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Showing 622 articles found for "Direct"

Terapi Antikejang Tunggal dan Kombinasi pada Epilepsi Anak: Literature Review

Ramadhani, Sabila, Perdani, Roro Rukmi Windi, Damayanti, Putri, Oktarlina, Rasmi Zakiah
Abstract: Epilepsi anak membutuhkan tata laksana farmakologis jangka panjang yang bertujuan menurunkan frekuensi kejang dengan efek samping seminimal mungkin. Terapi antikejang tunggal umumnya dipilih sebagai strategi awal karena… regimen lebih sederhana, evaluasi respons lebih jelas, dan risiko interaksi obat lebih rendah. Namun, sebagian anak tetap mengalami kejang meskipun telah mendapat terapi awal yang adekuat, sehingga terapi kombinasi diperlukan pada kasus tertentu. Tinjauan literatur ini bertujuan menganalisis peran terapi antikejang tunggal dan kombinasi pada epilepsi anak, khususnya terkait frekuensi kejang, keamanan, kepatuhan, dan kualitas hidup. Metode disusun menggunakan kerangka PICO dan alur seleksi berbasis PRISMA. Penelusuran literatur dilakukan melalui PubMed, ScienceDirect, Google Scholar, Cochrane Library, dan laman pedoman klinis resmi untuk publikasi tahun 2021-2026. Sebanyak 14 artikel dan dokumen pedoman memenuhi kriteria kelayakan dan disintesis secara naratif. Hasil kajian menunjukkan bahwa terapi antikejang tunggal tetap rasional sebagai pendekatan lini awal, sedangkan terapi kombinasi lebih tepat dipahami sebagai eskalasi terapi pada anak dengan kontrol kejang belum optimal. Perbedaan frekuensi kejang antara kedua kelompok terapi harus ditafsirkan dengan mempertimbangkan tipe kejang, etiologi, durasi penyakit, kepatuhan, komorbiditas, riwayat kegagalan terapi, dan derajat keparahan awal.

Implementasi Peraturan Menteri Dalam Negeri Nomor 72 Tahun 2022 di Kabupaten Merauke

Berlianna Priscilla Fangohoy, Jalal, Nur, Samel W Ririhena
Abstract: This study provides an overview of the implementation of the Regulation of the Minister of Home Affairs Number 72 of 2022 in Merauke Regency. The purpose of this study is to analyze and comprehensively describe the implementation… mentation of the Regulation of the Minister of Home Affairs Number 72 of 2022 in Merauke Regency and to identify the factors inhibiting its implementation in the region. This study applies Edward C. III’s policy implementation theory and uses a qualitative research approach through in-depth interviews with 16 informants to explore their meanings, perceptions, and understandings. A semi-structured interview approach was employed to enable the researcher to obtain flexible yet focused data, as stated by Prof. Dr. Lexy J. Moleong (2014). The study utilized an interactive data analysis technique consisting of data collection, data reduction, data presentation, and conclusion drawing. The results of this study indicate that the implementation of the Digital Population Identity (IKD) policy in Merauke Regency has been carried out in accordance with directives from the central government through a tiered and continuous communication mechanism. However, its implementation has not yet been optimal at the regional level. The main obstacles include limited socialization, low understanding and acceptance of the policy among implementers, the absence of specific Standard Operating Procedures (SOPs) for IKD, and the lack of motivation, commitment, and integrity of human resources, ICT infrastructure, and budgetary support. In addition, the social, economic, cultural, and geographical conditions of the community also hinder the utilization of IKD, resulting in its limited use and the continued dominance of physical population documents. The findings of this study emphasize the need to strengthen communication aspects, resources, implementers’ commitment, and policy adjustments to local conditions in order to achieve the objectives of the IKD policy effectively and equitably.

Leadership Style Enhancing Work Motivation of Civil Servant at General Bureau of the Regional Secretariat of South Papua Province

Jois S Doom, Fitriani, Fitriani, Yohanis Endes Teturan
Abstract: This study examines the role of leadership style in enhancing the work motivation of Civil Servants (Aparatur Sipil Negara/ASN) at the General Bureau of the Regional Secretariat of South Papua Province. The study is theoretically… retically grounded in Amirullah’s (2017) leadership framework, which emphasizes leader–member relations, task structure, and position power, and Sariani’s (2020) motivation theory, focusing on educational background, personal expectations, and job satisfaction. A qualitative descriptive approach was employed to capture in-depth perspectives on leadership practices and motivational dynamics within a newly established provincial government organization. Data were collected through observations, in-depth interviews, and document analysis. A total of 22 informants, comprising senior officials, section heads, and staff members, were purposively selected based on their institutional roles and direct involvement in organizational processes. The findings indicate that leadership style significantly influences employees’ work motivation. Effective leadership is reflected in open and transparent communication, participatory decision-making, clear task delegation, consistent supervision, and fair recognition of employee performance. Moreover, job satisfaction, clarity of work roles, coordination across organizational units, availability of work facilities, and opportunities for capacity building emerged as critical supporting factors in sustaining motivation. The study concludes that a communicative, participative, and supportive leadership style is essential for strengthening work motivation and improving organizational effectiveness in public sector institutions, particularly within developing regional government contexts.

Evaluasi Sistem Pemungutan dan Penerimaan Pajak Bumi dan Bangunan Pada Badan Pendapatan Daerah Kabupaten Merauke

Hesty Tambajong, Maryani Febry Mengko, Syahrabudin Husein Enala, Hubertus Oja
Abstract: The aim of this research is to evaluate the PBB P2 acceptance procedures at the Merauke Regency Bapenda based on the government's internal control system policy.  The type of research used is qualitative research with a… descriptive approach and data obtained through interviews and documentation. The results of the research show that internal control at the Regional Revenue Agency of Merauke Regency in the procedures for receiving Rural and Urban Land and Building Tax is implemented well because there are several components that are optimal, namely in the control environment where the registration, data collection and functional human resources are there so that there are multiple tasks. , risk assessment where the Merauke Regency Bapenda is still carrying out passive data collection due to a lack of functional assessors, and a lack of monitoring of PBB P2 collection which has not fully carried out direct monitoring of taxpayers so that there are still many taxpayers who have not carried out their obligations in paying PBB P2. In other cases, officers have not implemented the SOP in implementing the PBB P2 collection system. It cannot be denied that this is very important for tax officers and taxpayers to follow in order to ensure that the PBB collection process runs smoothly and transparently in accordance with the provisions of the applicable laws and regulations.

Penerapan e-Government di Merauke: Studi Kasus Sistem Pelayanan Publik Berbasis Teknologi Informasi

Enala, Syahrabudin Husein, Vinsenco R. Serano
Abstract: This study aims to analyze the implementation of e-Government in enhancing technology-based public services in Merauke Regency. The primary focus of this research is to identify the challenges and benefits derived from implementing… mplementing the e-Government system across various local government agencies. The benefit of this research lies in providing recommendations for local governments to improve efficiency, transparency, and accountability in public services through the utilization of information technology. The research problem addressed is how the implementation of e-Government in Merauke Regency can improve the quality of public services and what obstacles are encountered during its implementation. The research employs a qualitative approach with a case study design, where data is collected through interviews with local government officials, direct observations in several agencies implementing e-Government, and document analysis related to policies and system implementation. The findings indicate that while the implementation of e-Government in Merauke has improved the accessibility and efficiency of public services, several challenges remain, including inadequate technological infrastructure, limited human resource capacity, and low levels of digital literacy among the population. However, positive outcomes were also noted, such as the reduction of bureaucracy, acceleration of service processes, and increased transparency in public administration management. This study recommends that the Merauke government strengthen technological infrastructure, provide continuous training for government officials, and raise public awareness regarding the importance of utilizing digital systems.   Keywords: e-Government, public services, information technology  

Peran BUMDes Dalam Mendukung SDGs di Desa Sindangsari Kecamatan Cikoneng Kabupaten Ciamis

Firdaus, Muhamad Ilham, Garis, Regi Refian, Anwar, Asep Nurdin Rosihan
Abstract: Sustainable Development Goals (SDGs) is the government's effort to reduce poverty and improve community welfare. One way to achieve this goal is through the development of Village-Owned Enterprises (BUMDes). BUMDes is a… tool to improve the economy and welfare of village communities. The aim of this research is to determine the role of Village-Owned Enterprises in supporting the achievement of the objectives of the Sustainable Development Goals program in Sindangsari Village, Cikoneng District, Ciamis Regency. The method used in this research is descriptive qualitative method. Data was obtained in this research through observation, documentation and interviews with 11 informants, namely the village head, village secretary, BPD chairman, BUMDes director, BUMDes secretary, BUMDes supervisor, and 5 community leaders. The results of the research show that two of the five role indicators according to Siagian have not worked optimally, including the role as a pioneer and as an implementer himself. So it can be concluded that the role of BUMDes Bhinekasari Mandiri in supporting the Sustainable Development Goals (SDGs) has not gone well.   Keywords: Sustainable Development Goals; BUMDes; Role

Pengaruh Penggunaan Gadged Terhadap Perilaku Sosial Anak Usia Dini di Dusun Seran, Desa Rumbuk Timur, Kecamatan Sakra Tahun 2023

Vera Santina Br. Sembiring, Restu Monika Nia Betaubun, Suratni, Suratni
Abstract: This study aims to determine the effect of Gadget use on the social behaviour of early childhood in Seran Hamlet, East Rumbuk Village, Sakra District in 2023. Research data were collected through questionnaires given to… parents or guardians of early childhood living in Seran Hamlet. The research method used is a quantitative approach with direct data collection. The research sample consisted of 28 early childhood. Data collection techniques include observation, questionnaires, and documentation. Data analysis was conducted using the simple regression method to evaluate the relationship between the independent variable, namely Gadget Use, and the dependent variable, namely Early Childhood Behaviour. The results showed that there is a correlation and influence between the use of Gadgets and early childhood behaviour, with a correlation coefficient that exceeds the alpha (5%) significance level, namely 0.45> 0.05. Based on the analysis conducted, the results showed that the use of Gadgets has a negative relationship with early childhood behaviour, with a significance level of -91.289. Therefore, it can be concluded that the use of Gadgets has a negative impact on early childhood behaviour in Seran Hamlet. Keywords: Early childhood, Gadged use, Social behaviour

Peran Pemuda dalam Mendukung E-Government di Era Pemerintahan Berbasis Digital 5.0

Umiyati Haris, Syahrabudin Husein Enala, Syahruddin, Nurjalal
Abstract: This research examines the role of youth in supporting e-government in the era of digital-based government 5.0, highlighting how the younger generation can be the main agent in the digital transformation of government. In… n this context, youth not only act as users of technology, but also as developers of innovations that support the efficiency, transparency, and responsiveness of public services. Secondary data collected through document searches of literature, journal articles, government reports, and other official documents form the basis of this research analysis. The descriptive-analytical qualitative method is used to describe and criticise various aspects of the role of youth in e-government. Case studies such as "LAPOR!" and "Qlue," as well as hackathon initiatives, show how youth directly contribute to the development of digital solutions. In addition, their participation in e-participation platforms such as "Musrenbang Online" shows active engagement in technology-based decision-making processes. Youth also play a role in digital literacy campaigns, helping less tech-savvy communities to utilise e-government services. Involvement in advocacy and research further underlines the potential of youth as a source of innovative ideas and solutions. The results of this study confirm that the contribution of youth in supporting e-government is significant and covers various aspects, from technology development, participation in policy processes, to education and advocacy. Thus, youth are the main key in accelerating the digital transformation of government, ensuring that technology can be maximally utilised to improve the quality of public services and meet the needs of society in the digital era 5.0. Keywords: Youth, E-Government, Digital 5.0, Digital Transformation

Pengaruh Kepemimpinan Kepala Sekolah dan Beban Kerja Guru terhadap Kinerja Guru di SMKN 1 Puloampel

Ramdan, Sakti Andayani, Fuad Abdul Baqi, Andriani Sariwardani
Abstract: Vocational education requires teachers with optimal performance in order to produce graduates who are competent and prepared to face the demands of the workforce. Teacher performance is influenced by various factors, including… luding principal leadership and teacher workload, both of which are directly related to the implementation of instructional duties and school administration. This study focuses on the influence of principal leadership on teacher performance, the influence of teacher workload on teacher performance, and the simultaneous influence of both variables on teacher performance at SMKN 1 Puloampel. The study employed a quantitative method with a descriptive survey approach involving 55 teachers selected through a total sampling technique. Data were collected through observation and questionnaire distribution using a Likert scale and were subsequently analyzed using the t-test and F-test with the assistance of IBM SPSS Statistics 24.0. The findings revealed that principal leadership did not have a positive and significant effect on teacher performance, whereas teacher workload had a positive and significant effect on teacher performance. Simultaneous testing further indicated that principal leadership and teacher workload collectively did not exert a significant effect on teacher performance. These findings demonstrate that teacher performance is more strongly influenced by internal factors such as professional competence, work motivation, teaching experience, and task management abilities. The novelty of this study lies in the finding that a proportionally organized teacher workload is capable of enhancing teachers’ discipline, responsibility, and work effectiveness, while principal leadership has not yet demonstrated a significant influence on teacher performance within the vocational school environment. This study contributes to the development of vocational education management through the strengthening of teacher professionalism and balanced workload management.

Pengaruh Permainan Tradisional Galah Asin terhadap Peningkatan Kelincahan Siswa Kelas V SD

Liondi Pranklin Sitanggang, Janwar Frihasan Sinuraya, Aser Paul Nainggolan
Abstract: The low level of agility among elementary school students has become an important issue in Physical Education, Sports, and Health (PJOK) learning, particularly due to the limited variation in instructional methods and the&#8230; e decline in students’ physical activity in the digital era. This condition causes students to be less physically active, resulting in underdeveloped abilities in changing direction, body coordination, and movement balance. This study aimed to determine the effect of the traditional Galah Asin game on improving the agility of fifth-grade students at SD Swasta Advent Barusjulu. The research employed a quantitative approach using a quasi-experimental method with a One-Group Pretest–Posttest Design. The research sample consisted of 37 students selected through the total sampling technique. Data were collected using a 4x10 meter shuttle run test to measure students’ agility levels before and after the treatment. The findings revealed that the average pretest score of 25.63 seconds decreased to 22.41 seconds in the posttest, indicating an improvement difference of 3.22 seconds. The paired sample t-test results showed that the calculated t-value of 9.87 was greater than the t-table value of 2.045 with a significance level of p < 0.000, indicating that the traditional Galah Asin game had a significant effect on improving students’ agility. The game was proven to enhance agility skills, active participation, learning motivation, and students’ social interaction during PJOK learning activities. The novelty of this study lies in the utilization of the traditional Galah Asin game as a local culture-based PJOK learning strategy that not only improves students’ agility but also supports cultural preservation and strengthens elementary school students’ physical activity in the modern era.