 0.000), positive direction, and correlation coefficients of 0.471 and 0.514. Further research with a wider scope and qualitative methods is recommended to understand the factors causing student stress in more depth.

Breast cancer is a type of cancer that is often experienced by women and is generally treated with chemotherapy which causes physical side effects such as pain and psychological impacts in the form of anxiety. Apart from that, sleep disorders can also affect the quality of life of breast cancer patients. Sleep hygiene and guided imagery therapy have been proven effective in reducing anxiety, pain and sleep disorders. Therefore, this study aims determined the difference in the effectiveness of sleep hygiene and guided imagery on anxiety and pain in breast cancer sufferers who are undergoing chemotherapy. This research uses a comparative cross-sectional design with a quasi-experimental approach. The data collection technique used purposive sampling with the Federer formula so that 16 respondents were obtained. Wilcoxon test. Before intervention the average anxiety was 63.5% and pain was 4.31%. After the intervention the average anxiety decreased to 45.81% and pain to 3.13%. The results of this study show the influence of Sleep Hygiene and Guided Imagery Therapy on anxiety and pain in breast cancer patients undergoing chemotherapy with a p value of 0.000 < 0.05.

Education is necessary to address the low level of teenage understanding on reproductive health. This affects unintended pregnancies, abortions, IMS/PMS, and HIV/AIDS. This study set out to ascertain how offering audiovisual education packages affected the degree of teenage knowledge and attitudes about reproductive health at SMA Sultan Agung Islamic 3. This research is a quantitative research with a pre-experiental approach. The design of this research uses one group pretest-posttest design. Data collection was done by questionnaire. The number of respondents was 79 with random sampling method. The data obtained were processed statistically using the Wilcoxon formula. Based on the result of the analysis, the majority of 79 respondents had 100% characteristics of 10-18 years with 54,4% female gender and 45,6% male gender. The research result that before being given the audiovisual education package, 59,3% of respondents possessed adequate knowledge, 36.7% possessed strong knowledge, and 3.8% possessed inadequate knowledge. After being given the audiovisual education package, overall respondents fell into the 100% good knowledge category. Before being given the audiovisual education package, 63,3% of respondents had attitudes in the negative group, but all responder attitudes fell into the positive category after receiving the audiovisual education package. Providing audiovisual education packages has an impact on teenagers' reproductive health knowledge and attitudes (p value=0,000 <0.05 with a Z value of knowledge -5.444 and attitude -7.071).

Nurse is power vulnerable health​ experiencing Culture Shock, namely difficulty adapt with environment Work new that has difference culture. A preliminary study was conducted at the Sultan Agung Islamic Hospital in Semarang on 12 nurses. show that 89.85% experienced Culture Shock. Of them, 71.05% faced stress Work light, 78.95% stress Work moderate , and 85.53% stressed Work weight . This result indicates the need study more carry on For evaluate connection between Culture Shock and level stress Work nurse , so that step intervention can formulated for quality service health. Analyze connection between Culture Shock and level stress Work nurse at Sultan Agung Islamic Hospital, Semarang. Study quantitative with cross-sectional design, conducted on 95 nurses at the Sultan Agung Islamic Hospital in Semarang using total sampling technique . Data collected use valid and reliable questionnaire , with analysis using the Chi-square. Based on results study This show that from 95 nurses implementers at the Sultan Agung Islamic Hospital in Semarang, as many as 20,0% experienced Culture Shock in the category less , 33,7% category enough , and 46,3% category good . Meanwhile that , level stress Work shows 56,8% in category light , 33,7% category medium , and 9,5% category heavy. Study This conclude that there is connection significant between Culture Shock and level stress Work nurses at Sultan Agung Islamic Hospital Semarang (p = 0.000).

One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients

This research aims to explore the role of the Daarul Qur'an Al-Qur'an Education Park (TPA) in improving Al-Qur'an reading and developing children's morals in Air Bangis, West Pasaman. The method used is a qualitative approach with interview techniques, observation and documentation. The research subjects consisted of TPA managers, teachers, and children who took part in learning programs at the TPA. The research results show that TPA Daarul Qur'an has made a significant contribution to improving children's Al-Qur'an reading abilities, which is reflected in the development of more fluent and correct reading abilities. Apart from that, TPA also plays an active role in moral development, through teaching the moral values ​​contained in the Koran and the example set by its teachers. This moral development has a positive impact on children's attitudes and behavior, both at home and at school. Overall, this research concludes that TPA Daarul Qur'an makes a very important contribution to the spiritual and moral development of children in Air Bangis, West Pasaman.

MotoGP is an international motorcycle racing event that attracts global attention and impacts various sectors, including the logistics sector. One important aspect of the MotoGP event is temporary imports, such as motorcycles, spare parts, and supporting equipment. This study aims to explore how to handle temporary imports using ATA Carnet in MotoGP cargo imports and identify challenges and solutions during the MotoGP cargo handling process. The method used is qualitative, with primary data obtained through observations and interviews, and secondary data from written sources, films, images, and monumental works. The data analysis techniques applied include data reduction, data presentation, and drawing conclusions, with data validity tested using triangulation techniques and sources. The study results show that handling MotoGP cargo with temporary import status differs from general cargo, as it involves customs procedures and requires special documents such as ATA Carnet, Customs Notification of Special Economic Zones (PPKEK), and Temporary Import Permits for exemption from entry fees. The handling process must be performed quickly to save time, given the limited period for temporary imports before re-export. However, Customs personnel still face challenges related to the attachment of customs seals, so the company needs to evaluate the recruitment and training processes of workers. The solution is coordination between PT. Angkasa Pura Logistics and Customs for the addition of officers.

The purpose of this study is to find out which sectors are the leading sectors in North Kalimantan Province in 2017 – 2021, What economic sectors have fast growth rates in shifting economic sectors in North Kalimantan Province in 2017 – 2021, Which economic sectors have the power strong competitiveness in shifting economic sectors in North Kalimantan Province in 2017 - 2021. What economic sectors are included in the criteria as prime, potential, developing and underdeveloped sectors in North Kalimantan Province in 2017 - 2021. Quantitative analysis methods used in processing this data is Location quotient (LQ), Shift Share, Growth Ratio Model (MRP) and Overlay Analysis processed using Microsoft Office Excel. The results of the study show that the economic sectors which are categorized as basic sectors in North Kalimantan Province in 2017 – 2021 are the Agriculture, Forestry and Fisheries sectors; Mining and excavation; Construction; Transportation and Warehousing; Administration of Government, Defense and mandatory social security; Education Services.

This study aims to determine the effect of convenience, benefits and security on the interest in using e-wallets in the Parit Boom community, Nipah Panjang District. The method used in this study is a quantitative method, and the data analysis method used is multiple regression, t-test and f-test. The sample in this study was 67 samples of the Parit Boom community, Nipah Panjang District, by distributing a Likert scale questionnaire. The test results obtained from the t-test show that the convenience variable (X1) has a significant effect on the interest in using e-wallets (Y). This is evidenced by the calculated T value> Ttable, which is 3,287> 2.75 and a significant value of 002 <0.05 so that it can be concluded that Ho is rejected a.nd Ha. is a.ccepted, while the benefit va.ria.ble (X2) ha.s a. significa.nt effect on the interest in using e-wa.llets (Y). This is evidenced by the ca.lcula.ted T va.lue > Tta.ble, which is 3.54 > 2.75 a.nd a. significa.nt va.lue of 002 < 0.05, so Ho is rejected a.nd Ha. is a.ccepted, so the benefit va.ria.ble (X2) ha.s a.n effect on the interest in using e-wa.llet (Y). While the va.ria.ble (X3) does not ha.ve a. significa.nt effect on the interest in using e-wa.llet (Y). This is evidenced by the ca.lcula.ted T va.lue < Tta.ble, which is 0.220 < 2.75 a.nd a. significa.nt va.lue of 826 > 0.05, so it ca.n be concluded tha.t Ho is a.ccepted a.nd Ha. is rejected, so the security va.ria.ble (X2) ha.s a. significa.nt effect on the interest in using e-wa.llet (Y). The test results obta.ined from the f test show tha.t the va.ria.bles of convenience, benefits a.nd security simulta.neously ha.ve a.n effect on the interest in using e-wa.llet. This is evidenced by the ca.lcula.ted f va.lue > fta.ble, which is 8.292 > 1.998 a.nd a. significa.nt va.lue of 0.01 < 0.05

In a subset of the Federal Capital Authority (FCDA) Civil Service, the study aims to examine the relationship between job satisfaction, retention, and employee salary. Civil Service, Capital Authority (FCDA) are established by the manner in which employees receive compensation and rewards. Two goals were employed, and two hypotheses were developed to direct the investigation. The research design utilized in the study was a descriptive survey. The 400 Federal Capital Authority (FCDA) Civil Service members were chosen as the population. The study's findings indicate that employee retention significantly affects the Federal Capital Authority (FCDA) Civil Service [F (1, 398) = 11.287; p<0.01] and that job satisfaction and employee compensation are significantly correlated among the FCDA Civil Service [r (398) = -.123: p<0.01]. It was determined that, similar to other nations, the Federal Capital Authority (FCDA) Civil Service in Nigeria acts as the pivot for economic growth; managers of the FCDA Civil Service face several difficulties. They struggle with a high employee turnover rate and discover that their staff members are quitting them without warning on a daily basis. According to the report, the Federal Capital Authority (FCDA) Civil Service management should pay its personnel appropriately for the position they have so that they can carry out their leadership duties successfully and efficiently. All of these suggestions will improve employee performance, which will improve the performance of the organization as a whole. The Federal Capital Authority (FCDA) Civil Service should promote more employee relationships and interpersonal interactions.

This study aims to analyze the influence of auditor experience, independence, professional skepticism, time pressure, and red flags on the auditor's ability to detect financial statement fraud in the Public Accounting Firm (KAP) in the South Tangerang region. Data was collected through the distribution of questionnaires using the purposive sampling method, with a sample of 45 auditors from four KAPs. Data analysis was carried out using multiple linear regression with the help of SPSS software version 21 and Microsoft Excel 2021. The results showed that professional skepticism had a significant negative effect on the auditor's ability to detect fraud. On the contrary, auditor experience and red flags have a significant positive influence on auditor ability. Meanwhile, independence and time pressure do not have a significant influence on the auditor's ability to detect financial statement fraud.

The purpose of the Federal Capital Territory (FCT) of Abuja is to implement government directives in order to achieve national development goals. To accomplish this, recruitment and retention strategies in the civil service (CS) play a crucial role in providing the human resources needed. This study empirically investigates the recruitment and retention strategies applied in the FCT. The study utilized a survey method by distributing questionnaires to civil servants and conducting structured interviews to collect the necessary data to achieve the research objectives. To analyze the collected data, the study used the chi-square analytical technique. The findings reveal that the recruitment strategy in the CS is based on a combination of political and merit-based factors. Regarding employee retention, the study found that the CS has implemented relatively effective incentives to retain its workforce. However, while these incentives are sufficient for short-term retention, they are inadequate to retain skilled employees compared to the incentives offered by private companies. The recommendations from this study suggest that, in order to maintain a skilled workforce and enhance performance, the CS must implement more competitive incentives that are comparable to those offered by the private sector in order to attract and retain the best talent in the long run.

Financial reports are vital for investment and financial decision-making, as they reflect a company's financial performance and provide key insights for investors and institutions. However, challenges such as accounting errors, financial manipulation, and non-compliance with accounting standards can impact the quality of financial reports (QFR). Auditors play a crucial role in ensuring QFR by examining and verifying financial statements, enhancing investor confidence, financial stability, and economic growth. This study examines the role of auditors in improving QFR in commercial banks listed on the Iraq Stock Exchange. Using a descriptive analytical approach, the research reviews prior studies and analyzes data from 15 commercial banks operating in the Iraq Stock Exchange from 2015 to 2021. Hypotheses were tested using Eviews-12 software. Findings indicate that auditors influence QFR through corporate governance, particularly via the board of directors, which plays a crucial role in ensuring sound auditing practices. Board independence and management ownership significantly reduce financial manipulation, aiding informed investment decisions. The study recommends increasing awareness of the auditor’s role, strengthening corporate governance mechanisms, and enhancing financial analysts' and auditors' effectiveness in reporting and forecasting. Training and development programs are also suggested to improve financial report quality in commercial banks.

This study aims to produce a geographic information system based on a school mapping website in Entikong District. A total of 12 Elementary Schools (SD), 5 Junior High Schools (SMP), 1 Madrasah Tsanawiyah School (MTS) and 2 Vocational High Schools (SMK) were the subjects of this study. The process of creating a geographic information system goes through several stages, including system planning using flowcharts and unified modeling language (UML), at the design stage, the system is designed in a wireframe using mockflow tools wireframing, to creating a geographic information system using laravel, react. js, mapbox and progressive web apss. Then the system is tested using blackbox testing. This system makes it easy for users to find out the location of schools in Entikong District which is supported by the open direction feature. Based on this research, it allows users to search and find relevant information for each school in Entikong District.

This study looks at the options and issues surrounding financial reporting in Nigerian small and medium-sized businesses (SMEs). The purpose of the study was to identify the difficulties that Small & Medium Businesses (SMEs) in implementing efficient financial accounting reporting in Nigeria, as well as to determine the extent to which insufficient accounting records in SMEs in Nigeria are caused by subpar credit facilities. Data were gathered using the survey method, time series data, and the CBN statistical bulletin and questionnaire. A straightforward percentage table was used to assess the generated data. Inadequate accounting books and records, manpower, accounting system, and failure to conduct transactions through the banking system are the main obstacles that SMEs face when preparing and presenting financial reports, according to the study. The report suggests, among other things, that the two primary organizations in Nigeria, ICAN and ANAN, should support professional accountants as they are the only ones who can maintain appropriate books of accounts and prepare financial records its members to provide SMEs in Nigeria with free expert services.

This study explores the potential and challenges of the Treasury Single Account (TSA), which the cur-rent government of Nigeria has recently fully implemented to drive economic growth and development. The government aims to close gaps and plug leaks in government funds while ensuring a robust finan-cial management system to guarantee transparency and efficiency in the administration of public fi-nancial resources. The paper provides a conceptual understanding of TSA and discusses its anticipated benefits to Nigeria’s economy, particularly in the context of financial management and control. Key benefits include reducing the cost of government borrowing, ensuring optimal utilization of govern-ment financial resources, and consolidating various government accounts into one unified account. The study also examines the structure of the TSA system and its various accounts, including the TSA pri-mary account. In addition, the paper highlights the goals of the TSA, such as improving accountability and reducing corruption. After discussing the potential and challenges associated with implementing the TSA, the study concludes that political will, integrity, and commitment are crucial for overcoming these challenges. Successful implementation of the TSA system requires addressing identified obstacles to realize the anticipated benefits, which would significantly enhance the efficiency of financial man-agement in Nigeria.

Marketplace or E-commerce is an internet-based online media as a place to conduct business activities and transactions between buyers and sellers. In the marketplace or e-commerce, buyers can search for as many suppliers as possible with the desired criteria so that they get the appropriate market price. Tokopedia is a marketplace based in Indonesia. The purpose of this study is to explain the role of brand image in mediating the influence of online customer reviews on purchasing decisions. This study was conducted in Denpasar City with a sample of 100 respondents using the non-probability sampling method with the purposive sampling technique. The data analysis technique used is the inferential analysis technique including confirmatory factor analysis (CFA), path analysis, Sobel test and VAF test. The results of this study indicate that online customer reviews have a positive and significant effect on purchasing decisions. Online customer reviews have a positive and significant effect on brand image. Brand image has a positive and significant effect on purchasing decisions. Brand image partially mediates the influence of online customer reviews on purchasing decisions for Tokopedia users in Denpasar City. The implications of this study can be used as consideration and input for Tokopedia in improving consumer purchasing decisions by considering the variables of online customer reviews and brand image.

The aim of this research is to analyze the determinant factors of Firm Value in Energy Sector Companies listed on IDX 2020-2023. the variable selected in this study were profitability, capital structure and firm size as an independent variable, and Firm Value as a dependent variable. data collection techniques use the purposive sampling method. using secondary data obtained from financial reports on IDX from 2020-2023 with a total of 34 companies.  based on the result of the tests prove that profitability has positive significant effect on  Firm value, Capital Structure has A significant effect on Firm value, and Firm Size has a positive significance effect o Firm Value. By bridging these concepts, this research explores a deeper understanding of how profitability, capital structure, and company size can have a positive impact on company value.    The findings of this research have significant implications for financial management in determining the amount of company value by taking into account profitability, capital structure and company size in investment decisions.  

Background: Dengue Hemorrhagic Fever is a health problem that is very rapidly transmitted, especially in endemic areas in Indonesia, one of which is in Jambi City. Indicators of DHF control activities are measured by the incidence rate per 100,000 population (IR) and the mortality rate (CFR). IR in 2018 was 23.28 per 100,000 population and CFR in 2018 was 0.36%. Although there has been a decrease in CFR every year, the incidence of DHF cases and deaths due to DHF still occur every year in 11 districts/cities in Jambi Province. Method: This study aims to analyze the determinants of the incidence of Dengue Hemorrhagic Fever (DHF) in the Aur Duri Health Center Working Area in 2024. The case control study design, the study was conducted from February to September 2024. This study used primary data from 2024 with a sample of 68 respondents. The variables used are Gender, Residential Density, House Condition, Hanging Clothes Habits, 3M Plus Behavior and Cleaning Water Reservoirs. Conclusion: This study found that the variables related to the incidence of DHF in the Aur Duri Health Center work area in 2024 were the variable of hanging clothes ( p-value = 0.012); 3M Plus Behavior ( p-value = 0.001); and the habit of cleaning water reservoirs ( p-value = 0.007). For the community, it is necessary to always increase self-protection efforts and for the Aur Duri Health Center, it can provide training or movements to eradicate or stop the transmission of DHF.