Micro, Small, and Medium Enterprises (MSMEs) are one of the sectors that have an important role in supporting Indonesia's national economy. Its contribution is enormous to the Gross Domestic Product (GDP), job creation, and increased innovation, especially in the face of global economic challenges and social inequality. This research aims to examine in depth the role of MSMEs in encouraging Indonesia's economic growth and identify various challenges faced by this sector. The method used in this study is library research, by analyzing various sources of scientific literature, policy reports, and relevant empirical data related to the role of MSMEs. The results of the study show that MSMEs not only contribute to increasing national GDP, but also become the main driving force in providing jobs for the community, especially in rural and suburban areas. In addition, MSMEs are also an important means in the development of local innovation, especially in the use of simple technology that is in accordance with community conditions. However, MSMEs also face a number of serious challenges that can hinder their contribution to economic growth. These challenges include limited access to digital payment systems, low quality of human resources (HR), weak marketing networks, and limited capital and technology. Thus, to increase the role of MSMEs in national economic development, synergy is needed between the government, the private sector, and financial institutions in providing comprehensive and sustainable support. The support includes training on human resource capacity building, access to capital, digital transformation, and strengthening the business ecosystem. This research is expected to contribute to the development of policies that favor the empowerment of MSMEs in Indonesia.

This research investigates the underlying factors that shape the interest of students from the 2024 cohort in enrolling in the Bachelor of Mechanical Engineering Education Program at the Faculty of Engineering, Universitas Negeri Padang. Utilizing a descriptive quantitative methodology, data were gathered through a structured, closed-ended questionnaire administered to the entire cohort, which consisted of 89 students. The analysis reveals that the overall level of student interest is categorized as high, with a notable percentage of 55%. Several key variables were identified as influential: (1) self-awareness factors encompassing physical capabilities, intellectual aptitude, intrinsic motivation, and innate talent were rated in the very high category at 56%; (2) familial influences such as the provision of information, emotional support, and parenting styles also ranked very high at 46%; (3) school-related elements including the accessibility of school information systems, teacher roles, peer dynamics, and hands on learning experiences were classified in the high category with 44%; and (4) social media engagement specifically the frequency of use and the quality of educational content was likewise in the high category, scoring 48%. These findings underscore the multifaceted nature of student decision-making, with self-awareness emerging as the most prominent determinant in shaping academic program choices. The study highlights the need for educational institutions to consider these interrelated dimensions when developing recruitment strategies and academic guidance frameworks.

This study aims to describe the effectiveness and efficiency of the management of School Operational Assistance (BOS) funds at SMAN 2 Sidrap. BOS funds are a government program aimed at supporting the financing of school operational needs at the elementary and secondary education levels. This program is expected to improve access and quality of education, but its implementation is still faced with various obstacles such as delays in disbursement of funds, lack of transparency, and a suboptimal reporting system. This study uses a qualitative descriptive approach, with data collection techniques through in-depth interviews, field observations, and documentation studies. Informants in this study consisted of the principal, treasurer, teachers, and BOS fund management staff. The results of the study indicate that in general the management of BOS funds at SMAN 2 Sidrap has been running quite effectively and efficiently. Effectiveness is reflected in the use of funds that contribute to improving the quality of educational services, such as the procurement of learning facilities and the implementation of extracurricular programs. Efficiency is seen in the use of funds that refer to the priority scale of school needs. However, obstacles are still found such as delays in disbursement of funds from the central government that impact the smooth implementation of school activities, and financial reporting that has not been fully documented systematically and periodically. This research provides an important overview of the real conditions of BOS fund management in schools and is expected to provide input for related parties in order to improve the education financial governance system to make it more transparent, accountable, and sustainable.

Although attention to patient-centered services continues to increase, unfortunately, in-depth research on the standardization and adaptation of patient satisfaction measurement instruments in the context of healthcare facilities remains limited. Many studies have focused on general satisfaction levels but have lack depth in capturing dimensions such as emotional engagement, cultural expectations, and service delivery across diverse health systems. The purpose of this discussion is to determine appropriate methods for measuring patient service satisfaction in the health sector. Method: This study employed a systematic literature review approach to identify, analyze, and synthesize existing research related to methods for measuring patient service satisfaction in health services. The review process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to ensure methodological transparency and rigor. The results: showed that tools such as the SERVQUAL, HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), and PSQ-18 (Patient Satisfaction Questionnaire Short Form) often failed to capture culturally specific expectations and emotional dimensions of patient experience Conclusion: The importance of using appropriate methods to measure patient service satisfaction in the health sector lies in selecting tools that align with the context and objectives of the measuring the satisfaction includes SERVQUAL, HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), and PSQ-18 (Patient Satisfaction Questionnaire Short Form).

Chemotherapy is a primary treatment modality for cancer, but it often results in adverse effects such as anemia due to decreased hemoglobin levels. Factors including age, chemotherapy frequency, and nutritional status may influence hemoglobin levels, particularly in rural areas with limited healthcare resources. To examine the relationship between age, chemotherapy frequency, and nutritional status and hemoglobin levels among cancer patients undergoing chemotherapy in a rural setting. This cross-sectional, correlational study involved 154 cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember, from July to September 2024. Data were collected through patient interviews, the Mini Nutritional Assessment (MNA), and hemoglobin test results. Bivariate analysis using Spearman’s rank correlation was conducted to assess associations among variables. The majority of participants were aged 46–55 years (42.8%), had received 1–3 chemotherapy cycles (57.1%), and were at risk of malnutrition (45.5%). A significant association was found between age (p = 0.009, r = 0.191) and nutritional status (p = 0.014, r = 0.178) and hemoglobin levels. No significant association was found between chemotherapy frequency and hemoglobin levels (p = 0.60). Age and nutritional status are significantly associated with hemoglobin levels in cancer patients undergoing chemotherapy, while chemotherapy frequency is not. These findings highlight the need for individualized care and nutritional interventions, particularly for elderly patients in rural areas, to mitigate the risk of Chemotherapy-Induced Anemia

Hypertension is a medical condition experienced by a person which is described by an increase in blood pressure above normal values which can cause an increase in morbidity and mortality. Complementary medicine is considered more efficacious, one of which is Al-Qur'an murotal therapy and wet cupping therapy. This study aims to find out the effect of qur’anic recitation and wet cupping therapy on blood pressure in hypertensive patients. This study used a true experimental design with a pre-test and post-test randomized control group approach, involving two groups. The intervention group was given murotal therapy for 15 minutes and cupping for 30 minutes. The control group was only given cupping therapy. The sampling technique used was simple random sampling, and the data were analyzed using repeated measures ANOVA. The results of the between-group analysis in the intervention group showed a significant reduction in both systolic (p = 0.000) and diastolic (p = 0.000) blood pressure. These findings indicate that the combination of murottal Al-Qur'an therapy and wet cupping therapy is effective in lowering blood pressure in patients with hypertension.

To improve service quality, hospitals in Indonesia are required to undergo accreditation organized by SNARS. This process demands systematic documentation of patient care and service data. However, many documents are often not reported or recorded properly, which necessitates an effective management system. The Accreditation Documentation Management System (ADMS) is an IT-based tool designed to manage accreditation documents efficiently and is operated daily by the designated Person in Charge (PIC). At Pelita Insani Hospital, the use of ADMS for data reporting remains suboptimal due to several influencing factors. The purpose of this research was to examine the factors that influence the obedience of PIC at Pelita Insani Hospital. This research used cross sectional design. Population were all of the PIC at Pelita Insani Hospital, 150 persons. The sample were collected by proportional random sampling. The total sample of this research were 130 respondents. The dependent variable was the obedience. The data were collected by questionnaire and observation. The data were analized using multiple linear regression with significance level p 0,05. The result showed that there were influence between knowledge (p = 0,000), motivation (p = 0,000) and workload (p=0,043) toward the obedience of  PIC to report data with Accreditation Document Management System however, facilities did not significantly influence the compliance of the Person in Charge (PIC) in reporting using the Accreditation Documentation Management System (p = 0.902). It can be conclude that there were significant effect of knowledge, motivation and workload toward the obedience of  PIC to report the data with Accreditation Document Management System Based on these findings, hospital management is advised to enhance PICs’ knowledge, motivation, and manage their workload to improve compliance in ADMS reporting. Additionally, upgrading facilities and infrastructure may also support better reporting outcomes.

Abstract. This study aims to improve the reading literacy of grade X students of MA Sabilal Muhtadin in the Fiqh subject through the application of interactive learning media based on Canva and how to apply it. The method used is Classroom Action Research (CAR) with a two-cycle model that includes planning, implementation, observation, and reflection. The results of the study show that the use of Canva increases students' active participation and understanding of fiqh material, especially in the chapters of Milkiyah and Buying and Selling. Data were obtained through observation, questionnaires, interviews, and documentation. Important findings show an increase in the average reading literacy of students from the category of "less improved" in cycle I (79%) to "very improved" in cycle II (93%). The conclusion of this study is that Canva media can effectively be used as a creative solution to improve reading literacy, creating a more interesting learning atmosphere.

Abstract. The increasing demand for eco-friendly and recyclable materials has driven the development of natural fiber-based composite materials. This study aims to analyze the effect of volume fraction variation on the mechanical properties of hybrid composites made from coconut coir fiber and banana stem fiber with an epoxy matrix. The research employed an experimental method with variations of fiber volume fractions at 40%, 30%, and 20%, and mechanical testing including tensile, bending, and impact tests based on ASTM standards. The results showed that the highest tensile strength was achieved by the composite with a 60% matrix and 40% fiber volume fraction, reaching 21.16 MPa. Meanwhile, the highest bending strength and impact resistance were obtained by the composite with an 80% matrix and 20% fiber volume fraction, at 49.46 MPa and 0.00837 Joule/mm², respectively. Increasing the fiber content tends to enhance tensile strength but reduces bending strength and impact resistance due to uneven resin distribution and the formation of voids. This hybrid composite has potential as an environmentally friendly material alternative with competitive mechanical properties.

Abstract. This research was conducted at PT. Yamatogomu Indonesia with a focus on the I49 Injection machine that experienced high downtime. The objective of the research was to analyze the causes of machine failure and design an appropriate maintenance strategy. The method used was Reliability Centered Maintenance (RCM) supported by Failure Mode and Effect Analysis (FMEA) and Logic Tree Analysis (LTA). The FMEA results identified five main failure modes with a total Risk Priority Number (RPN) value of 702. The top three modes, namely no heat or excessive heat, no vacuum motor pressure gauge indicator, and compound puller motor malfunction, contributed 76% of the total risk. Based on LTA, all failure modes were classified as evident and did not have a direct impact on safety, but could disrupt operations. The maintenance strategies implemented consisted of Condition Directed (CD), Time Directed (TD), and Failure Finding (FF), with the majority of actions (60%) being CD. These results can be the basis for developing a more effective maintenance schedule to minimize downtime and increase production efficiency.