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One of the problems caused by use of depo-medroxy progesterone acetate injection KB is increased blood pressure so many KB acceptors stop using contraception especially hormonal KB. Then, to overcome the increase in blood pressure in KB acceptors, it can be recommended to consume melon juice. The purpose this study was to determine the effectiveness of administering melon juice in reducing blood pressure in acceptors of depot-medroxy progesterone acetate injections at the Bambang Community Health Center, West Sulawesi Province. The type of research used was pre-experimental with a one group pretest-posttest design. The research sample consisted of 30 mothers who received depo-medroxy progesterone acetate injections for KB and who had increased blood pressure who visited the Bambang Community Health Center who were given melon juice. The results showed that was an effect of giving melon juice on reducing blood pressure in KB acceptors of the depo-medroxy progeteron acetate injection with a value of ρ=0.000. It hoped that it can become a source of information for all health agencies as a material consideration so that the asministrasion of melon juice to be developed.

Data from World Health Organization (WHO) shows that cases of internal bleeding due to accidents are 5.8 million deaths per year worldwide (Dahlan et al., 2021). Early awareness of internal bleeding is very important so that nurses can immediately take anticipation to prevent unwanted things(Damayanti, 2022). This literature study aims to determine the effectiveness of the CAN BLEED score for early detection of internal bleeding emergencies in trauma cases. The research method uses a literature review study design using PICOS. Article search through publish or perish 8 application with keywords "early detection AND internal bleeding AND trauma" from Pubmed, Crossref, and Google Scholar search databases based on the year of publication 2018-2022. The results of the article search found 4 articles relevant to the main topic. The results showed  Canadian Bleeding (CAN BLEED) score is effective for determining internal bleeding in trauma cases.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

This research is motivated by the lack of availability of learning media usage and conventional learning. Therefore, an effectiveness test of the periodic table of the ladder media was conducted to improve the learning outcomes of students at SMKN 1 BP BR on the topic of periodic table of elements. This research is a pre-experimental study aimed at assessing the effectiveness of media usage using data analysis techniques through pretest-posttest assessments. The population in this study is the students of class X TBSM SMKN 1 BP BR. The research instrument is a learning outcomes test consisting of 25 multiple-choice questions that have been pilot tested. The data analysis techniques used are the t-test to determine differences in learning outcomes and the N-Gain test to determine the improvement in students' understanding. The results of the study show that there are differences and improvements in students' learning outcomes. This is evidenced by the average posttest score of 86.67. The improvement in learning outcomes is also supported by hypothesis testing conducted with the t-test, obtaining a t-value (3.45) > t-table (1.21). Another supporting evidence is the average N-Gain test score of 0.75 with a high category. Thus, it can be concluded that the use of the periodic table of the ladder media is effective in improving students' learning outcomes with a high category. This media is suitable for chemistry learning that is symbolic, as it will be more engaging and challenging through direct student involvement in the learning process.

This research is motivated by the lack of availability of learning media usage and conventional learning. Therefore, an effectiveness test of the periodic table of the ladder media was conducted to improve the learning outcomes of students at SMKN 1 BP BR on the topic of periodic table of elements. This research is a pre-experimental study aimed at assessing the effectiveness of media usage using data analysis techniques through pretest-posttest assessments. The population in this study is the students of class X TBSM SMKN 1 BP BR. The research instrument is a learning outcomes test consisting of 25 multiple-choice questions that have been pilot tested. The data analysis techniques used are the t-test to determine differences in learning outcomes and the N-Gain test to determine the improvement in students' understanding. The results of the study show that there are differences and improvements in students' learning outcomes. This is evidenced by the average posttest score of 86.67. The improvement in learning outcomes is also supported by hypothesis testing conducted with the t-test, obtaining a t-value (3.45) > t-table (1.21). Another supporting evidence is the average N-Gain test score of 0.75 with a high category. Thus, it can be concluded that the use of the periodic table of the ladder media is effective in improving students' learning outcomes with a high category. This media is suitable for chemistry learning that is symbolic, as it will be more engaging and challenging through direct student involvement in the learning process.

This research aims to analyze the effectiveness of Tanjung Putri village government spending from 2020-2022. This type of research is quantitative using APBDes realization report data. The research results prove that the effectiveness of Tanjung Putri village government spending has decreased from 2020-2022. In 2020 it was 87.99% and for 2021 the percentage of effectiveness decreased by 85.42%, meaning there was a decrease of 2.57% from the previous year, while in 2022 the percentage of effectiveness decreased again from the previous year, namely 81.11%. Even though there has been a decline from year to year, the regional government spending category is still in the effective category.

This study describes and explains the budget realization for the last five years, starting from 2018 to 2022, by paying attention to the percentage change between the budget value and the realization of the regional income and expenditure budget each year. The purpose of this study is to evaluate the performance of regional revenue and expenditure budget realization in the regional asset finance agency of the Medan City government during the 2018-2022 period. This study also aims to compare the effectiveness of budget realization during that period. The research method used is descriptive qualitative using secondary data sources and documentation study data collection techniques. Data analysis involves revenue variance analysis, degree of decentralization ratio, local tax effectiveness ratio analysis, and expenditure budget variance analysis. The results show a problem, where the realization of the regional revenue and expenditure budget in 2019-2020 has increased, even though it should have decreased due to the impact of the COVID-19 pandemic. This problem is related to the loss of funds worth 1.6 million which has been handled by Law Enforcement Officials.

In the rapidly evolving landscape of global business entites, organizational effectiveness plays an increasingly crucial role. The success or failure of an organization is heavily dependent on the quality of human resources, recognized as the most vital organizational assets. This research aims to measure human resource accounting and explore the concept of behavioral accounting in two critical contexts: human resource accounting (HRA) and social accounting. The research method employed is qualitative, focusing on past and current phenomena. Findings indicate that, from a conventional accounting perspective, human resources have not been fully recognized as assets. Human resource accounting is a novel concept in financial accounting, requiring further research. This understanding emphasizes that employees are considered organizational assets through a cost or human value approach. The implication is the need for integrating behavioral dimensions in human resource management and social aspects in accounting decision-making to enhance organizational effectiveness holistically. This research is expected to contribute to the development of behavioral accounting theory and practice, providing insights into the role of accounting in social and human resource contexts.

This study aims to analyse the effectiveness and contribution of rural and urban land and building taxes to the original local government revenue in Purwakarta Regency during 2016-2019. The method used in this study is a descriptive method using secondary data sources in the form of reports on the realisation of Rural and Urban Land and Building Taxes and Original Local Government Revenue of Purwakarta Regency. Analysis techniques include measuring the effectiveness and contribution of Rural and Urban Land and Building Taxes to Original Local Government Revenue. The results showed fluctuations in the receipt of Rural and Urban Land and Building Taxes during the study period. 2019 recorded the lowest effectiveness, while 2017 showed significant improvement. The average efficacy of Rural and Urban Land and Building Taxes during the period was satisfactory. However, the contribution of Rural and Urban Land and Building Taxes to Original Local Government Revenue showed greater variation, with some years recording relatively low contributions. This indicates the need for increased consistency and efficiency in the tax collection system and improved services to taxpayers.

This webinar discusses the importance of technological innovation in accounting information systems to enhance the efficiency and effectiveness of financial management among Micro, Small, and Medium Enterprises (MSMEs). By leveraging technologies such as cloud computing and integrated accounting information systems, MSMEs can improve transparency, accuracy, and speed in financial reporting, ultimately supporting better strategic planning and decision-making. The findings from this webinar reveal that many MSMEs still rely on traditional methods to assess financial health, which are inadequate to face the current economic challenges. The speakers emphasized the importance of good risk management and effective branding strategies to achieve sustainable business growth. By adopting new technologies and implementing prudent financial management, MSMEs can maintain their competitiveness in the dynamic global market.

Because they aid in the understanding of the actual world by students, internships are an essential component of curricula in higher education. The Independent Campus Learning Internship program, which was introduced by the Republic of Indonesia's Ministry of Education, Culture, Research, and Technology at the beginning of 2020, is the subject of this study. The purpose of this program is to expose students to the outside world. experience working in an environment relevant to their subject of study in order to enhance graduates' hard and soft skills. Thus, the purpose of this study is to determine what competencies accounting students pick up from their MBKM internships across a range of sectors. In order to collect data for this study, accounting students in Indonesia who are doing MBKM internships are sent Google forms over social media. Using descriptive statistical methods, the data was analyzed, and 87 out of the 98 respondents made up a viable sample size. The analysis's findings demonstrated that most students had made progress in the hard and soft abilities needed in the job. The majority of students concur that their confidence in working in accounting has grown as a result of their internships, which have also enabled them to work independently on tasks, cooperate with others, evaluate data, and solve problems on their own. The majority of interns who complete their internships receive employment offers, demonstrating the effectiveness of internship programs in enhancing the abilities that businesses and industry deman.

In order to boost participation and encourage student participation in homeschooling activities in SMPN 1 Bengkulu, this research aims to: establish plans and regulations; move; control; check the effectiveness of implementation; and remove any barriers that arise during that process. This study employs documentary techniques, observations, and interviews to conduct a qualitative descriptive study. The researchers will investigate and determine whether or not the management of the PJJ program has been implemented successfully. Kushendar model analysis was employed. Data is reduced, presented, concluded from, and verified by researchers. The conclusion is as follows, based on data analysis: (1) Planning is done by creating operational work plans and objectives. (2) Methods for regulating the use of resources, methods for socializing the work plan, and mechanisms for regulating the execution of a work plan that go along with the delegation of tasks and powers are established.

This research explores the effectiveness of spiritual guidance, especially the Islamic approach, in dealing with juvenile delinquency. The adolescent phase, as an important transition period, tends to be marked by significant physical and mental changes. Uncontrolled juvenile delinquency can be detrimental to individuals and society. Research emphasizes the application of spiritual guidance to early adolescents and pre-adolescents to prevent deviant behavior. Spiritual guidance, as a process of providing direction and advice with religious values, has a crucial role in forming positive character. Findings from previous research show that spiritual guidance, including Islamic counseling, vent sessions, and religious activities, is effective in reducing levels of juvenile delinquency. Teenagers who receive spiritual guidance tend to have a positive mindset, use their time well, and have a better religious understanding. Although the study makes important contributions, resource limitations, methodological variations in previous studies, and the lack of long-term studies need to be addressed. Therefore, future research must overcome these limitations to provide deeper insight into the role of spiritual guidance in dealing with juvenile delinquency.    

This research explores the impact of implementing incentives at the Bu Ira basic food agency in Krian, Sidoarjo on employee performance, with a focus on sales bonuses and non-financial incentives. The research results show that sales bonuses related to target achievement provide additional motivation for employees to increase sales, especially when bonuses are linked to certain products that have higher profits. Additionally, non-financial incentives such as recognition for good performance have proven effective in building team spirit and increasing job satisfaction. The discussion involved understanding that incentive design must be tailored to the grocery store context, taking into account the unique characteristics of this industry. Sales bonuses, when tied to specific types of products, can provide a greater motivational boost for employees. Recognition of good performance can be realized in the form of promotion or additional training, providing added value in employee career development. Flexibility in incentive design, effective communication, and continuous evaluation of the effectiveness of incentive programs are the keys to success. The results of this research provide insight for business owners and managers in the grocery agency industry to design incentive programs that suit employee needs and business goals, as well as accommodate changes in the industrial environment.

This research explores the intricate relationship between digital citizenship, moral development, and family-based character education, focusing on integrating technology. Employing a library research approach and descriptive analysis method, the study delves into existing literature to investigate the impact of technology-based interventions on parental influences in shaping children's ethical decision-making in the digital age. The research addresses three primary questions: (1) How does incorporating technology in family-oriented character education programs impact children's formation and reinforcement of moral values and digital citizenship skills compared to traditional methods? (2) What are the key challenges and opportunities families face when leveraging technology for character education, and how do these factors influence the effectiveness of moral development within the familial environment? (3) In what ways do parental involvement and modelling of digital behaviours shape children's ethical decision-making and online conduct, and how can technology-based interventions enhance or alter these parental influences on their children's moral development and digital citizenship? Through a comprehensive review of theoretical frameworks, empirical studies, and technology integration models, this research aims to provide valuable insights into the evolving dynamics of character education within the digital landscape.

This research aims to evaluate the effectiveness of the internal control system for the sale of merchandise at Jazzy Souvenir Store. The approach used is a qualitative descriptive method with the application of data analysis techniques using triangulation. Data collection is carried out through observation, interviews, and documentation. The analysis results indicate that the internal control system for the sale of merchandise at Jazzy Souvenir Store is not yet optimal, as evidenced by the lack of adequate organizational structure and the existence of dual functions in the execution of tasks and responsibilities. Additionally, negligence in inventory recording by store employees leads to discrepancies between the physical inventory of merchandise and the recorded inventory in the system.

The aim of this research is to find out how this curriculum is implemented, in Indonesian language lessons in class VII MTs Negeri 3 Subang, how the independent curriculum is implemented. This research was conducted qualitatively and data was collected through observation, interviews and questionnaires. The research results show that the Project Based Learning (PBL) approach, formative evaluation and literacy improvement for students, are all used to adopt the independent curriculum. The implementation of this curriculum has resulted in increased student independence and the development of soft skills. Overall, the Merdeka Curriculum at MTs Negeri 3 Subang supports student independence, facilitates critical learning, and develops Pancasila character. The obstacles faced require further attention to increase the effectiveness of curriculum implementation, although there are obstacles related to the availability of books and teacher understanding. The effectiveness of the curriculum is assessed through student self-evaluation and teacher observation. Limited resources and teachers' understanding of the curriculum are some of the obstacles. This research provides insight into the difficulties and opportunities of an independent curriculum to improve the quality of education at the secondary level.

This research aims to analyze toddler literacy programs in rural areas and evaluate their effectiveness in improving the literacy skills of early childhood. The research methods used include interviews with parents, observations of children, and analysis of existing literacy programs. The research results show that there are several challenges faced in strengthening toddler literacy in rural areas, including limited access, lack of resources, and lack of parental awareness about the importance of early childhood literacy. To overcome this challenge, collaborative efforts are needed between the government, educational institutions and local communities. Toddler literacy programs should be designed to take into account the rural context and available resources. Apart from that, it is necessary to provide outreach to parents and the community about the benefits of toddler literacy and how they can support it. The results of this research can be a guide for developing literacy programs for toddlers in rural areas, so that children in rural areas have equal opportunities to develop their literacy skills from an early age.

Background: Increased of uric acid levels can be caused other disorders in the human body such as a feeling of aches and pains in the joint area and is often along with extreme pain for the sufferer. This disease is better known as gout (Andry, 2021 ). Objective: This study aims to find out the effectiveness of consumption the pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan Village. This research uses a Pre-Experimental method with a One Group Pre-Post Test Design approach. The samples in this study were 12 early adult men who with having gout in Batu Lubang Lembeh Selatan Village, using an accidental sample. The data collected using observation sheets and analyzed using the non-parametric Wilcoxon test using SPSS. The results of the research showed the conditions of uric acid sufferers before and after consumption pineapple analysis the value of 0.003, there was a significant effect between giving pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan sub-district. The conclusion in this study there were an effect of giving pineapple on reducing uric acid levels in Batu Lubang Lembeh Selatan Village. Based on the research results, it is recommended the Respondents be expected to frequently consume pineapple so that uric acid levels can decrease till the normal limits.

Dysmenorrhea is a pain in the lower abdomen can spread to the lower back and legs. The incidence of dysmenorrhea in the world on average is very high up to (90%) while the severe painful dysmenorrhea are around 10-15%. In Indonesia the case of dysmenorrhea is around of 64.25%. The aim of this research was to determine the effectiveness of giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado. This research uses a pre-experimental quantitative method with one group pre and post test design. wWith non-probability sampling technique and purposive sampling method based on characteristics of the population by the criteria of the researcher's. The research instrument uses an observation sheet and a Standard Operating Procedure for measurement using the NRS (Numeric Rating Scale). The sample in this study takes 12 respondents. Using the Pairet T-Test with a significance level of α=0.05. The results of this study show there is an effect of giving red ginger decoction on dysmenorrhea in young women with a P-value = 0.000 < 0.05 The conclusion in this study is giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado are affected. And advice to respondents to used red ginger as an additional reference for reducing pain during dysmenorrhea.