This study examines the level and factors influencing students’ intrinsic motivation in learning English at SMKN 1 Bukittinggi, specifically among 11th-grade students who struggled to meet academic standards and showed low interest in independent learning. An explanatory sequential mixed-method approach was employed, using questionnaires and interviews. The instruments were tested for construct validity and test-retest reliability. Results showed that the majority of students had moderate intrinsic motivation, with 12% displaying high motivation, 79% moderate, and 9% low. Key factors identified were strong character traits such as integrity and responsibility, self-awareness, mental resilience, and effective coping strategies for overcoming failures. These findings suggest that students’ intrinsic motivation is influenced by personal qualities and their ability to handle challenges, which play a crucial role in their engagement and persistence in learning English as a foreign language.

The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.
 
 

This research aimed to investigate the students’ perceptions of the flipped classroom approach in learning English at SMPN 2 X Koto Tanah Datar. The flipped classroom model, which reversed traditional in-class activities and homework, introduced new content at home through videos or readings, and dedicated class time to interactive, hands-on activities. This method sought to enhance student engagement, promote active learning, and provide opportunities for personalized instruction and immediate feedback. The study employed a descriptive quantitative method, focusing on second-grade students. Data were collected using a questionnaire that was distributed to 64 students, who were selected through purposive sampling. The questionnaire aimed to gauge students' perceptions of various aspects of the flipped classroom, including self-directed learning, collaboration, responsibility, learning performance, flexibility, and student satisfaction. The population for this study consisted of all second-grade students at SMPN 2 X Koto for the academic year 2021/2022, totaling 95 students across three classes. The sample was selected using purposive sampling, focusing on classes VIII.1 and VIII.2, to ensure participants had the specific attributes necessary for the research. Based on the findings and analysis, it can be concluded that students at SMPN 2 X Koto Tanah Datar have a highly favorable perception of the Flipped Classroom approach in learning English. The study, which involved 95 second-grade students, revealed positive responses across various aspects such as autonomy in learning, collaboration, responsibility, learning performance, flexibility, individualized experiences, interactions, and overall satisfaction. With an average score of 81.41%, categorized as "Very Good" by Arikunto's criteria, the Flipped Classroom methodology is well-received and deemed beneficial for English education at SMPN 2 X Koto Tanah Datar.

This study examined the effect of the think-pair-share strategy on seventh grade students at the junior high school in MtsS Ashhabul Yamin, Lasi Tuo's ability to write descriptive text. The background for this study was the students' difficulties with writing when learning English. First, most of the students did not understand well how to make a short paragraph. Second, many of the students had limited of vocabulary. Third, some of the students were difficult to writing the sentences that has the correct grammar.  In this study, the researcher compared two classes using a quantitative method and a quasi-experimental research design. The sample of this study were junior high school students in the seventh grade at MTsS Ashhabul Yamin, Lasi Tuo, specifically 7.6 as the experimental class with 28 students and 7.9 as the control class with 27 students. The instrument of this research was writing test. The data was analyzed by using independent sample t-test and paired sample t-test in SPSS 22. The result of the research indicated that there was significant effect of students writing ability between the students who were taught by using think pair share strategy and without using think-pair-share strategy. It can be seen from the value of sig. (2-tailed)  which was smaller than the alpha value (0,000<0,05). From the result of the data, it can be concluded that, using think pair share strategy gave significant effect of writing ability in descriptive text.

Diabetes Mellitus is a disease that can cause sufferers to lose physical function. The cases will continue to increase from year to year. If not treated immediately, diabetes can cause dangerous chronic conditions. Preventing complications through treatment such as medication and controlling blood glucose levels was needed. The study aimed to evaluate the effectiveness of single and combined physical exercises in reducing blood glucose levels in Type 2 DM patients. The literature review design used three international databases PubMed, ClinicalKey for Nursing, and the Cochrane Library. The literature review was performed on articles published between 2011 to 2022 using Randomized Control Trial designs. A total of nine articles met the inclusion criteria. Results showed that the single physical exercise intervention group and the combined physical exercise proved effective in reducing blood glucose levels compared to the control group. In addition, physical exercises also affect HbA1c, body mass, insulin levels, insulin resistance, adiponectin, IL-6, and short physical performance battery (SPPB). It can conclude through evidence-based studies that single or combined physical exercise interventions are proven to reduce blood glucose levels and HbA1c, also lowering the weight in type 2 DM sufferers. It is suggested to perform a specific review on physical exercises which are better in reducing the blood glucose level as well as other indicators.

This research is motivated by improving student learning outcomes using image media. This study aims to determine student learning outcomes using learning media in English language learning class XE1 SMAN 2 Bukik Barisan. The method used by the researcher in this study was Class Action Research (PTK) with the subject of the study being Class XE1 consisting of 26 students. Average studying outcomes in cycle I is 74, however there was an average increase in cycle II, which was to 84. Learning outcomes in cycle I there is a studying completion of 69%, in cycle II there is an increase in learning completeness to 100%. After seeing the studying outcomes of students in cycle I and cycle II, the conclusion can be drawn, that is applying learning media in class XE1 SMAN 2 Kec.Bukik Barisan Academic Year 2022/2023 has increased student learning outcomes. It is hoped that teachers can apply Learning Media as an alternative and variety of teaching English in Class X SMA.

The purpose of this study was to determine the teacher's strategy in teaching speaking. The problem in this study is that students feel unconfident in speaking English and also have a limited vocabulary. This type of research is called qualitative research. The sample for this study is the MTSN 8 Agam teacher. The instruments used in this study were observations and interviews. The results of this study, the strategies used by teachers in teaching speaking are drill, roleplay, simulation, and group discussion.