The implementation of inclusive education in Indonesia aims to provide educational facilities and services for children with special needs (ABK). Inclusive education has been implemented in various schools, especially in big cities, but still faces various challenges in its implementation. This study aims to describe the problems faced by schools that provide inclusive education in North Sumatra and their resolution efforts. The objects in this study include public schools and special schools that integrate inclusive education. This study uses a qualitative approach, with data collection techniques through interviews, observations, and documentation. The data obtained are explained through the process of data reduction, data presentation, and drawing conclusions. Various problems arise, ranging from the lack of number and competence of special guidance teachers (GPK), difficulties for students in following lessons, lack of school readiness to run inclusive programs, to limited facilities and infrastructure that do not support the needs of children with special needs (ABK). In addition, low cooperation between schools, education offices, and parents is also an obstacle to the implementation of effective inclusive education.
 

Cancer is one of the medical conditions that causes many deaths in different parts of the world. Based on information obtained from GLOBOCAN, the International Agency for Research on Cancer (IARC) in 2022, there were at least 19.976.499 individuals diagnosed with cancer, and the disease caused death in 9.743.832 people. The detection of breast cancer malignancy relies on the prognosis process, requiring forecasting and automated detection to mitigate diagnostic errors. This facilitates swift and comprehensive analysis of medical data. The study employs the Neural Network, specifically the Artificial Neural Network model, implemented using python and the backpropagation algorithm. Utilizing data from the WDBC Database at the University of Wisconsin, the research achieves a 96,49% accuracy in breast cancer prediction, with an area under curve (AUC) value of 0,992, demonstrating the model's overall efficacy in accurate predictions.

Penelitian ini bertujuan untuk mengkaji transparansi dan akuntabilitas dalam pelayanan pajak kendaraan bermotor di Samsat Jember melalui pendekatan kualitatif deskriptif. Pengumpulan data dilakukan melalui wawancara mendalam, observasi langsung, kuesioner, dan dokumentasi. Analisis data menggunakan model Miles dan Huberman dengan triangulasi sumber untuk menguji keabsahan temuan. Hasil penelitian menunjukkan bahwa upaya transparansi diwujudkan melalui digitalisasi layanan, pemanfaatan media sosial, call center, dan sosialisasi di luar kantor, yang memberikan akses informasi lebih terbuka kepada wajib pajak. Sementara itu, akuntabilitas diperkuat melalui audit berkala, bukti pembayaran elektronik, pelatihan pegawai, dan evaluasi publik berbasis ulasan daring. Langkah-langkah tersebut menunjukkan adanya komitmen dalam meningkatkan efisiensi dan integritas layanan pajak, serta membangun kepercayaan publik terhadap institusi pemerintah. Secara keseluruhan, penerapan transparansi dan akuntabilitas dalam pelayanan Samsat Jember berperan penting dalam menciptakan sistem perpajakan yang adil, terbuka, dan dapat dipertanggungjawabkan.

This research aims to analyze the skills of providing learning variations to increase the effectiveness of the learning process in early childhood. Early childhood is in a very dynamic development phase, where monotonous teaching methods can hinder their attention and motivation. Therefore, the use of variations in teaching methods, such as changes in activity types, duration, learning media, and interactive approaches, can have a positive impact on children's involvement in learning activities. This research uses a qualitative approach with a literature study method that examines various sources related to variations in learning and their impact on early childhood development. The results of the analysis show that a variety of learning activities can increase children's motivation, prolong concentration, support multisensory learning, and develop children's social and emotional skills. Learning that involves various methods and media allows children to learn through direct experience thereby strengthening their understanding of the concepts being taught. This research concludes that the skill of providing variety in learning not only increases learning effectiveness, but also contributes to children's holistic development. Therefore, it is important for educators to master these skills and apply them consistently in early childhood learning activities.

Early childhood is a child aged between 0 and 6 years. The early years are a special time for every child; this period is known as the "golden age" because of the rapid development of children during this period. The goal of early childhood education is to provide learning activities that can develop children's talents and skills and educate them about discipline by disposing of waste according to its type, not in the designated trash can. Early discipline is very important for children's adjustment in everyday life because it can help develop a healthy character that allows children to make their own decisions about what is and is not allowed to do in everyday situations. The purpose of this study is to improve a disciplined environment that encourages healthy child development so that children can grow into responsible, compassionate individuals who can learn from their mistakes. From the results of the study obtained using a descriptive qualitative approach method, it can be concluded that the purpose of daily activities is to help children develop discipline. Teachers often ask students to come to school ten minutes before the bell rings, shake hands, remind them to complete assignments on time, dress appropriately for school, and throw trash in the designated place.
 

Social transformation brought by the Industrial Revolution 4.0 has led to the emergence of Society 5.0, where technology is integrated into all aspects of life. In education, this presents both challenges and opportunities, especially for teachers whose roles and responsibilities have become increasingly complex. This article aims to analyze the strategic role of teachers in shaping student competencies relevant to the demands of the 21st century. Using a descriptive qualitative approach and library research method, the study refers to constructivism, connectivism, and the 21st Century Skills Framework. The findings highlight that teachers must balance mastering educational technology with instilling character values in students. Their responsibilities include fostering critical thinking, communication, collaboration, creativity (4C), promoting digital literacy, and preparing students as global citizens. The study concludes that teachers are key agents of educational transformation in the Society 5.0 era, and their readiness in handling technological, pedagogical, and moral demands is vital to the future of education.

of reproductive age, characterized by insulin resistance (IR), anovulation, and hyperandrogenism, often leading to infertility. Metformin is the first-line therapy used. However, inositol, especially myo-inositol (MI) and D-chiro-inositol (DCI), have shown promising therapeutic potential. Direct comparison and optimal efficacy of both still require a comprehensive review. Objective: This systematic review aims to evaluate the efficacy of inositol (as monotherapy or in combination) compared with metformin, placebo, or no intervention, in improving reproductive, hormonal, and metabolic outcomes in women with PCOS. Methods: Conducted according to PRISMA guidelines, a systematic literature search was conducted in Pubmed and Ebsco databases for randomized controlled trials (RCTs) published in the last 10 years. Studies evaluating inositol and/or metformin in women with PCOS and reporting reproductive, hormonal, or metabolic outcomes were included. Study selection and data extraction were performed independently by five reviewers. Results: Six randomized controlled trials (RCTs) were included in this review. Metformin consistently showed improvements in insulin resistance and androgen levels. Myo-inositol also demonstrated efficacy in improving metabolic and hormonal parameters, as well as reproductive outcomes, often with a better tolerability profile, especially as monotherapy. The combination of metformin and myo-inositol has shown potential improvements in some reproductive functions (such as live birth rate) compared to metformin alone in some studies. However, other studies have shown comparable or superior efficacy of myo-inositol monotherapy with fewer side effects. Adjuvant therapies such as dexamethasone or calcium/vitamin D have shown benefits in certain subpopulations. Conclusions: Both inositol (especially myo-inositol) and metformin have significant therapeutic roles in the management of PCOS. Metformin remains an important intervention for metabolic dysregulation and hyperandrogenism. Inositol appears to be an effective and often better tolerated alternative, with significant reproductive benefits. The choice of therapy should be individualized based on patient phenotype and treatment goals.
 

The effort to implement good governance reflects the government's desire to apply good governance in the administration of regional government. A good government SPI can also influence the actions and activities carried out continuously by the leadership and all staff to provide adequate assurance of the achievement of organizational goals. This research was conducted to determine the effect of good governance on the performance of local government, to determine the effect of the internal control system on the performance of local government,  to determine whether the internal control system moderates the effect of good governance on the performance of local government and to understand the Islamic Economic perspective on the effect of good governance on the performance of local government  in the Department of Industry and Trade of Lampung Province. The method used employs a quantitative approach. The population in this study consists of all employees of the Department of Industry and Trade of Lampung Province, and the sample taken was 46 respondents using the purposive sampling technique. In this study, it is shown that poor governance will not affect the performance of the regional government at the Department of Industry and Trade of Lampung Province. But the higher the internal control system in the Department of Industry and Trade of Lampung Province, the more it will be able to improve the performance of the regional government, and the higher the internal control system in the Department of Industry and Trade of Lampung Province, the more it will strengthen the influence of good governance on the performance of the regional government.

This study investigates the impact of product quality, price, and brand image on the purchasing decisions of Wardah facial moisturizer among female students at the Faculty of Economics and Business, University of Lampung. Wardah was selected due to its popularity among young consumers and its reputation as a halal-certified brand offering affordable, high-quality products. Using a quantitative survey method, data were collected from 115 respondents who had purchased the product at least three times. The analysis, conducted through multiple linear regression, reveals that product quality, price, and brand image significantly influence purchase decisions both individually and simultaneously. These results highlight the importance of these factors in consumer decision-making and offer practical insights for cosmetic companies, especially Wardah, in crafting marketing strategies tailored to the preferences of young consumers. Additionally, the findings contribute to the growing body of marketing literature on cosmetic products in the Indonesian context.

This research aims to analyze cash turnover, receivables turnover and inventory turnover on profitability in textile and garment subsector companies listed on the Indonesia Stock Exchange (BEI) for the period 2018 to 2023. This research uses quantitative methods. The population of this research is all textile and garment subsector manufacturing companies listed on the IDX. The sample in this study used purposive sampling totaling 16 textile and garment subsector manufacturing companies listed on the IDX. The data collection technique in this research uses secondary data. Data analysis used the classic assumption test, then multiple linear regression analysis was carried out, and continued with hypothesis testing using the SPSS version 25 software program. The results of this research show that cash turnover and accounts receivable turnover have no effect on profitability. Meanwhile, inventory turnover affects profitability. Simultaneously cash turnover, accounts receivable turnover and inventory turnover together influence profitability