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Plastic waste has become one of the main environmental problems due to its nature, which is difficult to decompose naturally and can cause environmental pollution. One alternative waste treatment method that can be applied is to use a plastic melter to melt and recycle plastic waste into useful products. However, the design of plastic melters often lacks consideration of structural strength and safety aspects during the operation process. This study aims to design and engineer a plastic melter using the Finite Element Analysis (FEA) simulation approach to analyze structural resistance to thermal and mechanical loads that occur during the operation process. The research method was carried out through 3D design modeling of plastic melter components using Solidworks software, followed by analysis with FEA simulation on the main component, namely the melting tube. The parameters analyzed include the distribution of von Mises stress, the amount of displacement, and the safety factor. The analysis results show that the analyzed components experience von Mises stress distribution and displacement that are still below the material tolerance limits, with safety factor values above the recommended safety limits. Thus, the resulting plastic melter design is declared safe and can proceed to the manufacturing process. Therefore, the plastic melter design is safe, strong, and feasible to be realized as an effective and sustainable plastic waste processing technology solution.

Generalized pustular psoriasis (GPP) is a severe inflammatory form of psoriasis characterized by widespread sterile pustular eruptions. Pro-inflammatory mediators released during chronic inflammation may contribute to comorbidities, including type 2 diabetes mellitus (T2DM). A 65-year-old woman presented with pustular eruptions over almost the entire body for seven days, accompanied by burning sensation and pruritus. Some pustules coalesced forming “lakes of pus,” while others appeared as erythematous plaques with coarse white scales. The patient had a history of T2DM. Based on clinical findings, the patient was diagnosed with GPP. She was hospitalized for seven days and followed up weekly until week 10. Inflammatory mediators such as Th-1, TNF-α, IL-6, IL-7, IL-8, IL-17, and IL-23 in psoriasis may inhibit insulin receptor signaling and glucose uptake, leading to insulin resistance and increased blood glucose levels. The duration of treatment until remission in psoriasis patients with T2DM tends to be longer than in non-diabetic patients. In patients with comorbidities, low-dose methotrexate (5–7.5 mg/week) was administered. The coexistence of GPP and T2DM may lead to more severe exacerbations, prolonged treatment duration, and reduced quality of life, posing challenges in management.

HIV/AIDS is still a global health problem that impacts not only the physical condition, but also the social and emotional aspects of people living with HIV/AIDS (PLWHA), such as stigma, discrimination, anxiety and social pressure which can reduce the comfort of life. Social support plays an important role in helping PLWHA adapt to the disease, increasing treatment compliance, and maintaining a sense of comfort. This research aims to analyze the relationship between social support and comfort for PLWHA in the Semarang City Peer Support Group (KDS). The research used a quantitative approach with a correlational design through a survey method of 74 PLWHA who were actively undergoing treatment, using an accidental sampling technique. The research instruments included a social support questionnaire and a comfort questionnaire, while data analysis was carried out using the Spearman Rank correlation test. The results of the study showed that there was a significant positive relationship between social support and comfort in PLWHA (r = 0.394; p = 0.001), which indicated that the higher the social support received, the better the level of comfort felt. These findings emphasize the important role of social support as part of a holistic nursing approach, so that nurses and health workers are expected to be able to integrate social support-based interventions in an effort to increase the comfort of PLWHA.

Clean water quality is an important factor in supporting public health. In Kaliwader Village, Bener District, Purworejo Regency, drilled well water is used as the main source of clean water, however, based on initial testing, discrepancies were still found in several water quality parameters, particularly turbidity. The Community Service Lecture (KPM) activity of the Al-Qur'an Science University (UNSIQ) aims to improve the quality of drilled well water through the implementation of a water filtration system combined with a venturi aerator and providing education to the community about clean water management. The method used is a descriptive method with an observational approach, including water sampling, laboratory testing at the Regional Health Laboratory UPT, and the implementation of a Malang sand-based filtration unit with venturi aeration. The test results showed that the water turbidity level before treatment reached 8 NTU, exceeding the established quality standards. After the implementation of the filtration system and venturi aerator, the physical quality of the water improved, marked by a decrease in turbidity and an increase in water clarity. Chemical and microbiological parameters were generally within safe limits according to the Regulation of the Minister of Health of the Republic of Indonesia Number 2 of 2023. This activity demonstrated that the application of simple technology by UNSIQ KPM students can play an effective role in improving the quality of drilled well water and supporting the provision of more adequate clean water for the people of Kaliwader Village.

Background: Fatigue is a common complaint experienced by patients with pulmonary tuberculosis during the course of treatment and may negatively affect physical functioning, psychological well-being, and overall quality of life. Inflammatory processes, side effects of anti-tuberculosis medications, and psychological factors are believed to contribute to the development of fatigue. Therefore, non-pharmacological interventions are needed as complementary therapies to help reduce fatigue levels in patients with pulmonary tuberculosis. Objective: This study aimed to determine the effect of a combination of aromatherapy and Benson relaxation therapy on fatigue levels in patients with pulmonary tuberculosis. Methods: This study employed a quasi-experimental design with a one-group pre-test and post-test approach. The sample consisted of 18 respondents selected using accidental sampling. Fatigue levels were measured using the Fatigue Assessment Scale (FAS). Data were analyzed using the Wilcoxon test because the data were not normally distributed. Results: The results showed a reduction in fatigue levels among patients with pulmonary tuberculosis after receiving the combination of aromatherapy and Benson relaxation therapy. Statistical analysis indicated a significant difference in fatigue levels before and after the intervention, with a p-value of 0.000 (p < 0.05). Conclusion:The combination of aromatherapy and Benson relaxation therapy had a significant effect on reducing fatigue levels in patients with pulmonary tuberculosis. This intervention may be recommended as a complementary therapy in nursing care for patients with pulmonary tuberculosis.

Stroke is one of the non-communicable diseases that is the leading cause of disability and death in the world. Clinical factors such as hypertension, diabetes mellitus, body mass index (BMI), and unhealthy lifestyle are known to contribute to the incidence of stroke. Oe-Cusse Referral Hospital serves as the main referral center in the treatment of stroke cases, but data on contributing clinical factors and medical treatment and rehabilitation strategies are still limited. This study aims to analyze the clinical factors that contribute to the incidence of stroke and describe medical treatment and rehabilitation strategies in stroke patients at Oe-Cusse Referral Hospital.This study is a quantitative study with a cross-sectional observational design. The research sample amounted to 50 stroke patients who were treated in the January-November 2025 period, selected using purposive sampling techniques. Data were collected through medical records and questionnaires related to medical treatment and rehabilitation. Data analysis was carried out using the SPSS program, including descriptive analysis and logistic regression to see the relationship between clinical factors (hypertension, diabetes mellitus, lifestyle, BMI, and other factors) and stroke incidence. The results of the descriptive analysis showed that the average age of stroke patients was 56.2 ± 9.8 years, with an age range of 39–78 years. The average BMI of the patient was 27.5 ± 3.1 kg/m² which indicates a tendency to be overweight. The average systolic blood pressure of the patient was 150 ± 18 mmHg, indicating the predominance of hypertension in stroke patients. The average length of rehabilitation lasted 6.3 ± 1.8 weeks. Logistic regression analysis showed a significant relationship between clinical factors, especially hypertension, BMI, and diabetes mellitus, and stroke incidence. Clinical factors such as hypertension, high BMI, and diabetes mellitus contribute significantly to the incidence of stroke at Oe-Cusse Referral Hospital.

Japanese kale (Brassica oleracea) is a leafy vegetable with high nutritional and economic value and strong potential for development through intensive cultivation systems, including polybag-based cultivation. Fertilization is an important factor determining plant growth success. This study aimed to analyze differences in the effects of cattle-manure compost fertilizer and NPK Mutiara fertilizer on the vegetative growth of Japanese kale, as well as to evaluate their roles in maintaining growing media fertility. The research employed a quantitative experimental approach using a single-factor Completely Randomized Design (CRD), namely fertilizer type. Treatments consisted of cattle-manure compost fertilizer and NPK Mutiara fertilizer, each with twelve replications, resulting in twenty-four experimental units. Observed parameters included plant height, leaf width, and growing media pH. The results showed that NPK Mutiara fertilizer produced better plant height and leaf width than compost fertilizer, particularly during the vegetative phase. This advantage was associated with the rapid availability of macronutrients such as nitrogen, phosphorus, and potassium for plant uptake. Meanwhile, cattle-manure compost fertilizer contributed to stabilizing growing media pH and improving soil physical and biological conditions. pH values in both treatments remained within the optimal range and did not limit plant growth. Therefore, NPK Mutiara fertilizer is more effective for short-term vegetative growth enhancement, whereas compost fertilizer supports sustainable growing media fertility.

Tuberculosis (TB) is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis. Primary infection occurs upon first exposure to bacillary tuberculosis, which often occurs in childhood, hence the term "childhood TB." The diagnosis of TB is usually made through a history that includes complaints of persistent cough, weight loss, fever, and weakness, along with a chest X-ray that shows typical abnormalities of pulmonary TB. In this case, a 21-month-old girl presented with a worsening, persistent cough accompanied by weight loss. The patient's mother reported that her child frequently had fevers and appeared weak. After a physical examination and supporting tests, the patient was diagnosed with TB. The patient was given pharmacological therapy in the form of anti-tuberculosis drugs (OAT), and parents were educated about the importance of adherence to TB treatment as prescribed by the doctor. Furthermore, providing a balanced, nutritious diet is recommended to support successful treatment.

This study investigates biomass-derived surface engineering of AISI 1020 steel for electromedical applications using galam wood charcoal and chicken bone waste as carburizing media. Surface modification is required to improve the mechanical performance of low-carbon steel, particularly in applications that demand high wear resistance and long-term durability. A pack carburizing approach was applied using various ratios of biomass-derived media at a treatment temperature of 800 °C for 2 hours. Chemical composition was analyzed using Optical Emission Spectroscopy (OES), surface hardness was evaluated using Micro Vickers hardness testing, and microstructural characteristics were observed using optical microscopy. The results show a significant increase in surface carbon content with increasing fractions of chicken bone powder, indicating its effectiveness as a carbon donor and diffusion promoter. The surface hardness increased from approximately 150 HV in the untreated condition to a maximum of about 860 HV in the treated specimen. Microstructural observations revealed the formation of a distinct carburized layer with increasing thickness and uniformity, consistent with enhanced carbon diffusion and surface strengthening. These findings demonstrate that biomass-derived surface engineering provides an effective and sustainable approach for improving the surface properties of low-carbon steel. The proposed method offers strong potential for environmentally friendly manufacturing of durable and reliable electromedical components.

This study aims to provide learning for hair dressing beginners in performing smoothing treatments on sensitive hair. The technique of using Hair Mask plays an important role in creating the illusion of firm eye folds, thus giving the impression of larger and more expressive eyes. This study uses an experimental method with a quantitative approach involving 4 models with sensitive and damaged hair to be assessed by 16 AKS Ibu Kartini Makeup students. The results of the study showed that the use of Hair Masks on sensitive hair is very necessary to coat the hair pigment before being exposed to smoothing cosmetics. These results can be proven that the success of student practice using Hair Masks is worth (X2) 31% compared to before using Hair Masks (X1) with an average value of 55%. It turns out that this technique is more effective and efficient in increasing success in smoothing because it reduces the risk of hair breakage. (p-value = 0.014). From this study it can be concluded that the use of Hair Masks on smoothing sensitive/damaged hair. This lesson makes a fairly good contribution to AKS Ibu Kartini students to be able to improve skills in smoothing sensitive hair.

This study aims to determine the effectiveness of using vlogs as a Project Based Learning (PBL) media in the Fantasy Makeup course to enhance students’ soft skills, particularly in communication, public speaking, creativity, and problem solving. This research employed a pre-experimental design with a one group pre-test and post-test design. The sample consisted of 25 students selected through a census sampling technique, in which the entire population was used as the research sample. Data were collected through observation and questionnaires administered in two stages: a pre-test before the implementation of the learning model and a post-test afterward. The data were analyzed using a Paired Sample T-Test to identify the mean differences in students’ soft skill scores before and after the learning treatment. The results showed a significant improvement in communication, public speaking, creativity, and problem-solving abilities after the implementation of the vlog-based PBL model. Therefore, the use of vlogs is proven to be an effective and innovative learning medium to strengthen students’ soft skills in the context of the Fantasy Makeup course.

Background: Effective communication is an importat component in improving patient safety in hospitals. Ineffective communication can lead to misperceptions, errors in treatment, and an increased risk of medication errors. Therefore, supervision is necessary to ensure that nurses’ communication meets standards. This study aims to determine the relationship between supervision and the implementation of effective communication by nurses at Sultan Agung Islamic Hospital in Semarang. Method: This study used an analytical quantitative design with a cross-sectional approach. The study sample consisted of 94 nurse practitioners, selected using total sampling technique. The reearch instruments were a supervision questionnire and an obervation sheet on effective communication based on the SBAR method. Data analysis used Pearson product moment rank correlation test to determine the relationship between the two variables. Results: The results show that most nurses have effective communication in the “fair” category, with 70 respondents (74,5%), and supervision in the “moderate” category, with 75 respondents (79,8%). The Pearson product moment test obtained a p-value of 0.025 (< 0.05), which means hat there is a relationship, and r = 0.232, which indicates a weak relationship, and r = 0.232, which indicates a weak relationship and a positive direction. Conclusion: There is a Relationship Between supervision and the implementation of effective communication by nurses

Hajj savings are an important Islamic banking product designed to assist Muslims in preparing for hajj expenses in a systematic and Sharia-compliant manner. As a trust-based fund, hajj savings require proper accounting treatment to ensure transparency, accountability, and compliance with Sharia accounting standards. This study aims to analyze the implementation of trust fund accounting in the Hajj Savings Program at Bank Syariah Indonesia (BSI) KCP Tegal Slawi. This research employs a qualitative descriptive approach using observation, documentation, and interviews conducted during an internship period at the research location. The data were analyzed by comparing accounting practices applied by the bank with relevant Sharia accounting standards, particularly PSAK 105 and PSAK 101. The results indicate that the hajj savings at BSI KCP Tegal Slawi are managed under a mudharabah contract and are recognized as temporary syirkah funds rather than bank income. The processes of recognition, measurement, presentation, and disclosure have generally been implemented in accordance with Sharia accounting principles. However, limitations were found in the level of accounting understanding among operational staff. This study implies that strengthening Sharia accounting literacy among bank employees is essential to enhance accountability and maintain customer trust in managing hajj funds.  

Musculoskeletal injuries are common health problems encountered in sports activities and daily life. Primary Health Care Facilities (PHCF) such as community health centers play an important role in the initial management of musculoskeletal injuries before referral to higher-level health facilities. This study aimed to describe the management of musculoskeletal injuries at the PHCF of UPTD Mangulewa Health Center. The methods used were field observation, structured interviews with health professionals, and simulation of musculoskeletal injury management. The results showed that UPTD Mangulewa Health Center has adequate facilities, equipment, and health personnel for managing musculoskeletal injuries at the primary care level. The management procedures were carried out systematically through anamnesis, physical examination, initial treatment based on RICE principles and immobilization, pharmacological therapy, and an integrated referral system. Fracture management simulations indicated that students gained practical understanding of immobilization techniques and early injury management. In conclusion, the management of musculoskeletal injuries at the PHCF of Mangulewa Health Center is in accordance with primary health care service standards and supports the prevention of injury complications.

Water is an essential need for all living things on Earth to support various vital biological processes. Without water, life cannot exist because of its role as a solvent, nutrient transport medium, and temperature regulator. Water in nature does come from various sources such as rivers, lakes, rain, and groundwater, which are not all clear because they are contaminated with particles or other substances, in contrast to mountain springs which are often purer. In this study, a water filtration system was created aimed at making turbid water purify to be suitable for use by assessing the NTU (Nephelometric Turbidity Unit) of turbid water due to suspended particles such as mud or sediment, thus producing clear water suitable for use for household or irrigation purposes. The use of two Siemens S7-1200 PLCs as controllers in the water filtration system is a reliable redundant approach to automate mechanisms such as pump, valve, and NTU sensor settings. PLC 1 is used for the filtration system and PLC 2 is used for the water distribution system. The water distribution process uses a DC pump that runs when it receives input from the water level sensor in the raw water tank and clean water tank. The water filtration process has three main stages: reading the water turbidity level using a turbidity sensor, regulating the water flow rate using a solenoid valve, and filtering the water using filter media. The system's operation can be monitored and controlled through a SCADA system. Both PLCs are connected using an OPC server for communication between the PLC and SCADA. The OPC server sends data from the PLC to the Wonderware InTouch application as the SCADA system. To monitor and control the SCADA system, users must log in to access the system.

Employee affective commitment is a critical factor for workforce retention and service quality in healthcare organizations, particularly among nurses who represent the largest professional group in hospitals. Kemayoran X Hospital has experienced persistently high nurse turnover rates, indicating potential deficiencies in affective commitment. This study aimed to examine the influence of perceived organizational support and organizational justice on nurses’ affective commitment, with work engagement serving as an intervening variable. A quantitative cross-sectional design was employed, involving 125 staff nurses at Kemayoran X Hospital selected through purposive sampling. Data were collected using structured self-administered questionnaires distributed via Google Forms and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results demonstrated that perceived organizational support, organizational justice, and work engagement simultaneously exerted a significant effect on affective commitment. Furthermore, perceived organizational support and organizational justice showed significant positive effects on work engagement, which in turn significantly influenced affective commitment. Mediation analysis confirmed that work engagement partially mediated the relationships between perceived organizational support and affective commitment, as well as between organizational justice and affective commitment. These findings indicate that nurses who perceive fair treatment and strong organizational support are more likely to be engaged in their work and emotionally committed to their organization. In conclusion, strengthening organizational support systems, ensuring fairness in decision-making processes, and fostering work engagement are essential managerial strategies to enhance nurses’ affective commitment and reduce turnover in hospital settings.

This research investigates the impact of Creative Problem Solving (CPS) within a group counseling framework to mitigate academic-related stress in students. Intense scholastic expectations often compromise a student’s psychological health and academic achievements, making this a critical area of intervention. Employing a quasi-experimental quantitative design, this study utilized a single-group pretest-posttest model. Participants exhibiting elevated stress markers were recruited via purposive sampling. The core intervention involved systematic group sessions centered on diagnostic problem-solving, divergent idea generation, and strategic decision-making. Pre- and post-intervention data were gathered through a standardized assessment scale and processed using parametric statistics. The data revealed a substantial decline in academic stress levels post-treatment. These results underscore the efficacy of CPS-based counseling in fostering cognitive flexibility. Ultimately, this approach provides a robust mechanism for students to develop resilient coping strategies against educational pressures.

The global reliance on wheat flour has prompted the food industry to seek sustainable local substitutes. Sweet potato (Ipomoea batatas L.) emerges as a potential candidate due to its substantial starch content and beneficial bioactive compounds. This study explores innovations in sweet potato flour processing, emphasizing physical, chemical, and enzymatic modifications to enhance its functional properties. The research methods include hydrothermal treatments and fermentation (Modified Sweet Potato Flour/MOSPEF) and their impact on dough rheology and glycemic response. The findings indicate that modified sweet potato flour can effectively replace wheat flour by 30-50% in bakery items and up to 100% in gluten-free formulations without significantly altering sensory traits. This innovation represents a strategic step toward national food sovereignty and improved nutritional quality in the modern food industry, healthier and more nutritious. The use of modified sweet potato flour is expected to strengthen food security and provide economic benefits for local farmers and the domestic food industry.

Breast cancer is a chronic disease that affects not only physical health but also psychological, social, and spiritual aspects of patients’ lives. Spiritual well-being is an important internal resource that helps patients cope with illness, maintain hope, and find meaning in life during long-term treatment. This study aimed to describe the level of spiritual well-being among breast cancer patients undergoing treatment. This research employed a quantitative descriptive design with a cross-sectional approach. A total of 142 breast cancer patients were selected using purposive sampling at the Oncology Center of RSUD dr. Zainoel Abidin Banda Aceh. Data were collected using the Spiritual Well-Being Scale (SWBS), which measures religious and existential well-being, and were analyzed descriptively. The results showed that the majority of respondents had a high level of spiritual well-being (66.2%), while 23.9% were categorized as moderate and 9.9% as low. These findings indicate that breast cancer patients generally have strong spiritual resources, particularly in maintaining their relationship with God and finding meaning and purpose in life despite living with a chronic illness. This study highlights the importance of integrating spiritual assessment and spiritual care into holistic nursing practice, especially in palliative and supportive care settings.

The high cost of colloid fluids and the large number of patients are concerns in determining which treatment standard should be chosen from several treatment alternative, where the total cost for 43 cases with a combination of crystalloid colloid fluids is IDR 209.370.993 while the total cost for 45 cases of crystalloid fluids is only UDR 146.492.268 which causes hospital losses. This study aims to determine the difference in the cost-effectiveness between crystalloid fluids and crystalloid-colloid combinations in hospitalized dengue fever patients without shock at Tangerang City Hospital. The research design used was cross-sectional with a comparative quantitative analysis method, where cost effectiveness was analyzed using the Average Cost Effectiveness Ratios (ACER) method. There were two groups of study samples: the first group, 25 patients who received crystalloid fluids, and the second group, 23 patients who received crystalloid-colloid combination fluids. This study showed a difference in the average hospitalization costs for dengue patients between crystalloid fluid therapy and crystalloid-colloid combination therapy. Hospitalization costs for dengue patients were lower in the crystalloid fluid group, with a significant difference (p=0.000). It was also found that crystalloid fluids were more cost-effective than the crystalloid-colloid combination. The implications of the study results consist of theoretical implications and practical implications. Based on the results of the analysis carried out, the crystalloid solutions are more cost-effective than crystalloid-colloid combinations. This finding can be used as a consideration in making decisions and policies that are in accordance with quality control and cost control for patients covered by the National Health Insurance (BPJS Health insurance).