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Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    

This paper applies the Gamma Regression Model to determine the probability of newborns in the Diyala Province developing neonatal jaundice, or hyperbilirubinemia. This disease is prevalent, and it may be severe due to the large amount of unconjugated bilirubin in the blood. The aim of the study was to test the relationship between the levels of bilirubin and a set of independent variables, including the weight of birth, gestational age, and the proportion of red blood cells (PVC). 67 worth of data regarding neonatal cases was collected, and the outcome was that the model fitted well. The findings further indicated that whereas the influence of PVC was significant and positive on the bilirubin level, lower gestational age and less weight at birth had significant negative influence. As the results of the study indicate, the Gamma Regression Model is an effective tool to assess medical data and predict critical scenarios, which assists a clinician with the timely and accurate decision-making.

Infancy is a crucial golden period for determining the quality of a child's future growth and development. Infant massage has long been recognized for its numerous benefits for infant growth and development. Various studies have shown that infant massage can increase weight gain, improve sleep quality, strengthen the immune system, and aid digestion. Many parents still lack understanding of infant massage. Some assume that infant massage is only performed on sick babies and is performed by traditional healers or medical personnel skilled in infant massage. The purpose of this community service is to increase mothers' knowledge about infant massage through outreach. The target audience was 22 mothers with babies in Gampong Barat, Nisam District, North Aceh Regency. The implementation method used was lectures, discussions, and demonstrations. The results showed that the majority of mothers' knowledge was in the good category after the outreach. This was due to the mothers' enthusiasm in participating in the outreach. Outreach is an effective method for increasing knowledge. Mothers are expected to continue to improve their knowledge about infant massage by increasing their interest in seeking information, whether through reading books, the media, or other sources.

The first 1000 days are often referred to as the window of opportunities or the golden period, based on the fact that from the fetal stage to the age of two years, there is a period of rapid growth and development that does not occur in other age groups. Meeting nutritional needs during the first 1000 days of a child's life is very important. This study analyzes the relationship between food taboos and LILA in pregnant women with the incidence of stunting in toddlers aged 1-24 months in the working area of the Biromaru Community Health Center in Sigi Regency. The research design used was a case-control study. The independent variables in this study were food taboos and maternal weight during pregnancy. The dependent variable was stunting in children aged 1-24 months. The population in this study consisted of all mothers who had children with stunting, totaling 32 people. The results of the study show that of the 16 stunted respondents, 11 (34.4%) respondents had food taboos and 5 (15.6%) respondents did not have food taboos. Then, out of 16 non-stunted respondents, 4 (12.5%) respondents had food taboos and 12 (37.5%) respondents did not have food taboos. Meanwhile, out of 16 stunted respondents, 10 (31.3%) respondents had KEK and 6 (18.76%) respondents did not have KEK. Then, of the 16 respondents who were not stunted, 3 (9.4%) respondents had KEK and 13 (40.6%) respondents did not have KEK. There is a relationship between food taboos and the incidence of stunting in children aged 1-24 months (p = 0.001), as well as a relationship between maternal height during pregnancy and the incidence of stunting in children aged 1-24 months (p = 0.01). It is hoped that the Biromaru Community Health Center will increase routine visits and provide education and counseling for mothers and infants.

This study aims to analyze the marketing strategy of the Wadiah Savings Product (Hanabung) at KSPPS Hanada Quwais Sembada using a SWOT approach to identify internal strengths, weaknesses, external opportunities, and threats influencing the institution’s marketing performance. The research employs a descriptive quantitative method supported by qualitative data obtained from interviews with five key informants. Data analysis was conducted using the IFE and EFE matrices to evaluate the weight, rating, and score of each strategic factor. The findings indicate that KSPPS Hanada’s major strengths include strong member loyalty, personalized services, and compliance with sharia principles. The main weaknesses are conventional promotional activities, limited marketing human resources, and insufficient digital innovation. Opportunities arise from increasing public awareness of Islamic finance, while threats come from digital financial service competition and low financial literacy levels. With an IFE score of 3.10 and an EFE score of 2.75, the institution is positioned within a growth strategy. The study highlights the need for more innovative and adaptive marketing strategies through digitalization, human resource development, and continuous financial literacy initiatives.

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition results from the immaturity of organ systems, including thermoregulation, making infants vulnerable to hypothermia. One non-pharmacological intervention to maintain body temperature stability is the nesting technique, which positions the baby in a flexed posture similar to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on body temperature changes in LBW infants in the perinatology room of RSUD Batang. The study used a descriptive case study with a nursing process approach involving five LBW infants (<2500 g, spontaneous breathing). The intervention involved applying nesting for 30 minutes daily over three consecutive days. Body temperature was measured before and after the intervention using a digital thermometer. The results showed an increase in body temperature in all subjects. The average temperature before intervention was 35.9°C and increased to 36.6°C after three days of nesting therapy. This indicates that nesting effectively helps maintain body temperature stability in LBW infants by providing comfort, reducing stress, and conserving body energy. In conclusion, nesting is an effective evidence-based nursing intervention for improving body temperature in LBW infants and is recommended for perinatology care settings.

Beetroot is traditionally cultivated in highland areas; however, limited land availability and growing market demand have encouraged its expansion into mid-altitude regions. Thermal unit accumulation is an important factor in predicting crop phenology and harvest time. This study aimed to analyze the thermal unit requirements, growth performance, and tuber quality of beetroot cultivated at different altitudes in East Java, Indonesia. The experiment was conducted from August to December 2024 in greenhouses located in Jatimulyo, Malang (445 m a.s.l., midland) and Sumberejo, Batu (873 m a.s.l., highland) using 250 plants of the Boro variety with a single-plant observation method. Results showed that midland-grown plants reached harvest earlier (84 DAS; 1,527.3 °C·day) compared to highland-grown plants (104 DAS; 1,572.7 °C·day). Higher thermal accumulation had a strong positive correlation with soluble solids (r = 0.74) and a strong negative correlation with fresh tuber weight (r = –0.79), indicating that increased heat enhanced sugar synthesis but reduced biomass. Highland conditions produced larger tubers, while midland conditions improved betacyanin and sweetness levels, showed that altitude-driven temperature differences affect both yield and quality, suggesting that highland cultivation is suitable for fresh markets, whereas midland cultivation is more appropriate for industrial uses such as natural food colorants and processing industries.

The assessment of student achievement is one of the main indicators in measuring the effectiveness of the educational process in Islamic boarding schools. The assessment process that has been carried out manually tends to be subjective, so it has the potential to cause a discrepancy between the student's achievement and the results of the evaluation received. This research aims to develop a decision support system that is able to assess student achievement in an objective, measurable, and transparent manner by applying the PROMETHEE (Preference Ranking Organization Method for Enrichment Evaluation) method. This method is used because it has the ability to manage various assessment criteria simultaneously to produce fair and rational alternative rankings. The research approach used is quantitative descriptive by involving a number of students as research samples. The data was analyzed through the stages of determining weight, calculating preference values, and determining the values of leaving flow, entering flow, and net flow as the basis for determining the final ranking. The results of the study show that the PROMETHEE method can provide consistent and accurate ranking results, by placing students who have academic excellence, discipline, and positive personalities in the top position. These findings prove that the PROMETHEE method is effective in overcoming the subjectivity of the assessment and increasing the transparency of the evaluation process. Practically, the resulting system can help the pesantren in determining outstanding students more efficiently and based on data, as well as theoretically strengthen the application of multicriteria decision-making methods in the context of Islamic education.’

Competition in the songkok (traditional cap) industry in Gresik Regency has become increasingly intense, especially for small enterprises such as UD. Arif Bersaudara, which face challenges in maintaining competitiveness amid changing market trends and consumer preferences. This study aims to analyze effective marketing strategies for UD. Arif Bersaudara by identifying internal and external factors and determining the most appropriate strategic priorities for business development. The research employs the SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis to identify strategic factors and the QSPM (Quantitative Strategic Planning Matrix) to determine the order of strategic priorities. Data were collected through questionnaires distributed to 92 respondents and analyzed quantitatively using weighting and attractiveness score calculations. The results show that the total IFE Matrix score is 4.80 and the EFE Matrix score is 4.772, placing UD. Arif Bersaudara in the “Grow and Build” strategic position. Based on the QSPM results, the main priority strategy is to leverage superior product quality, design variations, and size diversity to capture opportunities in digital and international markets, with the highest TAS value of 8.37. The study concludes that UD. Arif Bersaudara should focus its strategy on improving product quality and implementing digital marketing to strengthen competitiveness. The strength of this research lies in the application of the combined SWOT–QSPM methods, which provide measurable analytical results, while its limitation lies in the relatively small and region-specific number of respondents. Future research is recommended to expand respondent coverage and incorporate digital marketing–based analysis to make MSME marketing strategies more adaptive to technological developments.

Plant growth regulators are organic or synthetic compounds that function to regulate and stimulate plant growth, both in the vegetative and generative phases. The administration of plant growth regulators (PGRs) is an effort to provide hormones to plants for optimal growth. The purpose of this study was to determine the growth and yield of expired corn (Zea mays L.) plants after the administration of various plant growth regulators. The research using a randomized block design consisted of 10 treatments where treatment A = new seeds + Aquades, B = new seeds + 500 cc / L ZPT bean sprout extract, C = new seeds + 500cc / L ZPT young coconut water, D = new seeds + 0.2 cc / L Auxin, E = new seeds + 0.2 cc / L Gibberellin, F = expired seeds + Aquades, G = expired seeds + 500 cc / L ZPT bean sprout extract, H = expired seeds + 500 cc / L young coconut water, I = expired seeds + 0.2 cc / L Auxin, J = expired seeds + 0.2 cc / l Gibberellin. Each treatment was repeated 3 times, until 30 experimental units were obtained. Based on the results of the study, the highest plants were found in treatment I = expired seeds + 0.2 cc / L auxin at plant age 6 MST with an average of 257,667. The observation of the highest number of leaves was found in treatment I = expired seeds + 0.2 cc / L auxin at plant age 6 MST with an average of 14,530 strands, the best stem diameter was in treatment F = expired seeds + Aquades, at plant age 5 MST with an average stem diameter of 28,733, observations on the weight of the cob with husk and the best weight of the cob without husk were found in treatment F = expired seeds + Aquades with an average of 287,200 grams, and 251,533 grams, observations on the length of the best cob in treatment F = expired seeds + Aquades with an average length of 19,900 cm.

The soil in Kedungdandang Hamlet, Muncar, has previously been identified as expansive clay that is highly sensitive to changes in moisture content and exhibits significant shrink–swell behavior, which leads to a reduction in bearing capacity and structural damage such as cracking in floors and walls, therefore, soil improvement through stabilization is required. This study aims to determine the effect of adding cement and rice husk ash (RHA) on the mechanical properties of expansive clay soil by using 3% cement and 6%, 8%, and 10% rice husk ash based on the weight of the soil. The results of the unconfined compressive strength (UCT) test indicate that the natural soil has a qu value of 28.62 kN/m², which increases to 55.08 kN/m² with the addition of 3% cement and 6% RHA, to 62.66 kN/m² with 3% cement and 8% RHA, and reaches the highest value of 86.98 kN/m² for the mixture containing 3% cement and 10% RHA. This increase in qu value indicates that the stabilization process improves the mechanical properties of the soil through a pozzolanic reaction, resulting in a more stable soil structure and a higher bearing capacity.

Decision Support Systems (DSS) can become inaccurate when used with imprecise, incomplete, or dynamically changing data. Fuzzy logic techniques based on conventional methodologies may be strong at handling vagueness, but are unable to adapt their behavior in response to different data distributions on their own. This paper recommends the creation of an Adaptive Fuzzy Logic Integration Framework that dynamically updates membership functions and rule weights in response to data variation to enhance decision accuracy under uncertainty. The described framework combines Fuzzy Inference Systems (FIS) with learning-based parameter update concepts borrowed from adaptive optimisation. The model was simulated and executed on a hybrid algorithmic platform that included gradient-based parameter tuning and iterative feedback learning. Experimental tests were conducted on uncertainty-generated data sets to compare adaptive and conventional fuzzy models in terms of ISME (Root Mean Square Error), convergence stability, and decision accuracy. Previous results show that the adaptive model achieves a 21.4% increase in accuracy and a 28% improvement in convergence rate compared to non-adaptive fuzzy systems. Moreover, the model ensures stable performance even in the presence of random data perturbations, demonstrating its ability to handle uncertainty. This book incorporates a self-tuning fuzzy decision model that converts static inference structures to dynamic evolving decision engines. The outcomes establish a foundation for next-generation smart DSS for real-time optimization in uncertainty.

Background: A balanced diet is essential for maintaining health and nutritional status, commonly assessed using Body Mass Index (BMI). Dietary habits are influenced not only by physiological needs but also by psychological factors such as Body Image perception. Unrealistic perceptions of one’s body can lead to unhealthy eating behaviors and negatively impact nutritional status. Patisserie students, who are frequently exposed to high-calorie foods, may be particularly vulnerable to such challenges. Objective:  This study aims to examine the influence of Body Image perception on dietary patterns and BMI among patisserie students at the Medan Tourism Polytechnic. Methods: This study is an observational analytical study with a cross-sectional approach to 60 students of Medan Tourism Polytechnic. Body Image and eating pattern data were collected using a questionnaire, while BMI was obtained by measuring the weight and height of the subjects. Result: The data obtained were analyzed using the Chi-square Test. Based on the results of the analysis, a relationship was found between Body Image and eating patterns with a value of p = 0.006 (P < 0.05). However, there was no relationship between Body Image and BMI with a value of p = 0.391 (P> 0.05). Consclusion: There is a relationship between Body Image and eating patterns but there is no relationship between Body Image and BMI.

Arbuscular Mycorrhizal Fungi (AMF) are biological agents that play an important role in increasing the efficiency of nutrient uptake and plant tolerance to abiotic stress, especially in acidic soils such as ultisols. This study aims to analyze the growth and yield responses of chili (Capsicum annuum L.) to the combination of NPK fertilizer doses and AMF inoculation. The study was conducted in Sungai Talang, Gadut, Agam Regency, from June to October 2025 using a Factorial Completely Randomized Design with two factors, namely AMF inoculation (without AMF, Glomus sp., and Rhizophagus sp.) and NPK fertilizer doses (100%, 75%, 50%, and 25% of the recommendation). The results showed a significant interaction between AMF inoculation and NPK doses on plant height, dry weight, flowering time, and fruit yield per plant. Glomus sp. inoculation with a 50% NPK fertilizer dose resulted in the highest growth and yield, equivalent to the 100% NPK treatment without AMF. The integration of AMF with a 50% reduction in NPK dosage has been shown to maintain crop productivity. This strategy can serve as a basis for developing a sustainable agricultural system based on nutrient efficiency and soil microbial balance.

In Iranian Traditional Medicine, some herbs like Achillea millefolium, commonly known as yarrow, are implicated as appetite enhancers. However, there is not enough research evidence to prove their actual effect. Achillea millefolium is a dicot which belongs to the family Asteraceae. The purpose of this study was the analysis Achillea millefolium based on a bioinformatic study and toxicity test on the chicken embryo. This research method consisted of conversion of nucleotides into amino acids, analysis of the three-dimensional structure of Achillea millefolium protein, epitope and Allergen Proteins, antigens and toxins and toxicity test on the chicken embryo. In addition, this study also obtained the results of proteins that are epitope, antigenic, non-allergenic and non-toxic and toxicity test on the chicken embryo was 250 ng/egg.. Morphological description of the embryo on the 21st day after injection, at a concentration of 250 ng of Mentha piperita/egg product, an abnormal embryological picture was obtained. Chicken Embryo Weight and Body Length Measurements were carried out in chicken embryos. Need research for other species of plant.

Red blood cells are essential for carrying oxygen and vital nutrients needed for the growth of the fetus, therefore anemia during pregnancy is a complex issue. It is vital for all expectant mothers to fulfill their iron needs because maternal anemia during pregnancy can result in adverse consequences for the child, such as premature birth and low birth weight. The chance of a woman developing anemia increases as she ages during pregnancy. Bleeding is a direct result of the anemia experienced during labor in 17.24% of cases. The purpose of this study was to determine the connection between the incidence of anemia and young pregnant women in Ir. Soekarno Hospital on Morotai Island. The study used an analytical survey with a cross-sectional approach, which is useful for finding relationships between two or more variables. The whole sampling technique, which included 40 participants in all, was used. A checklist was used as the study's instrument. Chi-Square analysis was used to analyze the collected data using SPSS software. The chi-square statistical analysis produced a P-value (asymp. The p-value (2-tailed) is 0.002, which is less than the 0.05 significance level. This indicates a relationship between the start of anemia and young pregnant women. Thus, it is possible to infer a link between the incidence of anemia and young pregnant women, leading to the rejection of H0 and the endorsement of H1.

Hawthorn extract has been used for ameliorating cardiac disorders and pulmonary hypertension. The main chemical constituents of hawthorn flavonoid extract (HFE) include flavonoids (1-2%), oligomeric proanthocyanidins (1-3%), and other bioactive components (e.g., triterpene acids, organic acids, sterols, and cardioactive amines). These compounds are reported to have many pharmacological effects, including neuroprotective, hepatoprotective, cardioprotective, and nephroprotective effects. This study was aimed the analysis Crataegus oxyacantha based on a bioinformatic study and toxicity test on the chicken embryo. This method consisted of analysis of the three-dimensional structure of Crataegus oxyacantha Protein, Epitope and Allergen Proteins, Crataegus oxyacantha Proteins that were antigens and toxins and toxicity test on the chicken embryo. The results of research conducted on 3 three-dimensional structures of Crataegus oxyacantha protein, GQME value and QmeanDisCo value. In addition, this study also obtained the results of proteins that are epitope, antigenic, non-allergenic and non-toxic and toxicity test on the chicken embryo was 250 ng/egg..Morphological description of the embryo on the 21st day after injection, at a concentration of 250 ng of Crataegus oxyacantha /egg product, an abnormal embryological picture was obtained. Chicken Embryo Weight and Body Length Measurements were carried out in chicken embryos. Need research for other species of plant.

N the rapidly evolving digital era, decision-making has become a critical aspect across various fields, including education, where choices such as selecting an Islamic boarding school (pondok pesantren) are often influenced by complex and subjective factors. This study addresses the dilemma faced by Diyah, a junior high school student, in determining the best reasons for choosing Pondok Pesantren Darularafah Raya, highlighting the limitations of manual, personal-based processes that fail to systematically consider measurable criteria like educational quality, learning environment, facilities, discipline, and instilled religious values. The advancement of information technology provides a solution through Decision Support Systems (DSS), utilizing the ORESTE (Organization, Rangement Et Synthèse De Données Relationnelles) method, which effectively processes ordinal data to produce objective rankings based on subjective yet structured preferences. Unlike other methods such as SAW or AHP that rely on numerical data, ORESTE emphasizes relative preference weights, making it suitable for individual decision-making contexts like educational choices. The novelty of this research lies in applying ORESTE in a DSS focused on analyzing an individual's best reasons for selecting a pesantren, aiming to reduce subjective bias and enhance rationality. The primary objective is to develop a DSS using the ORESTE method to analyze and determine Diyah's optimal reasons for choosing the pesantren. Through this, the system is expected to accelerate evaluation processes, improve objectivity, and identify dominant factors influencing educational decisions. Findings from the implementation demonstrate accurate rankings that prioritize key criteria, leading to more efficient and data-driven outcomes. Implications include aiding students, schools, and educators in understanding influential factors, fostering objective assessment systems, and serving as a reference for future studies integrating MCDM methods with computer-based systems in personalized educational decision-making.

Exclusive breastfeeding for the first six months of life is an important nutritional intervention that plays a role in supporting infant growth and preventing growth disorders. Although the coverage of exclusive breastfeeding in Indonesia has increased, differences in infant growth outcomes based on nutritional sources remain an issue that needs to be examined contextually. This study aims to analyze the effect of exclusive breastfeeding on infant growth at the Labuha Community Health Center, South Halmahera Regency. The study uses a quantitative approach with an observational analytical design and a comparative cross-sectional design. The study sample consisted of 30 infants aged 3–9 months selected using total sampling technique. The independent variable was the infant's nutritional source (exclusive breastfeeding and breastfeeding supplemented with formula milk), while the dependent variables included weight gain and length gain. The data were analyzed univariately and bivariately. The normality test was performed using the Shapiro–Wilk test, and the difference analysis was performed using the independent t-test. The results showed that there was no significant difference in infant weight gain based on nutritional source (p = 0.334). However, there was a significant difference in infant length gain, with infants who were exclusively breastfed showing better linear growth than infants who received a combination of breast milk and formula (p = 0.006). The conclusion of this study shows that exclusive breastfeeding has a significant effect on infant length growth, but not on weight gain. These findings emphasize the importance of exclusive breastfeeding in supporting linear growth as a key indicator of healthy infant growth.

Advances in information and communication technology (ICT) have revolutionized various aspects of life, including the education sector. The application of technology in education enables more flexible, interactive, and personalized learning, as well as expanding access for students in various regions, including remote areas. SMK Negeri 2 Binjai is one of the vocational education institutions in Binjai City that is currently facing challenges in the process of determining recipients of educational assistance, particularly the Indonesia Pintar (PIP) Program, which is intended for underprivileged students. Until now, the selection mechanism for PIP recipients has been carried out manually, making it prone to subjectivity, lack of transparency, and limited integrated data. To overcome this problem, a decision support system is needed to help schools determine the recipients of educational assistance objectively and structurally using the Weighted Aggregated Sum Product Assessment (WASPAS) method, which is an effective multi-criteria decision-making technique for processing various assessment criteria to produce the best alternative ranking. The results of the calculation using the WASPAS method produced different preference values (Qi) for each student alternative. The highest score was obtained by Ilyas Ramadhanu with a Qi of 0.6899, followed by Binar Sembiring with a Qi of 0.5963, and Dimas Dwi Andika with a Qi of 0.5790. The lowest value was obtained by Adit Rahmazi with a Qi of 0.3852.