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The Influence of the Project Based Learning Model on Learning Outcomes PPKN On Fourth Grade Students

Anggun Anugrah Manurung, Eva Pasaribu, D. Yuliana Sinaga
Abstract: This  research  aim  For  knowThe  Influence  of  the  Project  Based  Learning  Model  on  Learning Outcomes PPKN On Students of Class IV of UPTD SD Negeri 122350 Pematangsiantar.Research design implementedis  Pre-Experimental … is  Pre-Experimental  Designs  method  is  appropriate  with  limitations  amount  samples  to  be researched.This research will was held at the UPTD of State Elementary School 122350 Pematangsiantar.The time study implemented in the even semester May of the Year Academic Year 2023/2024. Based on results  research  and  discussion  that  has  been  put  forward  can  taken  conclusion  that  from  pretest  results,obtained the average value is 46.35 which is classified as in category low.While average value of results Study posttest students, namely 85.52, which indicates that results after given treatment increase with such a  range  big.From  the  average  pretest  and  posttest  scores  there  are  difference  of  39.17  and  based  on hypothesis test results with level significant = 0.05 and ttable of 2.034, thitung of 14.737. With thus thitung> ttable 14.737> 2.034, then can concluded that there is the influence of the Project Based Learning Model on results learning PPKN for students  Class IV of UPTD SD Negeri 122350 Pematangsiantar.Maka based  on  Hypothesis  Test  Results   is  rejected  and accepted  which  indicates  that  existence  the influence of the Project Based Learning Model is significant to results learning PPKN for students  Class IV of UPTD SD Negeri 122350 Pematangsiantar.

Application Of Picture Media In Writing Descriptive Texts Using The Problem Based Learning (PBL) Model For Grade IV Elementary School Students

Wirnita, Yuni Okta Afriani, Nirwansyah
Abstract: This research is motivated by the lack of descriptive text writing skills of students in high classes, namely grade IV of Elementary School. The purpose of the study was to describe the improvement of descriptive text writing… iting skills in learning Indonesian through the application of image media in using the problem based learning (PBL) model in grade IV of SDN 55 Air Pacah, Padang City. This type of research is Classroom Action Research (CAR). The research instruments used were teacher activity observation sheets, student activity observation sheets, and student writing skill assessment sheets. The percentage of teacher activity obtained in Cycle I was 80% and increased in Cycle II with a percentage of 92.5%. The average observation of student activities in Cycle I was 72.5% and increased in Cycle II with an average of 85%. The completion of student writing skill learning outcomes in Cycle I was 44% with an average learning outcome of 62, increasing to 84% in Cycle II with an average learning outcome of 78. Based on the results of this assessment, it can be concluded that the Problem Based Learning (PBL) model can improve students' descriptive text writing skills

Analysis Of The Relationship Between Company Culture And Employee Achievement Motivation At  PT. United Tractors Tbk

Nur Athirah Hadis, Nurfitriany Fakhri
Abstract: This research aims to determine the relationship between company culture and employee achievement motivation at PT United Tractors Tbk. This company is known for its good work culture, with the slogan "moving as one" and… solution-based company values. The success of this company was achieved with the support of employees who have high abilities, skills and motivation. This research uses qualitative methods with data collection techniques through observation, interviews and literature study. Data were analyzed using triangulation to ensure validity. The research results show that a strong and healthy company culture can increase employee achievement motivation. A company culture that is innovative, supportive and open to evaluation and attention to detail regarding employee needs, such as a safe and comfortable work environment, plays a role in creating creative, committed and motivated employees. PT United Tractors also shows that good company support, continuous employee training and development, as well as a fair and transparent performance appraisal system, can encourage employees to achieve higher achievements. These findings support the hypothesis that there is a positive relationship between corporate culture and employee achievement motivation, that the stronger the company culture, the higher the employee achievement motivation.

Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pre Operasi Terjadwal  Diruangan Imam Bonjol Rumah Sakit TK. 111 Dr. Reksodiwiryo Padang Tahun 2025

Narlis Maharani, Rebbi Permata Sari, Hidayatul Rahmi
Abstract: Meningkatnya tekanan darah pada pasien sebelum operasi disebabkan oleh gangguan psikologis, salah satunya adalah kecemasan. Kecemasan pada pasien pre operasi dapat meningkatkan tekanan darah. Tekanan darah yang meningkat… jika tidak diatasi dapat menyebabkan komplikasi selama dan setelah pembedahan. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pre Operasi Terjadwal Diruangan Imam Bonjol Rumah Sakit Tk. III dr. Reksodiwiryo Padang. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah 341 orang dengan jumlah sampel 77 orang. Teknik pengambilan sampel yaitu teknik proposive sampling. Instrumen yang digunakan kecemasan dengan Hamilton anxiety rating scale (HARS) dan untuk tekanan darah menggunakan Sphygmomanometer dengan menggunakan lembar observasi, kemudian dianalisis secara univariat dan bivariat dengan uji Chi-Square p-value ≤ 0,05. Hasil analisis univariat didapatkan data lebih dari separoh 50 (64.9%) responden mengalami peningkatan tekanan darah, dan 35 (45.5%) responden memiliki tingkat kecemasan sedang pada pasien pre operasi. Hasil uji Chi-Square menunjukkan hubungan yang signifikan antara tingkat kecemasan dengan peningkatan tekanan darah (p-value = 0,000). Hasil penelitian ini dapat disimpulkan Ada Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pre Operasi Terjadwal Diruangan Imam Bonjol Rumah Sakit Tk. III Dr. Reksodiwiryo Padang. Increased blood pressure in patients before surgery is caused by psychological disorders, one of which is anxiety. Anxiety in preoperative patients can increase blood pressure. Elevated blood pressure if left untreated can lead to complications during and after surgery. The purpose of this study is to determine the relationship between anxiety level and increased blood pressure in scheduled pre-surgery patients in the room of Imam Bonjol Hospital Tk. III dr. Reksodiwiryo Padang. This study is aquantitative research with a cross sectional design. The population in this study is 341 people with a sample of 77 people. The sampling technique is the proposive sampling technique. The instrument used anxiety with the Hamilton anxiety rating scale (HARS) and for blood pressure using a Sphygmomanometer using an observation sheet, then analyzed univariate and bivariate with the Chi-Square p-value test ≤ 0.05. The results of the univariate analysis obtained data from more than half of 50 (64.9%) respondents experienced an increase in blood pressure, and 35 (45.5%) respondents had moderate levels of anxiety in preoperative patients. The results of the Chi-Square test showed a significant association between anxiety levels and increased blood pressure (p-value = 0.000). The results of this study can be concluded that there is a relationship between anxiety level and increased blood pressure in scheduled pre-surgery patients in the Imam Bonjol room, Tk. III Dr. Reksodiwiryo Hospital Padang.

Studi Kasus Perencanaan Program Diet Dan Aktivitas Fisik Untuk Penderita Diabetes

Hafizah Anjeli Ramadhani, Jessy Ayu Angelia, Putri Fakhira Lubis, Febbry Zahro, Aulia Azahra Hafizh, Rizqy Aulia, Faliza Putri, Nurhidayah, Wulan Suci Ramadani, Debby Widytia, Adinda Naila Apsari, Muhammad Rafly, Khairunsyah, Dewi Agustina
Abstract: Diabetes mellitus merupakan penyakit kronis yang ditandai dengan peningkatan kadar gula darah akibat gangguan produksi atau kerja insulin. Penatalaksanaan diabetes tidak hanya bergantung pada terapi farmakologi, tetapi juga&#8230; uga dipengaruhi oleh pengaturan pola makan dan aktivitas fisik. Penelitian ini bertujuan untuk menganalisis perencanaan serta implementasi program diet dan aktivitas fisik pada penderita diabetes mellitus melalui pendekatan studi kasus. Metode penelitian menggunakan pendekatan deskriptif dengan desain studi kasus pada satu pasien diabetes mellitus tipe 2. Intervensi yang diberikan berupa pengaturan diet berbasis prinsip 3J (jumlah, jenis, dan jadwal makan) serta aktivitas fisik rutin. Hasil penelitian menunjukkan adanya penurunan kadar gula darah dari 245 mg/dL menjadi 165 mg/dL dalam waktu 4 minggu. Penurunan ini menunjukkan bahwa intervensi yang diberikan efektif dalam membantu pengendalian kadar gula darah serta meningkatkan kepatuhan pasien terhadap pola hidup sehat. Hypertension is one of the most common noninfectious diseases that affects the elderly. Hypertension is also a leading cause of serious complications such as stroke, heart failure, and kidney disease. Non-pharmacological approaches such as the Mindfulness-Based Stress Reduction (MBSR) method have been proven effective in lowering blood pressure by reducing stress and increasing self-awareness. This study aims to determine the effect of relaxation therapy with the MBSR method on reducing blood pressure among elderly patients with hypertension. This research employed a quantitative approach with a quasi-experimental design. The design used was a pre-test post-test design. The sample consisted of 30 elderly selected using purposive sampling based on inclusion and exclusion criteria. The study was conducted from April 14th to June 3rd, 2025. The intervention given was an MBSR treatment program for two months, eight sessions, including mindfulness meditation, breathing exercises, and relaxation techniques. Blood pressure measurements were taken before and after the intervention. The data were analyzed using the paired t-test. The results showed a significant decrease in systolic blood pressure of P< 0.000 and diastolic blood pressure with P < 0.011 after intervention. The average reduction in systolic blood pressure was 5.13 mmHg, and in diastolic blood pressure was 4.63 mmHg. These findings indicate that the MBSR therapy is effective in helping elderly individuals manage hypertension through stress reduction and enhanced self-awareness

Manajemen Fisioterapi Pada Kasus Cerebral Palsy Diplegia Spastik Di Ypac Prof. Dr. Soeharso Surakarta: Case Report

Cartika Volta Pradanov, Agus Widodo, Edy Waspada
Abstract: Cerebral Palsy (CP) adalah kondisi medis yang mempengaruhi kontrol otot. Cerebral berarti kedua bagian otak dan palsy berarti ketidakmampuan untuk bergerak secara tepat. Gangguan ini ditandai dengan perkembangan motorik&#8230; yang abnormal atau terlambat, seperti diplegi spastik, hemiplegi, atau tetraplegi, yang sering disertai dengan retardasi mental, kejang, atau ataksia. Beberapa terapi yang diberikan menggunakan myofascial release, strengthening exercise, core stability, dan mobilisasi. Beberapa terapi tersebut diberikan kepada An. MH berusia 16 tahun dengan keadaan cerebral palsy spastik tipe diplegia diberikan selama 4 kali terapi dapat disimpulkan bahwa adanya sedikit perubahan yang diharapkan terkait tonus pada otot dan kemampuan fungsional.

Laporan Kasus Dengan Masalah Gangguan Pola Tidur Pada Pasien Chronic Kidney Desease Di Ruang Dahlia Rsud Wates

Putri Wahyuningsih, Hamudi Prasestiyo
Abstract: Latar Belakang: Penyakit ginjal kronis (Chronnic Kidney Disease) merupakan penyakit gagal ginjal dimana terdapat penurunan fungsi ginjal yang ditandai dengan penurunan glomerulus filtration rate (GFR).Terapi yang sering&#8230; dilakukan oleh penderita CKD adalah dengan cara hemodialisis dan peritonealialisa. Tujuan :  memberikan gambaran penerapan intervensi dzikir pada pasien CKD dengan diagnosis keperawatan gangguan pola tidur di ruang Dahlia RSUD Wates. Metode: penelitian ini adalah penelitian studi kasus observasional yang mengeksplorasi masalah keperawatan terutama gangguan pola tidur. Teknik pengumpulan data yang digunakan berupa wawancara, dan observasi. Hasil:  Pengkajian Pada penapisan paliatif diperoleh skor 5 yaitu pasien tersebut perlu intervensi palliative. Dalam Edmonton Symptom Assessment System (ESAS) pasien mengalami tidak bisa tidur, pasien dengan depresi sedang. Didalam aktivitas fisik pada pasien terdapat skor karnofsky 50 % yaitu sering memerlukan bantuan, sering memerlukan perawatan medis. Dalam kebutuhan spiritualnya pasien CKD adalah 76 dimana merupakan spiritual sedang. Kesimpulan: pasien mengalami peningkatan kualitas tidur menggunakan Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI). setelah dilakukan intervensi dzikir yang ditandai dengan penurunan skor PSQI dari 17 menjadi 12 atau dari kategori berat menjadi kategori ringan kemudian pasien mampu tidur lebih cepat yang biasanya lebih dari jam 12 malam, setelah dilakukan intervensi dzikir pasien mampu tidur kurang dari jam 10 malam.

Hubungan Tingkat Pengetahuan Dan Motivasi Dengan Kepatuhan Minum Obat Anti Tuberkulosis Pada Penderita TB Paru Di Rumah Sakit An-Nisa Tangerang

Clara Aulia Rachmah, Adi Dwi Susanto, Imas Sartika
Abstract: Background: Pulmonary tuberculosis (pulmonary TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Mycobacterium tuberculosis is a bacterium that causes tuberculosis infection which is&#8230; transmitted by droplet splashes and becomes a vector of transmission when a person interacts physically. Objective: This study aims to determine the relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication at An-Nisa Hospital Tangerang. Methods: This study used descriptive analytic quantitative research with a cross sectional approach. The sampling technique used was purposive sampling method, where this technique selected subjects in a population that matched the criteria as a sample, namely pulmonary TB patients who were undergoing initial and advanced treatment at An-Nisa Hospital, Tangerang, totaling 102 respondents. Data analysis was performed using the chi-square test. Results: The results of the respondent's data processing showed that the level of knowledge with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.021), and motivation with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.027 ). Conclusion: It can be concluded that there is a relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication in patients with pulmonary TB. Therefore, to reduce the occurrence of drug-resistant TB, efforts should be made to increase adherence to treatment in TB patients, either through the method of providing direct motivation or through counseling about pulmonary TB disease.

The Effect Of Quiz-Based Interactive Media On Civic Education Learning Outcomes In Third Grade

Rolita Dolok Saribu, Janwar Tambunan, Emelda Thesalonika
Abstract: The purpose of this study was to determine the effect of quiziz-based interactive media on Civics learning outcomes in class III of UPTD SD Negeri 124392 Pematangsiantar. This study was quantitative with a one-group pretest-posttest&#8230; est-posttest design. The sample of this study was all students of class III of UPTD SD Negeri 124392 Pematangsiantar in the 2025/2026 academic year, totaling 25 people. The research instrument used in this study was a learning outcome test instrument, the data obtained were analyzed using statistical analysis techniques. Data from the initial conditions before the treatment was carried out until after the treatment was carried out showed an increase in student learning outcomes. Before the treatment, the average score was 68 and after the treatment, the average score was 84. It can be concluded that the student learning outcomes before the treatment were given were still not reaching the KKTP, namely 25 students (100%) and after the treatment, student learning outcomes increased, namely 26 students (100%) had scores above the KKTP. Based on the results of the hypothesis test with a significance level of 0.05 and a t table of 2.060, the calculated t is 11.238. Thus, t count > t table 11.238 > 2.060, it can be concluded that there is an influence of Quiziz-based interactive media on Civics learning outcomes in grade III at the UPTD of SD Negeri 124392 Pematangsiantar

Application Of Picture Media In Project-Based Learning To Improve Student Discipline And Activeness In PPKN Learning

Rezkya Annisaa, Muh Sharim Haqqani, Nadrah
Abstract: This classroom action research aims to improve students’ understanding of norms and rules in everyday life through the use of picture-based learning media in Grade II UPT SD Negeri 74 Bontorita II during the 2025/2026 academic&#8230; academic year. The study was conducted in two cycles consisting of planning, action, observation, and reflection. The participants were 22 students who were involved in learning activities using instructional pictures and number-pocket media to strengthen conceptual understanding. Data were collected through observation sheets, learning outcomes tests, and teacher reflections. The findings indicate a significant improvement in students’ learning outcomes and participation. Initial observations showed low understanding of norms and rules, reflected in students’ low discipline, responsibility, and adherence to class regulations. After the implementation of picture media in Cycle I, students’ average score increased from the pre-cycle score of 46.2% to 71.1%. In Cycle II, after using more varied and engaging visual media, students’ average score further improved to 79,36%, surpassing the minimum completeness criteria. The use of picture media was effective because it facilitated concrete understanding, increased motivation, and encouraged active engagement. The study concludes that picture-based media enhances students’ cognitive, affective, and behavioral competencies in learning. It is recommended that teachers integrate more innovative visual media to create meaningful, interactive, and enjoyable learning experiences in civics education and other subjects