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. This research aims to determine the effect of an environmentally based guided inquiry model on students' science process skills. Quasi Experimental research was conducted with a Pretest-Posttest Control Group Design- nonequivalent control group. Saturated sampling technique was used to determine the treatment class, namely class VA as the control class and class VB as the experimental class. Data collection was carried out using a written test in the form of short answer questions. For the data results obtained by the experimental class, the average pre-test score was 56 and the post-test score was 70. Meanwhile, the data results obtained by the control class had an average pre-test score of 52 and post-test score 58. Based on statistical tests using the SPSS test. effect size (ES), probability value (significance) is 0.89, so the Ho hypothesis is rejected, meaning the guided inquiry model has a significant effect on students' Science Process Skills.

This study aimed to determine the effectiveness of using TikTok application in improving speaking skill for EFL learners. The research design employs pre-experimental research with the sample of 25 students. The technique data collection was done by administering pre-test and post-test. This research used descriptive statistic Paired Sample T-Test to analyze the data. The mean score of pre-test was 46.6 and 71.4 for post-test. Based on the statistical analysis, it showed that the use of TikTok application give a good impact for the students speaking skill because the mean score of post-test was higher than pre-test. In testing hypothesis, it was found that the significance value of the result of TikTok application thought self-introduction was 0.00 lower than 0.05, so the hypothesis was accepted. Additionally, some improvements were seen after the treatment such as “I em” to be “I am”, “lipe” to be “live” and other vocabulary items. In conclusion, TikTok application was significantly effective in improving speaking skill for EFL learners at X grade in SMK Unwanul Falah NWDI Paok Lombok.

The background of this research is that students feel that the methods used by the teacher are less varied so that students feel bored, then the teacher rarely connects learning material with student interests. In addition, the teacher explains more about the lesson than the students. The teacher only conveys material to students, while students have different abilities in understanding the material. The research objective was to find out how the principles of motivation, activity and individuality were applied by PAI teachers in class 2A at SMP N 1 Singingi Hilir. This study uses a qualitative approach. With data collection techniques through observation and interviews. The key informants were PAI teachers and the supporting informants were class 2A students. Data analysis in this study was done by reducing data, displaying data, and then drawing conclusions. Based on the results of the study it was found: (1) Principles of motivation: teachers rarely choose teaching materials that suit students' interests, teachers rarely use teaching methods and techniques that students like, teachers rarely make corrections as soon as possible to student work and share the results with students. (2) The principle of activity: teachers rarely use multi-methods and multi-media in learning (3) The principle of individuality: teachers rarely use methods that are able to serve the needs of students according to their characteristics, then teachers also rarely use media in learning, then teachers rarely determine the right treatment for the students concerned

The aim of this research is to determine the effect of mosaic activities on the fine motor skills of children aged 5-6 years at the GKPI Tarutung City Kindergarten. The type of research used in the research is quantitative research with experimental research methods and the type of research design is one group pretest post-test design. The population in this study was all children aged 5-6 years at the GKPI Tarutung City Kindergarten, totaling 110 people, and the sampling technique, namely purposive sampling, was 25 children from class B2. Data collection techniques were carried out using observation sheets, interviews and documentation. Based on the recapitulation of data on children's fine motor skills before being given treatment (pretest) using mosaic activities, there were no BSB categories, 4% were in the BSH category, 80% were in the MB category, 16% were in the BB category. After being given treatment (post-test) using mosaic activities, there were 32% in the BSB category, 68% in the BSH category, none in the MB and BB categories. Furthermore, based on the results of the t test, the value of tcount ˃ ttable (49.729 ˃1.711) was obtained. So it can be concluded that Ho is rejected and Ha is accepted, which means that there is an influence of mosaic activities on the fine motor skills of children aged 5-6 years at the GKPI Tarutung City Kindergarten.

Osteoarthritis is a degenerative joint disorder that often occurs with age. This joint disorder can cause various kinds of problems that can interfere with daily activities, such as walking, going up and down stairs, sitting to standing position, prayer activities, standing too long, and so on. Community service activities are carried out by conducting counseling activities related to knee osteoarthritis. The purpose of the outreach activities carried out in the Prolanis community consisting of the elderly or elderly is to increase knowledge and understanding of the role of physiotherapy, especially regarding the management of physiotherapy related to the treatment of osteoarthritis through exercises that can be done independently at home. Physiotherapy management in osteoarthritis can be done using hamstring stretch exercises and quadriceps setting exercises.

Cervical brachytherapy is a type of treatment for cervical cancer by providing direct radiation to the cancer or tumor area. The brachytherapy itself is usually a booster combined with external radiotherapy. Evaluation of the success of radiation can be seen from the survival rate of patients or local control. In patients, survival and local control can be influenced by several prognostic factors such as the stage of the cancer, the size of the cancer diameter, and the pathology of the cancer itself. The aim of this research is to determine the impact of brachytherapy radiation on the life survival of cervical cancer patients by paying attention to the relationship between cancer stage, cancer size, cancer pathology on patient survival. This research uses a qualitative descriptive method with a literature study approach regarding the impact of brachytherapy radiation on patient life survival. cervical cancer. It was concluded that prognostic factors such as tumor or cancer size, cancer stage and cancer pathology in cervical cancer have a relationship with patient survival.

Background: Auditory hallucinations are a symptom that often appears in schizophrenia sufferers. Distraction techniques in nursing interventions to divert attention to what is being presented. This distraction technique is very influential for individuals with mental disorders, especially those who experience auditory hallucinations. Objective: To determine the effect of distraction techniques on patients with auditory hallucinations. Method: This research uses a quasi-experimental research design with a one group pre-post-test design approach and non-probability sampling techniques with a purposive sampling model. Results: This research found that 4 respondents experienced moderate hallucinations (26.7%), respondents with the criteria of experiencing severe hallucinations as many as 6 respondents (40%), and very severe hallucinations as many as 5 respondents (33.3%). After being given the treatment of conversing with other people, 7 respondents (46.7%) experienced a decrease in their voices, namely they became mild, and 8 respondents (53.3%) experienced a decrease in their voices to moderate. Conclusion: There is an effect distraction technique to reduce voices in patients with auditory hallucinations based on the results of data processing using the paired T-Test.    

Rice is the main product obtained from grain produced by the rice plant (Oryza sativa) whose entire layer has been peeled off and the bran layer has been separated in the form of head rice, whole rice grains, broken rice, and groats. There are several types of pigmented rice such as brown rice, black rice and black glutinous rice. These kinds of rice have not been utilized optimally so that a processing process is needed to increase the economic value of the colored rice. One of the processing is made as flour so that it is durable and easy to distribute and flour can be used as a food processing material that is practical, easy and durable. One of the processed rice is rice flour. Colored rice flour is the result of processing brown rice, black rice and black glutinous rice by milling or flouring. This study aims to determine the optimal temperature in the manufacture of colored rice flour in order to obtain colored rice flour which has high antioxidant activity and high anthocyanins. The result of flouring is in the form of very fine grains. Flour has a low water content so it is more durable and long lasting. In order to reduce the moisture content, drying is carried out. The study used a completely randomized design (RAL) consisting of 2 factors. The first factor was the type of colored rice, while the second factor was the drying temperature of rice flour. The optimal treatment results were a combination of black glutinous rice flour treatment and a drying temperature of 45°C for 60 minutes, the following results were obtained: water content 7.44%, antioxidant activity by DPPH method 69.89%, antioxidant activity by FRAP method 81.35%, yield 25.29%, total phenol 175.85 mg/kg, and anthocyanin levels 327.10 ppm. Changes in temperature during the drying process of colored rice will affect the characteristics of the colored rice.

The 3DCRT field in field (FIF) technique used in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang uses 4 copy fields including supraclavicular (AP), axilla (PA), tangential (ML/LM). However, in the Radiotherapy Unit at Lavalette Hospital, Malang, the immobilization device does not use a breast board but uses an abdominal thorax or AIO Breast And Lung Board. The aim of this study is to describe the management or procedures for administering 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang. Treatment of 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang consists of an examination and consultation with a radiation oncology specialist, CT Simulator, then treatment planning system (TPS), verification carried out before the first fraction and participation stage. The advantage of using the 3DCRT field in field (FIF) technique with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang, is that the copying area is simple, the copying comfort is better, it can reduce hotspots, and it can reduce the dose received by the organs in the area. risk (OAR). The disadvantage is that it requires more precision, especially RTT as an operator for the use of additional immobilization devices other than the 5 degree abdominal thorax.

The researcher found a problem in class B5 TK GKPI Tarutung Kota, out of 10 children, 70% of children had low creativity when making initial observations. The purpose of this study was to determine the effect of Loose Part media on increasing the creativity of children aged 5-6 years at TK GKPI Tarutung Kota. This research is a quantitative research with a pre-experimental design, the research formula is One-group-pretest-posttest. The population in this study was 110, namely all children aged 5-6 years at TK GKPI Tarutung Kota. Sample A total of 25 children, the sample was selected using the Non-Random Sampling method with Purposive Sampling technique. Data were collected using interview guide sheets and observation sheets based on the observation rubik. The results of data analysis show that Loose Part media can increase the creativity of children aged 5-6 years at TK GKPI Tarutung Kota. The average value of children's creativity before treatment was 4.32 and after treatment was 9.00. After calculating the t-test, the tcount value is 15.396 where the tcount value is greater than ttable. So that the tcount value is 15.396 > ttable 2.064. So it can be concluded that Ho is rejected and Ha is accepted.

Aglaonema plants (Aglaonema spp.) are popular ornamental plants that are famous for the beauty and diversity of their leaves. However, pest attacks can disrupt the growth and beauty of this plant. An alternative to controlling pests is to use vegetable pesticides. This research aims to test the effectiveness of organic pesticides derived from bintaro fruit extract and the effect of using banana peels as a leaf polish on Aglaonema plants. Bintaro is a potential source of botanical pesticides because it contains compounds that inhibit insect feeding. On the other hand, banana peels, which are often overlooked, actually have the ability to naturally enrich the leaves because of their nutritional content. This research used a randomized block design (RAK) with six different treatments, including a control without treatment and chemical pesticide treatment as a comparison. The results of the study showed that bintaro fruit extract had no real effect on aglaonema pest attacks, P4 treatment had a real effect, with the highest number of respondents, but P3 treatment tended to give a duller leaf shine. These results show that the use of the botanical pesticide Bintaro fruit extract did not have a significant effect in killing Aglonema pests, but P2 and P3 treatments had a better effect than other treatments in dealing with pests and P4 treatment was the best in shining Aglonema leaves.

Nasopharyngeal cancer is a cancer that occurs in the nasopharyngeal mucosa which shows squamous cell differentiation. The nasopharynx is a musculoskeletal and cuboid-shaped tube structure behind the nasal cavity. The cause of nasopharyngeal carcinoma is infection with the Epstein-Barr virus (EBV) and / or Human Papilloma Virus (HPV), with risk factors for smoking, consuming alcohol, genetics, exposure to radiation rays, and decreased body resistance Early detection in KNF cases, with physical examination and support, is expected to provide fast, appropriate and effective treatment as soon as possible, so as to improve cancer survival. A patient Mr.M, a 23-year-old male ca The lump is accompanied by pain and the color of the lump is not reddish. Complaints of swallowing pain and difficulty breathing are denied. Diagnosis of KNF is carried out by anamnesis of clinical symptoms and signs, physical examination, and supporting examinations. Endoscopy can assess abnormalities of the nasopharyngeal mucosa and support biopsy. A biopsy is the definitive way to establish the diagnosis of KNF. Imaging modalities, such as MRI and CT scans, look for tumors that are not visible to the endoscopy and assess tumor extension.

This research is motivated by the low activeness of student learning caused by learning that is still teacher-centered so that students do not actively participate in the learning process such as when the teacher asks questions no one raises their hand to answer the question, students also do not take the initiative to ask when the teacher does not understand what has been conveyed by the teacher, this is also caused by the use of monotonous learning strategies so that students feel bored and bored when learning takes place. The purpose of this research is to find out how much influence the use of Small Group Discussion learning strategies has on activeness study class VIII students at SMPN 1 Palupuh. This research is a Quasi-Experimental Design or quasi-experimental design. The design used is the Nonequivalent Control Group Design using quantitative data trends. The population in this study amounted to 60 people consisting of two classes. The sample for this study was class VIII 1 as the experimental class and class VIII 2 as the control class. The experimental class was given treatment using the Small Group Discussion strategy while the control class was not given treatment. The data analysis technique used was the t test which had previously passed the prerequisite analysis test by carrying out the normality and homogeneity tests. The results showed that there was an effect of using the Small Group Discussion strategy on student learning activity significantly with a significant value of Sig <0.05 (0.000 < 0.05) and t count > t table (7120> 2.001), it can be concluded that  is rejected and   is accepted.

The game of basketball is a big ball game played by two teams of five players whose objective is to get as many balls into the opponent's basket as possible. The purpose of this study was to measure the effect of burpee practice on penalty shot or free throw outcomes in men's outdoor basketball participants in the SMP Negeri 7 Malang City. The research methodology used in this study is an experimental study with a one-group pretest-posttest design. The study sample consisted of his 20 male college students who participated in a basketball extracurricular activity. The burpee shooting treatment was performed by him for 4 weeks at a frequency of 4 times a week. Burpee shooting practice increased the free throw shooting score of men's outdoor basketball participants in SMP Negeri 7 Malang City, with a significance level of 0.00<0.05. 

The purpose of this study is to determine the analysis of the effect of service quality, costs and facilities on the satisfaction of outpatient patients Benyamin Guluh Kolaka This research is a survey research using a questionnaire as an instrument. The population in this research is all patients who have carried out outpatient treatment at Benjamin Guluh Kolaka Hospital in Kolaka Regency and taken as many as 75 responsiveness using purposive sampling techniques, namely the technique of determining certain criteria. Data collection techniques are primary data and secondary data. The data obtained were analyzed using PLS analysis techniques through Smart PLS software. The results of this study indicate that service quality has a positive and significant effect on patient satisfaction. This is evidenced by T-count or T-statistics which is 2.164 higher than the rule of thumb used which is 1.96 and the cost also has a positive and significant effect on patient satisfaction due to the value of T-count or T-Statistics which is 13.769 higher than the rules of thumb used is 1.96. While the facility has a negative and not significant effect on patient satisfaction because the value of t arithmetic or t statistical value is 1.089 lower than the rule of thumb used that is 1.96 then the service quality variable and the cost have a positive and significant effect on passient satisfaction of 97.1%.

Breast cancer is a type of cancer that often occurs in women, in the treatment of breast cancer is radiotherapy and fixation tools used, namely breast boards and thermoplastic masks which are aids for patients not to move during radiation therapy. The purpose of the study was to determine the procedure and reasons for using thermoplastic mask fixation devices in radiation therapy cases of breast cancer. This research is qualitative with a case study approach, the research time is from June 7 to July 15, 2023 and the research location at the Radiotherapy Installation of Dr. Hasan Sadikin Hospital Bandung. The subjects of the study were Radiation Oncology Doctors, Medical Physicists, Radiotherapists and Patients. By collecting data, making interview transcripts and reducing data and processed with open coding, given in the form of quotations and then drawing conclusions.The results showed that the procedure for using a thermoplastic mask fixation device was inserted into a waterbath with a temperature of 65.50C until the thermoplastic mask became flexible, the reason for using fixation was a shift in smaller objects at the time of irradiation, and better aesthetic value, because concentration marks and field boundaries did not need to be drawn directly on the patient's body but were drawn on the thermoplastic mask. Using a mask does not need to be marked on the patient's chest so that by using a thermoplastic mask the shift towards the target object is smaller during irradiation.

Background: Knowledge about wound care in families and patients with diabetes mellitus foot wounds needs to be increased so that families can assist in the optimal wound healing process and patients can understand more about wound care. The need for education with booklets and audiovisual media for families of diabetes mellitus patients is to increase the effectiveness of family understanding in detecting signs of diabetes mellitus foot problems and appropriate treatment. The purpose of the case study is to illustrate the application of education using booklets and audiovisual media to increase family knowledge about the treatment of diabetic foot wounds in the Sekaran Health Center target area. This research method uses a case study with a descriptive approach. The results of the study regarding family knowledge about the treatment of diabetes mellitus foot wounds were obtained in subject I before receiving education a good level of knowledge with a score of 24, after receiving education a good level of knowledge with a score of 28, subject II before receiving education a moderate level of knowledge with a score of 19, after receiving education level of knowledge is good with a score of 26. Conclusion: health education is very important to increase family knowledge about the treatment of foot wounds with diabetes mellitus, carried out at the Sekaran Health Center.

This research is a preliminary research that contains efforts to apply the contextual teaching learning model at the elementary school level. This study also aims to determine student responses to the application of the contextual teaching learning model in grade 4 students of SD Negeri Pangestu. This study uses a research design with a "One Shot Case Study" design, which is research conducted by giving certain treatment to research subjects, in this case the contextual teaching learning model. The data obtained were then analyzed using research methods to the students. In this study, researchers used questionnaire data collection techniques. The questionnaire data used in this study was student motivation data. From data processing, research results were obtained which showed that student responses to learning with the contextual teaching learning method received a positive response from students with 9.0.82% of students liking to follow learning with the CTL model. And 87.90% of students agree that the CTL learning model is applied to Indonesian language learning in the future.

Public Health is a part of science that discusses and studies the prevention and treatment of diseases in each individual. Some disease conditions found in the community are complaints of knee pain and back pain. The knee pain that is commonly found is Osteoarthritis. Osteoarthritis is the most common form of arthritis, suffered by millions of people worldwide. It is a degenerative joint disease that affects many joint tissues. This problem arises when the protective cartilage at the ends of bones deteriorates over time. Osteoarthritis is usually experienced in the age of 40-60 years. This is due to the advanced age of the degeneration process. In addition to Osteoarthritis, diseases of the shoulder are also found, such as spasm and Triger Point in the upper trapezius muscle. One of the interventions or modalities provided by infrared or infrared physiotherapy.  Infrared is one of the Physiotherapy modalities in providing services to patients with the aim of causing relaxation effects and decreasing pain. Infrared is a peacock wave that can relieve pain and stiffness in joints and muscles. The process of vasodilation of blood vessels produced by infrared rays can accelerate the removal of several pain-stimulating chemicals including bradykinin, serotonin, histamine, and proteolytic enzymes. As well as prostaglandins and substance P which increase the sensitivity of the ends of pain fibers, so that in the end infrared can reduce pain intensity. In addition to being given Physiotherapy Interventions also provide Socialization or counseling to the community in accordance with the conditions complained of. Providing explanations related to the conditions or complaints of each community by providing education and home programs.

This socialization aims to provide knowledge to the community about what stunting is and the dangers of stunting on the growth and development of their children and provide teaching on how to prevent stunting from occurring and provide understanding to residents that there are several processed foods and the main ingredients come from local food sources that they can use. exercise to prevent stunting and malnutrition affecting children or their relatives. We invite residents to understand more about what stunting and malnutrition are so that their children or relatives do not get the disease and also provide recommendations for appropriate foods to prevent stunting and malnutrition and also solutions for parents whose children are already pregnant. affected by stunting and malnutrition by providing information on where this child is taken for treatment and also how to treat stunting and malnutrition.