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Chest X-ray report generation has become an important topic in vision-to-language research. However, fully generative models often create fluent clinical reports that may contain unsupported or inaccurate statements, leading to hallucination problems and reducing reliability. This study investigates evidence-grounded report generation using the Open-i (IU X-ray) dataset with two main goals: generating coherent radiology reports from X-ray images and minimizing unsupported clinical entities through evidence retrieval. Four experimental models were evaluated: a baseline image-to-report model (E1), an alignment-enhanced model using the InfoNCE objective (E2), a retrieval-grounded model that incorporates Top-K evidence sentences with citation markers such as [E#] (E3), and a reranking model that selects the most evidence-supported output (E4). Experimental results on the Open-i test dataset show that grounding methods significantly reduce hallucination rates and improve entity overlap performance. The reranking approach achieves the best grounding quality, although stronger grounding slightly lowers text-overlap scores and increases inference time. Overall, retrieval-based grounding with explicit citations and reranking offers an effective approach for improving factual consistency and reducing unsupported information in automated radiology report generation.

Service quality is the level of perfection in meeting consumer needs. Satisfaction is the feeling of pleasure or disappointment that someone experiences after comparing the performance or results of a product with their expectations. This study aims to analyze the relationship between inpatient service quality and patient satisfaction levels at the Makassar City Regional Hospital. The research method used was descriptive analytical with a cross-sectional design. The instrument used was a questionnaire regarding inpatient service quality and patient satisfaction levels. The study population consisted of inpatients in the Internal Medicine Department of the Makassar City Regional Hospital in October 2023. The sample consisted of 67 individuals according to predetermined criteria. The data collected were analyzed using the Spearman Rank statistical test with a significance level of 0.05. The majority (38.81%) of patients stated that the quality of service provided was high and 68.66% of patients claimed to be satisfied. The analysis results showed that the calculated r value was 0.627, which is greater than the tabled r value of 0.364. From these analysis results, it can be concluded that there is a relationship between inpatient service quality and patient satisfaction levels.

In the field of education, organizational culture and the school environment are critical variables that must be considered. Of course, this immediately improves teacher performance, which in turn improves school quality. In practice, State Elementary Schools in the Buah Batu District have established an organizational culture and created a welcoming school atmosphere, yet this appears to be insufficient. It is still discovered that instructors' behavior in carrying out their tasks does not adhere to the established culture, and there are many teachers who have not earned teaching credentials, which is an intriguing issue to explore. The quantitative approach used in this study is descriptive statistical analysis. 78 respondents were given questionnaires with the expectation that they would be able to answer the research objectives. SPSS version 25 was used for statistical testing. According to the findings of the research, organizational culture and the work environment have an impact on teacher performance, both individually and collectively. Several recommendations are made to school principals, supervisors, and instructors in the study that will help them enhance their performance.

The implementation of the Independent Curriculum (IKM) rolled out by the government has caused quite a lot of confusion in the school/madrasah environment, especially for teachers. The aim of this community service research is to increase understanding and mastery of IKM for teachers and principals of SD As Ad Jambi City. The method used is an in-on-in learning model with technical guidance (bimtek) which is carried out involving multi-stakeholders. The results of the service are: (1) Bimtek is able to strengthen a number of deadlocks in IKM, so that the stuttering and worries that arise are able to turn into increased understanding and mastery of IKM, KOSP, and MA with a rate of change from 6.7 to 8.7 (2) Bimtek even able to present a solution to improve the quality of education related to the preparation of KOSP and MA, (3) technical guidance shows a significant increase in understanding and mastery of IKM, KOSP and MA, and (4) the implementation of IKM technical guidance turns out to have a positive influence on the performance of the collaborating parties. The recommendation is that the in-on-in model by collaborating with a number of schools/madrasahs, universities (PT), and other institutions is worth continuing to implement to increase understanding and mastery of SMEs, as well as to improve the performance of the parties.

The rapid development of e-commerce technology demands the adoption of efficient and reliable payment systems to enhance user experience. This research aims to analyze the quality of smart payment system performance in the context of e-commerce business. The analytical method used includes evaluating the reliability, responsiveness, transaction speed and security of the smart payment system. This study involved a survey of a number of e-commerce customers who use the smart payment system, with a focus on their perception of the quality of system performance. In addition, data collection is carried out by analyzing transaction times, failure rates and transaction security through smart payment systems used by several leading e-commerce platforms. The research results show that the reliability of the smart payment system has a significant impact on e-commerce user satisfaction. Additionally, responsiveness and transaction speed play an important role in ensuring optimal user experience. The security factor is also a critical aspect in increasing user trust in the smart payment system. This research provides valuable insights for e-commerce service providers and payment system developers to improve and optimize the performance quality of their smart payment systems. The implications of these findings can be used as a basis for developing better strategies in improving the efficiency and reliability of electronic payments in e-commerce businesses.

Health workers, as the spearhead in providing services, have a very important role in maintaining and improving the quality of life of the community. However, in carrying out their duties, health workers are often faced with various pressures and stressors which can have a significant impact on their performance. Increased service demands, high workloads, and emotional stress inherent in the work environment of health workers can be factors that trigger potentially detrimental stress. For nurses, factors that influence stress include high workloads, limited staff, work demands and responsibilities, interpersonal relationships with fellow nurses and other health workers, knowledge about caring for patients, and changes in work dynamics. The impact of stress experienced by nurses on the performance of health workers can be seen in the quality of health services and the image of the institution, in mental and physical health, in absenteeism and late work, as well as in the relationship with happiness and performance.    

This research aims to find out how the management control system at the Cita Hati Foundation is regarding the incentive system given to local teaching staff and foreign teaching staff.  The data source for this research uses primary and secondary data.  The aim of this research is to display, explain and analyze the function of implementing a management control system.  This research uses a qualitative descriptive approach, which is usually used to describe and describe current phenomena, whether human engineering or natural.  Primary data was obtained directly from the Cita Hati Christian School, which was the subject of the research.  By conducting direct observations at the Cita Hati Christian School and interviews with people at the school who are related to this research.  The results obtained are that the Cita Hati Foundation has teaching staff who are competent in their fields, not only local teaching staff, but also bringing in foreign teaching staff to improve the quality and value of education.  The presence of foreign teaching staff has both positive and negative impacts on the foundation, especially local teaching staff.  This is due to the differences in treatment given by the foundation to the two.  So the researchers suggest that the Cita Hati Foundation evaluate and revise the incentive program that will be given to employees, in accordance with the policies that have been determined or agreed and the point is that the policies made must be in accordance with the Foundation's ability to provide incentives in accordance with employee performance.  This will encourage better performance so that the company can also develop forward with employees who are loyal and willing to develop together.

Studying biology serves as a means to enhance understanding, abilities, perspectives, principles, and ecological accountability. Biology is the scientific discipline that seeks to understand the natural world. Learning biology entails more than simply acquiring factual knowledge, concepts, or principles; it is also an exploratory endeavor. This research aims to discuss problem-based learning (PBL), which can improve the learning outcomes of class XI biology students on plant tissue material and can be used as an alternative learning model. This research uses classroom action research (PTK), which includes four stages: planning, implementing actions, observation,  and reflection, which aim to improve the learning process. PTK is an activity that involves testing an idea in practice, which can improve and increase the quality of the teaching and learning process. The application of the PBL model was able to improve student learning outcomes, especially in biology subjects with plant tissue material for class XI students at SMA N 2 Langowan. During the pre-cycle, the average value was 5.7. In cycle I, it climbed to an average value of 7.3. In cycle II, it further increased to an average value of 8.4. Meanwhile, the completeness of student learning outcomes in the pre-cycle was 20%, while in the first cycle, it was 67%, then grew again in the second cycle, specifically 87%. Based on the aforementioned research findings, it can be inferred that the implementation of the Problem-Based Learning (PBL) model has led to an improvement in the academic performance of Biology students at SMAN 2 Langowan.  

Micro, Small, and Medium Enterprises (MSMEs) are a crucial sector in economic growth. However, they often face challenges in financial management, including accurate and reliable financial reporting. Based on a research activity, it was found that a significant portion of MSMEs do not regularly manage and present financial information. This is attributed to several issues encountered by MSMEs. The main identified problem is the limitation of competent human resources. Most MSMEs lack adequate financial experts. Additionally, some MSMEs face issues such as a lack of understanding of proper financial recording for informed business decision-making. Constraints in time and knowledge of financial management also hinder effective financial information management. This research was conducted on MSMEs located in Bandar Lampung. The sampling technique employed was purposive sampling, in which the researcher specified certain criteria to filter an appropriate sample size deemed relevant to the research objectives. A questionnaire was utilized as a research tool, employing the Structural Equation Model (SEM) for data analysis, including outer model and inner model testing. The research findings indicate that the quality of financial information positively influences the performance of MSMEs in  Bandar Lampung.

This research aims to investigate the role of educational administration systems in enhancing school quality. Employing a qualitative approach, data were gathered through interviews with school administrators, teachers, and educational staff. The analysis revealed that the effective implementation of administrative systems has a positive impact on school performance. This article discusses these findings and provides suggestions for further improvements in educational management at the school level. These findings have significant implications for the development and enhancement of educational quality within the school environment.

This research aims to investigate the role of educational administration systems in enhancing school quality. Employing a qualitative approach, data were gathered through interviews with school administrators, teachers, and educational staff. The analysis revealed that the effective implementation of administrative systems has a positive impact on school performance. This article discusses these findings and provides suggestions for further improvements in educational management at the school level. These findings have significant implications for the development and enhancement of educational quality within the school environment.

Work ethic is a philosophy of life based on a view of human life that becomes a habit and is reflected in behavior and actions. Islamic work ethic should be owned and applied by a Muslim. In the Islamic work ethic emphasizes more on cooperation at work. Implementing an Islamic work ethic is very important in an agency in order to produce superior quality human resources and will later affect optimal performance at work. What happens now is that employees and teachers at Fathul Ulum Islamic Boarding School have not fully implemented the Islamic work ethic properly. There are still employees who are less responsible and less disciplined in carrying out their work. So that the application of Islamic work ethic owned by these employees has not been able to improve employee performance because the resulting performance is not optimal. The purpose of this research is to find out the Islamic work ethic applied by employees at Fathul Ulum Islamic Boarding School and whether the Islamic work ethic applied can improve employee performance. In this study using qualitative methods with a descriptive approach. The data collection techniques used are observation, interviews, and documentation. The data analysis method used is data collection, data reduction, data presentation, and conclusion drawing. he results of this study indicate that the Islamic work ethic applied by employees at Fathul Ulum Islamic Boarding School has not been fully implemented so that the resulting performance is less than optimal and certainly not effective and efficient in improving employee performance. In the future, it is hoped that the Islamic work ethic can be fully implemented by all employees at Fathul Ulum Islamic Boarding School in order to produce optimal performance and improve employee performance.

Trade is an activity of exchanging goods and services based on mutual agreement without any element of coercion. Import and export activities are economic activities that cannot be separated from trade and are a unity that can encourage the improvement and growth of the economy in a country. The purpose of this research is to focus on the effect of import-export on economic growth, the evaluation of the contribution of Customs, and the role of international trade supervision. Customs or customs authorities in Indonesia, known as Customs and Excise, are the gateway to international trade. Customs manages state finances and implements state revenue through import duties and excise. The results of this study show that Indonesia's economic growth is influenced by global economic growth. In the first quarter of 2023, export activity weakened with the moderation of international commodity prices which supported the exports of North Sumatra Province. Export performance in North Sumatra grew 2.45% (yoy), lower than the previous quarter which amounted to 9.77% (yoy). Export activities in Indonesia are one of the efforts made by the government to follow the development of industrialization every year. Competition between products in foreign markets depends on price, quality, and quality of goods are important factors in competing in export activities.

The implementation of both private and public organizations requires innovation to operate. Because the innovation of motor vehicle tax payment services based on signal applications at the Tanjungpinang city samsat office is a necessity for government organizations, along with increasing public pressure to improve the performance of government agencies in order to solve problems in people's lives through programs and services at the Tanjungpinang city samsat office. The quality of public services is determined by the service provider so that it can be understood that public services serve the community and must be provided adequately in order to meet the factors and indicators that determine the quality of public services. Innovation in government agencies is needed to provide public services through the development of new methods and new resources. Innovation of motor vehicle tax payment services based on signal applications at the samsat office as an E-Government-based public service strategy for vehicle tax payments. E-Government provides public services that can be accessed 24 hours a day, from anywhere, and at any time. E-Government also allows public services to be completed in a non-face-to-face manner, making it a more efficient service. The Indonesian government has realized the tremendous benefits of e- Government since 2003 has issued a policy of implementing e- Government in the form of Presidential Instruction No. 3 Year 2003. Recently, a technology based on the SIGNAL application has emerged that can run on Android and IOS. SIGNAL is a national digital Samsat application that allows Indonesian citizens to certify Annual STNK, Pay Motor Vehicle Tax (PKB), and pay Road Traffic Accident Fund (SWDKLLJ) online by issuing digital documents in the form of electronic certificates and can easily make mandatory contributions to, POLRI, E-TBPKP (Provincial Bapenda), and E-KD, (PT. Jasa Raharja). The implementation of the online system allows people to save more money and time by paying taxes online.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

The ornamental koi fish or nishikigoi is one of the ornamental fish that is in great demand because of its beautiful body shape and color, and is believed to bring profits by koi lovers in Indonesia. The ornamental koi fish commodity has succeeded in improving the community's economy and making it an alternative source of income besides rice. Farmers and koi cultivators in the area are formed in farming groups so that their production results are well organized even though the cultivation method used so far is still traditional. There are several difficulties experienced by farmers in analyzing the condition of fish in the koi fish ecosystem, scheduling feeding, and proper maintenance methods according to the type of koi fish. In an effort to increase the effectiveness of feed management, the "AQUA HATCH" application is proposed as a solution that can optimize the analysis of environmental conditions for Koi fish cultivation and develop appropriate feeding schedules. Through this technology, it is hoped that it can increase productivity, reduce the risk of disease, and minimize feed waste. The Koi fish farming environment is very dynamic, and factors such as water temperature, water quality, and meteorological conditions can influence the growth performance of the fish. By implementing the "AQUA HATCH" application, monitoring of these conditions can be done in real-time, enabling more timely decision making. In addition, this application will be equipped with an intelligent feed scheduling feature, considering aspects such as feed type, number of fish, and environmental conditions. Through this program, it is hoped that "WIB KOI Cultivation" can increase operational efficiency, optimizing resource use , and ultimately increase Koi fish production. Apart from that, this research is also directed at contributing to the development of technology in the field of fish cultivation, especially for business actors involved in cultivating Koi fish.

This research aims to explore the role of performance management in improving the quality of education in schools. Quality education is an important aspect in achieving quality education goals, and performance management is considered an effective tool to achieve this. This research method involves literature study, secondary data analysis, and interviews with educational professionals. The research results show that performance management has a key role in improving the quality of education, through measuring, monitoring and improving the performance of teachers, students and educational staff. Implementing performance management in education can also increase school accountability, transparency and more effective decision making. In the era of digital education, information technology and performance management information systems can become valuable tools in managing data, evaluating and reporting educational performance. In conclusion, performance management has a very important role in improving the quality of education in schools. By implementing appropriate performance management strategies and practices, schools can optimize teacher and student performance, achieve better educational goals, and contribute to improving the overall quality of education.

Organizations need human resources as the main support in achieving the desired goals. Quality human resources are able to contribute to advancing the organization and increasing organizational productivity. Employee performance is influenced by several factors including work environment, work discipline, organizational culture, leadership, and work motivation. However, there are still many employees who are not optimal in carrying out their responsibilities due to a lack of work motivation and poor organizational culture. One effort that can be made to overcome this problem is by providing education through print media such as posters. The aim of this psychoeducational activity is to increase employee work motivation and awareness, especially employees at one of the news agencies in the city of Surakarta, to create a good organizational culture. The methods used in implementing this activity are observation and psychoeducation through posters. The target of this activity is employees who work at one of the news agencies in the city of Surakarta. The results of this activity are positive changes shown by employees in terms of work discipline and enthusiasm in carrying out their work..  

To anticipate market needs for new goods, effective communication is essential. Organizational communication in Islamic education also helps improve school performance. In an Islamic perspective, effective communication is when a message conveyed by a communicator is well received by the communicant. A good leader can make the company a calm and peaceful place. When one party in the organization feels disadvantaged, conflict can arise. This can happen because of differences in opinion, values, and character. In the Qur'an, humans are described as receiving a lesson directly from God, having a real enemy, Satan, and being able to carry a mandate. Leadership that is knowledgeable, strong, trustworthy and devout is very important. The results of this research indicate that effective communication plays an important role in organizations, Islamic education, and leadership. This research also provides an in-depth understanding of how effective communication relates to Islamic religion and organizations. It is hoped that the results of this research can help and improve the quality significantly, to increase the effectiveness of Islamic education and organizations.

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.