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Post-stroke condition is a neurological dysfunction condition that has an impact on changes and decline in body condition for a fairly long period of time. The need for support during recovery and rehabilitation by the family is very much needed by post-stroke patients in managing themselves to optimize their well-being and quality of life. The purpose of this study was to determine the relationship between family support and self-care management in post-stroke patients. The design of this study was correlational using a cross-sectional approach. A population of 23 respondents with purposive sampling obtained 21 samples. The measuring instrument used was a questionnaire and data analysis using the Spearman rank test. The results of the study showed that almost half of the respondents (47.8%) had good family support, and almost half of the respondents (47.8%) had good self-care management. The results of the statistical test from the Spearman's rho test showed a P value of 0.0001 <α 0.05, so it can be concluded that there is a positive (unidirectional) and very strong relationship (r = 0.870) meaning that the better the family support provided by the family, the stronger the self-care management in post-stroke patients. Family support is a health component that influences a person to improve their health status and quality of life.

The pharmaceutical industry produces solid, liquid, and gaseous waste containing active pharmaceutical ingredients that pose serious environmental risks. These wastes can disrupt ecosystems and accelerate antimicrobial resistance. This systematic literature review examines pharmaceutical waste concepts, classifications, characteristics, and relevant regulatory frameworks. It also addresses ecotoxicological effects on aquatic and terrestrial ecosystems, antibiotic contamination and resistance, water and soil pollution, treatment technologies, industrial policies, and best practices. Findings show that conventional wastewater treatment is largely ineffective at removing pharmaceutical residues, resulting in their presence in surface water, soil, and even drinking water. Compounds such as β-blockers, cytostatics, antibiotics, and hormones harm aquatic life by impairing reproduction and causing mutations. Antibiotic-laden industrial waste contributes to the emergence of resistant bacteria. Recommended treatment methods include biothermal processes, advanced oxidation (e.g., UV/H₂O₂, ozonation), adsorption (activated carbon), coagulation-flocculation, and controlled incineration. Stronger enforcement of hazardous waste regulations (e.g., Government Regulation No. 101/2014, Ministry of Environment and Forestry Regulation No. 56/2015) and adherence to WHO (2025) guidelines are essential. In conclusion, multisectoral collaboration (One Health), improved waste treatment capacity, and adoption of best practices are crucial to preventing pharmaceutical pollution and promoting environmental sustainability.

Pregnant women with poor nutritional status or Chronic Energy Deficiency (CED) are at risk of health complications for both the mother and fetus, such as low birth weight (LBW). This study aimed to determine the relationship between pregnant women with CED and the incidence of LBW at RSUD Sultan Muhammad Jamaludin I. The study used a descriptive correlational design with a retrospective approach using secondary data from medical records. The population consisted of 330 respondents, selected by total sampling technique. Univariate and bivariate analyses (Chi-square test) were performed. Most respondents were under 35 years old (66.4%), primigravida (62.0%), in their third trimester (100%), and had tertiary education (54.2%). Most did not have LBW infants (91.8%), and most were not diagnosed with CED (24.1%). Chi-square analysis showed a significant correlation (p=0.001) with an Odds Ratio of 11.566, indicating that CED significantly influences the likelihood of LBW.

A Caesarean section, or C-section, is a surgical procedure where a baby is delivered through an incision made in the mother’s abdomen and uterus. To aid the healing of post-Caesarean wounds, mothers need not only antibiotics but also a diet that provides high-quality nutrition and adequate calories. The research question being investigated is: "Do Age, Parity, Education, and Occupation Affect the Healing Process of Post-Caesarean Wound Stitches?" This study uses a quasi-experimental design with a Post-test Only Control Group Design. The study population includes mothers who had a C-section at Pemalang Hospital. Participants were divided into two groups: 49 received catfish extract tablets (the experimental group), and 49 received standard wound care (the control group). Sampling was conducted using purposive sampling techniques. Data were analyzed through both univariate and bivariate methods. The results showed a p value of 0.000 for the experimental group and 0.046 for the control group (both p values < 0.05), indicating that catfish extract tablets significantly influence the healing process of post-Caesarean wound stitches..

Multicultural counseling is a procedure including counselors and counselees with different cultural backgrounds, multicultural counselors need to understand multicultural factors that are in accordance with the conditions of guidance counselees. This research used a qualitative methodology, specifically a literature review, that consists of obtaining data sources relevant to the research issue. The primary data source is derived from the article manuscript, which will be evaluated through descriptive analysis.The purpose of this research is to enhance understanding related to multicultural guidance and counseling models. The findings of this research encompass (1) the concept of multicultural guidance and counseling, (2) multicultural guidance and counseling models, and (3) types of multicultural guidance and counseling in Indonesia.

This study aims to identify and analyze the challenges in developing Indonesian students’ mathematical abilities within the implementation of the Merdeka Curriculum. Using a literature review method, 14 out of 30 reviewed articles were found relevant. The findings highlight key challenges such as gaps in foundational literacy and numeracy, low teacher quality, limited learning resources, lack of innovation in mathematics instruction, suboptimal formative assessments, and low student motivation. Although the Merdeka Curriculum promotes student-centered learning with flexibility, its implementation still faces significant barriers. Therefore, targeted strategies are needed, including teacher training, provision of adequate resources, and collaboration between educational institutions and the government. This review offers valuable implications for policy development aimed at improving the quality of mathematics education in Indonesia.

This research is titled The Influence of Brand Image, Brand Trust and Product Quality on the Purchase Decision of NITA Sanjai Crackers in Bukittinggi. The purpose of this study is to determine the influence of brand image, brand trust and product quality on purchasing decisions in NITA sanjai crackers in Bukittinggi. The sample taken was 60 respondents using Ferdinand's formula. The data analysis methods used by the author in this study are validity test, reliability test, classical test, normality test, heterokesdaticity test, mulicolineity test, correlation analysis, multiple regression analysis, partial test, simultaneous test and determination test. The research conducted by the author is a research with a quantitative method. From the analysis that has been carried out, the author finds that there is a positive and insignificant influence between brand image variables on purchase decision variables. There is a positive and significant influence between the brand trust variable on purchase decisions. There is a positive and significant influence between product quality variables on purchasing decisions. There is a positive and significant influence between brand image, brand trust and product quality variables on purchase decisions.

Effective communication serves as a fundamental pillar for organizational success, particularly in navigating dynamic change. This study aims to explore the role of effective communication within organizations and identify applicable strategies to address common communication challenges in complex and evolving work environments. The research employs a literature review method, selecting 15 relevant articles and conducting an in-depth analysis of the 5 most credible ones. The findings indicate that effective communication enhances teamwork, clarifies organizational goals, fosters trust, and improves overall productivity. However, various challenges such as misunderstandings, cultural differences, technological limitations, and resistance to change can hinder communication effectiveness. To overcome these barriers, organizations must implement strategic approaches, including fostering open and transparent communication, utilizing adaptive communication technologies, providing communication skills training, managing cultural diversity, and conducting regular evaluations of communication processes. These strategies contribute to creating a communicative, inclusive, and high-performing organizational environment.

This research aims to analyze employee work stress at PT X. The objectives of this study include understanding the factors that cause employee work stress at PT X, knowing the strategies used by PT X in overcoming work stress, and the company's response to employee work stress that occurs at PT X. The research method used is descriptive analysis with a qualitative approach. The background of this research is based on excessive workload in the work environment, decreased motivation caused by a lack of attention from the company to workers. The results of this study show that high levels of stress among PT X employees significantly affect employee performance. Employees often feel frustrated to the point of forcing themselves to complete work quickly. As a result, employees are exposed to work stress and performance productivity decreases. To overcome this problem. PT X has implemented workload mapping strategies, appreciation in the form of compensation, and recruitment of new employees. The implementation of this strategy has shown positive results in improving employee productivity and performance efficiency. This study concludes that high work stress has certain consequences on employee performance. Recommendations include stress management programs, periodic performance effectiveness evaluations, and further studies that explore the relationship of job stress with other variables, such as individualism and leadership. The findings are expected to contribute to the development of more effective human resource management strategies in modern work environments.

Hypercholesterolemia is one of the health problems that is often experienced by the elderly and has a major impact on their quality of life, especially because it increases the risk of cardiovascular diseases such as coronary heart disease, stroke, and peripheral vascular disorders. This condition often does not show symptoms, but the process of atherosclerosis can develop slowly and cause serious complications if not treated early. The Community Service Program (PKM) implemented at Panti Werdha Hana aims to increase awareness among the elderly of the importance of early detection of Cholesterol and High Density Lipoprotein (HDL) levels as part of efforts to prevent heart disease. This activity applies the Plan-Do-Check-Act (PDCA) approach, including total cholesterol and HDL examinations using the Point-of-Care Testing (POCT) method, as well as interactive education about risk factors and healthy lifestyles. The results of the activity showed that out of 76 participants, 38 people (50%) had total cholesterol levels above normal, while 22 people (28.95%) had low or very low HDL levels. Early detection through screening has proven effective in identifying cardiovascular risks earlier and providing a basis for timely medical and educational interventions. Through this activity, it is hoped that the elderly can understand their health conditions better and take preventive steps to maintain lipid levels within normal limits, to improve the quality of life and reduce the risk of cardiovascular complications in the future.

Kidney dysfunction often remains undetected in its early stages due to minimal clinical symptoms. Serum creatinine and estimated glomerular filtration rate (eGFR) examinations are the main parameters to assess kidney filtration function. Lifestyle factors such as a high-sodium diet play a role in accelerating the decline in kidney function. Creatinine and eGFR examinations were performed by taking venous blood from 104 adult participants. Samples were analyzed in the laboratory, while education was provided directly to all participants after blood sampling, focusing on reducing sodium consumption and improving diet. The examination showed that the average creatinine level was still within normal limits, but the eGFR value of some participants showed a decline in kidney function. The agreement between the two parameters reinforces the importance of laboratory examinations in detecting the risk of declining kidney function. Education successfully conveyed information about the effect of salt consumption on kidney health. eGFR and creatinine examinations are effective steps to detect the risk of kidney dysfunction in asymptomatic populations. Education about reducing sodium and improving diet plays an important role in preventing progressive kidney damage.

Penelitian ini membahas implementasi kerangka kerja COBIT 5 dalam manajemen risiko teknologi informasi pada UMKM XYZ, dengan fokus pada evaluasi domain APO12 (Manage Risk) dan EDM03 (Ensure Risk Optimisation) untuk mengukur kapabilitas tata kelola TI. Hasil evaluasi menunjukkan bahwa UMKM XYZ berada pada Level 4 (Performed Process), yang menunjukkan bahwa manajemen risiko telah berjalan secara konsisten, meskipun masih perlu penyempurnaan, seperti rencana penanganan risiko yang terdokumentasi dan prosedur komunikasi serta eskalasi yang jelas. Analisis risiko mengidentifikasi 8 faktor risiko dengan 21 risiko, terdiri dari 3 risiko tinggi dan 18 risiko sedang. Rekomendasi yang diajukan untuk meningkatkan kapabilitas manajemen risiko antara lain menyusun rencana penanganan risiko yang terdokumentasi, memperbaiki prosedur komunikasi dan eskalasi, serta menyusun kebijakan manajemen risiko yang komprehensif. Langkah mitigasi yang disarankan meliputi penyusunan disaster recovery plan, pemeliharaan rutin sistem, backup data berkala, solusi jaringan alternatif, dan monitoring laporan keuangan serta kondisi perangkat keras. Dengan implementasi rekomendasi ini, UMKM XYZ diharapkan dapat meningkatkan kapabilitas tata kelola risiko TI dan menghadapi tantangan teknologi secara lebih efektif dan berkelanjutan.

Dedak padi merupakan salah satu pakan yang penting bagi ternak. Penurunan kualitas dedak padi dapat terjadi ketika dedak padi dicampur dengan bahan lain seperti sekam padi.  Dedak padi yang dicampur sekam akan mengalami peningkatan kandungan lignin. Dengan demikian, kandungan lignin dalam dedak padi dapat dijadikan indikasi adanya campuran sekam dalam dedak padi. Salah satu metode untuk mengetahui kandungan lignin tersebut adalah dengan uji laboratorium melalui reaksi pewarnaan dengan larutan phloroglucinol. Pada penelitian ini, estimasi kandungan lignin dilakukan dengan menggunakan probabilistic neural networks (PNN) berdasarkan citra campuran dedak padi dan sekam hasil reaksi pewarnaan larutan phoroglucynol. Terdapat 11 kelas dalam penelitian ini yang mewakili 11 komposisi campuran dedak padi dan sekam. Untuk mengetahui kadar lignin dari 11 kelas tersebut, dilakukan uji laboratorium terlebih dahulu. Sebagai input PNN, digunakan fitur histogram dari citra hasil reaksi pewarnaan tersebut dengan lima variasi jumlah bin (interval). Pada penelitian ini digunakan dua model warna citra yaitu model warna RGB (red, green, blue) dan HSV (hue, saturation, value). Pembagian data latih dan data uji untuk PNN menggunakan skema 3-fold cross validation dengan total jumlah data sebanyak 132 citra. Hasil penelitian menunjukkan bahwa akurasi tertinggi PNN sebesar 79.54% dan akurasi rata-rata 75,75% untuk kedua model warna citra.

Masalah sampah organik di Indonesia terus meningkat seiring pertumbuhan penduduk. Sampah organik mendominasi komposisi sampah di Indonesia sebesar 62%. Biokonversi menggunakan larva Black Soldier Fly (BSF) atau maggot menjadi salah satu solusi pengelolaan sampah organik berkelanjutan. Penelitian ini bertujuan membandingkan efektivitas biokonversi antara sampah pasar dan rumah makan sebagai pakan maggot. Penelitian dilakukan dengan metode eksperimen menggunakan enam wadah biokonversi, terdiri dari tiga perlakuan (sampah pasar, rumah makan, dan campuran) dan tiga kontrol, selama 14 hari. Hasil menunjukkan bahwa maggot yang mengkonsumsi sampah rumah makan menghasilkan kadar protein (44,6%) dan lemak (41,85%) tertinggi, serta durasi biokonversi tercepat (12 hari). Sebaliknya, sampah pasar memiliki kadar air tinggi sehingga memperlambat proses biokonversi (14 hari). Semua kasgot memenuhi baku mutu SNI kecuali kadar air pada kasgot sampah pasar. Penelitian ini menunjukkan bahwa jenis sampah organik mempengaruhi efektivitas biokonversi, dengan sampah rumah makan menunjukkan hasil paling optimal sebagai pakan alternatif maggot.

Di Kota Pasuruan Ikan medai dan udang yang belum dimanfaatkan secara optimal, terutama dalam menghasilkan produk pangan bernilai tambah. Penelitian ini bertujuan untuk mengeksplorasi potensi ikan medai dan udang sebagai bahan baku penyedap rasa alami. Metode yang digunakan meliputi pembuatan bubuk penyedap rasa berbahan ikan medai dan udang kemudian dilakukan analisis sensori untuk mengetahui penerimaan penyedap rasa berbahan ikan medai dan udang. Atribut sesnsori yang diuji meliputi rasa, aroma, warna, dan overall. Analisis data pada uji hedonik dianalisis menggunakan software statistik SPSS Statistic 22. Hasil penelitian menunjukkan untuk atribut rasa yang paling disukai panelis ialah berturut-turut dari sampel yang berbahan dasar udang, kombinasi ikan-udang, dan penyedap rasa berbahan dasar ikan medai dengan nilai 3.25;3.02 dan 2.78, warna bubuk penyedap rasa yang paling disukai panelis ialah berturut-turut dari sampel yang berbahan dasar udang, kombinasi ikan-udang, dan penyedap rasa berbahan dasar ikan  medai dengan nilai 3.25; 2.93; dan 2.80. Sedangkan untuk atribut aroma, yang paling disukai panelis ialah penyedap rasa berbahan ikan medai dan udang, selanjutnya penyedap rasa berbahan udang dan nilai terendah ialah penyedap rasa berbahan ikan medai dengan nilai berturut-turut 3.12;2.83; dan 2.62. Penerimaan secara keseluruhan adalah pada penyedap rasa berbahan udang, kombinasi ikan medai dan udang dan yang terakhir ikan medai dengan nilai berturut-turut 3.38, 3.13 dan 2.90.

This community engagement initiative was organized by the Faculty of Economics and Business, Department of Accounting, University of Bengkulu, Indonesia. The activity aimed to enhance financial literacy and public awareness of the Sharia capital market among residents of Sri Kuncoro Village, Central Bengkulu. The training focused on technical analysis of Sharia-compliant stocks, introducing participants to key concepts such as price trends, candlestick patterns, support and resistance levels, and the use of technical indicators aligned with Islamic financial principles. The objective was to empower the local community with practical skills and knowledge to participate responsibly and ethically in Sharia-based stock trading. The results showed a significant increase in participants' understanding of technical analysis tools and their confidence in investing in the Sharia capital market.

This study aims to examine the role of communication in organizations, especially in improving operational effectiveness, decision making, and building organizational culture. The method used is a literature study by collecting and analyzing various sources such as journals, books, and articles related to organizational communication. The results of the study reveal that communication in organizations has an important role through four main functions: informative, regulatory, persuasive, and integrative. Effective communication can encourage better coordination, increase employee motivation, and support innovation. However, there are several communication barriers such as structural, psychological, and cultural factors that can reduce its effectiveness. The implications of this study emphasize the importance of developing a communication strategy that combines technology with direct interaction to maintain the humanistic aspect in the organization.

This study aims to explain the process of developing Edpuzzle learning media and identify the feasibility of media development in learning Network Service Technology. The method used is the ADDIE method for class XI TKJ students at SMK Pemuda Samarinda. Data collection techniques using observation and interviews. The analysis techniques used are skinative analysis techniques and quantitative analysis. The research subjects involved were media experts, material experts and students. The results obtained in this study are very feasible with an average score of 82.26.

Air pollution is one of the most serious environmental problems in Indonesia, especially in Jakarta. Air pollution can cause various health problems, such as Respiratory Tract Infections (ISPA), heart disease, cancer and has caused 8,100 deaths and losses reaching Rp 32.09 trillion. According to the Ministry of Environment and Forestry (KLHK), motor vehicles contribute 44 percent of air pollution in Jakarta and its surroundings, The energy industry contributes 31% of air pollution, followed by the manufacturing industry at 10%, Residential and commercial sectors contribute 14% and 1% respectively. One of the efforts to reduce air pollution is done by building public awareness about the dangers of air pollution. Public service advertisements (PSAs) can be used to build public awareness about the dangers of air pollution. With the role of copywriters, PSAs can convey information and education about the dangers of air pollution in an attractive and persuasive manner. The purpose of this work is to explain to the public about the role of copywriters in creating public service advertisements, the importance of concept preparation in advertising content, and to invite the public to participate in reducing air pollution through the work 'Lepas Sesak Udara Jakarta'. This journal work provides recommendations to the government and related institutions to utilize Public service advertisements as a medium to build public awareness about the dangers of air pollution because effective public service advertisements can increase public awareness about the dangers of air pollution and encourage them to participate in reducing air pollution.

Tourism is one of the sectors that has a major impact on economic growth in Indonesia, both in terms of state revenue and continuing to expand employment opportunities. In terms of global trade, the tourism sector is greatly influenced by international economic dynamics, such as the flow of foreign tourists, trade policies, and global economic stability. This study aims to analyze the relationship between global trade and Indonesia's economic resilience in the tourism sector, focusing on facing global turmoil such as pandemics, trade wars, and financial crises. The method used is a quantitative approach with secondary data analysis from BPS reports, related ministries, and global trade organizations. The results of the study show that there is a strong relationship between global trade growth and the performance of the tourism sector, as well as the important role of this sector in stabilizing national economic resilience through diversification of foreign exchange sources and increasing gross domestic product (GDP).