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THE EFFECT OF THE BRAIN-BASED LEARNING (BBL) MODEL ON THE LEARNING OUTCOMES OF 5TH GRADE STUDENTS OF SD NEGERI 105288 SEI ROTAN

Silalahi, Alda Alviola, Manurung, Imelda Free Unita
Abstract: This research is motivated by the existence of problems in learning, especially in class V of SD Negeri 105288 Sei Rotan. Through the results of observations and interviews, it was found that the results of students' science&#8230; ence learning are classified as low. In addition, student participation is low and passive. The purpose of this study is to determine the effect of the application of the Brain Based Learning (BBL) learning model on the results of science learning of class V students of SD Neri 105288 Sei Rotan. The type of research used is quantitative research with a nonequivalent control group design. The population in this study were class V students of SD Negeri 105288 Sei Rotan with a sample of class VA totaling 24 people as the experimental class and VB totaling 24 people as the control class. Based on the results of the study, the average pretest score of students was 52.33 in the experimental class before being given treatment. After treatment using the BBL learning model, the results of the posttest score of students were 71.25. Furthermore, a t-test was conducted which showed the results of the Sig. value. (2 tailed) 0.000 < 0.05, then H0 is rejected and Ha is accepted. These results indicate that there is a significant influence of the application of the Brain Based Learning (BBL) learning model on the science learning outcomes of fifth grade students of SD Negeri 105288 Sei Rotan.

DIFFERENCE IN URIC ACID TEST RESULTS USING PLAIN AND CLOT ACTIVATOR VACUTAINER TUBES

Permana, Anak Agung Gede Denny Dwi, Cahyani, Anak Agung Ayu Eka, Yanti, Ni Luh Gede Puspita
Abstract: Laboratory examinations play an important role in supporting disease diagnosis and treatment, one of which is the measurement of uric acid levels. The accuracy of laboratory results is significantly influenced by the pre-analytical&#8230; -analytical stage, including the type of blood collection tube used. Two commonly used tubes are the plain vacutainer and the clot activator vacutainer, each with different additives that may affect blood clotting time and test results. This study aimed to determine the differences in uric acid test results and clotting time using these two types of tubes. A simple experimental method with a comparative design was conducted at Klinik Pratama Rawat Jalan Mambal Medical Care from March to April 2025. The sample consisted of 15 respondents, each undergoing two blood draws using both tube types. The results showed that the average clotting time for the clot activator tube was 9.27 minutes, while for the plain tube it was 24.67 minutes. The average uric acid level measured using the clot activator tube was 5.27 mg/dL, compared to 5.14 mg/dL using the plain tube. Statistical analysis using the Wilcoxon signed-rank test indicated a significant difference in clotting time but no significant difference in uric acid levels (p > 0.05). It can be concluded that the use of clot activator vacutainer tubes accelerates the blood clotting process but does not significantly affect uric acid levels compared to plain tubes.

ANALYSIS OF ENERGY EFFICIENCY PERFORMANCE USING THE MEMBERSHIP FUNCTION (MF) METHOD IN A FUZZY LOGIC CONTROL SYSTEM FOR RESIDENTIAL SPLIT AIR CONDITIONERS (AC)

Susilo, Susilo, Lalay, Ario Azadi
Abstract: A fuzzy logic-based control system in household split-type air conditioners (AC) offers an alternative approach to reducing excess energy consumption without compromising thermal comfort. This study aims to test the effectiveness&#8230; ctiveness of three types of membership functions (MF), namely triangular, trapezoidal, and Gaussian, in improving energy efficiency and the stability of room temperature and humidity control. Simulations were performed using MATLAB software with the Mamdani fuzzy inference method and centroid defuzzification technique. The three MF were tested using 30 sets of temperature and humidity data to analyze their effect on fan speed and power consumption. The simulation results show that the trapezoidal MF provides the highest energy efficiency of 57.24%, followed by the Gaussian MF at 56.80% and the triangular MF at 53.71%. These findings indicate that fuzzy systems can significantly reduce energy consumption compared to conventional air conditioner controllers. This research is expected to serve as a reference in the development of more energy-efficient intelligent control systems.

ANALYSIS OF THE DEVELOPMENT POTENTIAL OF BABURAI WATERFALL TOURISM OBJECT IN PADANG PARIAMAN REGENCY

Pratama, Aldi Aditio, Osronita, Hary Febrianto, Nina Ismayani, Yudas Sabaggalet, Desi Eka Putri, Andri Yanto
Abstract: Baburai Waterfall, located in Padang Pariaman Regency, is one of the tourist attractions with tourism potential; however, in reality, this tourist attraction has not maximized the existing potential. This study aims to (1)&#8230; 1) describe the tourism potential of Baburai Waterfall in Padang Pariaman Regency and (2) formulate strategies for the development of the tourism potential of Baburai Waterfall in Padang Pariaman Regency. This research uses a qualitative type with a descriptive approach to detail and interpret the data. The results of the research conducted through field observation, interviews, and questionnaires found that there is a lack of good coordination among managers, local government, and tourism departments, leading to limited accessibility to the waterfall, a lack of human resource development, and insufficient promotion regarding the Baburai Waterfall tourist attraction. The analytical technique used is the SWOT method to determine the sustainable development strategy for Kulukubuk waterfall tourism. Based on the results of the SWOT analysis, it is concluded that the development strategy for the Baburai waterfall tourism potential includes building cooperation with the government and the tourism office, improving accessibility, and enhancing the human resources of the Baburai waterfall tourism managers.

THE RELATIONSHIP BETWEEN KNOWLEDGE, ANXIETY LEVEL, AND FAMILY SUPPORT WITH EXCLUSIVE BREASTFEEDING IN THE COMMUNITY HEALTH CENTER PAUH WORK AREA

Dian Furwasyih, Hardiana, Novi, Novria Hesti, Sunesni, Devi Syarief
Abstract: Exclusive breastfeeding in West Sumatra is 74.16%. However, this percentage is still low from the target of the Indonesian Ministry of Health, which is 80%. The purpose of this study is to determine the relationship between&#8230; een family support, knowledge and maternal anxiety levels with exclusive breastfeeding in the Pauh Health Center Working Area in 2024. The type of research is an analytical survey with a cross-sectional approach. The population is all mothers who have babies aged 6-12 months in the Pauh Health Center Working Area with a sample size of 40 respondents. The sample uses total sampling. The research period is February-July. The data collection technique using a questionnaire was analyzed using the Chi Square Test. The results of mothers who provide exclusive breastfeeding were 29 respondents (72.5%), 11 respondents (27.5) did not. The level of knowledge was good 16 respondents (40.0%), sufficient knowledge 12 respondents (30.0%) and less knowledge 12 respondents (30%). Not anxious 21 respondents (52.5%), mild moderate 12 respondents (32.5%) and severe-very severe 6 respondents (15%). Good family support for 22 respondents (55.0%) and poor support for 18 respondents (45%). There is a relationship between maternal knowledge and exclusive breastfeeding, p-value: 0.009 (<α: 0.05), there is no relationship between anxiety and exclusive breastfeeding with p-value: 0.288 there is no relationship between family support and exclusive breastfeeding (>α: 0.05) p-value: 0.377 (p>0.05). The conclusion is that there is a relationship between knowledge and exclusive breastfeeding, the level of anxiety and family support there is no relationship between exclusive breastfeeding. It is hoped that the importance of health workers to provide counseling regarding exclusive breastfeeding to mothers and families at the posyandu in Pisang sub-district, Pauh Health Center Working Area.

OVERVIEW OF THE PERCENTAGE OF ACCURACY IN CODING PNEUMONIA DIAGNOSES BASED ON ICD-10 ACCORDING TO PNPK 2023 AT THE UDAYANA TYPE II HOSPITAL IN DENPASAR CITY

Sang Gede Ary Yoga Pratama, Nurul Faidah, I Gusti Agung Ngurah Putra Pradnyantara
Abstract: The accuracy of disease diagnosis coding is an important indicator in the management of medical records and health service claims. This study aims to determine the percentage of accuracy in coding pneumonia diagnoses based&#8230; ed on ICD-10 according to the 2023 National Medical Practice Guidelines (PNPK) at Udayana Hospital II in Denpasar. The research method used was quantitative descriptive with a total sampling approach of 72 medical records of pneumonia patients during the period from October 1, 2024, to December 31, 2024. The research instrument was a checklist for assessing the accuracy of diagnosis codes based on the provisions of ICD-10 and PNPK Pneumonia 2023. The results showed that 51 files (70.8%) were coded accurately, while 21 files (29.2%) were coded inaccurately. The inaccuracy in coding was due to a lack of supporting tests, such as microbiological tests, as well as the excessive workload of the coders. These findings indicate the need for an analysis of coders' workload to measure the effectiveness and efficiency of their tasks, time management, and priorities. This study is expected to serve as evaluation material to improve the quality of service and efficiency of hospital administration.

HEALTH LITERACY ACROSS THREE DOMAINS AND SOCIO-DEMOGRAPHIC DETERMINANTS IN A NON-COMMUNICABLE DISEASE POPULATION IN EASTERN BOLAANG MONGONDOW DISTRICT: A CROSS SECTIONAL STUDY

Langingi, Ake Royke Calvin, Watung, Grace Ireine Viodyta, Wowor, Meylani Dewi, Pagayang, Zefania Ireyne, Rasu, Stella
Abstract: This study aimed to obtain information about socio-demographic factors associated with HL of NCD patients in East Bolaang Mongondow Regency. The method used was quantitative method with cross sectional study design with&#8230; a total sample of 383 NCD patients (purposive sampling) with stratified sampling technique. Data were collected using questionnaires both socio and demographics and HL of NCD patients. The results of this study were [education (p=0.023, OR=2.711); gender (p=0.017, OR=2.001); language (p=0.001, OR=1.013); age (p=0.020, OR=2.968); employment status (p=0.001, OR=1.248); residence (p=0.012, OR=2.068); personal health condition (p=0.031, OR=5.840); access to health information (p=0.020, OR=2.968). In the logistic regression test, the personal health condition factor was most associated with HL of NCD patients (p=0.010, OR=5.840). In conclusion, the study showed that socio-demographic factors (education, gender, language, age, employment status, residence, personal health condition and access to health information simultaneously or partially influenced the HL of patients with NCDs. The most dominant factor associated with HL of patients with NCDs was personal health conditions. The role of health workers provides many sources of information to develop and learn solutions and support for people with various types of NCDs.

ASSOCIATION BETWEEN INHALED CORTICOSTEROIDS AND OSTEOPOROSIS: A REVIEW

Nurfadilasari, Ulfa Mustofa, Liberitera, Sternatami
Abstract: Inhaled corticosteroids (ICS) are commonly prescribed to manage asthma and chronic obstructive pulmonary disease (COPD) due to their local anti-inflammatory effects in the airways. However, prolonged or high-dose ICS use&#8230; has been associated with systemic adverse effects, including decreased bone mineral density (BMD) and increased risk of osteoporosis. This review aimed to examine the association between ICS use and the risk of osteoporosis or fractures, and to identify modifying factors such as dose, duration, patient age, sex, and type of corticosteroid used. Literature review was conducted using databases including PubMed, Scopus, and Web of Science. Articles were selected using specific inclusion and exclusion criteria. The review focused on original studies published up to March 2025, resulting in 28 relevant articles, of which 6–8 high-quality studies were analyzed in depth. Most studies demonstrated that long-term or high-dose ICS use is associated with decreased BMD and increased risk of fractures, especially in elderly COPD patients. The greatest risk was linked to fluticasone and budesonide at doses ≥500 µg/day. Some studies found neutral or even protective effects in specific subgroups, indicating population-dependent variability. Meta-analyses revealed conflicting results due to heterogeneity in populations and methodologies. High-dose and long-term ICS use may increase the risk of osteoporosis. Clinicians should consider individualized risk assessments and adopt strategies such as using the lowest effective dose, monitoring BMD, and providing calcium and vitamin D supplementation in at-risk populations.

JUSTICE IN GOVERNMENT POLICIES WITHIN THE FRAMEWORK OF PANCASILA

Jamal , Ode, Hadi, Ade Sopyan
Abstract: The problem of inequality in Indonesia remains a growing issue. With a population of over 270 million, inequality remains an unresolved challenge. This study aims to further explore the concept of Justice in Government Policy&#8230; olicy within the Pancasila Framework. The research method used in this study is a qualitative approach, while the type of research used is a literature study. The results of this study indicate that the principle of justice within the context of Pancasila has been implemented by various government agencies such as the Ministry of Education and Culture, the Ministry of Religious Affairs, the Ministry of Transportation, Gadjah Mada University, and the BPJS Kesehatan (Social Security Agency for Health). This principle of justice is implemented through attention to disabilities, the principle of mutual cooperation within BPJS Kesehatan, and the existence of affirmative action programs to obtain educational scholarships for people living in the outermost, outermost, and remote areas. The conclusion of this study is that the principle of justice within the context of Pancasila has been implemented.

WHEN WEIGHT DETERMINES CHILDBIRTH CHOICES: A DESCRIPTIVE STUDY OF OBESE PREGNANT WOMEN AT REGIONAL HOSPITAL DR. H. ABDUL MOELOEK OF LAMPUNG

Juwita Desri Ayu, Sugiarto
Abstract: Obesity in mothers is a major worldwide health issue that significantly raises the need for obstetric procedures, especially cesarean sections. Numerous difficulties for both mothers and newborns have been linked to elevated&#8230; ated pre-pregnancy and gestational body mass indexes (BMI). The purpose of this study is to characterize the distribution of delivery methods among pregnant women who are obese at Dr. H. Abdul Moeloek Regional Hospital in Lampung Province, Indonesia. Total sampling was used to perform a quantitative, descriptive retrospective analysis. 58 pregnant women with a BMI of 30 kg/m² or above who gave birth between 2017 and 2023 were included. SPSS version 27.0 was utilized for data analysis. Findings out of the 58 instances that could be analyzed, 69.0% of obese pregnant women gave delivery via cesarean section, 27.6% gave birth spontaneous vaginally, and 3.4% had a vacuum induction. The majority (31.0%) were between the ages of 35 and 39, and 77.6% were multiparous. The type of delivery was found to be strongly influenced by maternal age, parity, and obesity. Being obese greatly raises the risk of having a cesarean section, especially for older and multiparous women. Reducing needless cesarean rates and improving mother and newborn outcomes may be possible with early treatments such as lifestyle modification education, prenatal counseling, and BMI-based risk assessment.