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The waste piles in the landfill pose a higher environmental hazard compared to the waste at its source due to the potential formation of leachate and air emissions. Consequently, waste management from the source is essential to minimize the amount of waste in the landfill. The waste management methods at each location typically vary based on the composition, characteristics, and quantity of waste present in that specific area. In this study, an analysis of waste piles at facility X was conducted through the process of sorting and weighing the waste during October 2023, with the objective of providing research findings that can be utilized to determine suitable waste management options for the location. The research revealed that the dominating composition of the waste consists of organic waste, with garden waste accounting for 55.95% and food residue comprising 10.75%. Composting was selected as the recommended alternative for waste treatment in the area. Garden waste, primarily composed of dry leaves, is suggested to be treated using the pile composting method, while food residue is suggested to be treated through a combination of Black Soldier Fly larvae biotechnology and Takakura composting.

Ngadilegi Utara Hamlet is one of the hamlets in Plinlahan Village, Pandaan District, Pasuruan Regency which has large potential land for cultivating plants. Farmers in Ngadilegi Hamlet grow many crop commodities, one of which is melons. Melon (Cucumis melo L) is an annual fruit plant originating from the Persian Hot Valley or the Mediterranean region which is the border between West Asia, Europe and Africa. Melon plants are a type of pumpkin plant which is in the same family as watermelon, cantaloupe and cucumber. One effort to increase melon production in North Ngadilegi Hamlet can be done by good development and correct cultivation technology and supported by the use of new technology, namely the use of bacteria contained in PGPR. Soaking seeds with PGPR aims to ensure that the bacteria contained in PGPR are able to colonize the seeds as early as possible. Proper long soaking treatment of seeds can increase plant yields because bacteria will bind to the seed coat and imbibition into the seeds.

Basalioma, also known as basal cell carcinoma (BCC), is the most common skin malignancy found throughout the world. Basaliomas commonly occur in the elderly population, which is associated with cumulative sun exposure and other exogenous damage. Older (65–79 years) to very old (>80 years) white individuals showed the highest increase in basalioma incidence rates. In Indonesia, data from the Cancer Registration Agency in 2009 shows that skin cancer ranks 4th out of the 10 most common types of cancer. The most common location is in the nose area. The incidence of metastasis is 0.01-0.1%, and occurs lymphogenously and hematogenously. The most significant causes are exposure to ultraviolet radiation and genetic predisposition. Basaliomas tend to occur in areas of chronic sun exposure and therefore the majority, about 74%, occur on the head, face and neck. Basaliomas usually arise from the lowest layers of the epidermis, although a small number may originate from the outer root sheath of the pilosebaceous unit. The incidence of basalioma is directly proportional to age and inversely proportional to the amount of melanin pigment in the epidermis. Surgery remains the first line of treatment for this disease. Surgical modalities include electrodessication, curettage, excision, cryosurgery, and Mohs micrographic surgery..  

This research aims to determine the effect of skipping training on the shooting ability of SMP N 1 Bumi Raya students in playing futsal. The research method used in this research is a quasi-experimental method using a one group pretest – posttest design. Quasi-experimental research is research with a quantitative approach in this research using the independent variable, namely skipping, and vice versa, the dependent variable is shooting ability. The population in the study was 10 students of SMP N 1 Bumi Raya. The sample uses a simple purposive sampling technique with the criteria of the skipping method as treatment. Time and place on the futsal field with 14 meetings. The research instrument used in this research is quantitative research which is measured by shooting ability and skipping training. The data analysis that I will use uses T-test analysis with (Paired T test) using SPSS 23. The conclusion is that there is an influence of skipping training on the shooting ability of SMP N 1 Bumi Raya students in playing futsal.

This research aims to find out and analyze efforts to fulfill political rights for first-time voters with disabilities in the general election in Gorontalo Regency in 2019 and to find out and analyze the factors inhibiting the fulfillment of political rights for first-time voters with disabilities in the general election in Gorontalo Regency in 2019 , based on the title raised in this research, researchers see the weakness of Indonesia's defenses from attacks by things that endanger society, thousands of illegal drugs have been circulating throughout Indonesia. This research uses empirical methods. The data collection process examined by researchers in this research is primary data and secondary data. Data collection techniques that support and are related to this research are interviews, observation and literature study. The results of this research show that the KPU and the Government have ensured the implementation of efforts to respect and promote , protection and fulfillment of the rights of novice voters with disabilities to develop themselves and utilize all abilities according to their talents and interests to enjoy, participate and contribute optimally, safely, freely and with dignity in all aspects of national, state and social life. By socializing and expanding the network of first-time voters with disabilities to play an effective role in the general election system at all stages or parts of its implementation. Increasing the participation of people with disabilities in elections is also not easy. Every citizen has the right to social security necessary for a decent life and for full personal development. Every person with disabilities, elderly people, pregnant women and children have the right to receive special facilities and treatment. Accessibility problems are one of the factors that cause first-time voters with disabilities to not cast their votes optimally, as happened in Gorontalo where the Gorontalo Regency General Election Commission continuously coordinates with first-time voters with disabilities to ensure that these first-time voters with disabilities are still able to vote. exercise their rights when voting.

Children require special attention as the nation's next generation. The World Health Organization stated that the maternal mortality rate worldwide in 2019 was around 295,000 women who died during and after pregnancy and childbirth. The majority (94%) of maternal deaths occur in low and middle income countries (WHO, 2020). At the 2020 National Working Meeting, the maternal mortality rate in Indonesia in 2019 was still 305 per 100,000 live births (Ministry of Health of the Republic of Indonesia, 2020), which is still high when compared to Indonesia's target in the Sustainable Development Goals (SDGs) in 2030, namely 70 per 100,000 live births. (Pusdatin, 2019). The Sustainable Development Goals (SDGs) era began in 2019 with a program to reduce pregnancy-related morbidity and mortality rates, the achievements of which are still very high in the world. The World Health Organization (WHO) projects that every pregnant woman and newborn needs quality care from pregnancy to the postpartum period. Prenatal care in Indonesia plays an important role in providing quality care, because antenatal care includes elements of health promotion, screening, diagnosis and disease prevention. Indonesia is currently one of the 13 countries with the highest proportion of maternal mortality rates in the world. The high maternal mortality rate is caused by complications during pregnancy. According to the World Health Organization (2019), around 287,000 mothers died due to complications during pregnancy and childbirth, such as bleeding 28%, preeclampsia/eclampsia 2%, infection 11%, and indirect causes (2019), obstetric trauma) 5%. Efforts made to minimize and prevent complications during childbirth are to carry out routine pregnancy checks. Antenatal Care (ANC) is a planned program in the form of observation, providing education and treatment for pregnant women to achieve a safe and satisfactory pregnancy and birth. Antenatal pregnancy checks are the frequency of pregnancy checks at existing health facilities, namely doctors, midwives, health centers, hospitals and other private health facilities. Antenatal examinations should be carried out at least four times during pregnancy, namely once in the first trimester, once in the second trimester and twice in the third trimester (Ministry of Health, 2017). Antenatal examination is a follow-up for pregnant women to prepare physically and mentally and save the mother and baby during pregnancy, childbirth and postpartum (Ministry of Health of the Republic of Indonesia, 2018). The importance of pregnancy checks through prenatal examinations, because in general pregnancies proceed normally, but with increasing gestational age it tends to cause dangerous complications (Rukiyah, 2013). Pregnancy checks are important to ensure that the natural process of pregnancy can run normally and continue so that pregnant women have a healthy and safe pregnancy. It is estimated that around 15% to 20% of all pregnant women will experience high risk conditions and obstetric complications that threaten the lives of both mother and fetus if not treated properly. Indonesian Ministry of Health, 2021). OBJECTIVE To analyze the factors related to Antenatal Care Visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS There is a relationship between age, knowledge and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023 and there is no relationship between parity and support from health workers and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023.

Psychoeducation is the provision of information and development in the form of public education as information from simple psychology or other things and can influence the psychosocial welfare of society. Family psychoeducation therapy or Family Psychoeducation is a therapy that involves the family in a treatment program by providing education through therapeutic communication. Cognitive Behavior Therapy is a combination of two approaches in psychotherapy, namely the focus in cognitive therapy is on thoughts, assumptions, beliefs, facilitating individuals to learn to recognize and change errors in thinking or irrational thoughts into rational ones. The aim of this research is to determine the effect of psychoeducation on the ability of families to care for mental disorders patients at RSJ Prof. Dr. V. L. Ratumbusang Minahasa. The research method uses the pre-Experiment Design method with a One Group Pre-Post Test approach. Samples were taken based on the number of 15 respondents using accidental sampling. Data collection uses SAP and questionnaire sheets. Next, the collected data was processed using the SPSS version 16.0 computer program and statistical tests were analyzed using the Wilcoxon test with a significance level (α=0.05). The results of research using the Wilcoxon test showed that this value was smaller than the significant value of (0.001<0.05). The results of this study showed that Ha was accepted and H0 was rejected. The conclusion in this research is that there is an influence of Psychoeducation on the Cognitive Ability of Families Caring for Mentally Disordered Patients at RSJ Prof. Dr. V. L. Ratumbuysang Minahasa. It is hoped that nurses will be able to carry out psychoeducational actions for families to improve the client's and family's abilities in caring for patients with mental disorders.

Children with special needs are children who require special treatment because of developmental disorders and abnormalities experienced by children. Children with special needs have differences that occur in several ways, such as the process of growth and development that experiences abnormalities or deviations both physically, mentally, intellectually, socially and emotionally. In the context of special education in Indonesia, children with special needs are categorized in terms of blind children, deaf children, children with intellectual disabilities, children with motor disabilities, children with social emotional disorders, and children with intelligent and special talents. Every child with special needs has different characteristics from one to another. In addition, every child with special needs also needs special services that are tailored to their abilities and characteristics. It is important to carry out identification and assessment activities to identify their characteristics and needs. It is considered important to get the right service according to the characteristics, needs and capabilities.

Children with special needs are children who require special treatment because of developmental disorders and abnormalities experienced by children. Children with special needs have differences that occur in several ways, such as the process of growth and development that experiences abnormalities or deviations both physically, mentally, intellectually, socially and emotionally. In the context of special education in Indonesia, children with special needs are categorized in terms of blind children, deaf children, children with intellectual disabilities, children with motor disabilities, children with social emotional disorders, and children with intelligent and special talents. Every child with special needs has different characteristics from one to another. In addition, every child with special needs also needs special services that are tailored to their abilities and characteristics. It is important to carry out identification and assessment activities to identify their characteristics and needs. It is considered important to get the right service according to the characteristics, needs and capabilities.

Hyperactive behavior in grade 4 children at SD Ciluluk is a very complex challenge for educators which requires an in-depth understanding of the factors that influence it. Hyperactive behavior is an attitude in which every activity is carried out excessively or cannot control behavior in the environment within it. Believing that children become rubber feet is primarily due to biological and psychological factors. This research focuses on analyzing the factors that cause hyperactive children's behavior, highlighting biological and psychological aspects, thoroughly discussing the opinions of experts regarding hyperactive children, as well as the treatment of hyperactive children implemented by grade 4 teachers at Ciluluk Elementary School. This research aims to provide in-depth insight into the factors that can influence hyperactive behavior in grade 4 children at Ciluluk Elementary School. The expected results will certainly provide insight and solutions for hyperactive children in learning activities, especially in elementary schools, which will later be used as a reference for teachers to understand solutions for hyperactive children.

Blockchain platforms propagate into every facet, including managing medical services with professional and patient-centered applications. With its sensitive nature, record privacy has become imminent with medical services for patient diagnosis and treatments. The nature of medical records has continued to necessitate their availability, reachability, accessibility, security, mobility, and confidentiality. Challenges to these include authorized transfer of patient records on referral, security across platforms, content diversity, platform interoperability, etc. These, are today – demystified with blockchain-based apps, which proffers platform/application services to achieve data features associated with the nature of the records. We use a permissioned-blockchain for healthcare record management. Our choice of permission mode with a hyper-fabric ledger that uses a world-state on a peer-to-peer chain – is that its smart contracts do not require a complex algorithm to yield controlled transparency for users. Its actors include patients, practitioners, and health-related officers as users to create, retrieve, and store patient medical records and aid interoperability. With a population of 500, the system yields a transaction (query and https) response time of 0.56 seconds and 0.42 seconds, respectively. To cater to platform scalability and accessibility, the system yielded 0.78 seconds and 063 seconds, respectively, for 2500 users.

Mother's milk is an important intake for the growth and development and health of babies. The causes of irregular breast milk production include reduced breast milk production on the first day after giving birth due to decreased stimulation of the hormones oxytocin and prolactin which play a role in smooth breast milk production. Therefore, non-pharmacological efforts are needed in the form of breast care. Breast care is useful for facilitating the expulsion reflex and increasing the smooth production of breast milk. The objectives of the research was to determine the effectiveness of Breast Care in smoothing breast milk production in post partum mothers at the Saras Ibnu Sina Sukowati General Hospital, Sragen. Quantitative research type with a quasi-experimental design with a post test-only non-equivalent control group approach. Samples were taken by accident. The samples were 15 people as controls and 15 post partum mothers as the treatment group. Data analysis techniques using Mann Whitney. Result this research that the smoothness of breast milk production for the treatment group was mean ± SD (8.33 ± 0.899) and the control group had a mean ± SD (4.73 ± 0.458). There was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 (p value 0.000 < 0.05). So that there was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 at RSU Saras Ibnu Sina Sukowati Sragen

The background to this research is that there are still many schools that have implemented inclusive education, but still provide general treatment or services to inclusive students. The aim of this research is to determine the management of inclusive education for Children with Special Needs (ABK). This type of research is qualitative research. Data sources were obtained from the school principal and four class teachers. The data in this research was obtained through documentation, observation and interviews. The research design used uses an indigenous psychology approach, part of the scientific approach tradition, where an important aspect in this approach is the effort to find appropriate methods to uncover phenomena in an investigation. The research results show that teachers directly handle the implementation of education. The treatment provided is good, such as providing special response and attention to children with special needs.

Fever is a condition where the body temperature increases from normal limits to a temperature of >38°C. Fever is a sign that body temperature has a process to fight infection, body temperature >37.5°C can be classified as fever which can be caused by auto-immunity and infection (Alwiyah et al, 2019). The aim of this research is to find out whether there is an effect of giving Aloe compresses. Vera on the body temperature of children in the working area of ​​the Kuma Health Center, Central Tabukan District, Sangihe Islands Regency.This research was conducted using a quasi-experimental method with a one group pretest and posttest design. Sampling used accidental sampling technique with 12 subjekts. The intervention was carried out by giving an Aloe Vera compress for 20 minutes, measuring body temperature using a digital thermometer. The data analysis used is the Wilcoxon statistical test.The results of this study showed that there was a decrease in body temperature in the subjekts after the Aloe Vera compress was applied. The results of the analysis using the Wilcoxon test obtained a P value = 0.002 where (a=<0.05).The conclusion of the research is that there is an effect of giving Aloe Vera compresses on body temperature in children in the working area of ​​the Kuma Health Center, Central Tabukan District, Sangihe Islands Regency. It is hoped that parents will gain new knowledge to treat fever in children, not only using pharmacological measures but also using Aloe Vera as initial treatment for children with fever.

Non-compliance with taking medication in diabetes mellitus sufferers will cause blood sugar levels to decrease or increase beyond normal limits  and as a result will cause complications or death. There is a need for health education regarding knowledge of diabetes patient medication adherence to prevent this. This research was conducted using a quasi-experimental research method (one-group pre-post test design). The sample in this study was 29 respondents taken using purposive sampling instruments using SAP, lealeats and questionnaires. the collected data was processed using the SPSS 24 version of the computer program to be analyzed using the Mc.Nemar nonparametic test with a significance level (α) of 0.05. The results of the bivariate analysis show that there is an influence of health education on knowledge of the level of dringking compliance in patients with type diabetes mellitus. The value obtained is p = 0,000 which means that Ha is accepted and Ho is rejected. The conclusions in the research show that there is an influence of knowledge education on treatment compliance.

The aim of this research is to analyze disorders, confounding factors, approaches to dealing with them and educational service models for children with emotional and behavioral disorders. This research was motivated by various cases related to the low level of education of children with special needs, many of whom even experienced discriminatory treatment. The research method used is descriptive with data collection techniques in the form of a literature review of references relating to the various symptoms observed. The collected data was analyzed descriptively and qualitatively so that differences in the characteristics and models of educational services provided to children with special needs and emotional and behavioral disorders were visible. The research results show that children with emotional and behavioral disorders show characteristics such as intelligence and learning ability, social and emotional traits, as well as immature and withdrawn behavior. Models of educational services for children who experience emotional and behavioral disorders can be grouped into three, namely. differentiated education services, integrated/integrated education services, and inclusive education using individual and group approaches.

Abstract: Osteoarthritis is a cause of disability in the elderly where its prevalence will increase along with the increasing life expectancy of the global population (Sacitharan, 2019). According to the World Health Organization in 2013, it is estimated that by 2050 people aged over 60 years will account for more than 20% of the world's population, of which 15% have symptoms of Osteoarthritis, while a third experience severe disability, namely being unable to carry out daily activities (Nos et al. , 2020). Impairments that arise include (1) pain felt around the knee joint and pain when bending the knee, (2) weakness of the muscles that drive the knee joint, (3) limited range of motion (LGS) of the knee. The purpose of this study was to determine the effect of adding TENS on Quadricep exercise settings to reduce pain and increase functional activity in elderly people with osteoarthritis genu. The data collection method used a quasi-experimental design with a pre and post design with a control group design. The data collected was tested for normality with Shapiro Wilk. Normal distribution, effect test using paired t-test. The results of the paired t-test obtained a value of p = 0.0001 (p <0.05) in pain and obtained a value of p = 0.0002 (p <0.005) an increase in functional activity in the treatment group I. The treatment group II obtained a value of p = 0.0004 (p <0 .05) in pain and 0.0003 (p<0.05) increased functional activity. The conclusions obtained from this study are 1) Quadricep setting exercise can reduce pain and increase functional activity in elderly people with osteoarthritis genu. 2) The addition of TENS to Quadricep exercise settings can reduce pain and increase functional activity in elderly people with osteoarthritis genu. Keywords: Osteoarthritis knee/knee, Quadricep setting exercise, pain, functional activity

Stroke is one of several priority health problems that is often reported by the Gemolong Community, Sragen. Strokes do not only attack the elderly, but people of productive age can experience strokes. Stroke events can be prevented by reducing risk factors for stroke, and proper management of stroke attacks can prevent morbidity and mortality. This community service activity aims to increase the knowledge and skills of Aisyiyah administrators in promoting stroke prevention and handling stroke attacks appropriately. The methods used in service activities are training and simulation which includes program outreach, providing education about stroke prevention and treatment. The output of the service, namely the participants' knowledge and skills regarding stroke prevention and treatment, increases. This can be seen from the increasing pre-test and post-test results. Likewise, regarding the cadre's skills in how to treat stroke sequelae with bed transfer and ROM, the cadre is able to demonstrate bed transfer and ROM correctly according to what has been taught.

This article discusses the impact of digital technology on the transformation of internal audit and its implications for the treatment of financial reports. As technology advances, companies are adopting digital solutions to improve the efficiency and effectiveness of their internal audit processes. This transformation not only includes the use of new tools and technologies, but also changes the paradigm and methodology of internal audit work. Digital technology provides greater capabilities in collecting, analyzing and understanding data in real-time. Internal audit can leverage advanced analytics technology, artificial intelligence, and natural language processing to identify risks, detect anomalies, and provide deeper insights into a company's finances. With the adoption of digital technology, internal audit transformation can increase audit accuracy and thoroughness, reduce the risk of human error, and enable fraud identification more effectively. In addition, technology also facilitates the implementation of more proactive and adaptive risk-based audit practices, allowing internal audit to focus on the most critical areas and provide significant added value. However, this transformation also brings new challenges, including the need to develop new skills among auditors, manage information security risks, and ensure compliance with regulations related to data privacy and security. This article details effective implementation strategies, as well as providing views on how organizations can optimize the potential of digital technology to improve the quality of financial reporting treatment. Thus, this article aims to provide in-depth insight into the role of digital technology in the transformation of internal audit and its impact on the treatment of financial statements, identify the associated benefits and challenges, and provide guidance for companies wishing to adopt such technology effectively.

Hypertension in pregnancy is a common pregnancy complication, affecting 2% of pregnant women worldwide. It is the cause of death of pregnant women in the world, hypertension is treated conventionally, namely hypertension-reducing drugs, but this conventional treatment has many problems because it is related to pregnant women which will definitely be related to the fetus they are carrying. At the Bestari Community Health Center, Medan Petisah District, the health status of mothers and children is good, but there are still problems for pregnant women who experience hypertension during their pregnancy, which is around 30%. The incidence of hypertension in pregnancy is high in the working area of the Bestari Community Health Center, Medan Petisah District, because people consume more than the amount of salt, the food menu is haphazard, and if they are treated with hypertension medication, they are not consumed because it will have a bad impact on their child, to solve the problem, to resolve the treatment. An alternative to non-pharmacological treatment is using music therapy and providing counseling about correct eating patterns. The aim of this community service is to increase knowledge and reduce the incidence of hypertension in pregnant women by using counseling methods and applying music therapy. Method: By providing counseling and music therapy, the results of the implementation of Beethoven's classical music therapy activities are: knowledge of the community (pregnant women) about eating patterns increased by approximately 89% and hypertension which was successful decreased in the 2-4th week of therapy, namely on average 110/70 mmHg..