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Knowledge of the use of traditional medicine in the Toba Batak sub-ethnic has not been widely disclosed. This knowledge is passed down from generation to generation orally and has very limited documentation so it has the potential to be lost. Therefore, this research aims to describe local knowledge about the use of traditional medicine by the Toba Batak sub-ethnic in Sipagabu Village. Data collection methods were carried out using semi-structured interviews and participant observation with informants. The data collected was analyzed using descriptive statistics. In this research, the informants consisted of 51 Toba Batak sub-ethnic people who had knowledge about the use of traditional medicine using 115 medicinal plants used, belonging to 100 genera and 49 families. The main families of medicinal plants used by the Toba Batak sub-ethnic community are Asteraceae, Fabaceae and Zingiberaceae, and Poaceae. Medicinal plants used to cure diseases are grouped into natural diseases, supernatural diseases, uncommon diseases, and certain diseases that are treated using traditional herbs.

Counseling, Mentoring and Empowerment are activities to increase community participation in meeting life's needs to resolve problems experienced by the community. Activities are carried out through the Real Work Lecture (KKN) program, which is a community service-based activity to increase student empathy for the conditions of society and the environment. Science KKN is carried out in Kemlagi District, Mojokerto Regency using service methods such as counseling, training and group mentoring. The results show that there is a positive response from village stakeholders and high active participation from the community, including taking part in an extension program with four activities, namely structuring Village Administration, Legal Awareness, Empowering MSMEs, and Learning Innovation. Apart from that, there are several outputs produced: (1) Strengthening data recording, archiving and reporting Village finances correctly (2) Increasing order, peace, security and justice in Village social life (3) Development of quality, competitiveness and added value of production home and halal certification (4) There has been an increase in discipline and participation in the teaching and learning process in an orderly and structured manner.

English speaking skills are an important aspect in developing high school students' communication skills. This workshop aims to improve high school students' speaking skills, especially in understanding and expressing ideas clearly. The workshop will cover a variety of communication strategies and techniques involving active interaction, group discussions, and hands-on exercises. Through a practical approach, workshop participants will be empowered to overcome common obstacles in speaking, including unclear expression of ideas, appropriate use of body language, and effective word choice. The expected result of this workshop is an increase in students' ability to compose and convey ideas in a structured and convincing manner. Apart from that, it is also hoped that there will be an increase in students' self-confidence in speaking in public. Thus, this workshop focuses not only on academic aspects, but also on developing interpersonal skills that are important for future success.  

Complementary food for breast milk is the child's second food after breastfeeding. MP-ASI is given to babies who are half a year old or older because breast milk does not meet the child's nutritional needs. MP-ASI feeding must be continuous and varied, starting from fruit, fresh fruit, thick porridge, mashed food, soft food, and finally solid food. The reason for giving MP-ASI at the age of six months is because the child is ready for solid food (Chomaria, 2013). The presentation and arrangement of MP-ASI must be carried out in stages, both in structure and quantity, according to the capacity of the child's stomach. Breast milk only meets the healthy needs of newborn children, but 60% of adult babies 6 years old. Based on the results of bivariate analysis using chi square, the p value = 0.001 (p <0.05) with a confidence level of 95%. This p value statistically shows that there is a relationship between the mother's level of knowledge about complementary foods for breast milk and the provision of complementary foods for babies aged 6-12 months at the BP Nauli Community Health Center, Siantar Marihat District, Pematangsiantar City in 2023 with a p value of 0.001 Providing complementary foods for breast milk , mothers can give food to their babies in stages and provide a variety of foods starting with 1 type of flavor then another, starting with thick porridge, fruit juice, fresh fruit, mashed food, soft food and finally solid food, should be given 3 times a day and Breast milk is still given. According to research results, Widodo (2006) said that in rural communities in Indonesia, the type of MP-ASI that is commonly given to babies before the age of 4 months is 57.3% banana. An initial survey was conducted at the BP Nauli Community Health Center, Siantar Marihat District on mothers who had babies aged 6-12 months. Of the 12 mothers who were interviewed, there were 7 mothers who gave MP-ASI to babies before the age of 6 months, and 5 mothers said that the baby I have been given formula milk since I was born because only a little breast milk comes out. From the results of this background, the author is interested in researching "The relationship between the level of mother's knowledge about complementary foods for breast milk and the provision of complementary foods for breast milk to babies aged 6-12 months at the BP Nauli Community Health Center, Siantar Marihat District, Pematangsiantar City in 2023."    

Food poisoning is a health problem that often occurs in various parts of the world.  The cause can come from bacteria, viruses, fungi, or contaminated chemicals in food.  The aim of this research is to identify the causes of food poisoning and its impact on human health. The method used in this research is a qualitative method using descriptive methods.  The observations made by the author in this research were direct observation or observation of the field by making direct observations with Durin Simbelang A. The researcher also conducted interviews with PMR sources, namely 4 sources.  This research was structured based on questions asked by researchers to data sources through interview techniques.  Based on the results of the research conducted, researchers obtained data namely: 1. There are those who have experienced food poisoning and there are those who have never experienced food poisoning. 2. There are several symptoms if you experience food poisoning. 3. There are ways to deal with food poisoning.

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

Hepatic cirrhosis (SH) is a disease/group of diseases that infects the liver, characterized by loss of liver lobular architecture due to fibrosis and damage to parenchymal cells and their regeneration which ultimately forms a nodular structure. According to its clinical manifestations, this disease has a long latent period but is followed by sudden abdominal swelling, abdominal pain, hematemesis, edema and jaundice. In the next phase, the most prominent symptoms include jaundice, ascites, portal hypertension, and central nervous system abnormalities that end in coma. SH is infecting the whole world. SH is the eleventh leading cause of mortality and the fifteenth leading cause of morbidity worldwide. There are many things that have been proven to cause SH, including infections, toxins, hereditary conditions, and even autoimmune processes. Some of the complications that arise from SH include gastroesophageal varices (affecting the stomach and esophagus), hypersplenism (affecting the splenic organs), hepatorenal syndrome (affecting the kidneys) and even hepatic encephalopathy (affecting the central nervous system).

Drug management is a cycle including selection, procurement, distribution and use which is supported by an appropriate organizational structure, finances and management information system. The aim of this research is to determine drug management in the Pharmacy Installation at RSUD dr. Soeratno Gemolong, Sragen Regency.This research uses prospective and retrospective methods. Where retrospective data is taken from 2022 data. Prospective data is taken through direct observation. The results of this research are: the percentage of available funds and the required funds is 80%, the percentage of procurement and actual use is 98%, invoice errors are 0.47%, there are no delayed payments by hospitals, compatibility between drugs and stock cards is 100% , drug availability level of 16 months, warehouse management system with FIFO, FEFO and LASA marking systems, average time used to serve compounded prescriptions is 11 minutes and non-mixed prescriptions is 7 minutes, conformity of drug items with the National Formulary is 93%, frequency of procurement of each drug item 4-6x a year, turn over ratio 3 times, percentage of expired and damaged drug value 5.05%, dead stock percentage 3%, number of drug items per prescription sheet 3.5 items, percentage of prescriptions with generic names 88%. These results indicate that drug management in the Pharmacy Installation at RSUD dr. Soeratno Gemolong, Sragen Regency is not yet good.

  Abstract : MRI is a modality in radiology that uses a magnetic energy source. MRI is capable of producing Axial, Coronal, Sagittal, and Oblique images of human organs, for example: Brain, Spine,extremity, muscles and other body parts. Epilepsy is one of the Brain pathologies that uses MRI as a means of making a diagnosis. In the Brain MRI examination in clinical epilepsy using sequence MRI Brain routine with additions sequence Coronal Oblique T2 High Resolution and Coronal Oblic T1W IR perpendicular to the Hippocampus. The purpose of this study was to determine the procedure for examining Non-contrast MRI Brain in clinical epilepsy and its rolesequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR. The research method is descriptive qualitative with a case study approach, total sample as many as 6 patients at Pertamina Central Hospital. The examination procedure was carried out using a head coil, supine head first position. Use sequence during the examination, namely Survey, Sagittal FLAIR, Axial T2WT SE, Axial FLAIR, Axial T1W TSE, Coronal FLAIR, DWI-ADC, Coronal Oblik T2W Drive and Coronal Oblik T1W IR. Results image onSequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR are better at displaying the symmetry of the right and left brain organs, atrophy hippocampus and temporal lobe,sclerosis, mammillary asymmetrical body and fornix compared to other sequences. Suggestions pay attention to the direction of the slice so that it is perpendicular to the hippocampus to produce a symmetrical image and use sequence 3D-DIR is the latest in describing clinical abnormalities of epilepsy and MRS to find out the causes epilepsy originating from disturbances in the structure of brain tissue metabolites

The purpose of this community service activity is to provide assistance to the educators/council of ustadz and ustadzah at TPQ Salafiyah Ar-Risalah regarding the making and use of smart card media to improve writing abilities and skills both in terms of khat, vocabulary, sentence structure and grammatical Arabic. This research uses qualitative methods because the object of research is focused on the process of learning Arabic in the form of the use of smart card media in writing skills both in terms of khat, vocabulary, sentence structure and grammar. With the smart card learning media, it will certainly make the students enthusiastic when learning takes place, especially after the learning activities of the students are active, enthusiastic and able to answer questions about maharoh kitabah. Assistance activities to the community in the form of PAR (Participatory Action Research) service to educators at TPQ Salafiyah Ar-Risalah Curah Putih Tegalwangi, through this smart card learning media made of cardboard and origami paper, have many benefits in learning Maharoh Kitabah and can invite students to be more enthusiastic and play an active role during the activity

Kalirungkut Village is an area located in Rungkut District, Surabaya City. The village has a variety of potentials that can be developed, especially the MSMEs sector as a leading potential. Based on village apparatus data, there are more than 50 MSMEs operating in the area. However, many Kalirungkut MSMEs are not well coordinated because there is no community as a forum. This has an effect on economic conditions, both for the MSMEs actors themselves and for the Kalirungkut Village. Thus, the purpose of the community service activity is to create a forum in the form of the Kalirungkut MSMEs Association which functions as a means to gather, foster, manage, and coordinate all MSMEs actors in the local village. The service method used is Participatory Rural Appraisal (PRA) which consists of three stages, namely selecting the association chairman, developing the association's management structure, as well as inaugurating and developing the association's operations. The results obtained from the service activities were the formation of the Kalirungkut MSMEs Association chaired by Ismudji Rahayuningsih and accompanied by four other administrators.

This study aims to analyze the role of Village Owned Enterprises (BUMDes) in advancing society through the management of traditional markets in Bulang Village, Muara Enim Regency. This study used a qualitative descriptive method with data collection techniques through interviews, observation, and documentation of six respondents. The results of the study show that BUMDes have succeeded in increasing the income and economy of the community through four objectives of establishment: advancing the village economy, increasing village original income, optimizing local potential, and encouraging growth and economic equality. This has a positive impact on the community's economy. The quality of life in Bulang Village has increased related to: increased income, decent housing, healthy environment, social stability, health, education and job opportunities. Rural economic growth in Bulang Village achieves the characteristics of good economic growth, including rapid per capita product growth, increased community productivity, structure, and a significant level of urbanization. This shows that BUMDes plays an important role in driving the economy and improving the quality of life of village communities

Upper Extremity CT-Scan Angiography (CTA) Examination Procedure in Right Subclavian Artery Pseudoaneurysm Cases at Primaya Hospital Tangerang. Upper Extremity CT-Scan Angiography (CTA) is described as a technique for non-invasively evaluating vascular structures via peripheral contrast injection. Upper Extremity CTA is carried out starting from patient preparation, tools and materials used, examination protocols, and image reconstruction techniques. In addition, the contrast infusion technique must also be appropriate to provide an informative image. The purpose of this study was to determine the procedure for examining the Upper Extremity CTA in cases of subclavian artery pseudoaneurysm with excess of the Upper Extremity CTA. This research is a qualitative research with a case study method using 1 patient. Data were collected using observation, documentation and radiographer interview methods. The results of the data collected can be concluded with the Upper Extremity CTA procedure using Scanning Scannogram, pre-contrast, & post-contrast arterial phase, and venous phase, then image reconstruction from the MPR image and 3D VR image. The advantages of the CTA procedure using the smart prep technique image resolution quality could be higher.

The background of this research is because at this time the development of broiler ducks is actually not very popular in our ears, but in one of the business options in the livestock sector it turns out to be quite promising with quite large economic potential. The structure of the trade of broiler ducks is now starting to be more in demand by the public, because the taste of the meat is tasty and delicious. The purpose of this study was to find out what efforts were made by breeders in Jigang hamlet to increase household income through broiler duck farming. This study uses qualitative research. Data collection techniques in this study are observation, interview, and documentation methods. The results of the study show that the efforts made by broiler duck breeders to increase their household income are by choosing quality seeds, this is intended to reduce the risk of death, then provide vaccines and vitamins, provide factory feed and alternative feed and pay attention to the condition of the cage after the harvest period. so that the cage is far from the virus and harvest at the age of the ducks 35-45 days. This is an effort that breeders can make to increase their household income. This duck livestock business is a means of making a living to change a more decent life.

Based on its astronomical location, Indonesia is located at 6°N – 11°S and 95°East - 141°E, with details namely Belawan port is at point 03° 470 000 LU and 980 420 East. This port is about 24 km from downtown Medan. Accidents at work are things that really need attention and should not be looked down upon. Based on government regulation no. 50 of 2012 which is the result of amendments to the regulation of the Minister of Manpower of the Republic of Indonesia No.Per.05/MEN/1996 concerning implementation of safety management systems and occupational health (SMK3) is part of the overall system includes organizational structure, planning, responsibility, implementation, process, procedures, maintenance of occupational safety and health policies in order risk control related to work activities in order to create a place Safe, efficient and productive work. The formulation of the problem in this study namely application of SMK3 at Belawan Port and the problems that occur. With research objectives to describe the safety management system and occupational health on the Pertamina Belawan ship, to find out the safety system work at Belawan port and find out how far the system has been implemented occupational safety and health management implemented at the port Belawan.

Nausea and vomiting are symptoms that a reasonable and often happen in the first trimester of pregnancy. It usually occurs in the morning, but can occurs at any time including at night. This condition can cause dehydration or lack of fluid and electrolyte inbalance, hence the condition of pregnant mother's get worse. Lemon aromatherapy is one of alternative method to decrease nausea and vomiting in the first trimester of pregnancy. It provides relaxation and sedative by stimulating the limbic system. This study was conducted to find the effect of lemon aromatherapy to decrease nausea and vomiting in the first trimester of pregnancy. Design used in this study was pre-experiment (one-group pretest-posttest designed). The population were all pregnant women that have nausea and vomiting in the first trimester of pregnancy. The samples were 12 respondent taken by purposive sampling according to the inclusion criteria. The independent variable was lemon aromatherapy. While the dependent variables were nausea and vomiting in the first trimester of pregnancy. Data were collected using structured questionnaire and observation. Data were then analyzed using statistic test (wilcoxon signed rank test) with level of significance ??0.05. The result showed that giving lemon aromatherapy had an effect to decrease nausea and vomiting in the first trimester of pregnancy (p=0.002). There were differences of nausea and vomiting between pre-treatment lemon aromatherapy (x=8.50) and post-treatment lemon aromatherapy (x=4.25). It can be concluded that giving lemon aromatherapy could decreased nausea and vomiting in the first trimester of pregnancy. Lemon aromatherapy is useful to breathe when experiencing morning sickness, for relief, encouraging, refreshing, and improving mood, giving a relaxed feeling, comfortable and quiet. Recommendation for the nurse and other health profession to use lemon aromatherapy as alternative medication of nausea and vomiting in pregnant women.

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

This Community Service activity was carried out in Sapelang Village, South Buko District with the topic "BUMDes Management and Institutional Assistance". The purpose of implementing this community service activity is to transfer knowledge and provide solutions to problems faced by Prosperous BUMDes. The implementation method used is mentoring which consists of providing material on BUMDes Management and BUMDes Management accompanied by practice and evaluation. The results of the practice and evaluation of BUMDes management participants have understood, so they know the main tasks and responsibilities of each based on a clear organizational structure and understand making standard operating procedures and BUMDes Management consisting of planning, organizing, implementing and supervising thanks to practice and answering questions correctly.  

Digital marketing can be a solution to solving problems that have been experienced by MSME actors, namely product marketing problems. Especially in Musir lor Village, Kec. Rejoso, Kab. Ngajuk, East Java Province, where there are several UMKM that have the potential to be developed to become more productive. However, the lack of understanding of digital marketing causes these UMKM to not develop further on a large scale. This is based on the results of observations and the implementation of location surveys in the village of Musir Lor which is a form of research method in the analysis of problems with Musir Lor UMKM owners, namely the lack of awareness of the residents of Musir Lor Village about the importance of Business Identification Numbers, as well as the lack of understanding in increasing business value. or the image of a product to support product quality improvement and increase the interest of potential consumers in an UMKM product. Some UMKM build businesses with minimal knowledge of UMKM business owners causing a lack of knowledge about product brands. Therefore, in branding or rebranding a product, it must be understood that an attractive, unique and easily recognized design is very important. Therefore, several alternative strategies that need to be considered in building a brand are logos that are appropriate to the line of business, banners and business stamps, more attractive and modern packaging designs. In this modern and technological era, it is certainly not far from operating digital applications that must be understood by UMKM business actors as a form of effort to increase the development of an UMKM, such as operating an online marketplace, social media and operating a financial management application to manage finances in a structured manner.

The purpose of this study is to determine the impact of ownership structure, dividend policy, and sales growth on financial performance, as well as the simultaneous effect of ownership structure, dividend policy, and sales growth on financial performance. The data used in this study consists of secondary data derived from annual financial reports which can be accessed via the official website www.idx.co.id. The population used in this study are pharmaceutical companies listed on the Indonesia Stock Exchange in the 2018-2021 period. The sample used in this study uses a saturated sampling method. The analysis used in this study is multiple linear regression, using SPSS 22 software. The results of this study indicate that dividend policy has an effect on financial performance while ownership structure and sales growth have no effect on financial performance