There are various government agencies around us; perhaps this raises the question of why some agencies seem more efficient and effective than others. One of the main factors that influences the performance of an agency is the implementation of a meritocracy system, where civil society is promoted and given responsibility based on their abilities and achievements, not connections or seniority alone. In this article, we will discuss in depth the importance of implementing a meritocracy system in government agencies to increase work accountability, supervision, and bureaucratic reform. We will also provide examples of agencies that have successfully implemented a meritocracy system.

This article is a review of Noviyana Prasati's research on Intervention in patients with Schizophrenia with Auditory Hallucinations who are treated in 2023. Schizophrenia is a psychiatric disorder when a person has difficulty thinking causing hallucinations. Schizophrenia can be cured but it takes a long time with the support of family, people around and education. Hallucinations are caused by a change in the perception of a person due to a stimulus that actually does not exist or something that actually does not happen. This study uses qualitative and quantitative methods and the author uses the literature review method. The result of this study is that the patient experiences auditory hallucinations caused by a small patient who has broken home and the patient fails to marry.

Background: Ointment is a semisolid preparation used as a topical medicine, which has direct access to the skin tissues. Katang-katang is one of the medicinal plants traditionally used to treat various types of wounds. Objective: The aim of this study is to identify the secondary metabolite content of katang-katang leaves (Ipomoea pescaprae L.), create and evaluate a good and stable ointment formulation pharmaceutically, and test the irritation of the ointment for burn wounds using ethanol extract of katang-katang leaves (Ipomoea pescaprae L.). Method: The method used is experimental research, the ointment formulation is made using three formulations with different concentrations of active ingredients, with a ratio of FI 20%, FII 25%, and FIII 30%. Result: The results of the study indicate that katang-katang leaves contain flavonoids, tannins, and steroids. The study determined the formulation of a burn ointment from ethanol extract of katang-katang leaves (Ipomoea pescaprae L.). The organoleptic test results of FI, FII, and FIII showed good and stable color, odor, and shape, as well as homogeneity after one week of storage. The pH values measured were 7 for all formulations even after one week of storage. The spreading power of FI was (5.52 cm), FII was (5.88 cm), and FIII was (7.23 cm), which met the standards for good formulation. The irritation tests for all three formulas were categorized as safe. Conclusion: Based on the identification test results, the katang-katang leaves were found to contain flavonoids, tannins, and steroids. The evaluation test results for the three formulations using a hydrocarbon base showed that a good and stable burn ointment could be made from the ethanol extract of katang-katang leaves (Ipomoea pescaprae L.) without causing skin irritation.

Keberlanjutan budidaya padi sangat bergantung pada bibit. Karena bibit merupakan komponen utama yang akan dikembangkan di masa depan, maka pemilihan bibit yang berkualitas merupakan langkah awal dalam proses penanaman padi. Ciri-ciri suatu tumbuhan dalam perkembangannya ditentukan oleh gen-gen yang diwarisi bibit dari tanaman induknya. Oleh karena itu, pemilihan bibit dari tetua unggul sangat penting dilakukan agar diperoleh bibit padi yang berkualitas. Bibit yang baik adalah yang mampu menyesuaikan diri dengan lingkungannya, tumbuh cepat dan seragam, tahan terhadap hama, serta menghasilkan buah yang banyak. Namun seringkali para petani mengalami kesulitan dalam memilih bibit yang tepat. Untuk mengatasi hal tersebut, akan dikembangkan sistem pendukung keputusan yang dapat membantu petani dalam memilih bibit yang memenuhi berbagai kriteria dan sesuai dengan lingkungan penanaman. Kerangka kerja ini menggunakan dua teknik, yaitu Analytic Hierarchy Process (AHP) untuk menentukan bobot kriteria dan Multi Attribute Utility Theory (MAUT) untuk tahap peringkat. Usulan pilihan sistem pendukung keputusan yang menggabungkan teknik AHP dan MAUT menunjukkan bahwa pilihan atau jenis bibit padi terbaik yang akan ditanam di Wilayah Rawang Panca Arga Asahan adalah Sidenuk yang menempati posisi pertama dengan nilai 0.3780781, disusul oleh Ciputri dengan senilai 0,4469573. Selanjutnya hasil penelitian ini menyarankan Sidenuk dan Ciputri sebagai bibit padi berkualitas yang layak ditanam di Kawasan Rawang Panca Arga Asahan.

Background: Surgery is an invasive medical procedure to diagnose or treat a disease, which causes pain. Postoperative pain is a common and frequent problem. Early mobilization is very important as a gradual return to the previous mobilization stage. Early mobilization is carried out in stages to reduce the intensity of pain felt by the patient by carrying out early ambulation in stages from the first 8 hours. Objective: To determine the results of implementing early mobilization to reduce pain intensity in post-operative patients at the Cempaka HCU, Regional General Hospital (RSUD) Dr. Moewardi Surakarta. Method: This type of research is descriptive research in the form of a case study. Involving 2 post-operative patients. The research instrument used the Numeric Rating Scale (NRS) questionnaire. Results: research shows that before implementing early mobilization on Mr. S, an NRS score of 8 (severe pain) was obtained, while for Mrs. S obtained an NRS score of 4, likewise for Mrs. Conclusion: After applying early mobilization for 3 consecutive days to Mr.S and Mrs.N, it can be concluded that there was a decrease in the level of pain in both patients.
 
 

Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ??the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

Physiological newborns are babies born with a gestational age of more than or equal to 37 weeks with a body weight of 2500 grams to 4000 grams. During the birth period, many physical and psychological changes begin to occur in the baby's body, therefore it requires careful supervision to determine how to adjust to life outside the womb. The purpose of this study was to apply midwifery physiology care to By "Z" at the Panincong Health Center. The care provided uses the Varney 7 Step Midwifery Care Management approach and forms of documentation through SOAP. The case study conducted on By “Z” revealed that there were no obstacles when implementing Varney's 7 Step Midwifery Care Management approach. Thus, it is easy for caregivers to solve problems related to this. The form of midwifery care provided to By "Z" includes taking anamnesis on the baby's parents, carrying out physical examinations, and providing counseling to the parents, in this case to By "Z"'s mother about how to carry out effective care when caring for babies. This case study uses a descriptive observational method with a Continuity of care approach. The subject is By “Z” newborn. How to collect data anamnesis, observation, examination and documentation. Next, compare the data obtained with the existing theory

One important technique for understanding and analyzing computer network performance is TCP/IP simulacrum. In this research, we simulate a TCP/IP network using the bus topology as a model. We use the Cisco Packet Tracer simulated network topology builder to create a bus topology and implement the TCP/IP protocol. The simulation results provide more accurate understanding of how the TCP/IP protocol functions within a bus network. We analyze network performance in terms of throughput, latency, and packet loss. The analysis's findings indicate that bus topologies have a certain amount of leeway in network operations, particularly when a collision occurs. However, this simulation offers a valuable tool to improve computer network design and management.
 
 
 

This study aims to examine the effect of giving fairy tales on the emotional regulation of kindergarten-aged children. The research method used was pre-experimental with a quantitative approach. The research subjects were children aged 4-6 years at the UNP Padang Laboratory Development Kindergarten. The treatment in the form of giving fairy tales was carried out for 4 consecutive days, with pre-test measurements before treatment and post-test after treatment. The data collection instrument uses a Likert scale formulated positively and negatively to measure children's emotional regulation. The results of the study showed that there was significant development in children's emotional regulation after receiving treatment in the form of giving fairy tales. This can be seen from the difference in pre-test and post-test results which show an increase in scores on the Likert scale. Evaluation of children's emotions is carried out after each storytelling session to monitor the development of their emotional regulation. Researchers also gave rewards to children as a form of appreciation for their participation in the research. This research contributes to the understanding of the influence of fairy tales on the emotional regulation of kindergarten-aged children. The implication of this research is the importance of paying attention to environmental factors and learning methods that can influence children's emotional development. It is hoped that the results of this research can become a basis for developing better educational programs to improve emotional regulation in early childhood.