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Chronic diseases such as chronic kidney disease (CKD), diabetes, and heart disease remain major causes of mortality worldwide, highlighting the need for accurate and interpretable diagnostic models. However, conventional machine learning methods often face challenges of limited generalization, feature redundancy, and class imbalance in medical datasets. This study proposes an integrated classification framework that unifies three complementary feature paradigms: classical tabular attributes, deep latent features extracted through an unsupervised Long Short-Term Memory (LSTM) encoder, and quantum-inspired features derived from a five-qubit circuit implemented in PennyLane. These heterogeneous features are fused using a feature-wise attention mechanism combined with an AdaBoost classifier to dynamically weight feature contributions and enhance decision boundaries. Experiments were conducted on three benchmark medical datasets—CKD, early-stage diabetes, and heart disease—under both balanced and imbalanced configurations using stratified five-fold cross-validation. All preprocessing and feature extraction steps were carefully isolated within each fold to ensure fair evaluation. The proposed hybrid model consistently outperformed conventional and ensemble baselines, achieving peak accuracies of 99.75% (CKD), 96.73% (diabetes), and 91.40% (heart disease) with corresponding ROC AUCs up to 1.00. Ablation analyses confirmed that attention-based fusion substantially improved both accuracy and recall, particularly under imbalanced conditions, while SMOTE contributed minimally once feature-level optimization was applied. Overall, the attention-guided AdaBoost framework provides a robust and interpretable approach for clinical risk prediction, demonstrating that integrating diverse quantum, deep, and classical representations can significantly enhance feature discriminability and model reliability in structured medical data.

This Community Service Programme was implemented to address the issues faced by Bank Sampah Anggrek's partners in Bendogerit Village, Blitar City. The main problems faced by the partners included limited variety of recycled products, simple waste processing techniques, and ineffective marketing strategies. Activities include socialisation, strengthening local partnerships, recycling training, and digital marketing assistance. As a result, members of the Waste Bank were able to create three new products: plant pots made from orange peels, carnival costumes made from fabric and plastic waste, and ecobrick furniture, and establish collaborations with two local businesses. The constraints of the Community Service Programme activities included limited production facilities, inconsistent participant attendance, low digital literacy, and competition with traditional waste collectors. This programme demonstrates that a waste bank-based sociopreneurship model can have economic, social, and environmental impacts while supporting sustainable waste management strategies. The programme was also successful due to its participatory approach, which actively involved Anggrek Waste Bank members in every step. Participants not only gained new information, but also acquired practical skills that can be used in the processing and marketing of recycled goods. This community service programme greatly helps to raise awareness of the importance of community-based circular economy. While reducing negative impacts on the environment, the sociopreneurship model can boost the community's economy. Bank Sampah Anggrek has the potential to develop into a centre for sustainable waste management innovation at the neighbourhood level by strengthening local capacity and opening up opportunities for cross-sector collaboration.

The use of plastic as planting containers remains a serious environmental issue due to its non-biodegradable nature, which can contaminate soil and water. One solution is to utilize rice straw waste as a raw material for biodegradable pots. This innovation can reduce dependence on plastic pots while providing ecological and economic benefits. Rice straw-based pots offer several advantages, including easy decomposition in soil, enhancing soil fertility, and reducing pollution caused by straw burning. This study aims to utilize rice straw waste to produce environmentally friendly biodegradable pots as an alternative to plastic containers. The method employed is Participatory Action Research (PAR), emphasizing collaboration between students and teachers through hands-on learning. The activities include socialization, practical training on making rice straw pots, participatory evaluation, and the use of the pots as planting media. The results showed that 100% of participants successfully produced high-quality rice straw pots, with positive responses reflected in high satisfaction and increased understanding of recycling concepts. The rice straw pots decompose within 2–3 months, add organic matter to the soil, and create opportunities for a circular economy. The main challenge identified is the relatively short durability of the pots, requiring innovations using natural adhesives or material combinations to enhance resilience. These findings reinforce the potential of rice straw as a solution for agricultural waste management and community empowerment toward sustainable agriculture.

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) can be a measure of a country's welfare in determining the optimal degree of health. The maternal mortality rate in the world is 303 thousand people (WHO 2023). MMR in Indonesia was 4,129 people in 2023. Meanwhile, the Infant Mortality Rate (IMR) in the world is 29,945 people (WHO, 2023). In Indonesia, there were 16.85 infant mortality rates in 2023. SEZ is a nutritional deficiency in pregnant women that lasts for several months or years. SEZ conditions can indirectly cause MMR and IMR. SEZ in pregnant women can cause complications such as IUGR, Abortion, LBW, Circulation, Anemia, Bleeding, and Childbirth complications. Research Objective: Providing Comprehensive Midwifery Care in accordance with midwifery care standards starting from pregnancy, childbirth, postpartum, newborn, and family planning in Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) and Chepalo Pelvic Disproportion (CPD) with a midwifery management approach according to Varney and SOAP. Research Methods: Descriptive Qualitative with Case Study approach Results: Comprehensive Midwifery Care on Mrs. A aged 22 years with SEZ can be overcome by an increase in LILA, there is a CPD so that SC delivery is performed and appropriate case management is carried out so that labor, newborn, postpartum period, and family planning goes well. Conclusion: The results of the comprehensive care given to Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) can be resolved marked by an increase in LILA, SC delivery on indications of CPD, normal LBW, normal postpartum, and mini pill birth control.

Hand measurements are known to provide a good estimate of a person's height, which is particularly useful in the process of identifying human remains that are dismembered or separated due to various circumstances. Such conditions often occur during mass disasters, murders, airplane crashes, train collisions, and highway accidents. In forensic anthropology, hand length is one of the body measurements that can help estimate height when complete body parts are not available. This study aims to examine the relationship between hand length and height specifically in individuals from the Jambi Malay tribe, one of the ethnic groups in Indonesia. The research design used is analytic with a cross-sectional approach. The type of data used is primary data, obtained directly from 56 respondents belonging to the Jambi Malay tribe, both male and female. Statistical analysis showed that all independent variables — the length of the right and left hands, both in men and women, as well as without gender distinction — had a significant relationship with height. This is indicated by a P-value < 0.05 (P = 0.001). These results suggest that hand length can be a reliable predictor of height in this ethnic group. The study also highlights the importance of conducting further research involving other body parts and ethnic groups to support broader forensic identification efforts.

This research endeavors to scrutinize how keen students are on learning Islamic Religious Education (PAI) at SMKS Muhammadiyah 9 Medan. The impetus for this investigation arises from the noticeable lack of enthusiasm among students when they attend PAI lessons. These lessons are frequently seen as uninteresting, lacking variety, and less stimulating when compared to the vocational subjects they are studying. These circumstances create difficulties for PAI instructors, who must establish a learning environment that not only delivers content but also cultivates real motivation and a genuine passion in the students. A qualitative descriptive method was used for this study, and information was gathered through classroom observations, conversations with instructors and students, and surveys to gain insights into students' views on their educational experiences. The information was analyzed to pinpoint the internal and external elements that affect learning interest. The results show that the students' level of interest in learning is somewhere between moderate and low. Personal drive, study routines, and students' mental preparation are examples of internal variables, whereas teaching strategies, the use of educational resources, and the backing of the school setting and family are examples of external variables. The research emphasizes the necessity for teaching strategies that are relevant, diverse, engaging, and more in line with the requirements of the students, based on these findings. It is hoped that learning PAI will not only improve cognitive comprehension but will also raise awareness of the significance of Islamic principles in daily life.

In an era of increasingly open and developing information, the image of state institutions is a reflection of a government and can affect public trust. Therefore, LAN RI Public Relations carries out Digital Public Relations activities using social media so that LAN RI can maintain its image in the eyes of the public. The purpose of this research is to describe Regina Luttrel's SOME theory in the activity of using social media in maintaining the image of the institution. The theory used in this research is the SOME theory which has the dimensions of Share, Optimize, Manage, and Engange (Regina Luttrell). This research also uses image theory which consists of Perception, Cognition, and Motive dimensions (Walter Lippmann). This study concludes that LAN Public Relations in the Concept of The Circular Model of SOME implements Share by utilizing various social media platforms. Content is organized through a curation process that is tailored to the institution's guidelines to create relevant and informative communication. Through Optimize, the effectiveness of message delivery is measured based on data analytics with strategies that consider platform algorithms. In the Manage stage, LAN's PR team monitors and analyzes emerging issues, ensuring a quick response to sensitive issues. Engage efforts are demonstrated through surveys, quizzes, discussion forums, and employee personal branding efforts that strengthen public engagement while building trust.

This research aims to analyze the relevance of applying restorative justice in resolving counterfeiting cases committed by children, by examining the normative, juridical, and practical aspects within Indonesia’s juvenile criminal justice system. The background of this study arises from the dilemma between protecting the rights of children as offenders and the state’s obligation to maintain economic stability and public trust in the national currency. The research method employed is juridical-descriptive with a normative approach,. The implementation of restorative justice can still safeguard public interests, provided it involves relevant institutions such as Bank Indonesia and produces measurable recovery agreements. Thus, restorative justice serves as an alternative approach that balances child protection and legal certainty, while also contributing to the prevention of counterfeit money circulation in society.

The Hazard and Operability (HAZOP) methodology is a qualitative risk analysis technique commonly used to detect potential work hazards. CV. Suryadi Sentosa, also known as Bapak Suryadi's Home Tempe Industry, is a home-based business that produces tempeh. Almost all of the production procedures are still carried out manually, and occupational accident analysis measures have not been implemented. The factory conditions indicate inadequate lighting and ventilation, as well as relatively slippery floors. It is also observed that the industry workers do not pay much attention to their posture, and they do not use personal protective equipment (PPE). This research was conducted directly at the CV. Suryadi Sentosa Tempe Factory, using interviews and observations of seven workers involved in the production process. The steps taken in this study are compiling the sequence of the production process. By using a Hazard and Operability (HAZOP) worksheet, identify potential risks, conduct risk control analysis, monitor and evaluate, implement improvements, and draw conclusions. The analysis found 9 stages of tempeh production at Mr. Suryadi's facility. Several improvements are needed, including involving several workers to handle soybean processing, creating ventilation to provide good and healthy air circulation for workers, adding lighting as a light source so that workers can perform their tasks comfortably, and using ergonomic chairs and work tables to prevent fatigue and increase factory productivity.

Post-Cesarean Section (C-Section) patients commonly experience pain caused by surgical incisions in the abdominal area. Unmanaged pain may hinder mobility, interfere with breastfeeding, reduce comfort, and negatively affect maternal psychological well-being. Non-pharmacological pain management is considered an alternative to reduce dependence on analgesics. Foot massage has been proven to improve blood circulation, stimulate endorphin release, and reduce pain intensity, while Qur’anic recitation therapy (murottal) provides psychological and spiritual relaxation that helps decrease pain perception. This study aims to examine the effect of combining foot massage and murottal therapy on pain levels in post-C-section patients at Wijaya Kusuma ward, Limpung General Hospital. The benefit of this study is expected to provide a reference for nursing practice, particularly in implementing holistic non-pharmacological interventions to enhance patient comfort. This research employed a case study design with a nursing care approach involving four post-C-section patients. Interventions included a scheduled combination of foot massage and murottal therapy. Pain levels were measured using the Numeric Rating Scale (NRS). Data were analyzed descriptively by comparing pain levels before and after intervention. The results showed a reduction in pain intensity from moderate to mild after the combination intervention. Patients also reported increased comfort, improved rest, and reduced anxiety. In conclusion, the combination of foot massage and murottal therapy effectively reduces pain in post-C-section patients. This intervention can be recommended as a non-pharmacological method in nursing care for post-C-section patients.

Hypertension is a condition in which systolic blood pressure exceeds 140 mmHg and diastolic pressure exceeds 90 mmHg persistently. Uncontrolled high blood pressure can cause disorders in the circulatory system and vital organs such as the heart and brain. One non-pharmacological effort to lower blood pressure in hypertensive patients is through deep breathing relaxation exercises, performed twice a day for ten minutes. RSU Siaga Medika Purbalingga, located in Padamara District, has recorded the highest number of hypertension cases in the area, totaling 4,470 patients. Based on a preliminary survey, many hypertensive patients were unaware of the benefits of deep breathing relaxation therapy; therefore, a Community Service (PkM) activity was conducted in the hospital’s Internal Medicine Clinic. The method involved educational sessions using lectures and demonstrations, supported by leaflets and videos. Participants’ knowledge was evaluated using pretest and posttest questionnaires. The results showed that most respondents were female (60%) and aged between 46–55 years (40%). Knowledge levels significantly improved, from the “low” category (40%) before education to the “good” category (90%) after education. Thus, deep breathing relaxation therapy has the potential to be an effective alternative method to help reduce blood pressure in patients with hypertension.

Sleep disorders in the elderly are a problem that can affect overall health. The lighting factor during sleep is thought to influence sleep quality through inhibiting melatonin production and disrupting circadian rhythms. This research used a cross-sectional design with a total sampling of 44 elderly respondents in Sidodadi Village, Banyuwangi. The independent variable is lighting (bright, dim, dark), while the dependent variable is sleep quality. Data analysis was carried out using the chi-square test. Most respondents slept in darkness (52.4%), and the majority had good sleep quality (83.3%). However, the results of the chi-square test showed that there was no significant relationship between lighting and sleep quality (p-value = 0.066).  This research concludes that lighting does not have a statistically significant relationship with the sleep quality of the elderly in Sidodadi Village. Further research is needed to consider other variables that may influence sleep quality in older adults.

Blood transfusion is a critical medical procedure that requires the blood to be at a temperature close to normal human body temperature, approximately 36– 38°C. Transfusing cold blood can lead to serious complications such as hypothermia, coagulation disorders, and even cardiac arrest. Therefore, a reliable and automated blood warming device is essential to ensure safe transfusions. This study aims to design and modify a Blood Warmer Thawing device based on the Arduino Uno microcontroller as an innovative and cost- effective solution, particularly for healthcare facilities with limited resources. The system integrates a DS18B20 temperature sensor to monitor the temperature of the heating medium in real time, with data displayed on a 20x4 I2C LCD. Users can set the desired temperature via a 4x4 keypad, and the system automatically adjusts the heater performance based on the detected temperature. To enhance safety and operational efficiency, the device is also equipped with a buzzer as a warning indicator when the temperature exceeds the safe threshold, and utilizes a DC motor and cooling fan to maintain proper heat circulation. Test results indicate that the device is capable of maintaining the liquid temperature within the ideal range for blood transfusions, with high stability and fast response to temperature changes. This innovation offers a practical, affordable, and easy-to-implement solution to support effective and safe blood transfusion procedures in various healthcare settings.

An electrostimulator is a medical device designed to deliver controlled electrical stimulation to nerves and muscles, supporting rehabilitation and therapy for patients with neuromuscular disorders. This study focuses on designing and developing a portable electrostimulator that offers three distinct waveform modes: continuous wave, discontinuous wave, and dense-disperse wave, providing versatility for different therapeutic needs. The device is powered and controlled by an Arduino Mega 2560 microcontroller, coupled with a Nextion touchscreen LCD interface that allows users to adjust waveform type, frequency, and stimulation intensity with ease. Waveforms are generated through an NE555 IC circuit, with amplitude adjusted via a potentiometer and subsequently amplified using a step-up transformer to achieve therapeutic voltage levels. Functionality and performance tests were conducted using an oscilloscope, and the device was benchmarked against a commercial KWD-808 electrostimulator. Results demonstrate that the developed electrostimulator reliably produces the intended waveforms, achieving peak voltages up to 32V and frequencies ranging from 33.3 Hz to 66.6 Hz, confirming its effectiveness and feasibility for non-clinical nerve and muscle therapy applications.

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

The reliability of power distribution systems is a crucial factor in ensuring stable electricity supply for industrial, commercial, and household users. Conventional protection systems often face limitations in terms of real-time monitoring, remote control, and adaptive responses to fault conditions, which can result in longer outage durations and higher operational costs. This research aims to develop a smart protection system for power distribution using Internet of Things (IoT) technology to enhance system reliability. The proposed method integrates IoT-enabled sensors, microcontrollers, and communication modules to monitor critical parameters such as voltage, current, and frequency in real time. Data are transmitted to a cloud-based platform for analysis and decision-making, enabling rapid detection of abnormalities and remote tripping of circuit breakers. The prototype was tested under various fault scenarios, including short circuits and overloads, and demonstrated faster response times compared to conventional systems. Results show that the IoT-based protection system improved fault detection accuracy, reduced downtime, and provided predictive maintenance insights through data analytics. The synthesis of these findings highlights that integrating IoT into protection mechanisms not only increases operational reliability but also supports the transition toward smart grids. In conclusion, the developed system proves effective in addressing the limitations of traditional protection systems by offering real-time monitoring, automation, and enhanced decision-making for modern power distribution networks.

The use of buck converters as DC step-down voltage regulators is increasingly important in various power electronics applications. However, the quality of the output voltage is often disturbed by the presence of ripple, which is influenced by variations in the duty cycle. This study aims to analyze the effect of duty cycle variations on the output voltage and ripple of a buck converter using MATLAB/Simulink simulation. The method used is quantitative simulation by varying the duty cycle from 10% to 90% in a buck converter circuit with fixed parameters: input voltage 30 V, switching frequency 40 kHz, inductor 176.25 μH, and capacitor 44.33 μF. The simulation results show that the output voltage is proportional to the duty cycle, increasing from 3.245 V at D=10% to 26.82 V at D=90%. The highest ripple occurred at D=40% with a value of 0.07 V, while the lowest ripple was at D=50% with a value of 0.0003 V. These findings indicate the existence of an optimal operating point where the system works most stably. This study provides practical guidance in designing efficient and stable buck converters for applications such as battery charging and renewable energy systems.

This study aims to analyze the patterns of interpersonal communication between teachers and students in an effort to enhance learning motivation at MAN 1 Bogor. The background of this research is the declining enthusiasm for learning among students, which potentially affects the overall quality of education. A decrease in learning motivation is often influenced by both internal and external factors, one of which is the quality of communication between teachers and students in the classroom. Using a descriptive qualitative approach, this study involved in-depth interviews with three key informants consisting of two teachers and one student, selected through purposive sampling to obtain relevant and comprehensive information. The findings indicate that openness, empathy, support, and equality demonstrated by teachers are able to foster positive emotional relationships and encourage students’ active participation. One-way, two-way, and circular communication patterns were found to play an important role in creating more effective and meaningful learning interactions. The study concludes that the success of the educational process is not only determined by curriculum and teaching methods but also by the quality of interpersonal communication between teachers and students as a fundamental basis for sustainable learning motivation.

Criminal liability in modern law is built on the assumption that every individual is a rational and autonomous moral agent. However, neuroscientific evidence suggests that structural disruption of the amygdala and prefrontal cortex significantly impairs the capacity to judge actions ethically. This study aims to analyze the influence of neurological disorders on an individual's moral capacity and to formulate legal parameters for assessing criminal liability based on actual capacity. The research method employed normative legal research with a conceptual approach. The results indicate that perpetrators with dysfunction in the amygdala-PFC circuit experience a degradation of moral capacity that weakens the basis for the formation of mens rea in a substantive sense and falls outside the reach of legal systems that still rely on a model of responsibility based on the assumption of universal free will. The criminal legal system, in its current form, lacks a precise evaluative mechanism to distinguish between perpetrators with impaired moral control and those acting deliberatively. In this situation, the construction of criminal liability cannot be standardized, and reformulation of evaluation instruments is necessary to avoid sentencing bias against individuals with structural impairments in ethical capacity.

Introduction: Back pain during pregnancy is a problem that is often experienced by pregnant women and is complex because it involves not only physical changes, but also psychological aspects. Changes in body biomechanics, weight gain, and shifting of the center of gravity due to uterine enlargement are the main factors that trigger pain complaints, especially in the lower back area. This condition can have a negative impact on the quality of life of pregnant women, interfere with daily activities, and even worsen emotional states due to the emergence of anxiety, fear, and stress if not managed properly. Treatment of back pain in pregnant women can be done through safe non-pharmacological methods, one of which is prenatal yoga. Yoga practice for pregnant women has been proven to provide benefits in the form of relaxation, posture improvement, and increased muscle elasticity. One of the effective movements is the Angry Cat Pose because it is able to stretch the back muscles, improve blood circulation, and reduce pressure on the lower spine. Objective: This study aims to analyze the effect  of Angry Cat Pose  exercise on the intensity of back pain in pregnant women in the third trimester. Methods: This study used a quasi-experimental design with a one group pretest-posttest design. The study sample consisted of 31 pregnant women in the third trimester with complaints of back pain who visited the Gunungpati Health Center. The research instrument was in the form of a questionnaire, while the data analysis was carried out using the Wilcoxon test with a significance level of <0.05. Results: The results showed a significant effect of the Angry Cat Pose  exercise on the reduction of back pain in pregnant women in the third trimester with p=0.000. After the intervention, the majority of respondents experienced a decrease in pain to the mild category on a scale of 1–3. Conclusion: The Angry Cat Pose  exercise has been shown to be effective in reducing back pain in third trimester pregnant women, so it can be recommended as a safe, simple, and routine nonpharmacological intervention under the supervision of health workers.