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Radiotherapy is a treatment for cancer using high-energy radiation, usually X-rays. The type and amount of radiation received is calculated by oncologists and medical physicists to destroy cancer cells, these cells are abnormal cells. This stops the cancer cells from dividing properly and as a result the cancer cells are destroyed. This treatment is planned to protect healthy tissue as much as possible from radiation which has destructive properties, however some healthy tissue can be affected which will later cause side effects. Radiotherapy uses a Linear Accelerato (LINAC) device in its treatment. The LINAC can produce two beams, namely photons and electrons. Photon beams are usually used to illuminate tumors in deeper tissue in the body, for example breast cancer, cervical cancer and nasopharyngeal cancer, while electron beams are used for cancer therapy in surface tumors. The role of radiotherapy in the treatment of breast cancer has a long and controversial history. One of the first clinical trials ever conducted, it began in 1949, and remains the subject of new trials still being initiated today. Early trials clearly showed that radiotherapy reduced local recurrence, with a relative risk reduction now known to be approximately 70%, but a reduction in recurrence rates did not translate into a reduction in mortality. Theories explaining this difference are numerous, including the detrimental effects of radiotherapy on immune function.

Diabetes Mellitus (DM) is a metabolic disorder characterized by increased blood sugar levels due to insufficient insulin function. Patients with diabetes mellitus often experience other health problems such as obesity, heart disease and kidney disease which further exacerbate their health problems, especially if they are exposed to Covid 19 which can eventually lead to death. The need for information that strengthens and refreshes the knowledge possessed is urgently needed so that while living life during this pandemic, you can stay healthy. The method used in community service activities is carried out by counseling and discussion methods. This activity was carried out face-to-face, the total number of activity participants was 45 people, although initially it was targeted to be 100 people. The results of this activity, the people of Taeno Hamlet said that 80% felt very satisfied and 20% were satisfied with this counseling activity. These results were obtained through a questionnaire after this activity took place. This can be seen by the enthusiasm of the participants to ask about a healthy lifestyle. Patients with diabetes mellitus must have a healthy behavior and exercise diligently in order to maintain body stamina and follow the treatment that has been carried out so far. Counseling activities for patients with co-morbidities not only diabetes mellitus are urgently needed to provide information, strengthen understanding and provide updated information regarding how Covid 19 can affect patients, especially those with comorbidities.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

Zuhro Bakery is baking factory producing various kinds of bread. In this research, there were three kinds of bread that were studied, they were chocolate, mocha and strawberry flavored bread. The problem in optimalization of the production was modeled into a mathematic model which was the linear program in the form obstacle function and objective function. It was then continued by the deciding variable in integer number as the linear program. Then, it was solved by using Branch and Bound method which previously had counted the variable by using the symplex method. From the simplex method, an integer number result was not found, so the Branch and Bound method was used. QM software was chosen in the research to solve the integer problem. A profit was earned with a sale margin of Rp39.000 or 0,42% from the coorporation’s expected profit by using the Branch and Bound method. The amount of bread produced in the periode of three days were 5.400 consosted of 3.060 chocolate flavored bread, 1.440 mocha flavored bread and 900 strawberry flavored bread with the total profit of Rp9.279.000

The purpose of this research is to examine initiatives to enhance the quality of public services. in order to achieve service standards that are on par with international standards for the State Civil Apparatus (ASN). This study employs a qualitative method with a case study at a local government agency. that has been recognized as the agency with the best quality public services. In-depth interviews with government officials were used to acquire data., employees and customers, as well as analisis of documents related to the implemented public service improvement program. According to the study's findings, local government agencies have succeeded in improving the quality of public services by implementing a number of strategic initiatives and programs. Among them are the effective use of information technology to improve efficiency and effectiveness accessibility of public services, training and human resource development to improve employee skills and professionalism, and implementing strict service standards to measure and ensure customer satisfaction. In an effort to achieve international civil state standards (ASN), local government agencies have set several main goals, including improving communication and speaking foreign languages, mastery of advanced public information technology and application of ethics and integrity in public administration. serve. function. service assignment. In addition, international recognition ISO (International Organization for Standardization) and others awards for quality of public services are successful goals pursued by these bodies.

The syntax is a grammar that can decipher the relationship of language elements to form sentences. The function of syntax is as a container in a syntactic structure that contains certain categories. It can be called subject (S), Predicate (P), Object (O), Complement (COMP), and Adverb (ADV). Phrase analysis in short story texts in Indonesian language books for fourth-grade elementary school independence curriculum. This analysis is a qualitative descriptive analysis of the short story text in the Indonesian language book for the fourth grade of the Independent Curriculum. Phrases are syntactic units cobining of two or more words and do not have clauses that occupy one function. Many do not understand how to divide groups of phrases and the causes of errors. Therefore, this research to classify phrases based on their types, and the causes of phrase errors in short stories texts in Indonesian language books for fourth-grade elementary school independence curriculum. Listening and then recording is a technique that can be done when data collection. The results of this study indicate that there are noun phrases, verb phrases, adjective phrases, numeral phrases, and errors in the use of phrases in short stories sentences. This analysis is expected to better understand and be able to develop the use of phrases in short stories.

Background: Midleage is a process that all humans will experience, a process that will be marked by memory impairment, understanding and concentration. That decline is commonly referred to asa decline in cognitive function. It's a therapeutic technique that gives the brain a stimulus to increase cognitive function so as to maintain memory function, a concentration of learning and understanding memory. Purpose: describe improvements seen after and before, improvements and comparative cognitive function. Method: this study is a therapeutic study with case studies using a descriptive method. Results: the study shows that prior to her cerebral palsy, Mrs. V and Mrs. V. The same "s" has a mild cognitive decline, after five brain calist-therapy meetings in five weeks and 15 minutes both respondents have increased cognitive function to normal. Conclusion: cerebral exercise can increase cognitive function in Midleage in the village of Bororejo.

Diabetes mellitus is a chronic metabolic disease that causes hyperglycemia. Diabetic neuropathy is a complication of diabetes mellitus due to hyperglycemia. People who experience diabetic neuropathy complain of tingling, numbness, stabbing pain sensations, burning pain sensations, squeezing sensations, and allodynia, which can reduce their quality of life. Administering vitamin B reduces patient symptoms and improves nerve cell function. The aim of this study was to explain the effect of vitamin B on patients with diabetic neuropathy based on a literature review. The research method used was literature review. The results of this study, based on some of the reviewed literature, found that vitamin B has an effect on reducing pain complaints in neuropathic patients with diabetes mellitus.

Background: Most respiratory disorders are caused by problems or diseases of the respiratory system, including the lungs. Inability of the lungs to expand (elasticity), as well as structural (anatomical) and functional airway obstructions that prevent the creation of breathable airflow, are signs of impaired lung function. Restriction and blockage are two types of lung function problems.Purpose: To analyze the application of the tripod position and pursed lip breathing technique to the increase in oxygen saturation in congested patients in the emergency room at PROF Hospital. Dr. SABOE TONGUE.Methods: Case report, which is a narrative report. The case study in this paper examines the use of a tripod position and pursed lip breathing technique to increase oxygen saturation in shortness of breath patients. Patients with asthma, lung cancer, TB, and COPD constitute the study population. Four patients with asthma, lung cancer, tuberculosis, and COPD were sampled for the study.Results: After the nurse's intervention was carried out, which was related to airway management in the fourth patient, the overall evaluation results were obtained, then the intervention was continued in the patient's treatment room.Conclusion: Based on the description above, people with respiratory problems often experience decreased functional daily activities, decreased concentration, and mood swings. As a result, if the condition of shortness of breath is allowed to continue unnoticed it will reduce oxygen saturation which in turn can cause cyanosis in patients who experience recurrent infections.  

This study aims to describe (1) the forms of metaphor in the novel Conspiracy of the Universe by Fiersa Besari, (2) the function of metaphor in the novel Conspiracy of the Universe by Fiersa Besari. This research focuses on looking for forms of anthropomorphic, animal, abstract to concrete, synaesthetic metaphors and looking for the function of metaphorical language style which consists of personal, interpersonal, directive, referential, and imaginative functions. This study uses a descriptive qualitative research method. The researcher uses a stylistic review to analyze the forms of metaphors and the functions of metaphors in this study. The research data are in the form of quotations, words, phrases, clauses, and sentences which contain metaphorical language styles. The results of this study show that the most dominant form of metaphor in this novel is synaesthetic metaphor. The contents of this novel contain many synaesthetic metaphors to deepen what the author conveys in the story so that the story is interesting with the expressions included by the author. The metaphorical language style is presented by inserting a message of the reader's sensitivity in interpreting each series of stories. Meanwhile, the function of the dominant style of language in this novel is the directive function. The directive function in this novel shows that the characters in the story tend to express their desires directly by giving orders or requests to the interlocutor, to do something the speaker wants.

Batik Tiga Negeri is one of the historic batiks on the north coast of the island of Java which was made to be traded from the start. Packaging for Batik Tiga Negeri is needed in addition to protecting the product, as well as for communication media in spreading about one of the nation's wealth that can be proud of. Packaging can have a useful multi-function. There are many packaging options, ranging from plastik to paper and cloth, all of which can display product labels. Through this service activity, it is hoped that the millennial generation, namely Regina Pacis Solo High School students will understand: 1) How far can the main motifs of Batik Tiga Negeri developed according to the style of young people? 2) How student’s creativity in making packaging for Batik Tiga Negeri products is not only attractive, useful, but also can be an effective communication medium. In other words, from the work produced, it will further clarify the role of packaging for Batik Tiga Negeri handicraft products other than as a wrapper. The method used is community service in the form of training. Beginning with providing material to young people as the nation's next generation, about the archipelago's wastra, especially batik. Training on making designs on packaging to wrap Tiga Negeri batik products, in order to produce a unique packaging with the main motif idea of   Batik Tiga Negeri. The purpose of this activity is to make students aware of the importance of maintaining the ancestral heritage which is the wealth of this nation.

Reproductive health is one of the national and global development targets based on the 2030 sustainable development goals. The prominent problems among adolescents are grouped into three risks or the KRR Triad. Correct knowledge and good understanding of reproductive health can direct a teenager towards responsible sexual behavior. The purpose of this study was to describe the level of knowledge about adolescent reproductive health among students at SMPN 1 Batang Kapas. The research design uses a purely descriptive study using a quantitative approach. The sample in this study were 26 students of SMPN 1 Batang Kapas who fit the inclusion and exclusion criteria. Questionnaires are used as research data collection tools. The data were then analyzed univariately using the SPSS application. The average age of the respondents was 13.23 years with the youngest being 12 years and the oldest being 15 years. Respondents consisted of 8 men (30.76%) and 18 women (69.24%). The level of knowledge about reproductive health is good at 73.08% or 19 people. While the remaining 7 people (26.92%), have a sufficient level of knowledge. The majority of respondents have a good level of knowledge about adolescent reproductive health. This is because respondents have received information about reproductive health before. Provision of information sources is significantly related to adolescent knowledge regarding fertility, sexual intercourse, marriage plans, and the lowest safe age for childbirth so that it will encourage the formation of positive sexual behavior. The level of knowledge about reproductive health in this study is in the good category. It is hoped that this level of knowledge can lead to good reproductive behavior and function.  

Academic information systems are veritably important for schools, especially for academy and students. Still, the perpetration of the academy information system has not yet reached all educational institutions, for illustration at Bina Taruna Medan Middle School. Therefore, the author make an Android-based school information application, so students can view information about academy biographies, school facilities, school galleries, teacher names, subject schedules, and student grades through the application without having to go to academy. Therefore, in this study the authors used the Rest API (Application Programming Interface) method. The Rest API method is a software that allows developers to integrate and allow two different applications to connect to each other simultaneously. With the Android-based school application at Bina Taruna Medan Middle School, it is hoped that it will make it easier for students to get school information that is more accurate, effective and efficient, as well as make it easier for the school to collect information about student academic development. So from the results of black box testing, the results show that the system built can work well according to its function.